NURS 6052: Evidence-Based Project, Part 1: Identifying Research Methodologies Example
Is there a difference between “common practice” and “best practice”?
When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.
Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.
Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
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Matrix Worksheet Template
Understanding research approaches in healthcare is essential for nurses to offer quality care and address patient needs and concerns by using evidence-based practice interventions. Patient safety issues like falls, medication errors, infections, and injuries such as pressure ulcers affect the overall outcomes and experiences of the healthcare process and disease prognosis. The essence of this paper is to explore research studies and methods used in these articles on the selected article of patient safety.
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Full citation of selected article |
Article #1 | Article #2 | Article #3 | Article #4 |
| LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: state of the science. Clinics in geriatric medicine, 35(2), 273-283.
DOI: 10.1016/j.cger.2019.01.007 |
Bjerkan, J., Valderaune, V., & Olsen, R. M. (2021). Patient safety through nursing documentation: Barriers identified by healthcare professionals and students. Frontiers in Computer Science, 3, 624555. https://doi.org/10.3389/fcomp.2021.624555 | Heng, H., Slade, S. C., Jazayeri, D., Jones, C., Hill, A. M., Kiegaldie, D., … & Morris, M. E. (2021). Patient perspectives on hospital falls prevention education. Frontiers in Public Health, 9, 592440.
https://doi.org/10.3389/fpubh.2021.592440 |
Duckworth, M., Adelman, J., Belategui, K., Feliciano, Z., Jackson, E., Khasnabish, S., … & Dykes, P. C. (2019). Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. Journal of medical Internet research, 21(1), e10008. DOI: https://doi.org/10.1186/s12912-021-00571-w
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| Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) | This article was selected because it discusses different research studies on various ways that healthcare providers, especially nurses, can prevent falls in targeted populations. The article relates to the clinical issue of interest since patient safety is a critical component of better and quality outcomes. The article is categorical that using state of the science approaches can help providers to reduce and prevent falls. The ethics of research related to the issue of interest include safety, quality, and empowering nurses and patients to implement fall prevention measures. | The choice of this article is based on its aim as emphasizes different ways and interventions that healthcare providers can implement to improve patient safety. The study identifies barriers that hinder accurate or effective use of patient information to prevent adverse events and affect safety negatively. The article relates to the clinical issue of interest since it explores different ways to prevent adverse events like falls which affect patient safety. The research ethics identified in the article include safety, informed consent, and empowering nurses and nursing students. | I selected this article since it addresses patient fall education and the perception that patients develop as a result of the intervention. The article also relates to the clinical issue of interest as it indicates the importance of enduring that patients also get education and awareness about falls. The ethics of research related to the topic of interest in this article include seeking approval from institutional review board, ensuring patient consent through voluntary participation, and offering credible feedback to participants. | This article was selected because it suggests the use of tailored interventions to reduce and prevent falls as one of the causes of adverse events. The article relates to the clinical issue of interest as it discusses different approaches to reduce falls and the overall patient safety. As illustrated, the article adheres to research ethics as it ensures that participants are not harmed and do so by volunteering. The article also seeks informed consent from participants. |
| Brief description of the aims of the research of each
peer-reviewed article |
The aim of this research article is to familiarize researchers and nurses the strengths and weaknesses of different types of research uses to test fall prevention interventions | The aim of this study was to know the perceptions of healthcare professionals and students concerning present obstacles or barriers to patient safety by conducting documentation processes | The aim of the study was to enhance understanding of the perspective and preferences of hospitalized patients about falls prevention education. | The objective of this study was to examine the effectiveness of Fall TIPS modality in patient engagement in a three-step fall prevent modality and its efficacy. |
| Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific | The researchers use a mixed method approach as they examine different types of studies; from randomized to non-randomized trials to ascertain the effectiveness of employing various interventions to prevent the risk of falling for patients and other people in healthcare settings. | The study uses a qualitative exploratory design through six focus group interviews comprising nurses and social educators | The researchers used focus groups which is a type of qualitative research. | The researchers use quantitative questionnaires to ascertain the effectiveness of fall prevention approaches using TIPS. |
| A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. | The use of mixed methods and systematic reviews is that it allows the researchers to get a complete understanding of the phenomenon under investigation and enhance different approaches to the study. Systematic reviews offer the best evidence or high level evidence on the issue under study. The validity and reliability of such studies are high since they apply multiple approaches which ensure that any gaps can be filled during the research. | Qualitative exploratory studies allow researchers to have increased understanding of the unexplored areas and uncover facts to bring up new issues. The design allows refining of future research aspects and helps in deciding the best approach to attain the goal. The implication is that the approach leads to increased reliability and validity of the research study as it presents new evidence that will require further review and analysis. | Focus groups are an essential qualitative research methodology. Focus groups main strengths include offering first-hand information and experience as they offer in-depth insights. They are also flexible and accommodate group dynamics. As such, these enhance validity and reliability as the participants narrate personal interactions with different approaches to patient safety. | Questionnaires are effective as they allow researchers to attain the most appropriate evidence in a less-costly manner. The use of questionnaires ensures that researchers get information and data from participants in an elaborate manner. While questionnaires are effective in data collection, they may have reduced levels of reliability and validity since they only record what the participant will say. Such an approach reduces validity and reliability. |
| General Notes/Comments | The effects of mixed methods include increasing level of evidence, reliability and validity of the research findings or evidence. The article clearly shows that having effective fall prevention interventions will improve patient safety and better outcomes. | The article demonstrates the overall need to have patient safety measures to improve quality of care and patient experience in health settings. | The article is essential since the use of focus group is fundamental to increasing the effectiveness of research outcomes. | The article is essential as it illustrates the importance of tailoring interventions to reduce falls and susceptibility to falls. |
Conclusion
Patient safety is an essential component of effective care delivery. As such, nurses should evaluate research articles based on their methodology to enhance their understanding of suggested interventions and subsequent implementation. These articles support the selected EBP on falls and patient safety in general to enhance quality care outcomes.
References
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters
Kluwer.