Case study – Reflect on your last two PEP clinical placements and identify a clinical area or an interesting change in practice that you would like to develop your knowledge in . Your idea should come from something new you encountered or identified as a change in practice which may help patients’ care. .It is important this area interests you as you will need to transfer this interest into a research idea. In the study days linked to BSBRES411 Analyse and present research information you will be provided with the knowledge and support required to develop this research idea. Once you have developed your research idea you will develop this into a basic research plan.
You are required to complete all eleven (11) written questions below. It is important to read each question carefully. During this assessment, you will be assessed on your knowledge on BSBRES411 Analyse and present research information
Your answers should demonstrate that you have an understanding of BSBRES411 Analyse and present research information.
You are to:
• Answer all questions in your own words.
• Reference your answers using the APA 6th Edition referencing standard.
• Use correct medical terminology and professional language where required.
|What is your research idea and how does it relate to nursing practice?
One of the most common causes of persistent, non-healing wounds is diabetes mellitus. Patients with diabetes have a 15 percent -20 percent lifetime risk of getting a foot ulcer, and more than 15% of foot ulcers require amputation. According to several population-based research, diabetic foot ulcers occur at a global rate of 0.5 percent to 3% per year, with prevalence rates ranging from 2% to 10%. Nurses work in varied settings during their clinical practice include wound care. Hence their expertise and attitudes are vital to providing safe and effective care to patients, especially in the primary care centers where the nurses are the pillar in wound management. Nurses should be familiar with appropriate dressing agents and their effects on the average surface area of wounds, average depth of wounds, wound contraction rate, and epithelialization time so that they can make informed decisions for the best quality patient care.
Hence for my research, I have decided to work on the efficiency of insulin on the diabetic wound. This is a newer concept, and fewer studies have already established the role of topical insulin application in a better healing process; however, more evidence is required to establish the broader adoption of its application in clinical practice. Nurses have a significant role in the early detection and prevention of diabetes and its consequences. Nurses screen approximately 60 to 70 percent of diabetes patients annually and 6 percent of diabetic patients quarterly in clinical practice.
Aalaa, M., Malazy, O. T., Sanjari, M., Peimani, M., & Mohajeri-Tehrani, M. (2012). Nurses’ role in diabetic foot prevention and care; a review. Journal of diabetes and metabolic disorders, 11(1), 24. https://doi.org/10.1186/2251-6581-11-24
Diabetes management 3: The pathogenesis and management of diabetic foot ulcers. (2017, February 5). Nursing Times. https://www.nursingtimes.net/clinical-archive/diabetes-clinical-archive/diabetes-management-3-the-pathogenesis-and-management-of-diabetic-foot-ulcers-02-05-2017/
|Describe two reasons you think your research idea could be important to inform nursing practice:
|Student to add answer here One of the most common causes of persistent non-healing ulcers is diabetes. Diabetic ulcers increase the average length of stay in the hospital, disability, prescription costs, and time away from work, putting a physical, psychological, and financial burden on the patient, families, communities, and nation. Saline water is commonly used as an irrigating agent and wound dressing solution for diabetic wounds. On the other hand, topical was found effective in wound healing in multiple studies. One of the most common wound treatment procedures in diabetic ulcers is standard saline water dressing. On the other hand, topical insulin is a newly developed concept and helpful agent due to the rapid recovery and healing of diabetic ulcers. The nurse is responsible for wound examination, wound care, and knowledge and behavior change for patients. Knowledge and understanding of the impact of insulin on diabetic ulcer wounds help evaluate, treat, and manage. ADIE – Nursing interventions of diabetic foot ulcer: An integrative review of the literature. ((2020, March 15.). https://www.eurekaselect.com. https://www.eurekaselect.com/170550/article Lumbers M. (2021). Osteomyelitis, diabetic foot ulcers and the role of the community nurse. British journal of community nursing, 26(Sup6), S6–S9. https://doi.org/10.12968/bjcn.2021.26.Sup6.S6
|What is your research question?
