NUR 550 Identify a data collection tool you could use for your research
NUR 550 Identify a data collection tool you could use for your research
Topic 4 DQ 2
The type of data collection approach or technique that one utilizes significantly contributes to the quality of the research findings based on the credibility and validity. Data collection tools and techniques should be valid and reliable to attain findings that can be translated effectively into clinical practice and patient interventions. Based on the research topic on medication errors, the most effective data collection tool would be content analysis and observation (Diptyanusa et al., 2020). The approach would involve reviewing current evidence from papers and document that identified causes and components of medication errors. Observation would involve observing the nursing staff in their administration of medications during their shifts to see any forms of errors and what causes them and document the findings.
Barriers in during data collection are inevitable. For instance, limited resources and cooperation with patients as well as inconsistencies in data results are potential barriers that may arise during this time. Translational research can assist offer strategies on overcoming these hurdles. Through translational research, one can gather sufficient evidence on such barriers and develop right interventions in time for better data collection. The translational research type two (T2) is the most effective as it offers a chance for one to learn concerning the effectiveness of their interventions (Titler, 2018). Knowledge attain using T2 research helps to identify the basis of clinical applications, validity, and reliability of data collection tools. Again, evidence-based guidelines also determine the selection of a given intervention.
The most effective strategies in this case include getting collaborative support and sensitization of stakeholders through offering sufficient information on the benefits of having translational research implemented in their settings. Through these strategies, stakeholders will appreciate the essence of the approach and the selection of the research topic. Again, the use of these approaches will allow stakeholders to participate and offer input for effective implementation of the interventions.
Diptyanusa, A. & Hasanbasri, M. (2020). Lost in translation: Barriers and progress in harnessing
basic medical science into community practice in Indonesia. Translational Medicine Communications, 5, 16. DOI:10.1186/s41231-020-00070-1
Titler, M. G. (2018). Translation Research in Practice: An Introduction. Online Journal of Issues
in Nursing, 23(2), 1. https://doi-org.lopes.idm.oclc.org/10.3912/OJIN.Vol23No02Man01
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Data collection tool which I can use for my PICOT study is CAUTI prevention bundle check list for educating the
nurses by in-service training. By using this CAUTI prevention bundle tool, it trains nurses for timely catheter removal and promote best practices for catheter insertion, maintenance, and removal. It also guides nurses through key components of complete bladder assessment. Differentiating and prioritizing interventions based on individualized assessment findings related to complete bladder emptying, urinary retention, and incontinence are important in preventing CAUTIs. (Trevellini ,2015.)
Nurses’ workload is the one of the barriers which can arise during data collection. Common barriers to CAUTI prevention bundle implementation and appropriate urinary catheter use are: 1) difficulty with nurse and physician engagement; 2) patient and family request for indwelling catheters; and 3) catheter insertion practices and customs in the ICU. Strategies to address these barriers were also identified by several of the participating hospitals including: 1) incorporating urinary management (e.g., planned toileting) as part of other patient safety programs, such as a fall reduction program; 2) explicitly discussing risks of indwelling urinary catheters with patients and families; and 3) engaging with emergency department nurses and physicians to implement a process that ensures that appropriate indications for catheter use are followed.
These barriers can be addressed with a third level of translation research type, which explores innovative way of using recommendations or guidelines. Imperatively, T3 research yields knowledge concerning the working of interventions recommended. At the core of T3 research is yielding knowledge that allow provider to offer care in real-world situations.
Strategies to overcome lack of nursing buy-in included using nurse champions and focusing on the benefits to patients of early catheter removal. Having a nurse champion, someone who is passionate about CAUTI prevention, and the importance of making the initiative a unit-based activity. As an infection preventionist explained: “It’s just finding that person to put the individual energy into it…yes, it’s a bundle but I think it has to be rolled out as something super special for that unit…” (Krein et.al, 2013.)
Krein, S. L., Kowalski, C. P., Harrod, M., Forman, J., & Saint, S. (2013). Barriers to reducing urinary catheter use: a qualitative assessment of a statewide initiative. JAMA internal medicine, 173(10), 881–886. https://doi.org/10.1001/jamainternmed.2013.105.
Trevellini, C. (2015). Operationalizing the ANA CAUTI prevention tool in acute-care settings. American Nurse Today, 10(9), A5+. https://link.gale.com/apps/doc/A434414862/AONE?u=anon~77c44c69&sid=googleScholar&xid=16c56d75
One data collection tool that would be beneficial during my research would be observations. Being that there is very little information about pressure ulcer prevalence and prevention in the long-term acute care population, observing pressure injury prevalence in this setting as well as effectiveness of current interventions would provide detailed data without much effort on the part of the participant (Iterators, 2021). Potential barriers I foresee have already been mentioned: the availability of data on the specific patient population I am planning the intervention for. T1 level translational research would help overcome this barrier, as this would help focus on methods of pressure injury prevention in the LTAC patient population. This would be a controlled environment where the efficacy of the pressure injury prevention interventions can be tested, which is exactly the goal of my project. To gather collaborative support among my colleagues, I would provide education on costs of hospital acquired pressure injuries, including longer length of stay and morbidity/mortality rates, benefits of early prevention, and current data on how well the product help prevent pressure injuries in the acute care population.
Iterators. (2021). Data Collection: Best Methods + Practical Examples. Retrieved from Iterators HQ: https://www.iteratorshq.com/blog/data-collection-best-methods-practical-examples/
I liked your data collection tool, observations, for your research study. Comprehensive skin inspection on every patient will help to identify any lesions of the skin and determine whether the lesion is a pressure ulcer. If unsure whether it is a pressure ulcer, get help from the wound care nurse or another experienced clinician. (ahrq.gov, n.d.)
Even though nurses make prevention as part of their routine care, several studies revealed that shortage of supplies for pressure ulcer prevention, heavy workload, lack of staff, patient’s condition, lack of pressure ulcer related knowledge and job satisfaction were the identified barriers that hinder to carrying out appropriate pressure ulcer prevention practice. Even though different research was done on nurses’ practice towards pressure ulcer prevention globally, most of the researchers depended on self-administered response which could have limitation due to bias. Therefore, some study shows observation of actual performance by using observation check list will help with pressure ulcer prevention practices. (Berihu et.al., 2020)
Berihu, H., Wubayehu, T., Teklu, T., Zeru, T., & Gerensea, H. (2020). Practice on pressure ulcer prevention among nurses in selected public hospitals, Tigray, Ethiopia. BMC research notes, 13(1), 207. https://doi.org/10.1186/s13104-020-05049-7