This article provides a critique of a qualitative and quantitative study on medication administration errors by nurses. It discusses the aim and significance of the study, the research design, sampling technique, data collection method, data analysis, and the findings and recommendations of the study. The limitations of the study are also discussed.
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Running head: QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE1 Qualitative and Quantitative Article Critique Name: Institutional Affiliation:
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QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE2 Guided questions Answer Template (Please do not remove the questions) Guided QuestionQualitative StudyQuantitative Study 1.Aim and Significance (5 marks 200 words) a. What was the aim and significance of the study? The study aim was to scrutinize the experience and perspective of nurses in avoiding medication administration errors. Significance of the Study: Medication administration as well as handling, dispensing and documenting are the routine responsibilities of registered nurses. Intensive utilization of medications and technology, as well as, the involvement of various medics in the provision of care and complex patient issues makes medication administration a very complex task (Härkänen, Ahonen, Kervinen, Turunen, & Vehviläinen, 2015). Failure to take into consideration the complexity that characterizes medication administration result in errors and unsafe events (Parand, Garfield, Vincent, & Franklin, 2016). For all these reasons, nurses The study aim was to inspect the correlation between safe medication practice, workplace relationships and supports among graduate nurses. Significance of the Study: Healthcareorganizationsare characterizedbydisruptiveandunsupportiveworkplace behaviours.Newgraduatesaresusceptibletothis unsupportiveclimateresultingintheirincreased susceptibility to medication errors. For this reason, the study findings suggest the importance of enhancing workplace relationships and support to promote the safe administration ofmedicationbygraduatenurses.Therefore,promoting graduatenurse’sresilienceandpositiveworkplace environments prevent medication errors.
QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE3 require sufficient knowledge to examine risks associated with medication administration and address them immediately. Therefore, the study provides significant insights on the importance of providing nurses with professional practice environment and learning climate that enhances the development of their practice knowledge and skills with the sole purpose of preventing medication administration errors. 2.Methods (10 marks 700 words) a. Identify the research design used in the study and was it appropriate for the Issue discussed? A qualitative interview comprising 20 nurses was carried out in an academic medical centre. The study design was suitable for the topic under study because it aimed at comprehending what nurses feel and think about medication administration errors and how to prevent them. The study design also helps in obtaining a wider perspective of the issue under discussion. The study made use exploratory study with convenient sample utilizing quantitative survey. Online survey relied on graduates’ self-reported nature of their workplace relationships and support; safe medication practice, and self- reported medication errors. The study method was not appropriate for the issue discussed. For instance, online surveys are characterized by limited respondent availability and sampling; cooperation issues, an absence of interviews to probe and clarify the reliability of data obtained (Brenner & DeLamater, 2016; Rice, Winter, Doherty, & Milner, 2017). Self-report; in contrast, result in bias because the
QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE4 study participants are given the opportunity to react to the research questions in a manner that is favourable for them irrespective of the response validity and reliability (Althubaiti, 2016). It is human nature to depict themselves in a positive light resulting in distortion of the data being collected. Therefore, the study methods introduced bias in the study because participants were not a representative of the population of new graduate burses and the self-reported information might not be reliable. b. Discuss the sampling technique, inclusion and exclusion criteria used for the selection of sample in the study The study made use of purposive sampling to obtain a wider perspective of both the operational level ad management level nurses about the issue under discussion. The researchers also utilized snowball sampling to obtain nurses names, to be precise from distinct departments who reflected distinct levels of seniority and training including their varying perception of medication safety practices. Purposive sampling enhanced generalizability of the findings to the whole population (Etikan, Musa, & Alkassim, 2016). Snowball sampling, in contrast, was utilized to connect researchers The study made use of convenient sampling because the researchparticipantscouldbeeasilyobtainedfromthe university database. Convenient samples are crucial for pilot studies because the findings from the research can be utilized as pointers to highlight further action to address the issue being discussed (Elfil & Negida, 2017). The study used recentnursegraduatesfromthreenursingschoolsin Australia.Theresearchersbelievedthatonlyrecent graduates exhibited active university email accounts. The administrative staff emailed the study participants the survey link and email reminders were sent to the study participants for six consecutive weeks to enhance their response rate.
