NURBN3022 Application Of Research In Clinical Settings 2022

Added on 2022-09-28

7 Pages4160 Words33 Views

Sample Application for
HREC Approval
(NURBN3022)
Total word limit for this assessment item is 2000 words
1. PROJECT DETAILS
Project title:
What type of project is this? (Tick as many as apply)
Masters project Clinical Trial Postgraduate Diploma
Undergraduate Student Research Project Honours
PhD Staff Research Project Other
Through which School/Section is the research to be conducted?
2. RESEARCHERS
Principal Researcher (STAFF MEMBER ONLY)
Title & Name: Dr Joanne Porter
Position: Senior Lecturer
School/Section: School of Nursing and Healthcare Professions
Phone number: 51 236996
Email address: joanne.porter@federation.edu.au
Please list academic qualifications: PhD, MN, GradDipCC, GradDipHSM, GradCertHeD,
BN, RN
Describe what this researcher will do in
the context of this project:
The lead researcher will be an expert guide though all
aspects of the project.
Include a brief summary of relevant
experience for this project:
Supervision of higher degree students, multiple
publications to peer reviewed journals and successful
competitive grants applications.
Student/Other Researcher/s
Title & Name:
Position:
School/Section:
Phone number:
Email address:
Student ID number:
Please list academic qualifications:
Describe what this researcher will do in
the context of this project:
Include a brief summary of relevant
experience for this project:
1

NURBN3022 Application Of Research In Clinical Settings 2022_1

Sample Application for
HREC Approval
(NURBN3022)
3. LAY DESCRIPTION
Provide a brief outline of the project describing in everyday, jargon-free language the key aspects of
the research (e.g., who will be participating, what information will be collected and by what means,
what participants will be required to do, etc.) and the key research aims. (300 words max.)
4. RESEARCH AIMS & SIGNIFICANCE
State the aims, key research questions, and significance of the project. Also provide a brief
description of the relevance of your proposed project to current research, supported by the literature.
(500 words max.)
2

The primary objective of this research is to explore how effective is the PH method in understanding whether the nasogastric tube has been correctly placed within adult patients who are in a critical health condition. Considering the same, participants comprising of healthcare workers like nurses will be of most relevance. Thus, as per the identified objective, the participants for this research project will comprise of registered nurses, working in the critical care department of a healthcare organizations and delegated for the purpose of providing clinical care to adult patients. Nurses working in the critical care department will be chosen as the participants due to their role of direct involvement with adult patients in a critical condition (Etikan, Musa & Alkassim, (2016).
One of the key aims of this research is to explore the effectiveness of the PH method in understanding how correctly has the nasogastric tube been placed within critical care adult patients. It is known that a nasogastric tube is used to administer medication and nutrients in critical care patients who lack the ability to orally ingest food. Thus, the information to be collected from the participating nurses will be centered around their opinions and experience regarding how effective is the PH method in confirming that the nasogatric tube has been placed correctly and is optimally providing nutrients to adult patients admitted in the critical care department (Chavda et al., 2017).

Considering that the information provided by participating nurses will be based around nursing experiences while working with critical care patients, the information will be subjective and thus collected using qualitative means. Thus, considering the same, semi-structured interviews, using questionnaire developed from a reliable, valid and scholarly academic source will be used for collecting information on PH method effectiveness in verifying nasogastric tube placement (Peters & Halcomb, 2015).  Thus, after providing consent and the option for voluntary participation, participants, that is, nurses, will be required to attend face-to-face interviews with the researcher and provide their views on effectiveness of the PH method.

References: 
Chavda, V., Alhammali, T., Farrant, J., Naidu, L., & El-Rabaa, S. (2017). Nasogastric tube knotting: a rare and       potentially overlooked complication among healthcare professionals. Case Reports, 2017, bcr-2017.
Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of convenience sampling and purposive sampling. American journal of theoretical and applied statistics, 5(1), 1-4.
Peters, K., & Halcomb, E. (2015). Interviews in qualitative research. Nurse Researcher (2014+), 22(4), 6.

Aim: To explore nurses' views on the effectiveness of PH method for confirming the correctness of placement of nasogastric tube across adults patients in the critical care department.
Research Objectives: 
1. To explore nurses’ views on the perceived simplicity, safety and effectiveness of the PH method for confirming the correctness of placement of nasogastric tube across adults patients in the critical care department.
2. To explore nurses’ views on sources and likelihood of errors associated with the PH method during its usage in confirming the correctness of placement of nasogastric tube across adults patients in the critical care department.
3. To explore nurses’ views on possible strategies which can be implemented to mitigate the errors associated with the PH method during its usage in confirming the correctness of placement of nasogastric tube across adults patients in the critical care department.
Research questions: 
1. What are nurses’ perceptions on the simplicity, safety and effectiveness of the PH method for confirming the correctness of placement of nasogastric tube across adults patients in the critical care department? 
2. What are nurses’ views on sources and likelihood of errors associated with the PH method during its usage in confirming the correctness of placement of nasogastric tube across adults patients in the critical care department? 
3. What are nurses’ views on possible strategies which can be implemented to mitigate the errors associated with the PH method during its usage in confirming the correctness of placement of nasogastric tube across adults patients in the critical care department?

