Qualitative Articles Assessing Nurses Knowledge And Attitude Assignments Towards PU Prevention

Qualitative Articles Assessing Nurses Knowledge And Attitude Assignments Towards PU Prevention

Research Critique Guidelines – Part I

Qualitative Studies

Introduction

The selected nursing practice problem is the high prevalence of pressure ulcers (PU) among older adults in healthcare facilities, including nursing homes and hospitals. According to Grešš Halász et al. (2021), the incidence and prevalence of pressure ulcers range from 7 to 71.6% and 8.8 – 53.2%, respectively. This trend is associated with limited mobility among elderly adults. The high rate of pressure ulcers in the geriatric population leads to adverse health outcomes, including increasing readmission rates, longer stay, high cost of care, and rising morbidity and mortality rates. Grešš Halász et al. (2021) reported that pressure ulcers result in a considerably high mortality rate in the geriatric population. Thus, preventive measures should be adopted to reduce the high rate of PU and related health complications. Nurses play a significant role in preventing and treating pressure ulcers. For this reason, various studies have been conducted to assess nurses’ knowledge and attitudes towards PU prevention. This paper criticizes qualitative articles assessing nurses’ knowledge and attitudes towards PU prevention Qualitative Articles Assessing Nurses Knowledge And Attitude Assignments Towards PU Prevention.

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PICOT Question

This paper will be based on a PICOT question stating; “Among elderly patients in the medical-surgical unit who are at a high risk of developing pressure ulcers (P), does the use of routine repositioning and pressure distribution devices (I) more effective compared to usual care (C) in reducing the rates of hospital-acquired pressure ulcers (O) within two weeks of hospitalization?”

Background of Studies

First, Saleh et al. (2019) conducted an observational study on PU prevention. The study was necessitated by poor knowledge about pressure ulcers and the underutilization of PU care in Jordan. The purpose of the study was to evaluate knowledge concerning the prevention and treatment of pressure ulcers among nurses working in Jordan. The study’s objective was to assess nurses’ knowledge regarding preventing and treating PU in Jordan. The research question was, does nurses’ knowledge concerning pressure ulcers influence the prevention and treatment of pressure ulcers? The study is significant to the nursing practice. It indicated that increasing nurses’ knowledge regarding PU would improve PU prevention and care, reducing patient suffering.

Lotfi et al. (2019) also conducted a descriptive cross‐sectional study. This study was triggered by a dramatic increase in the rate of pressure injuries. This study aimed to evaluate nurses’ knowledge, behavior, and attitude in preventing pressure injuries. The study aimed to evaluate nurses’ knowledge, behavior, and attitude in preventing pressure injuries. The study question was, do nurses’ knowledge, behavior, and attitude prevent pressure injuries? The study is significant to the nursing practice since it indicated that improving nurses’ knowledge, attitude, and behavior through training positively impacts pressure treatment.

Relationship between the two Articles and High Rate of Pressure Ulcers

The proposed PICOT question states, “Among elderly patients in the medical-surgical unit who are at a high risk of developing pressure ulcers (P), does the use of routine repositioning and pressure distribution devices (I) more effective compared to usual care (C) in reducing the rates of hospital-acquired pressure ulcers (O) within two weeks of hospitalization?” Saleh et al. (2019) conducted an observational study to evaluate knowledge concerning preventing and treating pressure ulcers among Jordan nurses. Additionally, Lotfi et al. (2019) conducted a descriptive cross‐sectional study. Therefore, the two articles do not help answer the proposed PICOT question.

The proposed PICOT question uses routine repositioning and pressure distribution devices as interventions and usual care as the comparison groups. On the other hand, Saleh et al. (2019) used the implementation of interventions for preventing and treating pressure ulcers as the intervention group with no comparison. Additionally, Lotfi et al. (2019) used training as the intervention with no comparison. Therefore, the interventions and comparisons used in the two articles differ from the PICOT question.

Method of Studies

The selected articles are qualitative studies. However, these articles differ in data collection. Saleh et al. (2019) used a prospective 8-h observation to collect data from the participants. On the other hand, Lotfi et al. (2019) used a self-reported cross-sectional survey to collect data. These data collection techniques have benefits and limitations. A prospective 8-h observation requires little time to collect data from the participants. However, the researchers will likely leave out essential details when data is collected via observation. Secondly, a cross-sectional survey has a significant benefit: consuming less time. Nonetheless, this methodology requires a large sample size to collect usable data Qualitative Articles Assessing Nurses Knowledge And Attitude Assignments Towards PU Prevention.

Results of Studies

Saleh et al. (2019) conducted an observational study to evaluate knowledge concerning preventing and treating pressure ulcers among Jordan nurses. The study findings indicated that training programs equip nurses with adequate knowledge of PU, improving the prevention and treatment of pressure ulcers in the clinical practice. Additionally, Lotfi et al. (2019) conducted a descriptive cross‐sectional study. The study findings indicated that holding practical workshops improves nurses’ knowledge, behavior, and attitude towards PU, enhancing pressure injury prevention and improving patient safety.

The two studies indicated that improving nurses’ knowledge, behavior, and attitude toward PU improve the prevention and treatment of pressure ulcers and reduces patient injuries. Therefore, clinical practices should adopt patient training as an evidence-based intervention for improving knowledge, behavior, and attitude towards PU. This intervention will result in PU prevention and treatment, improving patient safety.