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QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE5 with study samples who are difficult to reach such as the nurse managers (Kirchherr & Charles, 2018). To be included in the study, the study subjects were expected to be registered nurses because the study aim was to scrutinize the experience and perspective of nurses in avoiding medication administration errors. c.Explore the data collection method and its appropriateness to the research design of the study Semi-structured interviews were utilized in collecting data. The interviews were structured in a way that provided the study respondents with an opportunity to speak freely using the provided topic list. The major advantage with semi-structured interviews is that the participants exhibit the freedom to give their views further enhancing the reliability of the data collected (Alshenqeeti, 2014; Jamshed, 2014 ). The data collection method also promotes two-way communication and provides informants with an opportunity to discuss issues considered sensitive. Given the topic under study, the researchers opted for semi-structured The study made use of online survey questionnaire to obtain data that would support the aim of the study. The data collection method was appropriate because the target study participants were graduate nurses and their emails could easily be obtained from the university database. However, theuseofonlinesurveyquestionnaireunderminedthe quality of data collected. For instance, the use of online survey questionnaire often results in low response rate and biased data that might not be generalized to the whole population(Rice,Winter,Doherty,&Milner,2017). Accordingly, there is less likelihood of participants getting fully engaged to the study and constant reminders might be perceivedbyresearchersasannoyingresultinginlow response rates. It is also impossible to determine whether the
QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE6 interviews because they allowed two-way, conversational, and focused communication. Also, they enabled the researchers to prepare questions in advance before going out in the field. Therefore, through semi-structured interviews, the researchers were able to obtain nurses opinion and perspectives regarding medication administration errors, the medication safety practices and policies in place including their effectiveness including their experiences and barriers to addressing medication administration errors. person who completed the questionnaire is the intended person because some might be field by the participant’s friend, or family member who does not have an idea of the topic being discussed. Absence of quality random sampling leadstoquestionablemarginoferrorandstatistical confidence. For all these reasons, the data obtained from online surveys cannot be generalized to the whole population of graduate nurses 3.Data analysis and results (10 marks 600 words) a.How was the data analysed and was it appropriate for the study? The analysis of data was obtained using the MAXQDA 10 software. Mytton, Diem, and Dam(2016) contend that MAXQDA helps in performing content analysis and data analysis by systematically interpreting and evaluating textual data. Thus, the software allowed the researchers to code the interview, and the codes SPSS (Statics Package for Social Sciences) version 20 was utilized in analysing data obtained from the online survey questionnaires. Descriptive statistics were utilized in identifying logical responses as well as the percentage of missing data (Sahay, Hutchinson, & East, 2015). Frequency distributions such as standard deviations and mean were performed including the Spearman’s correlation analysis.
QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE7 were critiqued and compared until the researchers agreed on the most relevant themes regarding the standpoints and knowledge of nurses on preventing medication administration errors (Smeulers, Onderwater, van Zwieten, & Vermuelen, 2014). The data analysis method was appropriate because the emerging themes helped the researcher comprehend nurses’ views and experience regarding medication administration errors and come up with a valid conclusion. The data analysis technique was appropriate because it was easier to find out the mean duration of study subjects occupation after graduation and the rate at which they were involved in medication administration errors (Mertens, Pugliese, & Recker, 2016). The SPSS provided the frequency with which the new graduates committed various medication errors including wrong route, wrong patient, wrong drug, wrong dose, omission, and wrong time(Sahay, Hutchinson, & East, 2015) b.What were the findings/results of the study? According to Smeulers et al. (2014), nurses are better positioned to enhance safe management and administration of medications to prevent errors. However, their competence in fulfilling this role greatly depends on their adequate knowledge to review risks that defines medication administration as well as the circumstances under which they practice. Based on these findings, it is important for healthcare organizations to provide nurses with an opportunity to develop their professional Sahay, Hutchinson, and East (2015) note that healthcare facilities are aware of the gains associated with maintaining a positive workplace environment. However, disruptive and unsupportive workplace behaviours dominate in the healthcare facilities. For this reason, new graduates are susceptible to these workplace environments which are significant contributors for increased medication errors (Sahay, Hutchinson, & East, 2015). Therefore, continuing education and the significance of undergraduate degree in the nursing profession are essential strategies in promoting patient safety, graduate resilience, and positive workplace
