Summary of Clinical Issue
During care delivery, nurses are the front-line workers who come into contact with patients. Several patients have communicable and infectious diseases and this may pose a risk of further spread of infections and pathogens, especially to the nurses during care delivery. Therefore, protecting nurses from communicable diseases, infections and also hazardous drugs used during treatment is important. One important method to prevent nurses is the utilization of personal protective equipment (PPE) such as face shields, respirators, gloves, gown and other equipment (Lakshmi et al., 2016). PPEs are important especially in situations when nurses have contact with secretions, body fluids or excretions. Also, the implementation of infection control measures is important to protect nurses and other healthcare workers from life-threatening infections like tuberculosis, severe acute respiratory syndrome (SARS), MERS, among other emerging pandemics such as the new Covid-19. Moreover, adapting the standard preventative guidelines and infection control measures prevent transmission of nosocomial infections, even to the healthcare providers. Additionally, nurses often handle hazardous drugs such as chemotherapy drugs and thus there is a need for the nurses to observe and adhere to the appropriate guidelines to prevent injuries and the harm that may occur as a result of coming into contact with the hazardous drugs and chemicals (Habiba et al., 2018). Education programs may be of great help in enlightening nurses regarding the importance of adhering to the required protective measures (Russell et al., 2018). Literature Evaluation Table Example
PICOT Question: Will nurses benefit from more infection control measures as well as adequate PPE equipment and protocol education when dealing with contractible disease patients and hazardous drugs?
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Summary Table
Criteria | Article 1 | Article 2 | Article 3 |
APA-Formatted Article Citation with Permalink | Russell, D., Dowding, D. W., McDonald, M. V., Adams, V., Rosati, R. J., Larson, E. L., & Shang, J. (2018). Factors for compliance with infection control practices in home healthcare: findings from a survey of nurses’ knowledge and attitudes toward infection control. American journal of infection control, 46(11), 1211–1217. https://doi.org/10.1016/j.ajic.2018.05.005
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Habiba A, Eldin Z & Ibrahem E. (2018). Oncology Nurses’ Knowledge and Practices Regarding Handling Hazardous Drugs: Developing Procedure Manual for Safe Handling of Hazardous Drugs. OSR Journal of Nursing and Health Science (IOSR-JNHS), 7(2), 1-11. https://www.iosrjournals.org/iosr-jnhs/papers/vol7-issue2/
Version-3/A0702030111.pdf
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Lakshmi, G., Meriton, S., & Christina, M. (2016). A study on personal protective equipment use among health care providers, Tamil Nadu. International Journal of Community Medicine and Public Health, 5.
DOI: http://dx.doi.org/10 .18203/2394-6040.ijcmph20181 380 |
How Does the Article Relate to the PICOT Question? | The article provides evidence on the benefit of effective infection control measures for nurses handling patients with communicable diseases | The article provides information on the importance of nurses adhering to the set protocols when handling hazardous drugs | The article provides information on the importance of nurses wearing PPEs to prevent injuries and infections |
Quantitative, Qualitative (How do you know?) | Quantitative: The data analysis methods are right for a quantitative study | Quantitative: The data analysis methods are fitting for a quantitative study | Quantitative: The data analysis methods are correct for a quantitative study |
Purpose Statement | To examine the knowledge level among nurses regarding infection control during care provision. | To investigate the knowledge of oncology nurses on handling and administration of hazardous drugs and implementation of a protocol for safe handling of chemotherapy drugs
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To assess the proper use of PPE among healthcare workers |
Research Question | What is the level of adherence to infection control practices among nurses working in home healthcare settings?
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What is the knowledge level among oncology nurses on the exposure to chemotherapy drugs, PPE and disposable chemical wastes and what are the barriers hindering nurses from adhering to the appropriate protection measures?