|Student to add answer here As I have decided to study the efficiency of the topical insulin on the diabetic ulcer and understand its efficacy compared to the conventional use of saline water, I will use the following research question to support my research.: Is topical insulin effective in diabetic wound healing than normal saline water?
|List two objectives of your research:
|The first objective is to see how successful topical insulin is at healing diabetic wounds. The second objective is to evaluate and compare the effects of topical insulin. Normal saline dressing on healing time, wound area, wound healing rate, granulation tissue formation, change in average surface area of the wound, average depth of the wounds, wound contraction rate, and epithelialization time in diabetic ulcer patients. Research statements and research questions. (2019, June 13). Thesis Upgrade – Practical Guides. https://thesisupgrade.com/research-statements-and-research-questions/
|Choose and describe the research approach which could be used to answer your research question: a) Quantitative, b) Qualitative, or c) Mixed methods?
|List two reasons the research approach chosen in question 5 could help you to answer your research question:
|Quantitative research is used in studying new trends or development in the medical field. It is primarily used in observational research-based. It collects detailed data from the study participants and establishes the correlation. Quantitative research design helps in analyzing and demonstrating the impact of findings with the probable hypothesis. It provides appropriate methods to implement new or improvised work processes in healthcare. Quantitative research established the relationship between the two variables. Here, the variables would be the healing of wounds and the use of insulin as a topical agent; hence, a quantitative research method should be adopted to understand the relationship of two factors with each other. Quantitative research: Definition, methods, types and examples. (2021, June 22). QuestionPro. https://www.questionpro.com/blog/quantitative-research/
|Locate and list three peer-reviewed articles which could inform your research: List these using the APA referencing style.
|Student to add answer here Prasad, A., Thomas, A., & Mahadevan, D. (2018). To Study the Efficacy of Topical Insulin Vs Conventional Dressing on Wound Healing in Diabetic Foot Ulcers, 17(4), 33-38. https://doi.org/10.9790/0853-1704153338 Bhettani, M. K., Rehman, M., Altaf, H. N., & Altaf, O. S. (2020). Effectiveness of Topical Insulin Dressings in Management of Diabetic Foot Ulcers. World journal of surgery, 44(6), 2028–2033. https://doi.org/10.1007/s00268-019-05321-3 Kamat, V., & Sunil, C. (2019). A comparative study between topical insulin versus normal saline dressings in wound healing in diabetic foot ulcers. International Journal Of Surgery Science, 3(1), 26-32. https://doi.org/10.33545/surgery.2019.v3.i1a.09
|List two (2) reasons your first article in Question 7 informs your research:
|Student to add answer here Prasad et al., 2018 conducted an experimental study to evaluate the topical insulin efficiency in reducing wound surface area, the quantity of slough and necrotic tissue, and promoting early granulation tissue formation in diabetic foot ulcers. The study justifies the objective considered in my research as It also compared the efficiency of topical insulin to saline water dressing. Hence it will inform my reaserch. Secondly the appropriate sample size and selection, the research has defined the sample size and selection criteria in detail. Total 70 patients with diabetic foot ulcers. The participants were divided into two insulin tests n with 35 participants and saline or control groups with 35 participants. Evidence-based practice: Levels of evidence and study designs. (2021, April 18). LibGuides at Ascension WI. https://ascension-wi.libguides.com/ebp/Levels_of_Evidence
|List two (2) reasons your second article in Question 7 informs your research:
|Student to add answer here As per the first objective of the research, the study evaluated and analyzed the efficacy of topical insulin application on diabetic ulcers. Furthermore, it also studies the difference in the efficiency of saline water and topical insulin. Hence this study provides evidence-based information for my research topic. Secondly the research has One hundred ten patients selected through the non-probability Sampling technique. The larger sample size with a defined sampling technique increases the reliability of evidence provided in the study. The study found a significant wound difference between the saline and insulin groups in a quasi-experimental investigation. The study elaborates the relationship of variables of interest in my research as well. The study found that after treatment, a significant reduction in wound size was present in the insulin group compared to the saline group. The wound diameter was 0.25 cm in the saline group and 0.34 cm in the topical insulin intervention group. Evidence-based practice: Levels of evidence and study designs. (2021, April 18). LibGuides at Ascension WI. https://ascension-wi.libguides.com/ebp/Levels_of_Evidence
