- 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?
|Student to add answer here My research idea is to understand the most effective methos of wound dressing for people with diabetes. diabetes is one of the most common cause of non- healing ulcers significantly affecting the quality of life. The risk of developing ulcers is high among indiivudal with diabtes due to poor cicualtion and loos of sensation. The worldwide prevalence of skin ulcers is 3% with high risk of 15% as amputation. As a nurse I may work with indiivudals with ulcers which are chronic, non-healing and require more efforts to manage. Being a front line work we should be well aware, reserched and informed about the current understanding and new development that will address the healthcare needs of people with diabetes. Nurses play an important role in the early detection and prevention of diabetes and its complications. In clinical practise, nurses examine 60 to 70 percent of diabetes patients yearly and 6 % of people with diabetes quarterly. Hence for research decided for the topic inuslin efficiency in treating diabetic wounds thatn the traditional method of salin dressing. Few studies have studied of the topic already and the role of insuling in topical application of non healic diabetic wound is known however in lack of evidence the methodology is not much used in clinical practice. Therefore I decided to research on the toic to establish the evidence indicating the effictiveness of insulin of the topic wound. For this I decided to go through the effect of the insuin of the average surface area of the woubd, epithelialization, contraction and depth of the wound. Nayeri, N. D., Samadi, N., Mehrnoush, N., Allahyari, I., Bezaatpour, F., & NaseriAsl, M. (2020). Experiences of nurses within a nurse-led multidisciplinary approach in providing care for patients with diabetic foot ulcer. Journal of family medicine and primary care, 9(6), 3136–3141. https://doi.org/10.4103/jfmpc.jfmpc_1008_19
|Describe two reasons you think your research idea could be important to inform nursing practice:
|Student to add answer here The nurses in clinical practice examine the diabetic patient, they maange the complications, provide wound care and evaluate the ulcers. In such scenarios evidence based knowldeg in required to understand the new scientific development in the field of medicine. Hence the knowldeg of the appropriate therapy will empower me to provide best practices and quality care. The non-healing diabetic ulcers along with high economical burdern have social and psychological implications. It can effect the well-being resulting in reduced quality of life. In Australia diabetic foot ulcer is nost common cause of non-accidental amputatipon resulting in disability. Diabtics ulcers fail to heal, reoccur or slow to heal result in high medication and consultations cost, increase and repated hopistal stay. Disability caused by the amputation may result in loss of employment. Hence diabetic ulcer may directly or indirectly result in physical, mental and psychological issues. Alotaibi, A., Gholizadeh, L., Al-Ganmi, A., & Perry, L. (2017). Examining perceived and actual diabetes knowledge among nurses working in a tertiary hospital. Applied nursing research : ANR, 35, 24–29. https://doi.org/10.1016/j.apnr.2017.02.014
|What is your research question?
|Student to add answer here As I have opted to examine the effectiveness of external insulin on diabetic foot ulcers and compare it to the conventional use of saline, I will use the research question to guide my investigation: What is the efficacy of topical insulin in the healing of diabetic wounds?
|List two objectives of your research:
|The initial objective is to determine how efficient topical application of insulin is at treating diabetic wounds. The second objective is to compare the effects of topical insulin versus normal saline dressing on wound healing Chatterjee, D., & Corral, J. (2017). How to Write Well-Defined Learning Objectives. The journal of education in perioperative medicine : JEPM, 19(4), E610.
|Choose and describe the research approach which could be used to answer your research question: a) Quantitative, b) Qualitative, or c) Mixed methods?