Ethical Considerations

Researchers in the selected articles applied ethical considerations for conducting research in their studies. First, the authors applied the ethical principle of informed consent. They disclosed all relevant information concerning their studies to the participants, including their purpose, study period, and benefits and shortcomings of participating in the study. The respondents then provided a written consent form to indicate their willingness to participate in the studies. Secondly, the researchers adhered to the ethical principle of voluntary participation. They allowed the respondents to volunteer to participate in the study without coercing or forcing them.

Conclusion

The high rate of pressure ulcers among elderly adults is a significant problem facing nurses attending to these individuals in hospitals and nursing homes. Thus, studies have evaluated nurses’ knowledge, behavior, and attitude towards PU prevention and treatment. Studies indicate that enhancing nurses’ knowledge, behavior, and attitude toward pressure ulcers, improve PU prevention and treatment, which results in patient safety.

References

Grešš Halász, B., Bérešová, A., Tkáčová, Ľ., Magurová, D., & Lizáková, Ľ. (2021). Nurses’ knowledge and attitudes towards prevention of pressure ulcers. International Journal of Environmental Research and Public Health, 18(4), 1705. https://doi.org/10.3390/ijerph18041705.

Lotfi, M., Aghazadeh, A. M., Asgarpour, H., & Nobakht, A. (2019). Iranian nurses’ knowledge, attitude, and behavior on skin care, prevention, and management of pressure injury: A descriptive cross‐sectional study. Nursing Open, 6(4), 1600-1605. Doi: 10.1002/nop2.365

Saleh, M. Y., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). An observational study of nurses’ knowledge and practice of pressure ulcer prevention and treatment. Journal of tissue viability, 28(4), 210-217. https://doi.org/10.1016/j.jtv.2019.10.005

You will pick two of your approved qualitative studies for this assignment. Please make sure you read my feedback because if I told you that the article was approved and if I agree with you regarding qualitive or quantitative study. You cannot critique an article that is not a study.

Rough Draft Qualitative Research Critique and Ethical Considerations

This is your introduction. Please tell the reader about your topic of interest. Explain why you are interested in researching this topic. Please include your PICO question so the reader can follow your purpose of the articles you selected.

Title and Author(s) of Article 1

Background Article 1

Identify the clinical problem and research problem that led to the study. In a qualitative study, the researchers are often looking for knowledge, attitudes, and beliefs. Often knowledge, attitude and beliefs lead to noncompliance or errors. Sometimes if we better understand people we can take better care of them. How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem. Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims. List research questions that the study was designed to answer- these are not the questions that the researcher asked the participants. If the author does not explicitly provide the questions, attempt to infer the questions from the answers. Were the purpose and research questions related to the problem? Be sure to include your textbook by citing what your book says about how the problem, purpose and questions are all related! This is essential because without scholarly support you are giving your opinion Qualitative Articles Assessing Nurses Knowledge And Attitude Assignments Towards PU Prevention.

Title and Author(s) of Article 2

Background Article 2

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Relationship to Nursing Practice

Explain how each of your two articles will be used to answer your PICO question and how interventions and comparison groups in the articles relate to those in your PICO question

Method of Study- Article 1

Was the study phenomenological, ethnographic, grounded, narrative, or case study? Use your textbook to explain the type of study you believe the study to be. Sometimes it is written and sometimes it is assumed by the research question and purpose. Describe the sample population; was it adequate and appropriate for the study? What does your book say about population sample size? What data collection tools were used? How did the researchers sort the data? How were results analyzed? How was bias controlled?

Explain one benefit and one limitation of the method selected for this study. Why was this method appropriate for what the researchers wanted to learn? If the researchers selected a phenomenological, ethnographic, grounded, narrative, or case study approach, why was this approach appropriate to getting the answer to their burning question?

Method of Study- Article 2

Was the study phenomenological, ethnographic, grounded, narrative, or case study? Use your textbook to explain the type of study you believe the study is. Sometimes it is written and sometimes it is assumed by the research question and purpose. Describe the sample population; was it adequate and appropriate for the study? What does your book say about population sample size? What data collection tools were used? How did the researchers sort the data? How were results analyzed? How was bias controlled?

Combined Results of the Studies

Summarize key findings of each study in one or two comprehensive paragraphs. Please make sure you include implications of the two studies to nursing practice.

Ethical Considerations- Study 1 and 2

Discuss two ethical considerations in conducting research. How did the researchers protect participants? Be sure to pull your textbook to support how important it is to protect participants.

Conclusion

Restate your PICO and make connection between your PICO and the qualitative studies. Make sure to emphasize the importance and congruity of the thesis statement, provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice. Also, incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice. Integrate a summary of the knowledge learned.

For this assignment, use the nursing practice problem and two qualitative peer-reviewed research articles you identified in Topic 1 (or two new articles based on instructor feedback in Topic 1). In a 1,000-1,250-word essay, summarize two qualitative studies.

Use the “Research Critique Guidelines â€“ Part I” document to organize your essay.

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

References

YOUR ARTICLES (PLUS YOUR BOOK- all critiques require scholarly support, without scholarly support your submission is a summary, and the instructions and rubric expect a critique)

Green, S. & Johnson, J. (n.d.). Research ethics and evaluation of qualitative research in Helbig, J. (n.d.) History and process of nursing research, evidence-based nursing practice and quantitative and qualitative research. From: https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/2Qualitative Articles Assessing Nurses Knowledge And Attitude Assignments Towards PU Prevention