NURS 8002 LOCATING AND CRITICALLY ANALYZING PRIMARY RESEARCH ARTICLES

NURS 8002 LOCATING AND CRITICALLY ANALYZING PRIMARY RESEARCH ARTICLES

NURS 8002 LOCATING AND CRITICALLY ANALYZING PRIMARY RESEARCH ARTICLES

One of the skills that have to be well developed by a DNP student is research skills, as DNP-prepared nurses are required to formulate solutions to various clinical problems. Central to the skill is an appropriate choice of a topic that forms the basis of a problems statement and uses the fundamentals of research to search in various databases to get relevant information. Obtaining relevant literature is not the end, but a means to an end as an individual has to analyze the sources and evaluate how well it relates to the topic or the problem in question (Eriksen, & Frandsen, 2018). The purpose of this week’s assignment is to describe how a literature search related to a topic of interest was accomplished and a summary of the selected articles.

The Literature Search

Prior to accomplishing the literature search, the problem’s keywords were noted down to help in narrowing down the search results. For instance, one of the most common healthcare issues is healthcare-acquired infections such as catheter-acquired urinary tract infections. Controlling them is therefore key. Using Chlorhexidine for meatal cleaning was then considered as a possible intervention. In searching the databases, keywords were used, and a search was done in databases such as Medline, CIHNAL, PsycINFO, web of science, and google scholar. Various keywords such as “CAUTI,” “management,” and “Prevention,” and “chlorhexidine” were used.

Summary of the Chosen Articles

One of the articles obtained from the literature search is work done by Fasugba et al. This research employed a randomized controlled trial to evaluate the effects of utilization of Chlorhexidine for meatal cleaning during catheterization in the prevention of CAUTI. With a sample of 1642, the researchers found a positive effect. For instance, upon the use of the intervention, there was a significant reduction of CAUTI cases from thirteen to only four for every one hundred catheter days. By the end of the study, the intervention was found to reduce the cases of CAUTI by 94% (Fasugba et al., 2019).

Another article retrieved is an article authored by Mitchel et al. to compare the efficacy of using saline versus Chlorhexidine in lowering the rates of CAUTI and the cost associated with each. Using a randomized controlled trial study design, the study revealed that using Chlorhexidine was more efficacious and cost-effective than using saline (Mitchel et al., 2019). The use of Chlorhexidine coincided with a significant drop in the cases of CAUTI in the hospitals, reducing admission days hence leading to reduced costs.

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In yet another study, Sarani et al. evaluated the impact of using 2% Chlorhexidine and normal saline in perineal care in a comparative study. Using a quantitative quasi-experimental study design, the researchers managed to obtain some relevant results among women who got admitted to the ICU. While the rates of the groups using normal saline had 77% of CAUTI rates, the use of the 2% Chlorhexidine led to a substantially lower value of only 13%, indicating the importance of using Chlorhexidine (Sarani et al., 2020).

Synthesis of the Articles

The negative impacts of CAUTI are reflected in the research efforts dedicated to finding strategies to control it. The

NURS 8002 LOCATING AND CRITICALLY ANALYZING PRIMARY RESEARCH ARTICLES
NURS 8002 LOCATING AND CRITICALLY ANALYZING PRIMARY RESEARCH ARTICLES

three articles summarized in the previous section show to various degrees the efficacy of using Chlorhexidine for meatal cleaning. While Fasugba et al. focused solely on Chlorhexidine, Mitchell et al. and Sarani et al. did comparison studies to find out how the use of Chlorhexidine compares with the normal saline in controlling CAUTI ((Mitchel et al., 2019, (Sarani et al., 2020)). All three articles reported statistically significant results hence underpinning the importance of using Chlorhexidine for meatal cleaning as an intervention. The level of evidence in these articles is good as they are randomized controlled trials and experimental research studies.

Differences between Summarizing and Synthesizing Research

While the two skills of research summary and research synthesis are both essential for a researcher, the two are different, and it is imperative that a researcher knows the differences. Summarizing research involves restating the key points or findings of research in their own words in a condensed way. On the other hand, synthesizing research entails a combination of ideas from similar sources and bringing in various perspectives and insights through a reflection on the text in question (Gurevitch et al.,2018). The implication is that while through a summary, the important information is pulled together and highlighted, synthesis go steps further to compare and contrast sources, to draw a conclusion, and provide new insights

Conclusion

In conclusion, literature search forms an essential part of the research. A successful and efficient literature search requires that research possesses adept knowledge of using various databases to look for information. In addition, due to the variabilities in the sources obtained, every source must be carefully analyzed and the knowledge synthesized to ascertain if it can be utilized in a setting to solve problems. Therefore, this write-up has focused on literature search, article summary, and a comparison between research synthesis and summary. In addition, a summary of three articles obtained from a database search focusing on a clinical problem has been accomplished.

 

References

Eriksen, M. B., & Frandsen, T. F. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association: JMLA106(4), 420. https://dx.doi.org/10.5195%2Fjmla.2018.345

Fasugba, O., Cheng, A. C., Gregory, V., Graves, N., Koerner, J., Collignon, P., … & Mitchell, B. G. (2019). Chlorhexidine for meatal cleaning in reducing catheter-associated urinary tract infections: a multicentre stepped-wedge randomized controlled trial. The Lancet Infectious Diseases19(6), 611-619. https://doi.org/10.1016/S1473-3099(18)30736-9.

Gurevitch, J., Koricheva, J., Nakagawa, S., & Stewart, G. (2018). Meta-analysis and the science of research synthesis. Nature555(7695), 175-182. https://doi.org/10.1038/nature25753

Mitchell, B. G., Fasugba, O., Cheng, A. C., Gregory, V., Koerner, J., Collignon, P., … & Graves, N. (2019). Chlorhexidine versus saline in reducing the risk of catheter-associated urinary tract infection: a cost-effectiveness analysis. International journal of nursing studies97, 1-6. https://doi.org/10.1016/j.ijnurstu.2019.04.003.

Sarani, H., Pishkar Mofrad, Z., Faghihi, H., & Ghabimi, M. (2020). Comparison of the Effect of Perineal Care with Normal Saline and 2% Chlorhexidine Solution on the Rate of Catheter-Associated Urinary Tract Infection in Women Hospitalized in Intensive Care Units: A Quasi-Experimental Study. Medical-Surgical Nursing Journal9(2). https://dx.doi.org/10.5812/msnj.106739