|Quantitative study design Because I am not collecting the relevant data for my reasrch based on personal opinions, interviews, surveys, or patient perception, a quantitative study design is preferable to a qualitative study design. It is not possible to adopt a qualitative or mixed study design. As in my study, I will be determining the link between two variables, and the results will be based on the influence demonstrated on the number of participants the preferable study design should be qualtitaive. Ranganathan, P., & Aggarwal, R. (2018). Study designs: Part 1 – An overview and classification. Perspectives in clinical research, 9(4), 184–186. https://doi.org/10.4103/picr.PICR_124_18
|List two reasons the research approach chosen in question 5 could help you to answer your research question:
|In my research I intend to understand the effect of one factor on other that is relationship between the healing of wounds and the use of insulin as a topical agent therefore the qualititaive evalautaion will provide necessary scieitif structure to mu reaserch Qualntittave study design ismore scientif as it collect the subjective data rather than based on the personal perception. It is primarily used for the study where the data nedeeds to be collect through observation.it provide preferable relationship between two variables establishing the effect of one on other. quantitative research is used to quantify a problem by creating numerical data or data that can be converted into meaningful statistics It The quantitative research design aids in examining and illustrating the relationship between the findings and the most likely hypothesis. It offers suitable solutions for implementing new or improved work procedures in healthcare. 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 Iqbal, S., Zulfiqar, B., & Zufishan, S. (2019). Effectiveness of topical insulin in the management of diabetic foot ulcers. The Professional Medical Journal, 26(09), 1487-1490. https://doi.org/10.29309/tpmj/2019.26.09.3389 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 Thakur, P., Ramachandrudu, T., & Takalkar, A. (2020). A study of effectiveness of topical insulin on healing of diabetic ulcers at tertiary health care centre: a cross sectional study from Puducherry. International Surgery Journal, 7(3), 857. https://doi.org/10.18203/2349-2902.isj20200587
|List two (2) reasons your first article in Question 7 informs your research:
|Student to add answer here Iqbal et al., 2019 conducted an observatiom study to evaluate the topical insulin efficiency in reducing wound surface area promoting heaing in diabetic foot ulcers. The study is a quantitiave stiudy with experimental study design that evaluated the changes in the size of the foot ulcer among diabetic in the surgical department. Secondly the sample size and characteristics, the participants fo the study are diabetic with blood sugar fasting 110-130mg/dl it has total 65 patients and the effect was observed through application of 1cc of insulin spray. 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 my selceted study question and objective the study tested and studied the efficacy of topical insulin treatment on diabetic ulcers, which was the study’s initial objective. It also investigates the differences between saline water and topical insulin on foot ulcer. the study provides evidence-based data for my research topic a as it has selected one hundred ten participants using radomised sampling technique, all participants and observed were double blinded this ensured the removal of reporting bias. the larger sample size combined with a defined sampling technique improves the trustworthiness of the evidence presented in the study. 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 Thakur et al., 2020 condiuted a cross-sectional study in the Department of Surgery of a tertiary health care centre from August 2018 to August 2019, with 60 patients participating. Topical insulin was applied to Group A. Group B received a saline application. The comaprsion allowed to completely satisfy my comparison and outcomes in research question component l.; The study have used the appropriate statistical analysis using the SPSS 24.0 version, and the un-paired t-test and chi-square tests to determine significance and relationship between insulin application and ulcer healing.this research has well established the result related to my research question
|List and describe three (3) ways you could distribute your research findings, conclusions and recommendations:
|Student to add answer here Findings This part of any research study follows the methodology and comes before the discussion. The findings are the main outputs of a study project, or what the project proposed or indicated. This is connected to the sum of all outcomes. I’ll organise the findings into a result and discussion part. After utilising the relevant statistical methods, I will present the development of the observations and their statistical significance in the results section. I will provide critical analysis of the findings from other peer-reviewed research studies in the discussion section. Conclusion The conclusion section summarises the study or highlights key findings and discussion of the investigation. It should be closely related to the study’s purpose and objection . This section also explains the research’s limitations and provides a way to make additional recommendations. The conclusion validates whether or not the research gaps I have identified at the commencement of my study are fulfilled through my research . In the conclusion, no new information should be supplied, and the ultimate claim that finished the research should be discussed. Recommendations Recoomendation identifes the study’s limitations and provide an overview of how these can be overcome in future research. It also provide the suggestions for organisations. I will organise recommendations to provide an action plan or remedies to the concerns identified in the research study. Based on the findings, the recommendations provide guidelines for implementation. Recommendations should be detailed, relate to the conclusion, and explicitly describe how these solutions help to problem solving. Sestoft P. (2011). Organizing research data. Acta veterinaria Scandinavica, 53 Suppl 1(Suppl 1), S2. https://doi.org/10.1186/1751-0147-53-S1-S2
