Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample

Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample

Patient falls remain a global health concern for the provision of quality care. The problem poses detrimental consequences on patients’ health ranging from lacerations, dislocations, and fractures that lead to loss of function, dependency, and low quality of life among the patients. Besides the negative health consequences, falls reduce the quality of poor patient outcomes and increase health costs for healthcare settings and patients. Elderly (aged 65 years and above) patients are highly predisposed to risks of falls owing to age-related comorbidities such as poor eye-sight, hearing problems, diminished reflexes, dementia, age-related muscle loss, and comorbidities such as hypertension, and diabetes. Implementation of evidence-based interventions will be instrumental to mitigate falls and their complications among hospitalized elderly patients. Nurse-led intervention hourly rounding has been proposed to meet patient needs while improving the quality of care.(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

This project uses a PICOT question to research how the proposed hourly rounding will be effective in reducing patient falls. The picot question is Among Elderly patients (65 years and above) (P) does hourly rounding (I) compared to the use of bed alarms (C) lead to few to zero fall incidences (O) during hospitalization (T)?(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

Background of the Studies

Qualitative articles Oncu and Intepeler (2021) and Racine et al. (2020) have been selected for the research critique that determines how the studies can be to answer my PICOT question. Oncu and Intepeler’s (2021) research focuses on nurses’ implementation of nurse-led evidence-based fall interventions. The research asserts that although fall events are preventable, a lack of evidence-based interventions has continued to pose negative patient outcomes. Poor health outcomes lead to decreased quality care, prolonged hospitalization, and immense health costs. Oncu and Intepeler (2021) claim that the implementation of evidence-based interventions allows nurses to provide the best available and scientifically proven practices to curb patient falls. The research aims to evaluate nurses’ views on the implementation of evidence-based interventions toward fall prevention to improve the quality of care and patient safety. The research question for this study would be, “What are the nurses views on the implementation of evidence –based interventions towards fall prevention?”(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

Racine et al. (2020) focus on the multifactorial risk factors that lead to falls and their complications. The research claims that multifactorial fall risk assessments will be vital to preventing falls. The lack of identification of fall risk factors has been a major problem in devising appropriate interventions. Thus, the research is relevant for nurses to conduct mu that multifactorial fall risk assessments to reduce falls. The assessment will include gait, balance, muscle weakness, osteoporosis, and visual impairment among others. The research aims to use the multifactorial risks assessment to reduce falls among old people to prevent falls among the elderly in the community and improve their quality of life. The research question for this research would be, “what are the effects of multifactorial risks assessment on fall prevalence among older people in the community?”(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

How the Articles Support My Nursing Problem

            The two qualitative articles will be used to answer my PICOT question. Oncu and Intepeler (2021) will be vital in educating nurses and other healthcare professionals on the significance of using evidence-based practice in improving care quality and patient safety. Although nurses are aware of evidence-based practice, some of them are not well-versed in the implementation of proposed evidence-based interventions. Thus, the article will create more awareness while improving nurses’ and other healthcare professionals’ knowledge about EBP. Secondly, Racine et al. (2020) will be used to implement a multifactorial fall risks assessment as a standard to identify fall risks during patient-provider interaction during hourly rounding. The interventions for both research articles are related to my PICOT. Implementation of evidence-based practice is the goal while the multifactorial risk assessments will be specific intervention strategies adopted by nurses during hourly rounding. Racine et al. (2020) patient populations are elderly people just like in my project.(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

Method of Studies

Oncu and Intepeler (2021) is a qualitative descriptive design that utilizes semi-structured, in-depth, face-to-face interview approaches. Although Racine et al. (2020) is also a qualitative study that used semi-structured interviews, the study was analyzed thematically where each theme was mapped onto Theoretical Domain Frameworks to identify behavioral determinants.  Racine et al. (2020) conducted six interviews among older adults that attended community-based multifactorial fall risk assessments while Oncu and Intepeler (2021) interviewed 17 nurses.  Semi-structured interviews promote two-way communication between the researchers and the participants promoting in–depth data collection of the subject matter. However, the open-ended nature of semi-structured interviews can cause leading questions that lead to research bias.(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