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What is the level of adherence to PPE by healthcare providers making direct contact with patients |
Outcome | Nurses indicated a high level of adherence to the infection control measures | Nurses have low level knowledge when it comes to handling of hazardous drugs | PPEs are effective in preventing transfer of pathogens |
Setting
(Where did the study take place?) |
2 Medicare-certified HHC agencies in the northeastern United States | Damanhour Oncology Institute | Two healthcare organizations in Chennai & Madura |
Sample | 359 nurses | 52 nurses administering chemotherapy | 1060 healthcare providers |
Method | Quantitative study
Questionnaires used in data collection Univariate statistics/ Chi-square tests and t-tests and multivariate linear mixed regression used to analyze data |
A Cross Sectional Descriptive Design
SPSS used in data analysis |
A cross sectional study
Pretested structured questionnaire used to collect the data SPSS 20v used in data analysis |
Key Findings of the Study | Nurses were adhering to the infection control measures. However, they did not fully adhere to the PPE | Nurses working in the oncology ward had low level of knowledge regarding handling of hazardous drugs | PPE use is effective in preventing healthcare providers & spread of infection |
Recommendations of the Researcher | Nurses need education and upskilling training regarding the use of PPE to prevent them from infections | Oncology nurses need training on the Safe handling of hazardous drugs
Protocols and policies about safe handling of hazardous drugs should be implemented |
Healthcare providers need regular training on proper use of personal care equipment |
Criteria | Article 4 | Article 5 | Article 6 |
APA-Formatted Article Citation with Permalink | Matakanye, H., Ramathuba, D. U., & Tugli, A. K. (2019). Caring for Tuberculosis Patients: Understanding the Plight of Nurses at a Regional Hospital in Limpopo Province, South Africa. International Journal of Environmental Research and Public Health, 16(24), 4977.
https://www.mdpi.com/1660-4601/16/24/4977/htm |
Bouchoucha, S. L., & Moore, K. A. (2018). Infection prevention and control: Who is the judge, you or the guidelines? Journal of infection prevention, 19(3), 131–137. https://
doi.org/10.1177/1757177417738332 |
Baloh, J., Reisinger, H. S., Dukes, K., da Silva, J. P., Salehi, H. P., Ward, M., Chasco, E. E., Pennathur, P. R., & Herwaldt, L. (2019). Healthcare Workers’ Strategies for Doffing Personal Protective Equipment. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 69(Supplement_3), S192–S198. https://
doi.org/10.1093/cid/ciz613 |
How Does the Article Relate to the PICOT Question? | The article provides information on the importance of implementing infection control measures to protect nurses from the risk of contracting infections during care provision | The article provides evidence on the significance of healthcare workers adhering to the provided infection prevention and control guidelines | The article provides information on factors that hinder the effectiveness of PPE in protecting healthcare providers from microorganisms and preventing cross-contamination. |
Quantitative, Qualitative (How do you know?) | Qualitative: It is shown in the article | Qualitative: It is suggested in the article | Qualitative: It is implied in the article |
Purpose Statement | Healthcare-associated infections like tuberculosis pose a major occupational hazard to nurses. Therefore, the purpose of the article is to explore and present experiences of nurses providing care to patients with tuberculosis | To explore the behaviors and attitudes of nurses regarding infection prevention and control measures to determine strategies to improve adherence and reduce deviance to the infection prevention and control measures | To investigate factors contributing to doffing of PPEs among healthcare providers |
Research Question | What are occupational hazard and experiences of nurses providing care to patients with tuberculosis? | What are the strategies that promote adherence and reduce deviance to infection prevention and control measures among healthcare workers? | What are factors contributing to the doffing of PPEs among healthcare providers? |
Outcome | Nurses have the risk of contracting TB during care provision | Infection control measures such as PPEs protect healthcare workers from infections during care delivery | Doffing of PPEs associated with the risk of contamination for healthcare workers handling patients with communicable and highly infectious diseases |
Setting
(Where did the study take place?) |
Regional hospital in Vhembe district in Limpopo Province, South Africa | Australian metropolitan hospital | Midwestern academic hospital |
Sample | 22 nurses in all TB wards in the target hospital | 29 participants (25 nursing staff & 4 midwifery) | 30 medical and nursing students |
Method | Qualitative, exploratory, and descriptive designs
Data collected using in-depth individual interviews Colaizzi’s method to do data analysis |
A cross-sectional design
Semi-structured interview/focus groups used to collect data Thematic analysis used in data analysis |
Qualitative, exploratory, and descriptive designs
Data collected using interviews Priori (deductive) and emergent (inductive) code used in data analysis |
Key Findings of the Study | The findings indicate that nurses face fears, stress and anxiety associated with the risk of contracting infections when caring for patients with infectious diseases like TB.
