This critical appraisal research report analyzes the different information needs in regards to persons with urinary catheter and the relevant solutions to attaining these necessities. The article suggests that the research is important because it enlightens more on complex issues regarding the catheter.
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Running head: CRITICAL APPRAISAL RESEARCH REPORT1 Critical Appraisal Research Report Student’s Name Institutional Affiliation
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CRITICAL APPRAISAL RESEARCH REPORT2 Critical Appraisal Research Report Section A: Are the results valid? 1.Was there a clear statement of the aims of the research? The article put forth an explicit research aim that is appropriate as it is in accordance with the study. The major objective of the research was to analyze the different information needs in regards to persons with urinary catheter and the relevant solutions to attaining these necessities. Additionally, the research was to examine the concerns of patients that have insufficient information. Therefore, the aim is relevant because the information identified will help those patients manage the illness. 2.Is a qualitative methodology appropriate? According to the article, qualitative methods enabled the researchers to examine various categories of information which catheter users need from health practitioners. The methodology also analyzed what can occur if the information is unavailable. The people involved were free to raise any concerns which could be important and may not be included in the structured interview questions. Health care can be advanced through the use of patient feedback (Lewis, 2015). Therefore, this study is worth continuing because it will aid patients that use the catheter to get vital information to help them manage the condition hence lead an improved life. 3.Was the research design appropriate to address the aims of the research? The research design in the article was necessary and relevant to this study. A qualitative interpretative approach was utilized combining thematic exploration with continuous comparison. Interviews involved the use of a narrative style. It is key in ensuring that the oral
CRITICAL APPRAISAL RESEARCH REPORT3 history of every person’s experience is gathered. Additionally, it enables participants to convey any issues. 4.Was the recruitment strategy appropriate to the aims of the research? The mode of recruitment adopted in the article suitable to the research as participants selected were helpful. Adult women and men in UK who use urinary catheter were involved. Prospective contributors were recruited through specialist nurses, urologists, support organizations, expert advisory members and snowballing. The people who showed interest were given reply slips, envelopes, information sheets and introductory letters. The participants chosen were the most suited because they had different reasons for using catheters and were from diverse ethnic and social backgrounds. 5.Was the data collected in a way that addressed the research issue? The authors of the article reveal that data collection was useful for the research as people who use catheters were allowed to completely express themselves hence maximum gathering of information. The information collected was accurate since interviewee were recorded for future reference. Similarly, this is paramount since it reduces wastage of resources as another similar research may not be necessary (Fusch and Ness, 2015). It also minimizes possibilities of misleading other researchers. Interview guides utilized ensured that interviewers remained within the scope. 6.Has the relationship between researcher and participants been adequately considered? The participants and researchers relation is considered in the article since the interviews begin with rapport creation. The findings of the research are discussed to avoid bias. Research questions are formulated prior to the interview and contributors answer at their own volition.
CRITICAL APPRAISAL RESEARCH REPORT4 Therefore, this maintains a good relations between the parties involved (Holloway and Galvin, 2016). Section B: What are the results? 7.Have ethical issues been taken into consideration? According to the authors, ethical issues were adequately considered because the study was comprehensively explained to the people who participated. Fictitious name were adopted to ensure patient privacy (Prinjha, et al, 2016). The patients interviewed had the right to quit the process at any moment. Furthermore, they were informed prior to the interview when it will take place. A conducive environment and relationship was established before the interview (Weijer et al, 2011). The patients that were involved in the research got informed that the finding would be published. Additionally, the people signed a consent form and were allowed to raise any concerns during the exercise. Subsequently, the research exercise was approved by an ethics committee. Typically, most researcher cannot publish their work unless it is approved (Brown and Mitchell, 2010). Moreover, an already published journal can be withdrawn if it does not adhere to ethics. 8.Was the data analysis sufficiently rigorous? The article suggests that data analysis was done well as interview were coded and information appropriately retrieved. Enough data from the 36 people evidently supports the research. The analysis of data aids in getting the desired results in the study (Glaser and Strauss, 2017). Consequently, it helps in steering clear human bias. 9.Is there a clear statement of findings? According to the article, findings are stated explicitly in accordance with the aim of the study. Every detail provided aims at improving the quality of life of those who use catheters.
