Critiquing a Quantitative Study Essay

On 01/27/2016, I observed about 22 patients in Postanesthesia Care Unit. Some of the patients were observed after surgeries while others were observed after endoscopy. During my shift, I observed patients awaiting recovery for removal of kidney stones, malignant melanoma (removal of moles), Endometrial Biopsy (EBX), superficial femoral artery (SFA), Hernia repair, Oophorectomy (ovary removal surgery), Cardiorrhaphy (Ventricular repair), Cystolithalopaxy (bladder stone removal), gall stone removal, Ectopic pregnancy surgery, and leg surgery.

ii. Hypothermia, defined as a core body temperature less than 36C, is a relatively common occurrence in the unwarmed surgical patient. A mild degree of perioperative hypothermia can be associated with significant morbidity and mortality. (Hart et al., 2011)

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of

The pre-operative stage is an important phase in patient’s surgery process. This is the time where the patients is experiencing a lot of anxiety issues and have questions regarding the impending procedure. To help ensure good patient outcomes, it is imperative to provide complete preoperative instructions and discharge instructions (Allison & George, 2014). It is the nurses’ duty to safe guard and protects the patient’s welfare during the surgical experience. Effective preoperative preparation is known to enhance postoperative pain management and recovery. Health professionals need to be cognizant of the contextual factors that influence patients’ preoperative experiences and give context appropriate care (Aziato & Adejumo, 2014).

Although the study was done on the computer, there was no mention that they were not put in harm. The authors could have included something on how no physical examinations were going on in with the subjects. The second standard is informed consent. There was no direct mention of informed consent. The authors could have stated that all volunteers provided informed consent, and that would have met that guideline. The last guideline is confidentiality, and that guideline was met since no person information or results were included in the

Our study will comply with standard ethical research procedures. We will obtain informed consent from our participants before they participate in our study. Our potential participants will be fully informed about what will happen during our study; in addition, they will understand the effects that our study will have on them and our research (Grinnell, Unrau, and Williams, 2014). We will not use bribery, deception, threats, or any other forms of coercion in order to gain participants for our study. The physical/emotional safety of the participants will come before the research; therefore, we will adhere to all ethical research procedures.

Quantitative and qualitative research studies are both significant in nursing. In this paper, I will be critiquing two articles using both approaches. Using Walden’s database system, the articles will be located and compared to one another. After this assignment, I hope to gain a better understanding if critiquing research articles.

The convenience sampling that was used in recruiting all male patients who were on blood pressure medications is a glaring bias in this study. There was no information provided addressing why the patients were presenting to the clinic. There are many interventions that can raise blood pressure. For example, the study conducted by Marshall, Anantharachagan, Choudhary, Chue and Kaurhis, (2002) investigated the effect of situational anxiety on blood pressure experienced in anticipation of a blood test. Marshall, et. al., (2002) found that anticipation of a blood test can raise blood pressure. Foster-Fitzpatrick, et. al., 1999 did not address the purpose of the patient’s visit to the clinic.

The study selected by this author centers around ethical and oversight issues concerning standard of care interventions received by participants in research studies. So as to address recently arisen concerns regarding key aspects of regulation and oversight of standard of care interventions executed during trials, the office for human research protections (OHRP) solicited comments from experts on what has been termed as “Draft Guidance” (Institute of Medicine [IOM], 2015, pp. 1-3).

The management of postoperative pain has received much interest nowadays. The intensity of postoperative pain depends on many factors such as type and duration of the surgery, type of anesthesia and analgesia used, and the patient’s mental and emotional status (11).

Ten patients were in a control group where no special precautions were taken, ten patients had preoperative and intraoperative active warming, and ten patients had intraoperative active warming only. By providing 45 minutes to 1 hour of pre-warming and intraoperative warming combined, hypothermia caused by general anesthesia was not experience. After induction the patients with just intraoperative warming were in a hypothermia state for at least the first two hours. It was not until the end of surgery that both groups (except the control group) were at a normothermia state.

Research groups that utilize clinical trials for the “Research that includes treatment of an individual must obtain the patients authorization to disclose any protected heath information to all health care providers other than those involved in the direct care of the patient” (Axia College, 2007). For example, Jan participates in a clinical trial at CEDRA Clinical Research for the study of a new pain medication sponsored by ABC Labs. After the trial, Jan sees her primary care physician in regards to ongoing headaches. Jan informs her doctor that she participated in a clinical study but stated that the medicine give did not contain this side effect, the next day, her physician called CEDRA to obtain information regarding the treatment and information on the outcome of the patient’s results. CEDRA advised the doctor that that patient did not provide authorization to release any information to other healthcare providers other than those involved in the clinical trial. According to

There are three authors for this quantitative research study. Martin Knoll is the HTW of Saarland, Clinical Nursing Research and Evaluation, Saarbruecken, Germany. Christine Lautenschlaeger, Institute of Medical Epidemiology, Biometry and Medical Informatics, Martin Luther University of Halle-Wittenberg, Germany is the second author. And last, Marianne

Most patients had hypothermia, 229 (82.4%). As for the risk for development of perioperative positioning-related injury, 157 (56.5%) of the patients showed a higher risk and 214 (77%) had pressure-induced skin lesions. None of the patients had focal alopecia. Regarding the association of sociodemographic and clinical factors, hypothermia and the ELPO risk with the occurrence of perioperative positioning-related injuries, only the color on variable (p<0.001) was considered as a predictor for the occurrence of perioperative positioning-related injury. Nevertheless, even though it was not statistically significant, most injuries took place in female patients, adults, with altered BMI, with hypothermia, with normal hemoglobin and with ELPO ≥ 20. Based on the foregoing, we can highlight the importance of risk identification, occurrence of perioperative positioning-related injuries and associated factors with a view to developing strategies that help in the prevention of complications in clinical practice or in the solution of these complications in a suitable

What further research or pilot studies need to be done, if any, before incorporating findings into practice to assure both safety and effectiveness?