NUR443 Evidence Based Nursing Research And Practice


Discussion focus: Does this article contain all the components required for research using the article criticism components below?

What are the essential elements of a complete study?

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For the evaluation of your chosen article, create a summary by using the questions below

Your answer should concentrate on the components and outcomes of qualitative or quantitative research

Answer to Question: NUR443 Evidence Based Nursing Research And Practice


The title of this study is very good and concisely highlights key variables (patient hygiene protocol, hospital acquired infection, improve hand washing among nursing staff) and the study population.

The abstract summarizes the key features of the report in a concise and clear manner, including background and objectives, methods, results and conclusion.

The introduction contains a concise, easily identifiable and clear statement of the problem. Critically ill patients are at increased risk of infection in hospitals. This increases their morbidity and mortality.

This problem statement clearly argues in favor of new study. It also has significance for nurses because it recognizes RNs and their role as primary providers of care for patients with critical illnesses.

The new hygiene protocol will increase nurses’ compliance with hand-washing in the ICU.

The pre-experimental research design, which used a paradigm and methods to match the research problem, was successful.

It was suitable because it allowed to test the hypothesis in a clear and appropriate way and answered the research questions.

The hypothesis is based on the most current literature and conceptual framework, mainly from primary resources.

Literature reviews have provided a stateof-the art synthesis of evidence about research problem, supported by efficient intextcitation and referencing. This has been a sound base for new study.

The researcher has correctly defined key concepts conceptually, providing a theoretical framework as well as a rationale.

The researcher used appropriate methods to protect the rights and dignity of participants. These procedures were based on acceptable procedures that ensured subjects’ rights even though they were not subject to any external review by an institutional or ethics review board.

Research was done to minimize risks and maximize the benefits to participants.

A proper number of data collection points was used to ensure that bias and threats were minimized in the design.

The researcher identified the population, and then described it in sufficient detail.

The sample used was adequate.

Congruency between operational and conceptual definition was ensured. Key variables were operationalized based upon the best method possible, which included interviews that provided sufficient justification.

The scholars suggested that the instruments were suitable for purpose and population.

There is ample evidence to show that the data collection methods resulted in high reliability, validity and data quality (Allegranzi & Pittet (2009)).

The intervention (new protocols) is explained well with proper implementation. All subjects were assigned to receive the intervention, and this was backed up by intervention fidelity.

With the help of trained staff, bias was reduced in data collection.

The assumption was that efficient analysis would allow for each question to be addressed using the most appropriate statistical methods. This included acknowledging the variables measurement level as well as the number of groups being compared.

The most powerful analysis method was used to control the confounding variables, allowing for both type I as II errors to be avoided.

The authors presented statistical significance and information on estimate precision and effect size. They also provided information regarding confidence intervals.

The results reporting format facilitates metaanalysis, and contains sufficient information to support EBP.

Major findings have been discussed and interpreted within a context of previous study’s conceptual frame with justifiable causal inferences. It is consistent with the findings and limitations of the study.

We have covered all aspects of findings’ generalizability.

A well-written, organized, and thoroughly reviewed critical analysis reveals the usefulness of study findings for future researcher and clinical practice.

A CONSORT flowchart was created that clearly showed the participants’ flow. The report was written so that results were easily accessible to practicing nurses.

With their clinical, substantive, methodologic and experience qualifications, the researchers have increased confidence in results and corresponding interpretations.

Although the results had some limitations, they were still valid and the values of the results are true (Lam Lee and Lau, 2004).

This study provides valuable evidence for nursing practice/nursing science.

ReferencesAllegranzi, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention.

Journal of Hospital Infection. 73(4):305-315.Lam, B. C., Lee, J., & Lau, Y. L. (2004).

Hand hygiene practices at a neonatal intensive medical unit: a multimodal intervention. Pediatrics, 114(5), e565-e571.