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Critical Appraisal of Randomised

   

Added on  2021-06-15

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Data Science and Big DataHigher EducationHealthcare and ResearchPolitical Science
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CritiqueCritical Appraisal ReportOnA Randomized controlled trial to investigate the effect of skin-glue application along withstandardized catheter care in minimizing the ED inserted PIVC (Peripheral intra-venouscatheters) failure rate (Budgen, 2016)1
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CritiqueCritical Evaluation Tool template (Quantitative Study)IntroductionPICOComplete this table What is the problem/population?Increased failure rate of PIVC inserted in the emergency department What is the intervention?Skin glueapplication (cyanoacrylate) at the PIVC insertion site and hub of PIVC along with standard PIVC care What is the Comparator?Group that received standard PIVC careWhat is the primary outcome?PIVC failure rate at 48 hours (regardless of cause). What is the secondaryoutcome/s?The individualized modes of PIVC’s failure as catheter- dislodgement, infection, phlebitis or line-occlusion What was the Length of Time of the intervention?48 hours or more after enrolmentCritical Appraisal modelsCritical appraisal involves systematic evaluation of a research study to determinethe extent to which the study findings are trust-worthy, appropriate as well as relevant2
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Critique(Merriam-Webster, 2015). This report scrutinizes both the merits and demerits of thestudy methods with its applicability in healthcare practice. According to Baker (2014),various critical evaluation models can be used to critique a study and evaluate aquantitative research-study that includes critical appraisal-skill program (CASP),CONSORT, Polit tools, JADAD score, Parahoo and Rees model. JournalThe given study was published in Annals which is an international, peer-reviewed journal that is released by American College of Emergency Physicians; with acredit of being the largest circulating emergency medicine journal with over 33,000subscribers. Annals that are published in United-States has highest impact-factor:5.008, journal-rank:1.942 with highest citation-years (9.6 years) than immediatecompetitor (5.1 years) (Callaham, 2017).They publish original articles, research-reportsand facts in emergency medicine. These informations suggest that Annals are highlyregarded journal that assures me to utilize the study-evidences in my clinical practiceconfidently to provide quality patient-care. AuthorsThe authors Bugden, Scott, Clark, Johnstone & Shean are well experienced inemergency medicine in Caboolture hospital, Queensland with first four from the appliedhealth-related economics centre and Menzies’s health institute, Griffith University.Author Mihala has published 29 research-articles, 101 study-citations; Fraser with 462research-articles, 3,697 study-citations while Rickard with 191 research-articles and2,231 study-citations. This study was conducted in the Caboolture hospital,3
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CritiqueQueensland.The author informations give me enough confidence to utilize these studyfindings in my practical area to minimize PIVC failure. Title, Abstract and Literature Review The researchers have given a clear, concise, accurate title that is consistent withthe text. It stimulates an appropriate perception about the study’s basic nature (Boswell,n. d.). Their objective as ‘to investigate the effect of applying skin-glue with regularPIVC-care in minimizing the PIVC failure-rate’ is clear, adequate as well as achievable.The abstract condenses the study-problem, objectives, study-methodology, sample-descriptions, findings, conclusions and recommendations, as suggested by Iverson(2014). They have given recent, relevant, comprehensive and well-organized literature-review. They have only quoted studies to show the effect of skin-glue in minimizinginfection but not for PIVC-occlusion and other causes. Few studies comparing the effectof skin-glue and other methods could have been included. Research DesignThey have used Randomized-Controlled Trial (RCT) which is a true experimentalquantitative design that is characterized with manipulation (skin-glue application withstandardized PIVC-care), control group (receiving only standardized PIVC-care) andrandomization (random assigning) (THS, 2015). This design helps to compare 2 ormore interventional measures and also assists in drawing causal inferences betweenvariables and renders strongest evidence (Polit, 2016). They have given one researchquestion (purpose-statement) as ‘Does the application of skin-glue to adhere PIVC-lineimprove PIVC failure-rates as compared to standardized securement?’, which is clearlystated (Boswell, n. d.). 4
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