Results of the Studies

            Oncu and Intepeler (2021) claimed that nurses that participated in the study on fall prevention gained more knowledge on the implementation of evidence-based practice through the use of fall prevention and training programs. Inadequate staffing was the primary barrier to implementing evidence-based fall prevention interventions. The nurses that took part in the study claimed that implementation of fall prevention training programs will be vital to reduce patient falls. Racine et al. (2020) asserted that older persons adhered to attending multifactorial fall risks assessment as they felt it helped improve their health and well-being. The participants also reported that having a good relationship with health and community services improved their awareness about the fall assessment that encouraged them to attend. Having good social and family support, determination to maintain or regain independence, previous positive experience with health services, and fear of falling rendered the participants to attend the assessments.(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

The results from both research articles have positive implications for nursing practice. Oncu and Intepeler (2021) show that nurses have the mandate to implement evidence-based interventions to improve health outcomes. As such, continued nursing education and training programs are vital to improving nurses’ knowledge, skills, and competency in fall prevention. Racine et al. (2020) show that nurses and other healthcare should collaborate with the community to improve patient outcomes. For instance, factors such as positive relationships between providers and patients, and family and social support improve health-seeking behaviors.(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

Ethical Considerations

Ethical considerations are a set of principles that guide the research process. First, voluntary participation is an ethical consideration that ensures that all research participants engage have a right to choose whether they will take part in a study without any coercion or pressure (Klykken, 2022). Secondly, seeking informed consent allows the researcher verbally or through a written form to seek permission to collect information from an individual and use it for research purposes. The researcher should protect the participant’s identity and the information that they will provide during the process. Oncu and Intepeler (2021) (Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)obtained consent to Non- the Interventional Clinical Trial Ethics Committee of the University to conduct the study. The nurses were also given voluntary participation where the researchers explained the purpose of the study and provided them with written consent forms. Racine et al. (2020) also observed voluntary participation where individuals that opted-in the study were followed up after granting the researchers full consent.(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

Conclusion

This project uses a PICOT question to research how the proposed hourly rounding will be effective in reducing patient falls. Qualitative articles Oncu and Intepeler (2021) and Racine et al. (2020) have been used for this research critique to evaluate their suitability in answering the PICOT question. Oncu and Intepeler’s (2021) (Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)research focuses on nurses’ implementation of nurse-led evidence-based fall interventions while Racine et al. (2020) focus on the multifactorial risk factors that lead to falls and their complications. Oncu and Intepeler (2021) will be vital in educating nurses and other healthcare professionals on the significance of using evidence-based practice in improving care quality and patient safety. Racine et al. (2020) will be used to implement multifactorial fall risks assessment as a standard to identify falls risks during patient-provider interaction during hourly rounding.(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample)

References

Ayhan Oncu, Y., & Seren Intepeler, S. (2022). Nurses’ view of implementation evidence‐based fall prevention interventions: A qualitative study. Journal of Nursing Management, 30(1), 234-242.(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample) https://bmjopen.bmj.com/content/10/2/e033069

Klykken, F. H. (2022). Implementing continuous consent in qualitative research. Qualitative Research, 22(5), 795-810(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample). https://journals.sagepub.com/doi/pdf/10.1177/14687941211014366

Racine, E., Soye, A., Barry, P., Cronin, F., Hosford, O., Moriarty, E., … & McHugh, S. M. (2020). ‘I’ve always done what I was told by the medical people: a qualitative study of the reasons why older adults attend multifactorial falls risk assessments mapped to the Theoretical Domains Framework. BMJ open, 10(2), e033069.(Qualitative Research Critical Appraisal Comprehesive Nursing Paper Sample) https://bmjopen.bmj.com/content/10/2/e033069