Research in Nursing

Research in Nursing
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Introduction:
In this study, research problem was high failure rate associated with peripheral catheter
insertion. Intervention provided was application of Cyanoacryhlate skin glue to the skin
insertion site. Comparator used in this study was peripheral intravenous catheter securement
with cloth-bordered transparent polyurethane dressing and tape. Primary outcome considered
for this study was assessment of Peripheral intravenous catheter failure in first 48 hours.
Secondary outcomes considered for this study were infection, phlebitis, occlusion or
dislodgement (Hruby et al., 2016; Bugden et al., 2016). Critical Appraisal Skill Programme
(CASP) is useful in the critical evaluation of the quantitative research article. Reliability and
significance of the published results can be effectively assessed through CASP tool.
Researchers and health-care practitioners can understand research-based evidence more
effectively, enhance professional practice and improve decision making through critical
evaluation of the research Krainovich-Miller et al., 2009).
This quantitative research is published in Annals of Emergency Medicine with impact factor
of 5.008 through 2015 which its publication year. USA is its place of publication of this peer-
reviewed medical journal which publishes different facets of emergency medicine.
This research was conducted by four researchers of Bachelor of Medicine who are members
of Fellow of the Australasian College of Emergency Medicine (FACEM). Engineer,
biostatician, MD and registered nurse with PhD were also involved in this research. All the
researchers involved in this study are expertise in this research subject. Moreover,
professionals from different disciplines appropriate for this research were incorporated in this
study. Findings of this study can be considered as robust and valid; moreover, these results
can be referred as evidence-based results in clinical practice (Liao et al., 2015; Bugden et al.,
2016).
Title, abstract and literature review:
Title of this article demonstrate comprehensive matter presented in the article. It is being
considered that article with the specific title is considered as the article with highest quality.
In this article also, title is accurately and precisely mentioned.
In this research article, aim of the research was not mentioned. Objective of article stated that
weather addition skin glue to standard peripheral intravenous catheter can be helpful in
reducing failure rate. Objective was aligned with the title and study design. It was not
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indicated in the body part of article; however, it was stated in the abstract of article (Bugden
et al., 2016).
In abstract section, all the important aspects are precisely mentioned. Abstract comprises of
objective, methodology results and conclusion. Literature review was current, appropriate
and comprehensive; however, it was mentioned in the background section of the article.
Research question and study design were adopted based on the mentioned literature review
(Hardi and Fowler, 2014; Bugden et al., 2016).
Research design:
Study design adopted for this study was single site, 2 arm, nonblinded, randomized,
controlled trial (RCT). RCTs are the studies in which participants being recruited randomly to
avail intervention. Controlled trials comprising of with placebo or standard group for
comparison with the intervention group (Egbewale, 2014). This study is called as controlled
trial because intervention group was compared with the standard group. This study is called
as two arm study because in this study two groups were included like skin glue and standard
intravenous catheter. Neither participants nor researcher were blinded for this study; hence,
this study is considered as non-blinded study. It indicates, they were aware of the
intervention. Biasness and confounding findings are the drawbacks of non-blinded study.
Level II evidence was evident in this study. Relevant information related to the study design
was specifically mentioned in the research design section (Tugwell et al., 2012).
Research question designed for this research was “Does the use of skin adhesive glue to
secure a peripheral intravenous line improve failure rates compared with standard securing
measure ?’’. Research question was relevant objective and study design of this research
(Bugden et al., 2016).
Peripheral intravenous catheters are extensively useful invasive devices; though, higher
failure rate is its significant drawback. Failure rate of these devices can be effectively reduced
through medical-grade skin glue containing cyanoacrylate. Nevertheless, evidence-based
research is lacking to prove its clinical utility (Pasalioglu and Kaya, 2014). Hence, this
research was carried out to prove evidence of usefulness of skin glue for fixing intravenous
catheter and it was compared with the standard intravenous catheter in ED.
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