|List two (2) reasons your third article in Question 7 informs your research:
|Student to add answer here To reduce the selection bias the author has used the double lind randomised method of sampling, this increases the reliabilityof the study and reduces the chances of erros hence this study is a reliabel source that will provide the information for my research. Secondly the reasercher have used the comparative analysis to asses the improvement before and after the intervention. The author conducted the Initial wound debridement, and the site was regularly checked for slough, necrotic tissue, and granulation tissue. The ulcer’s initial and final sizes were measured, and the % reduction in wound surface area was calculated. On day 20 of the trial, the slough and necrotic tissue percentage in the insulin group was 0.69 percent. In comparison, it was 5.03 percent in the saline group, with a statistically significant mean difference of 4.34 percent. This established the significant relationship between the healing and the application of topical insulin. The learning scientists blog. (2020 November, 13.). The Learning Scientists. https://www.learningscientists.org/blog/2018/3/8-1 Evidence-based practice: Levels of evidence and study designs. (2021, April 18). LibGuides at Ascension WI. https://ascension-wi.libguides.com/ebp/Levels_of_Evidence
|List and describe three (3) ways you could distribute your research findings, conclusions and recommendations:
|Student to add answer here Findings This section follows the methodology and precedes the discussion section. The findings are the principal outcomes of a research project or what the project suggested or indicated. This is related to the totality of outcomes. I will arrange findings into the result and discussion section. In the result section, I will put formward the observations’ development and the statistical significance after using the appropriate statistical tools. In the discussion section, I will provide critical analysis of the findings through other peer-reviewed research studies. Conclusion The conclusion section sums the study or critical points of findings and discussion of the study. It should be directly linked to the aim of the study, whether achieved or not. This section also discusses the limitation of the research and provide a way to further recommendations. The conclusion justifies that the research gap I have identified in the beginning of my study and intended to establish through my research has been achieved or not. No new information should be provided in conclusion, and the ultimate claim that completed the research needs to be discussed in the conclusion section. Recommendations Always address the limitation of the study and provide an overview of how these can be overcome in future studies. I will arrange recommendations to give the action plan or solutions to the issues that have been investigated in the research study. The recommendations provide guidelines to be implemented based on the findings. recomendations should be specific, connect to the conclusion, and clearly state how these solutions contribute to problem-solving. Sacred heart university library. (2021, August 30). Research Guides: SHU Library: Home. https://library.sacredheart.edu/ Reporting and discussing your findings. (2020, November 20). Research & Learning Online. https://www.monash.edu/rlo/graduate-research-writing/write-the-thesis/writing-the-thesis-chapters/reporting-and-discussing-your-findings
|List and describe five (5) ways you would securely store, maintain and confidentiality handle your research information and documents:
|Student to add answer here 1.Saving the electronic data in password-protected computers I will keep all the electronic data in a virus and password-protected system. If I need to send the e-mail to anyone requiring file sharing, I will use an encrypted form of the file and use a trusted service so that data breach is not possible. I will also store the backup of the data in USB and make sure it’s not misused. 2.Secure delivery of the confidential document Documents are crucial for every research conducted, and these documents include consent forms, questionnaire and response sheet, master sheets. Whenever the consent form pr questionnaire is handed over to the participants, I will make sure that they are in seal packed envelopes so that they are delivered securely. If it needs to be sent through courier, I will do that only through a trusted service or organization. 3.Securely disposing of the data or related documents If any data is not required anymore, it should be disposed of off appropriately and with care. I will make sure that sensitive information such as participant personal information and hospital information should be erased as soon as not required not to be retrieved. This way, it will not be misused or recovered maintain confidentiality. 