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The lack of availability of PPEs leads to lack of adherence to the appropriate infection control measures and could aggravate transmission of communicable infections from patients to nurses
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Doffing of PPEs associated with the risk of contamination for healthcare workers handling patients with communicable and highly infectious diseases |
Recommendations of the Researcher | There is a need to provide the necessary support structure and needs such as effective infection control measures and PPE equipment for nurses providing care to patients with communicable diseases.
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Healthcare organizations need ensure the nursing staff have the appropriate PPEs to prevent them from contracting infections during care delivery | Healthcare organizations need to develop and implement PPE training protocols, and revise policies and procedures about PPEs |
References
Baloh, J., Reisinger, H. S., Dukes, K., da Silva, J. P., Salehi, H. P., Ward, M., Chasco, E. E., Pennathur, P. R., & Herwaldt, L. (2019). Healthcare Workers’ Strategies for Doffing Personal Protective Equipment. Clinical infectious diseases: an official publication of the Infectious Diseases Society of America, 69(Supplement_3), S192–S198. https:// doi.org/10.1093/cid/ciz613
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Bouchoucha, S. L., & Moore, K. A. (2018). Infection prevention and control: Who is the judge, you or the guidelines? Journal of infection prevention, 19(3), 131–137. https:// doi.org/10.1177/1757177417738332
Habiba A, Eldin Z & Ibrahem E. (2018). Oncology Nurses’ Knowledge and Practices Regarding Handling Hazardous Drugs: Developing Procedure Manual for Safe Handling of Hazardous Drugs. OSR Journal of Nursing and Health Science (IOSR-JNHS), 7(2), 1-11. https://www.iosrjournals.org/iosr-jnhs/papers/vol7-issue2/
Version-3/A0702030111.pdf
Lakshmi, G., Meriton, S., & Christina, M. (2016). A study on personal protective equipment use among health care providers, Tamil Nadu. International Journal of Community Medicine and Public Health, 5. DOI: http://dx.doi.org/1018203/2394-6040.ijcmph20181.
Matakanye, H., Ramathuba, D. U., & Tugli, A. K. (2019). Caring for Tuberculosis Patients: Understanding the Plight of Nurses at a Regional Hospital in Limpopo Province, South Africa. International Journal of Environmental Research and Public Health, 16(24), 4977. https://www.mdpi.com/1660-4601/16/24/4977/htm
Russell, D., Dowding, D. W., McDonald, M. V., Adams, V., Rosati, R. J., Larson, E. L., & Shang, J. (2018). Factors for compliance with infection control practices in home healthcare: findings from a survey of nurses’ knowledge and attitudes toward infection control. American journal of infection control, 46(11), 1211–1217. https://doi.org/10.1016/j.ajic.2018.05.005
Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.
Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.
In a essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
Research Critique Guidelines – Part II
Quantitative Studies
Background
- Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.
How do these two articles support the nurse practice issue you chose?
- Discuss how these two articles will be used to answer your PICOT question.
- Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.
Method of Study:
- State the methods of the two articles you are comparing and describe how they are different.
- Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.
Results of Study
- Summarize the key findings of each study in one or two comprehensive paragraphs.
- What are the implications of the two studies you chose in nursing practice?
Outcomes Comparison
- What are the anticipated outcomes for your PICOT question?
- How do the outcomes of your chosen articles compare to your anticipated outcomes? Literature Evaluation Table Example