Evidence Based Nursing Practice - Sample Assignment

Evidence Based Nursing Research
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Introduction:
Failure rate are very high in peripheral catheter insertion. Cyanoacryhlate skin glue was
applied to the skin insertion site. Peripheral intravenous catheter securement with cloth-
bordered transparent polyurethane dressing and tape. Peripheral intravenous catheter failure
in first 48 hours. Individual modes of peripheral intravenous catheter failure : infection,
phlebitis, occlusion or dislodgement (Hruby et al., 2016; Bugden et al., 2016)
Critical Appraisal Skill Programme (CASP) can be used for the critical evaluation of the
provided quantitative research article. CASP tool can be helpful in assessing the
trustworthiness, relevance and results of published papers. It can also be helpful for the
researchers and practitioners for gaining more understanding of the research-based evidence,
enhancing professional practice and improving decision making (Krainovich-Miller et al.,
2009).
This quantitative research is published in Annals of Emergency Medicine. This Journal had
an impact factor of 5.008 during its publication year which is 2015. It is being published in
USA and it is a peer-medical journal publishing all aspects of Emergency medicine.
Four members of this research are Bachelor of Medicine and they are members of Fellow of
the Australasian College of Emergency Medicine (FACEM). Other four members are
engineer, biostatician, MD and registered nurse with PhD. All the authors have extensive
experience in the study subject and experts from the all the fields relevant to the quantitative
research are incorporated in the study. Results obtained from this study can be considered as
valid and robust and these results can be used as evidence based for implementation in the
clinical practice (Liao et al., 2015; Bugden et al., 2016).
Title, abstract and literature review:
Title of the research article gives complete impression of the content of the article. If title is
precisely mentioned, the given research article can be considered as the quality research
article. Title of this research article is also precisely mentioned.
Aim of the research study was not mentioned in this research article. Objective of this study
was to assess the weather addition skin glue to standard peripheral intravenous catheter can
be helpful in reducing failure rate. Objective was relevant to the title and study design;
however, it was mentioned only in abstract section. It was not mentioned in the body part of
the research article (Bugden et al., 2016).
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Abstract of the article was precisely given with the inclusion of all the important aspects of
the study. Abstract includes objective, methodology results and conclusion. Each of these
components were precisely mentioned. Literature review mentioned in the background
section of the article was recent, relevant and comprehensive. This literature review is helpful
in hypothesising the research question and designing relevant study design (Hardi and
Fowler, 2014; Bugden et al., 2016).
Research design:
In this study a single site, 2 arm, nonblinded, randomized, controlled trial (RCT) study design
was used (Egbewale, 2014). In this study, intervention in the question was compared to the
standard intervention; hence it was called as controlled trial. In this study, two groups were
incorporated like skin glue group and standard intravenous catheter; hence it is called as 2
arm arm. This RCT is Level II evidence. Study design section of this article, all the aspects of
the study design were mentioned in specific manner (Tugwell et al., 2012).
Research question of this study was “Does the use of skin adhesive glue to secure a
peripheral intravenous line improve failure rates compared with standard securing
measure ?’’. Question of this study was in alignment with the objective and study design of
the study (Bugden et al., 2016).
Medical-grade skin glue containing cyanoacrylate was emerging as the improved technique
for the fixation of peripheral intravenous catheter to reduce its failure. However, its
application in the clinical setting was not supported by evidence-based research (Pasalioglu
and Kaya, 2014). Hence, this study was required to conduct to establish evidence for use of
skin glue for fixation of intravenous catheter and its comparison with the standard
intravenous catheter in ED.
Researchers hypothesized that addition of skin glue to the insertion site of peripheral
intravenous catheters in the ED would reduce the device failure at 48 hrs. It is the scientific
hypothesis (Bugden et al., 2016).
Patients with pre-existing peripheral intravenous catheter dressing and anchoring tapes were
removed. Patients were randomised in 1 : 1 ratio in standard intravenous catheter and
standard intravenous catheter plus skin glue group (Rosenberger et al., 2012). Patients in the
standard group receive peripheral intravenous catheter with cloth-bordered transparent
polyurethane dressing and tape. In skin group 1 drop of skin glue was applied at insertion
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