Qualitative Research Critique Assignment Discussion Paper

In this assignment, you will write a critical appraisal that demonstrates comprehension of two qualitative research studies. 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 – 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. You are required to submit this assignment to Lopes Write. A link to the Lopes Write technical support articles is located in Class Resources if you need assistance Qualitative Research Critique Assignment Discussion Paper

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Critically ill patients who are catheterized have an increased risk of developing catheter-associated urinary tract infections (CAUTI), which can have a detrimental effect on their overall health. CAUTIs are among the most prevalent kinds of hospital-acquired infections (HAIs) that may result in morbidity and mortality globally. CAUTIs are responsible for forty percent of all HAIs (Soundaram et al., 2020). These infections can make patients and staff members uncomfortable at care facilities, and they might have negative effects on patients. The use of a care bundle is something that should be considered for CAUTI management in order to prevent unfavorable effects. This paper seeks to provide a summary of two peer-reviewed qualitative studies that address the following PICOT question: In critically ill patients at risk of catheter-associated urinary tract infections (CAUTI) in an acute care setting (P), does applying a nurse-driven bladder bundle (I) reduce the occurrence of CAUTI (O) compared to patients given the usual care (C) within a timeframe of 3 months (T)?

Background of the Studies

Ravi and Joshi (2018) conducted an investigation of the effectiveness of CAUTI care bundles and infection control nurses in lowering the number of cases of CAUTI. The researchers suggested that the care bundle may be helpful if all of its components had a favorable influence on the patient. As a result, the adoption of the care bundle ought to strengthen comprehensive features in the care of patients. The care bundle technique is an approach that combines measures that have been established and suggested for the decrease of urinary tract infections (UTIs) (Ravi & Joshi, 2018). This healthcare practice can be implemented in health facilities with the goal of attaining a significant decrease in the occurrence of CAUTIs. The question that was investigated in this study was whether or not the use of a CAUTI Care Bundle and an infection control nurse (ICN) is beneficial in lowering the rate of CAUTI Qualitative Research Critique Assignment Discussion Paper

The second study that was carried out by Mody et al. (2017) examines the implementation of nationwide bundle care to reduce catheter-associated urinary tract infections in inpatient divisions in hospitals located in 48 different states throughout the United States (Mody et al., 2017). The purpose of this research was to investigate the impact that implementing CAUTI bundle care had on the number of CAUTI cases that occurred in hospitals. The question that was investigated is whether or not implementing the national bundle care may lessen the incidence of CAUTIs.

Support for the Nursing Practice Problem

These articles provide an analysis of bundle intervention as a means to prevent and manage CAUTIs. As such, it supports the nursing practice issue of CAUTI in critically ill patients. The use of bundled therapeutic interventions for CAUTIs has the potential to be an efficient technique that may assist in enhancing patients’ chances of experiencing favorable results. The bundled care approach can consist of prompt extraction of catheters, device standardization, catheter general upkeep, and minimization of placements where possible (Ravi & Joshi, 2018). Such crucial measures are potentially useful for enhancing preventative efforts for critically ill patients. It is conceivable that the bundled care will be weighted more toward making sure the favorable outcomes are achieved while minimizing the hazards. It has the potential to be a valuable intervention that may assist acute care patients to experience less of the negative effects of CAUTIs. According to Mody et al. (2017)’s findings, the bundle intervention has the potential to successfully lower CAUTI rates. It is possible to utilize it to decrease the number of times a catheter is used, which will have a beneficial effect on the patients.

Method of Studies

Ravi and Joshi (2018) designed their research as an observational study. They focused on the results that were encountered after eight months of intervention, accompanied by 21 months of intervention. The distinctions were carefully noted down during the process of observing and recording the results. The research was carried out at a health care facility that had 410 beds and saw 5,000 inpatients on a yearly basis. The interventional investigation would be useful in gaining a better grasp of the distinction perceived.

In the study that Mody et al. (2017) conducted, an inductive methodology was used. Focus groups were used to gather the data, and then the data from every group was gathered, compiled into smaller components, and classified in order to synthesize the findings. Interviews were conducted with the focus groups, and the data from those interviews was obtained. In order to get to a point when there was no more information to learn, this data was examined group by group and evaluated for themes. There were a total of thirteen nurses of varying ages participating in the focus group. When generating thematic components as part of the qualitative research process, the possible constraint of subjectivity in interpretation is a focus group’s possible limitation.

