EVIDENCE BASED NURSING RESEARCH 1: Effect of skin glue (intervention) on peripheral catheter failure rate
Added on 2021-06-17
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Running head: EVIDENCE BASED NURSING RESEARCH Evidence based nursing researchName of the student:Name of the University:Author’s note
1EVIDENCE BASED NURSING RESEARCHIntroduction: The research focuses on the effect of skin glue (intervention) on peripheral catheterfailure rate (outcome) in hospitalized patient (population) compared to standard care usingtransparent tape (comparator). The primary outcome of interest for the study included peripheralcatheter failure rate and secondary outcome measure included modes of catheter failure such asby dislodgment, phlebitis and infection (Bugden et al. (2016). The study was done by the use ofquantitative analysis of research evidence and finding confidence interval and statisticalsignificance of the research outcome. The Joanna Briggs Institute’s (JBI) critical appraisal toolscan be used to critically evaluate and appraise quantitative research article. The tool can givegood prediction of validity and reliability of the research work (Mi, 2017). The research articleswere published in the ‘Annals of Medicine’ journal, which is a peer-reviewed journal publishingresearch work on medical specialties. The journal is published in London and as the journal has aglobal outlook, I can consider using the article in practice. There are four authors for researchstudy, out of which two are from Griffith university and two others are from the University ofQueensland. All the authors are senior scientist and working as a clinical professor withinlaboratory medicine. Based on thei qualification and their work experience, the research done bythe authors are reliable. Title and abstract: A good research journal article is one which defines the summary of the work in a singlesentence and gives idea about the main position of the researcher regarding a research topic. Thetitle for the study by Bugden et al. (2016) is informative as it clearly states the impact of anintervention (skin glue) on a research outcome (reduction in failure rate of emergency
2EVIDENCE BASED NURSING RESEARCHdepartment-inserted peripheral intravenous catheters). The aim and objective of the study was toevaluate whether failure rate of peripheral intravenous catheters can be reduced by the additionof skin glue to standard care. The important feature of an abstract is to present the whole researchin a short format so that anyone reading the abstract could understand the whole research worksand its outcome. The article also had study objective, methods, results and conclusion section asimportant components in the abstract. The literature review has been covered in the introductionsection and it mainly provides research evidence regarding prevalence of prevalence of catheterfailure and briefly covered past research done regarding the use of skin glue for securingperipheral catheters. It also showed need for research by arguments related to lack of large trialin emergency department to prove the effectiveness of skin glue. Research design: To investigate about the effectiveness of skin glue on reducing failure rate of catheters,Bugden et al. (2016) used randomized controlled trial (RCT) as a study design. It was a singlesite, 2-arm non-blinded RCT. In the hierarchy of scientific evidence, RCT comes under level ofevidence. RCTs are regarded as highest level of evidence as such study design has less chance ofbias and less risk of systematic errors (Burns, Rohrich & Chung, 2011). The main research question for the study was –‘Does the use of skin glue to secureperipheral intravenous line improve failure rates compared with standards securing measures?’.Research related to the research question was necessary because of high incidence of prematuredevice failure in clinical setting. Peripheral intravenous catheters are used in almost 80% ofhospitalized patients in emergency department, however the device failure occurs in almost 33-69% of cases resulting in infection and phlebitis. Bugden et al. (2016) focused on investigating
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