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Critique Critical appraisal on A RCT

   

Added on  2021-06-17

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CritiqueCritical appraisal on A RCT to investigate the effect of using skin glue adhesives and standard catheter carein minimizing the peripheral intravenous catheter’s failure: inserted in emergency1

CritiqueCritical appraisal IntroductionThe essence of critiquing lies in the balanced evaluation of the research-studythat requires a degree of logic as well as objectivity in the identification of the systematicenquiry that underpins the study (Polit, 2016). Nurses should contemplate and evaluateresearch-studies to determine its applicability in nursing practice. Varied critiquingmodels can be used to appraise a quantitative study as CASP (Critical-appraisal skilledprogram), Polit-tools and CONSORT (University of South America, n. d.). CONSORTguidelines (Consolidated Standards of reporting trials) are used to report informationsabout quantitative study (clinical trial) that includes checklist as well as flow-chart fortracking samples through a trial. Annals are an international journal authorized by the Emergency physicians ofAmerican college that functions to promote emergency services by publishing highquality-evidences. The impact factor of 5.008, Cited-Score of 1.81, impact factor- 5years score of 5.041 and SCImago’s journal rank of 1.942 with credit of most frequentlycited journal; determines that Annals is a highly regarded journal(ACEP, 2016). Thisjournal was published in United States. Most of the articles that are accessed viaScience-Direct are downloadable in countries other than US too. They got submissionsfrom over 65 countries with 46% outside America and 24% outside Northern-America &West-Europe (Callaham, 2017). These informations assure me to utilize these study-findings in my patient care. 2

CritiqueThe authors of this study: Bugden, Shean, Scott, Clark as well as Johnstone arethe experts in the emergency department of Caboolture Hospital and author Mahila isfrom the health economics centre of Institute of Menzies, Griffith-University. Bugden,Fraser & Rickard are also experienced in the NHMRC Research Centre with nursingexcellence and were the members of Critical-care research group, QueenslandUniversity. They conducted this study in the Caboolture’s hospital of Queensland. Theabove author’s information motivates me to use the findings in clinical area, particularlyin ED settings to minimize the failure of PIVCs. Title, Abstract and Literature Review The title of a good journal article should not be long or complicated and shouldreflect the study’s need as much as possible. A study-title should not validate orinvalidate a study (Boswell, n. d.). The researchers have given a clear and concise titleas ‘Skin Glue securement reduces the failure of ED-inserted PIVC: A RCT-trial’ that iscongruent with the text. They have given an achievable objective as ‘to analyze theeffectiveness of using skin glue adhesives plus standard securement in controlling thefailure of emergency department (ED) inserted peripheral Intra-venous catheter (PIVC)’.According to Polit (2016), an abstract should inculcate the main points of thestudy and provide a valuable insight into the complexity as well as basic nature of thestudy. The abstract’s components include study objectives, methods, results andconclusions. The literature review studies are current, relevant and highly-comprehensive (Gerrish, 2015). Their literature-review related to statistics of PIVCinsertion (including ED), percentage of device failures, causes of PIVC-failure, effect of3

Critiqueskin-glue in controlling central venous, epidural, with peripheral-arterial catheters and apilot-study to show the effect of skin glue in ward settings, are well structured andorganized. Research DesignBugden (2016) has selectedRCT under quantitative design which is a trueexperimental study-design that has significant features of manipulation (Skin=Gluesecurement plus Standard-securement), controls (receiving Standard securement) withrandomization (assigning samples randomly). Quantitative study is a formal andsystematic process that is used to describe variables, draw relationship betweenvariables, obtain information as well as investigate cause & effect interactions (Polit,2016). They provide sound knowledge-base to guide nursing-practice than qualitative-designs. The study’s research question as ‘Does the application of skin glue adhesivesto adhere the PIVCs improves PIVC failure rate than regular securement?’, isresearchable. PIVCs are highly inserted in the patients admitted in the hospital with majoritybeing done in emergencies, among which most of them fails because of infections,catheter-occlusions or other causes (Limm, 2013), According to Marsh (2015a),inadequate PIVC fixations are one of the major contributing factor for PIVC-failure.Additionally, lack of best PIVC-securement necessities a novel method to enhance thePIVC fixations, which has motivated them to employ this study. They have stated a clear, concise and adequate hypothesis that follows logicallyfrom the study-problem as ‘the usage of skin glue adhesives will reduce the PIVC’s4

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