|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.Storage of electronic information on password-protected devices All electronic details will be saved in a virus-free and password-protected systems. If I need to send the e-mail to anyone who requires file sharing, I will utilise an encrypted version of the file and a trustworthy service to avoid data breaches. I’ll also keep a backup of the info on a USB and make sure it’s not misplaced. 2.Confidential document delivery in a secure manner Consent forms, questionnaires and response sheets, and master sheets are all important documents for any research project. Whenever the participants are given the consent form or questionnaire I’ll make sure they’re in sealed envelopes so they arrive safely. 3.Properly discarding the data whenever no more required If data is no longer necessary, it should be disposed of properly and with care. I shall make certain that sensitive information, such as participant personal information and hospital information, is deleted as soon as it is no longer required to be retrieved. It will not be exploited or recovered in this manner, ensuring confidentiality. 4.chnaging the neames of the partcicpants and observers with specified sectret codes Personal information, such as names and designations, can jeopardise privacy and confidentiality. I will work to convert the individual names of survey participants, recorders, and observers into unique codes that will mostly be utilised for research purposes. As a result, no information from one participant will be shared with others. 5.Restricting access to sensitive information I will implement a stringent policy in which I will not allow visits to the participants during the time they are participating in the study; I will ensure that participants sign the confidentiality agreement and have access to the sensitive information. Only what is necessary will be disclosed. Turcotte-Tremblay, A. M., & Mc Sween-Cadieux, E. (2018). A reflection on the challenge of protecting confidentiality of participants while disseminating research results locally. BMC medical ethics, 19(Suppl 1), 45. https://doi.org/10.1186/s12910-018-0279-0
|List and describe three (3) ethical obligations you would need to apply to your research:
|Student to add answer here Consent after being informed As a researcher, I must guarantee that participants actively participate in the study and are informed of the risks associated. Before participating, they must sign an informed consent form as an ethical and legal requirement. Participants have the entire freedom to withdraw from the study at any time. The desire and trust displayed to engage in the study is referred to as informed consent. 2.Privacy and confidentiality Names, addresses, professional details, and disease conditions should not be disclosed on public platforms. The participants’ anonymity should be safeguarded and respected 3. avoiding intended harm I I must ensure that the study’s subjects are not intentionally harmed during the study’s execution. They must be protected, and no harm should be done while study is being conducted. If the potential danger does not balance the study’s benefits, the trial must be revised. The author must calculate the risk-benefit ratio to ensure that the study is useful to the population whenever it is undertaken. Yip, C., Han, N. R., & Sng, B. L. (2016). Legal and ethical issues in research. Indian journal of anaesthesia, 60(9), 684–688. https://doi.org/10.4103/0019-5049.190627 Masic, I., Hodzic, A., & Mulic, S. (2014). Ethics in medical research and publication. International journal of preventive medicine, 5(9), 1073–1082.
|List three (3) potential stakeholders of your research:
|Student to add answer here Hospital nurses, patients with foot ulcers, and hospital administrators are three potential stakeholders in my research project. Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage stakeholders in research: design principles to support improvement. Health research policy and systems, 16(1), 60. https://doi.org/10.1186/s12961-018-0337-6
|Reflect and list three (3) ways your knowledge of nursing research has been expanded:
|Student to add answer here In nursing school, nurses learn to assess data, compare studies, process information, critique outcomes, and think critically. This activity assisted me in using research in my field of interest to make more informed clinical decisions. Here are three reflective learnings I’ve gained: Increasing the use of evidence-based decision-making Nurses can use research to adjust to changing environments and establish more evidence-based therapeutic practises. The knowledge gathered from peer-reviewed studies assisted me in correcting old misconceptions and comprehending new therapeutic approaches that are safe and effective in improving patient outcomes. Evaluating the study designs and their significance After completing the reaserch I now understand the different research designs utilised by the researcher, as well as the significance of each one and when to apply it. A quantitative study, for example, considers numbers and percentages, whereas qualitative research documents experiences and perceptions. The significance of addressing possible limiattions of the study When a study is carried out, it may contain various flaws, inconsistencies, and biases that can affect the outcome and relevance of the study to clinical practise. Biases such as selection, response, and reporting bias must be avoided in a study. For clinical significance, an investigation should be valid, reliable, and have a logical conclusion with reasonable outcomes. Eckardt, P., Hammer, M. J., Barton-Burke, M., McCabe, M., Kovner, C. T., Behrens, L., Reens, H., & Coller, B. S. (2017). All nurses need to be research nurses. Journal of clinical and translational science, 1(5), 269–270. https://doi.org/10.1017/cts.2017.294 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