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CRITICAL APPRAISAL RESEARCH REPORT5 Section C: Will the results help locally? 10.How valuable is the research? The authors advocate that the research is important because it enlightens more on complex issues regarding the catheter. Subsequently, the study emphasizes on the essence of educating patients on the diverse catheters, valves and bags available (Prinjha, et al, 2016). Most people using the medical tool are unaware of how it works. Additionally, information on how to acquire the drainage bag and positioning it is scanty. Therefore, through the research medical professionals will comprehend the need to edify persons who use catheters more about it (Pronovost, 2010). In future, patients will be aware that valves can be utilized even when leg bags are in place. The article highlights that most people are oblivious on how to prevent urinary infections, leaking and blockages. Other are ignorant on how to mitigate pain that results from bladder spasms (Hersh et al, 2013). The research is treasurable as it will aid in enlightening people on hygiene. Unclear information regarding advantages of bladder washouts would be clarified. Understanding the kidney infection effects and cancer risks will enable patients comprehend if they need to seek medical attention. The research identifies new information that is paramount. The findings will aid patients manage their social lives. The study tries to find solutions on how and where to discard bags when a person is not at home. When patients are discharged from hospitals they will be aware of numerous issues regarding catheters. The research is significant as it contributes to existing information. Urinary catheters treat the problem of incapability of emptying the bladder. In the same token, they treat inability to control urination. Additionally, they eliminate urine in case nerve damage alters bladder control.
CRITICAL APPRAISAL RESEARCH REPORT6 A catheter is suitable when a person has urinary incontinence (Meddings et al, 2013). Surgery on the prostate gland, injury to bladder nerves and spina bifida could make a person not to urinate voluntarily therefore necessitating usage of a catheter. Other reasons include dementia, a situation that impairs mental function, injury of spinal cord, kidney stones and genital area surgery (Fakih et al, 2012). Heath practitioners need to avail all necessary information to indwelling catheter users to enhance better quality of life. Comment on the author and journal credibility. The authors of the article did professional work hence the journal is credible. The journal article has reliable information since it is peer-reviewed. Additionally, other academics read it before publication. It is proved that the claims made have been supported by evidence. Therefore, the journal was helpful in highlighting information needs of the people with indwelling catheters.
CRITICAL APPRAISAL RESEARCH REPORT7 References Brown, M. E., & Mitchell, M. S. (2010).Ethical and unethical leadership: Exploring new avenues for future research. Business Ethics Quarterly, 20(4), 583-616. Fakih, M. G., Watson, S. R., Greene, M. T., Kennedy, E. H., Olmsted, R. N., Krein, S. L., & Saint, S. (2012).Reducing inappropriate urinary catheter use: a statewide effort. Archives of internal medicine, 172(3), 255-260. Fusch, P. I., & Ness, L. R. (2015).Are we there yet? Data saturation in qualitative research. The qualitative report, 20(9), 1408. Glaser, B. G., &Strauss, A. L. (2017).Discovery of grounded theory: Strategies for qualitative research. Routledge. Hersh, W. R., Weiner, M. G., Embi, P. J., Logan, J. R., Payne, P. R., Bernstam, E. V., ... & Saltz, J. H. (2013).Caveats for the use of operational electronic health record data in comparative effectiveness research. Medical care, 51(8 0 3), S30. Holloway, I., & Galvin, K. (2016).Qualitative research in nursing and healthcare.John Wiley & Sons. Lewis, S. (2015).Qualitative inquiry and research design: Choosing among five approaches. Health promotion practice, 16(4), 473-475. Meddings, J., Rogers, M. A., Krein, S. L., Fakih, M. G., Olmsted, R. N., & Saint, S. (2013). Reducing unnecessary urinary catheter use and other strategies to prevent catheter- associated urinary tract infection: an integrative review. BMJ Qual Saf, bmjqs-2012. Prinjha, S., Chapple, A., Feneley, R., & Mangnall, J. (2016).Exploring the information needs of people living with a long ‐term indwelling urinary catheter: a qualitative study. Journal of advanced nursing, 72(6), 1335-1346.
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CRITICAL APPRAISAL RESEARCH REPORT8 Pronovost, P. J., Goeschel, C. A., Colantuoni, E., Watson, S., Lubomski, L. H., Berenholtz, S. M., ... & Marsteller, J. A. (2010).Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. Bmj, 340, c309. Weijer, C., Grimshaw, J. M., Taljaard, M., Binik, A., Boruch, R., Brehaut, J. C., ... & Saginur, R. (2011).Ethical issues posed by cluster randomized trials in health research. Trials, 12(1), 100.