Results

Ravi and Joshi (2018) discovered that the prevalence of CAUTIs dropped significantly when the preventative procedures were combined into a single plan. In the context of healthcare, the employment of bundles proved to be a beneficial strategy for promoting favorable results. Researchers came to the conclusion that a control strategy was necessary in order to bring down the number of HAIs. The research also demonstrated that monitoring of CAUTI patients does not contribute significantly to the lowering of occurrences of the infections. To improve the likelihood of favorable results, preventative measures are necessary Qualitative Research Critique Assignment Discussion Paper

In their results, Mody et al. (2017) showed a decrease in the incidence of catheter-associated UTIs by 54% over the span of one year. They observed that the majority of the facilities are capable of achieving such decreases since 75.0 percent of the facilities showed a decrease of 40% or more after implementing the bladder bundle. The results of this research provide new knowledge that may be used to successfully support a decrease in the number of healthcare-associated illnesses in a wide variety of healthcare institutions located in a variety of geographic locations. These findings illustrate the necessity of conducting active monitoring for multidrug-resistant pathogens and device-associated infections with simple feedback. The authors also came to the conclusion that an interactive educational approach needs to be incorporated into the bundle of care and should place an emphasis on both general infection control and equipment maintenance, as well as preventative barrier procedures during high-risk events.

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Ethical Considerations

When carrying out these studies, there were a number of ethical factors taken into account. Beneficence, respect, fairness, sincerity, and integrity are all principles that were upheld by the researchers. Prior to conducting any of these studies, the researchers in each of them got the subjects’ informed consent. They acted in accordance with the concept of beneficence by guaranteeing that the subjects benefitted from the study and were protected from any potential risks. A respectful relationship was maintained with the subjects by keeping them apprised of the information and data that was being gathered and the purposes for which it would be put to use in the investigation. The subjects’ right to privacy and the integrity of the interactions were both safeguarded through the application of justice within the context of the research.

Conclusion

In a nutshell, catheter-associated urinary tract infections can lead to implications among critically ill patients and cause adverse health outcomes. As such, maintaining compliance with the bundle intervention is an essential component that has the potential to contribute to improved results. In order to guarantee beneficial outcomes in acute care settings, it is essential that the daily procedures associated with bundled care be carried out as intended. Qualitative Research Critique Assignment Discussion Paper

References

Mody, L., Greene, M. T., Meddings, J., Krein, S. L., McNamara, S. E., Trautner, B. W., Ratz, D., Stone, N. D., Min, L., Schweon, S. J., Rolle, A. J., Olmsted, R. N., Burwen, D. R., Battles, J., Edson, B., & Saint, S. (2017). A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. JAMA Internal Medicine, 177(8), 1154. https://doi.org/10.1001/jamainternmed.2017.1689

Ravi, P., & Joshi, M. (2018). Role of “Bladder care bundle” and “Infection control nurse” in reducing catheter-associated urinary tract infection in a peripheral hospital. Journal of Marine Medical Society, 20(2), 116. https://doi.org/10.4103/jmms.jmms_8_18

Soundaram, G. V., Sundaramurthy, R., Jeyashree, K., Ganesan, V., Arunagiri, R., & Charles, J. (2020). Impact of care bundle implementation on incidence of catheter-associated urinary tract infection: a comparative study in the intensive care units of a tertiary care teaching hospital in south India. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine, 24(7), 544. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482344/ Qualitative Research Critique Assignment Discussion Paper

Nursing Practice Problem (200-250 words): Hospital-acquired infections or HAIs continue to be a major problem in healthcare institutions even in the United States that has an advanced healthcare system. This is partly attributable to human factors since many considerations go into the decision whether to follow procedures or not. It is not because there is a shortage of infection-prevention protocols and procedures. Rather, it is more of an organizational culture thing and complacency by staff and management. Those organizations that have successfully curbed the occurrence of HAIs in significant proportions have organizational cultures that are friendly to change. They constantly change according to what the current evidence for practice is. In other words, they make use of interventions that are informed by published peer-reviewed scholarly evidence for efficacy. This is what evidence-based practice is all about (Melnyk & Fineout-Overholt, 2019). One of the most problematic HAIs in practice in hospitals and especially in acute care settings such as the intensive care unit (ICU) is catheter-associated urinary tract infections or CAUTI. These are hospital-acquired infections that affect those critically ill patients that have to be fitted with an indwelling Foley’s catheter. The catheter drains the bladder continuously but if not taken care of by frequent cleaning with an antiseptic, infection of the urinary tract occurs.

PICOT Question: In critically ill patients at risk of catheter-associated urinary tract infections (CAUTI) in an acute care setting (P), does applying a nurse-driven bladder bundle (I) reduce the occurrence of CAUTI (O) compared to patients given the usual care (C) within a timeframe of 3 months (T)? Qualitative Research Critique Assignment Discussion Paper