Critique report - Skin glue minimizes the failure of ED-inserted PIVCs: A randomized controlled trial

Critique report
Critical Review- Quantitative Study
On
Skin glue minimizes the failure of ED (emergency department)- inserted PIVCs
(peripheral intravenous catheters): A randomized controlled trial.
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Critique report
Critical Review- Quantitative Study
PICO Complete this table
What is the problem
or population?
Increased failure of PIVC catheters that are started in EDs
What is the
intervention?
Applying Skin glue adhesives in the PIVC’s site of insertion and
under the hub of PIVCs with regular (standardized) PIVC care
What is the
Comparator?
Group (control) receiving regular (Standard) PIVC catheter care
What is the primary
outcome?
Failure of PIVC within 48 hours of insertion, regardless of cause.
What is the
secondary
outcome/s?
The failure rates of PIVC that includes cather-infection, phlebitis,
catheter-occlusions or line-dislodgement.
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Critique report
Introduction
A critical review is a systematic way of logically evaluating a study to identify its
strengths as well as weaknesses along with its applicability in clinical practice (Boswell,
2017). A quantitative study can be critiqued by using many models as CASP,
CONSORT, Polit critiquing-tools and Crombie models (University of South Australia, n.
d.). CONSORT (Consolidated standards for randomized-trials) guidelines are explicitly
developed for critiquing RCT that includes a checklist (22 items) and flow-chart to track
the study-participants from the trial through eligibility-assessment (Polit, 2016).
Annals are an international peer-reviewed emergency journal that was published
by the American college’s ED physicians in United States. It is the largest circulating
journal with impact- factor: 5.008, five year’s impact factor: 5.041 and Science citation-
index journal-rank: 1.942 with over 33,000 subscribers. It publishes articles, facts,
reports, and opinions related to emergency medicine that includes pediatric, toxicology,
injuries with prevention in other specialties which suggest that Annals are the highly
regarded journal (ACEP, 2016). The above informations prove that Annals will definitely
help me to provide evidence-based care to ED patients.
The authors Bugden, Scott, Clark and Johnstone are the emergency experts of
Caboolture-Hospital; author Mihala from the Applied Health-related Economics’ centre,
Griffith University while Bugden, Fraser and Rickard is from the NHMRC’s Centre for
Nursing-Research and also the members of Critical-care research group. Author’s
current position helps me to utilize the study’s findings undoubtedly in my clinical area
and prevent PIVC failure.
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Critique report
Title, Abstract & Review of Literature
They have stated a clear title that stimulates a prompt perception of the study’s
fundamental nature and is also consistent with the text (Melnyk, 2014). They have given
a clear and acceptable objective as ‘to investigate whether the effect of Skin glue
application and regular care can reduce the ED-inserted PIVC failure rate. An abstract
should provoke clear insight into the study’s complexity and its applicability into the
particular healthcare practice setting (Iverson, 2014). The study’s abstract includes an
accurate-objective, focused-hypothesis, appropriate study-methods, results and
conclusions. They have cited current, appropriate, relevant as well as comprehensive
literatures. Bugden (2016) has discussed what is already known about the topic;
identified knowledge inconsistencies, mentioned the study’s significance and has also
situated this study within the best-available knowledge, as given by Polit (2016).
Research Design
Bugden (2016) has used RCT which is a true-experimental quantitative design in
which the investigator manipulates (Skin-glue application & regular measure), controls
the independent variable (regular-care group) and randomly assigns samples to both
control and experimental group (LoBiondo-Wood, 2014). RCT is considered as a gold
standard for providing reliable evidences in-regard to cause and effect relationship
(Polit, 2016). They have clearly stated their research question as ‘Whether the Skin-glue
applications to secure the PIVCs can prevent PIVC’s failure than usual securing
method?’, that matches the study’s purpose.
According to Limm (2013), about 80% of the hospital-admitted patients are
inserted with PIVCs with more specifically in emergencies. Majority of PIVCs are found
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