According to Nordin et al., (2015), nastrogastric tubes, via their insertion through the nostrils and passage to the stomach, are beneficial in delivering the nutrients, medications, fluids essential for patient recovery as well as extracting aspirates and thus forms the crux of ensuring positive health outcomes within the critical adult patient. However, as per Nascimento et al., (2018), incorrect placement may adversely impact the survival of the patient through complications like: unwanted entry of tube in the lungs and airways causing respiratory irritation, coiling of the tube in the patient’s throat, esophageal perforation, sinusitis, retropharyngeal abscess, perforation of the brain, parotitis, reflux of stomach components to the esophagus and ultimately death. Thus, the need for correct evaluation of tube placement for prevention of complications and ensuring quick recovery, forms a key significance of the project. 
A number of methods are used for the purpose of determining the effectiveness of nasogastric tubes. X rays of the chest and abdomen have been deemed as accurate methods due to their accuracy in confirming the correct location of the tube. However, X rays on their own are not the first line of methods used due to the possibility of being misinterpreted, lack of cost effectiveness and difficulty of its implementation on chronically and critically ill patients (Bear et al., 2016). A colorimetric capnometry has been evidenced as an beneficial method since it measures carbon dioxide presence for detection of esophageal location of the nasogastric tube. However, its inability to detect insertions in the duodenum or stomach is a limitation (Erzincanli, Zaybak & Güler, 2017).  PH method has been regarded as the best method due to its cost effectiveness, feasibility of implementation at the bedside and with minimal side effects via merely testing PH of gastrointestinal aspirates. However, relying only on this method may generate inaccurate results due to possibility of PH alteration due to medication consumption as well as difficulty in obtaining aspirates from ill patients (Milsom et al., 2015). Thus, this study is significance since it will pave the way for future research and recommendations on the possible risks and benefits of PH method, the need for relaying on multiple strategies and strategies for mitigation of errors.

References:
Bear, D. E., Champion, A., Lei, K., Smith, J., Beale, R., Camporota, L., & Barrett, N. A. (2016). Use of an electromagnetic device compared with chest X‐ray to confirm nasogastric feeding tube position in critical care. Journal of Parenteral and Enteral Nutrition, 40(4), 581-586.
Erzincanli, S., Zaybak, A., & Güler, A. (2017). Investigation of the efficacy of colorimetric capnometry method used to verify the correct placement of the nasogastric tube. Intensive and Critical Care Nursing, 38, 46-52.
Milsom, S. A., Sweeting, J. A., Sheahan, H., Haemmerle, E., & Windsor, J. A. (2015). Naso-enteric tube placement: a review of methods to confirm tip location, global applicability and requirements. World journal of surgery, 39(9), 2243-2252.
Nascimento, A., Carvalho, M., Nogueira, J., Abreu, P., & Nzwalo, H. (2018). Complications Associated With Nasogastric Tube Placement in the Acute Phase of Stroke: A Systematic Review. Journal of Neuroscience Nursing, 50(4), 193-198.
Nordin, N., Kamaruzzaman, S. B., Chin, A. V., Poi, P. J., & Tan, M. P. (2015). A descriptive study of nasogastric tube feeding among geriatric inpatients in Malaysia: utilization, complications, and caregiver opinions. Journal of nutrition in gerontology and geriatrics, 34(1), 34-49.

NURBN3022 Application Of Research In Clinical Settings 2022_2

End of preview

Want to access all the pages? Upload your documents or become a member.

HREC Approval Application for NURBN3022 Study

|15

|4455

|468

Confirmation of Nasogastric Tube Placement Case Study 2022

|15

|3654

|30

Nasogastric Tube Verification Article 2022

|10

|2708

|24

NASOGASTRIC TUBE IN ADULT PATIENTS 1.

|1917

|31

Sample Application for HREC Approval (NURBN3022)

|14

|4090

|301

Sample Application for HREC Approval (NURBN3022)

|14

|4182

|351

NURBN3022 Application Of Research In Clinical Settings 2022

End of preview

HREC Approval Application for NURBN3022 Studylg...

Confirmation of Nasogastric Tube Placement Case Study 2022lg...

Nasogastric Tube Verification Article 2022lg...

NASOGASTRIC TUBE IN ADULT PATIENTS 1.lg...

Sample Application for HREC Approval (NURBN3022)lg...

Sample Application for HREC Approval (NURBN3022)lg...

HREC Approval Application for NURBN3022 Study

Confirmation of Nasogastric Tube Placement Case Study 2022

Nasogastric Tube Verification Article 2022

NASOGASTRIC TUBE IN ADULT PATIENTS 1.

Sample Application for HREC Approval (NURBN3022)

Sample Application for HREC Approval (NURBN3022)