Introduction to Nursing Research Assignment Help

In a 1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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How do these two articles support the nurse practice issue you chose?

The first journal selected on the basis of the adherence to the guidelines related to the hygiene and healthcare which plays an important role for the nursing practices(Korhonen et al., 2015).The PICOT question which has been discussed in the journal includes the level of focus applied on the nursing practices in order to maintain hygiene. In order to answer the questions, the journal uncovers certain gaps related to hand hygiene practices. It observes that the frequency of the decontamination, the time invested in the cleaning and sanitization of the hands and care to the details related to the providing aid to the patients helps in determining the fidelity of the hygiene practices. Thus the quantitative analysis shows only 830 occasions amongst the 2304 cases hygiene is been maintained by the nurses.

The interventions which have been mentioned in the journal for the proper maintenance of hygiene condition in intricate monitoring of the hand sanitization practice amongst the nurses. In spite of the whole observation procedure being time and resource consuming it was observed that the costs related to the infections caused due to lack in the hand hygiene are much higher(Korhonen et al., 2015). Thus tracking of the maintenance in the fidelity of the sanitation was measured in order to track the improvements and changes that occurred with time.

The second journal highlights the importance of the perception of the nurses related to the low hand hygiene practices.The PICOT question in the journal highlights on the perception of the nurses regarding the hand sanitization(Sadule-Rios & Aguilera, 2017). The analysis of the issue was done among 47 nurses and the test is been carried out for a period of one month. According to the study, there were certain reasons which have been detected for the negligence in hand hygiene in the nurses. The availability of hygiene and alcoholic sanitizers are one of the reasons for rendering hygiene practices amongst the nurses. Other reasons, which the paper points out, arethe lack of adequate workforce and time in between the shifts of the nurses, inadequate presence of sinks and absence of hand sanitizers at the proper location where it is necessary before taking care of the patients. Hence with the increase in the workload and lower workforce, the nurses tend to deviate from the protocols provided by the WHO for hand hygiene practices. Itis essential for the healthcare management to provide adequate access to the sinks and hand sanitizers points in the different areas of the patients care so that compliance can be attained in the hand sanitizationpractices.

According to the journal, it is pointed out that due to the increase in the workload and higher patient and nurse ratio adequate hygiene is not maintained and this results in the increase n the mortality of the patients(Sadule-Rios & Aguilera, 2017). The intervention which can improve the situation is it is important for the hospital to appoint licensed and registered nurse so that the ratio between the number of patients and the nurses can be appropriate. This will enable in maintaining improved hand hygiene which will lead to a decrease in the rate of infections. As a part of the comparison, when he hand hygiene maintenance were compared with the global practices of hygiene practices among the nurses and were concluded that understaffed and increase in the results of the workload in the increase in infections.

Method of Study:

The method which has been adopted in the first journalhas an observational approach which helps in the evaluation of the compliance. In this study, the monitoring of hand hygiene is done through a structured method of observational technique that is been collected on the basis of the work done on a daily basis. The second journal is based on the survey design which helps in the identification of the perceptions which the nurses have in respect to the hand hygiene so that recommendations can be provided accordingly.

In the first journal, the advantage of the technique which has been identified is the monitoring of the hand hygiene practices will help in the identification of the gaps in the sanitation practices which in addition will also result in understanding of the various infections which have been detected in the patients(Korhonen et al., 2015). However, there is certain limitation related to the method adopted by the study one of which is the lack in the experience of the process of observation. Thus in such cases, observers may not be able to successfully monitor the processes and collect adequate data.

The survey method which has been adopted by the second journal helps in the identification of the barriers in the perception of the nurses that are not in compliance to the hand hygiene of the nurses(Sadule-Rios & Aguilera, 2017). The main limitation of the study was the survey and the data collected were based on the practices adopted by the critical care nurses only. But an infection in the patients can occur through different types of healthcare providers which also need to be considered in the study.

Results of Study

The findings of the first journal state that, the hand hygiene can be evaluated on the basis of the time taken in the sanitization of the hand before coming in contact with the patients(Korhonen et al., 2015). Other factors like after each contact with the patient's hands need to the sanitized, procedure which has been adopted by the nurses for the decontamination of hands with the utilization of aseptic procedures, attention given to nails and watches which may bear causes that can result in infection. The second journal highlights the various barriers which have resulted in the deviation from the compliance in hand hygiene which included use of different alcohol-based products; skin irritation, workload and the number of staff can affect the adoption of sanitization.

The first study on comparison with the practices adopted by the nurses and guidelines when compares there were certain inconsistencies which were observed which the healthcare institution should put adequate attention so that the hygiene compliances are met(Sadule-Rios & Aguilera, 2017). The second journal points out that an increase in the workload, understaffing and lack in the accessibility of the hygiene resources may also result in the low compliance in the hand hygiene. Thus it is essential for health management to adopt certain modification in the environment.

Outcomes Comparison

The fidelity monitoring of the nurse's practices will help in understanding the gaps so that recommendations can be done in order to improve the performances. The outcome of the second question leads to highlighting of the issue which has led to the lack in the compliance so that necessary modifications can be done.

Here are certain limitations related to the hygiene practices and the process of data collections which has been adopted are not adequate to fully provide the deviations so that changes can be done in the practices in order to prevent anymore infection in patients.

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