4.Changing the names with the research identification code Revealing personal information such as names and designation can cause a breach of privacy and confidentiality. I will purpose to change the individual names of the survey participants or recorders or observers into unique codes that mainly will be used for the research purpose. In this way, the information from one participant will not be shared with others. 5.Limiting access to the sensitive information I will adopt a strict policy where I will not allow the visitors of the participants for the period they take part in the study; I will make sure that participants sign the confidentiality agreement and maintain access to the confidential information. Only what needs to be known will be shared. Managing data confidentiality. (n.d.). https://www1.udel.edu/security/data/confidentiality.html Admin. (2020, November 10). 5 important ways to maintain patient confidentiality. Brother Empowers. https://empowers.brother.com.au/2019/05/13/5-important-ways-to-maintain-patient-confidentiality/
|List and describe three (3) ethical obligations you would need to apply to your research:
|Student to add answer here 1.Informed consent As a researcher, I need to ensure that individuals voluntarily participate in the research and are aware of the risk involved in the study. They should sign the informed consent form as the ethical and legal obligation before participation. The participants have the absolute right to withdraw from research. Informed consent is the willingness and trust shown to participate in the study. 2.Confidentiality and privacy Confidential information such as their names, addresses, professional information, and disease conditions should not be shared on public platforms. The anonymity of the participants should be maintained and respected. 3. Risk of harm to the participants I need to ensure that the participants of the study are not deliberately harmed during the study conduction. They need to be protected, and no harm should be done during ongoing research. If the possible risk does not outweigh the benefits of the study, then the study needs to be redesigned. The author needs to measure the risk to benefit ratio to ensure the study is beneficial to the population whenever the study is conducted. What are the major ethical issues in conducting research? is there a conflict between the research ethics and the nature of nursing? | Insight medical publishing. (2021, January 25.). Health Science Journals | High Impact Articles List. https://www.hsj.gr/medicine/what-are-the-major-ethical-issues-in-conducting-research-is-there-a-conflict-between-the-research-ethics-and-the-nature-of-nursing.php?aid=3485 What are the ethical considerations in research design? (2020, November 20). Enago Academy. https://www.enago.com/academy/what-are-the-ethical-considerations-in-research-design/
|List three (3) potential stakeholders of your research:
|Student to add answer here Three potential stakeholders in my research study would be hospital nurses, patients with diabetic ulcers and hospital managers. Who are stakeholders in research? A science and technology studies approach to navigating research impact. (2019, November 3). Impact of Social Sciences. https://blogs.lse.ac.uk/impactofsocialsciences/2019/11/01/who-are-stakeholders-in-research-a-science-and-technology-studies-approach-to-navigating-research-impact/
|Reflect and list three (3) ways your knowledge of nursing research has been expanded:
|Student to add answer here Nurses learn to assess data, compare research, process information, critique outcomes, and think critically in nursing school. This task helped me to use research in my area of interest and make more informed clinical judgments. Following are three reflective learnings I have gained: Making more evidence-based decisions Research helps nurses to respond to the changing environment and develop more evidence-based clinical practices. The knowledge gained through the peer-reviewed studies helped me correct my old misunderstandings and understand new treatment procedures that are safe and efficient for improving patient outcomes. Understanding on the types of researches After going through this task, I have now understood the types of the research design used by the researcher and the significance of each one of them and when to use them. For example, a quantitative study is conducted where the number and percentages need to be considered, whereas qualitative research records experiences and perceptions. Importance of study bias Whenever a study is conducted, it may have several weaknesses, inconsistencies, and biases that might influence the result and applicability of the study for clinical practice. A study needs to be free from bias such as selection, response, and reporting bias. For clinical significance, an investigation should be valid, reliable, and have a logical conclusion with reasonable outcomes. Why do nurses need research? (2017, September 12). Northeastern State University. https://nursingonline.nsuok.edu/articles/rnbsn/why-nurses-need-research.aspx Elsevier. (2016, April 29). Yes, nurses do research, and it’s improving patient care. Elsevier Connect. https://www.elsevier.com/connect/yes-nurses-do-research-and-it-is-improving-patient-care