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2806 NRS Assessment 3, Trimester 1, 2018 SONM Use Only Assessment 3: Critical Evaluation 2000 words Weighting 50 % Due date: 17:00hrs 21 May, 2018 Critical Evaluation Tool template (Quantitative...

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2806 NRS Assessment 3, Trimester 1, 2018
SONM Use Only
Assessment 3: Critical Evaluation
2000 words
Weighting 50 %
Due date: 17:00hrs 21 May, 2018
Critical Evaluation Tool template (Quantitative Study) (Do not submit this table template)
    Introduction
    PICO
     Complete this table
    What is the problem/population?
    
    What is the intervention?
    
    What is the Comparator?
    
    What is the primary outcome?
    
    What are the secondary outcome/s?
    
    
    Critical Appraisal models
    Identify one other critical evaluation/appraisal model that can be used to critique research and evaluate a quantitative study. You must reference this.
    Journal
    Present an overview of this journal e.g. Briefly determine if it is a highly regarded journal by Impact Factor.
In what country is the journal published?
How will this information about the journal affect your decision when considering using this research in practice?
    Authors
    Are the authors experts in the field? How can you tell? How will this information about the authors affect your decision when considering using this research in practice?
    Title, Abstract and Literature Review
    
    a. What makes a good journal article title? Is the title of the research paper consistent with the text? Describe.
. What are the aims and objectives of the research study?
c. What are the important features about an abstract? Describe the components of the abstract in this research study.
d. Is the literature cited in the background / literature review cu
ent, relevant and comprehensive? Briefly describe.
    Research Design
    
    a. What type of quantitative study design was used? What level of evidence is this?
. What are the research questions for this study?
c. Why was the study needed? State this reason.
d. Are hypotheses stated in this study? If so, please state these and describe which hypothesis is stated: the scientific hypothesis or the null hypothesis?
e. Describe how the intervention(s) was ca
ied out?
    The sample
    
    a. What was the population of interest?
b. Identify and describe the setting of the study. (Hospital, home, community etc)
c. How were the participants recruited? Describe.
d. Was ethical approval obtained? Describe.
    Data collection
    
    a. What data was collected? What outcome/s were measured? Describe
. What tools were used to collect the data (surveys, questionnaires or other data collection tools). Were quality tools used? How was tool quality determined?
d. Who collected the data and how?
e. What is bias and how is it avoided or minimised in this study?
    Data Analysis
    
    
a. How were the quantitative results reported in this study?
    Results
    
    Summarise the researcher’s report of the results, including:
a. Do the results answer the research question/s?
. Were suggestions for further research made? If yes, what were they?
c. Were implications for healthcare / practice suggested? If so, what were they?
    Conclusion
    
    
a. Summarise the conclusion
     Relevance to nursing practice
    
    Critically evaluate, with reference to a range of recent, scholarly literature, how this research is relevant to the clinical nursing setting using the principles of evidence based practice.
These include:
· Patient values
· Clinical expertise
· Available evidence
    
Reference List
2
Answered Same Day May 16, 2020

Solution

Azra S answered on May 20 2020
154 Votes
Introduction
There are several vital devices used in medical care, especially in the Emergency Department where most procedures are taken place in a speedy manner. One of the most vital and commonly used devices used in ED are Peripheral intravenous catheters. Intravenous catheters are used in about 80% of all patients during their hospitalization. However, these devices report a high rate of failure within 48 hours of installation which can be highly problematic.
The research under study proposed that the use of medical-grade skin glue could result in improved fixation for intravenous catheters. With this proposal, the research studied the results of a controlled trial where two groups of patients, one using skin glue and the other using standard methods were monitored for a period of 48 hours. The patients were then analyzed using multiple modes. Thereafter, the results were recorded by research nurses for evaluation by experts.
The conclusion of the research was significant. The results showed a prominent reduction in catheter dislodgement and overall failure when skin glue was used as against standard approaches. This research opens doors for further studies and a credible way of reducing the incidence of intravenous catheter failures.

Title and Abstract
The study titled, 'Skin glue reduces the failure rate of emergency department-inserted peripheral intravenous catheters: A randomized controlled trial' observes the use of skin glues for reducing the failure rate of intravenous catheters'. The title is apt and reveals relevant details about the research within its parenthesis.
The study uses 360 adults in ED for the study of a single-site, 2-arm, nonblinded, randomized and controlled trial. The aim is to observe the efficiency of skin glue against standard procedures in fixation of peripheral intravenous catheters.
It is successfully concluded through the study that skin glue along with standard procedures are more effective for securing intravenous catheters for longer periods and must be recommended for medical use.
Research Design
The study is a qualitative research using a randomized controlled trial featuring 360 patients using 380 catheters. The study site was selected as Caboolture Hospital which is a community hospital that observes around 52,000 ED presentations per year located north of Brisbane. Particularly for this study, approval had been obtained from the hospital human research ethics committee. The trial was also registered with Australian and New Zealand Clinical Trials Registry.
The study was conducted by a highly qualified team of doctors and professionals. So the data observed can be considered authentic for reference and use. In addition, Biostatistics experts were also consulted during the conclusion process so we can safely assume that the research has been well-studied and has a high level of accuracy in terms of observation, data analysis, and conclusion.
Standard randomization procedures and electronic data recording were performed to get precise results from the study further authenticating its value. In addition, only those patients who provided complete outcome data were considered in the study.
Even though the study was focussed over a 48 hour period, the trial took place between November 2012 until March 2013. The observation was performed by trained ED research nurses through direct observation and phone call follow-ups.
The results derived from the data were highly reliable since very few patients dropped out of the study and only a nominal were unavailable for follow-up. So the turnout rate of the trial was very good.
There were some limitations to the research process. First, Some important parameters like medications, catheter accesses, dwell time were ignored. Second, some patients left the hospital before the trial ended so direct observation was not possible and a telephonic interview was conducted. Third, the failure rate was determined at 48 hours and not at the time of removal, so data regarding the timing could be inaccurate. The catheters could or could not have lasted longer.

The Sample
A total of 360 samples were selected. This was done through...
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