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QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE8 nursing knowledge and nursing skills.environment c. Discuss the limitations and recommendations of the study? Despite the fact that the research was a single- centre study, its findings are consistent with the conclusions made by other researchers. Besides, they are transferrable to distinct healthcare settings. However, the study recommends for further investigation of nurse managers and nurses extensive roles in promoting medication safety. Future studies should focus on the important resources and incentives needed to enhance safety medication administration practices in the healthcare setting (Smeulers et al., 2014). The authors also recommend the need to interview clinical pharmacists and physicians to obtain a wider viewpoint of the nurses role in enhancing medication safety The use of online survey questionaries and self-reporting and convenient sampling were the major limitations of the study. For instance, the survey questionaries were emailed to the study participants based on their email account accessed through the university database. However, a significant time had elapsed following the participants graduation from the targeted institutions (Sahay, Hutchinson, & East, 2015). For this reason, a substantial number of new graduates would have not accessed emails resulting in low response rate. The use of self-report and convenient sampling might have introduced bias on the data collected because of the provision of inaccurate data. For this reason, the study findings could not be generalized to the whole population of new graduate nurses. The sample size included 58 new graduates which was quite small. Since there are few research that have focused on examining factors that moderates counterproductivebehaviours at the workplace and their impact on care quality and patients safety, further research should be conducted to help in understanding the importance of continuing education and undergraduate program in enhancing the safety of the patients. The studies
QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE9 must include a larger Sample size References Alshenqeeti, H.(2014). Interviewing as data collection method: A critical review.English Linguistic Research, 3(1), 39-45. Althubaiti, A.(2016). Information bias in health research: Definition, pitfalls, and adjustment methods.Journal of Multidisciplinary Healthcare, 9. 211-217. doi:10.2147/JMDH.S104807 Brenner, P.S., & DeLamater, J.(2016). Lies, damned lies, and survey self-reports? Identity as a cause of measurement bias.Social Psychology Quarterly, 79(4),333-354. doi:10.1177/0190272516628298 Elfil, M., & Negida, A.(2017). Sampling methods in clinical research: An educational review.Emergency, 5(1), 52-55. Etikan, I., Musa, S.A., & Alkassim, R.S.(2016). Comparison of convenience sampling and purposive sampling.American Journal of Theoretical and Applied Sciences, 5(1), 1-4. Härkänen, M., Ahonen, J., Kervinen, M., Turunen, H., & Vehviläinen, J. K. (2015). The factors associated with medication errors in adult medical and surgical inpatients: a direct observation approach with medication record reviews.Scandinavian Journal of Caring Sciences, 29(2), 297–306.https://doi.org/10.1111/scs.12163 Jamshed, S.(2014).Qualitative research method-interviewing and observation.Journal of Basic and Clinical Pharmacy, 5(4), 87-88. doi:10.4103/0976-0105.141942
QUALITATIVE AND QUANTITATIVE ARTICLE CRITIQUE10 Kirchherr, J., & Charles, K.(2018). Enhancing the sample diversity of snowball samples: Recommendations from a research project on anti-dam movements in Southeast Asia.Plos One, 13(8), 20-30.https://doi.org/10.1371/journal.pone.0201710 Mertens, W., Pugliese, A., & Recker, J. (2016).Quantitative data analysis: A companion for accounting and information systems research. New York: Springer. Mytton, G., Diem, P., & Dam, P. H. (2016).Media audience research: A guide for professionals. Thousand Oaks, California: SAGE Publications, Inc. Parand, A., Garfield, S., Vincent, C., & Franklin, B. D. (2016). Carers’ Medication Administration Errors in the Domiciliary Setting: A Systematic Review.PLoS ONE,11(12), 1–18.https://doi.org/10.1371/journal.pone.0167204 Rice, S., Winter, S.R., Doherty, S., & Milner, M.(2017). Advantages and disadvantages of using internet-based survey methods in aviation- related research.Journal of Aviation Technology and Engineering, 7(1), 58-65. Sahay, A., Hutchinson, M., & East, L.(2015). Exploring the influence of workplace supports and relationships on safe medication practice: A pilot study of Australian graduate nurses.Nurse Education Today, 35(5), 21-26 Smeulers, M., Onderwater, A.T., van Zwieten, M., & Vermuelen, H.(2014). Nurses’ experiences and perspectives on medication safety practices: an explorative qualitative study.Journal of Nursing Management, 22(3), 276-285. doi: 10.1111/jonm.12225