HLT 362 Article Analysis and Evaluation of Research Ethics

Paper Instructions

Assessment Description

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the topic Resources or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

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Analyzing research articles enables nursing students to nurture skills that lead to the development of effective approaches when using research evidence in clinical practice to offer improved patient care. Ethics in research is essential as it improves the reliability and credibility of discovered evidence (Amelung, 2019).

The purpose of this paper is to provide an analysis of a research article and evaluate ethics related to the study, particularly compliance to required ethical provisions like informed consent from the research participants.

                                                        Article 1
Article Citation and Permalink

(APA format)

Montejano-Lozoya, R., Miguel-Montoya, I., Gea-Caballero, V., Mármol-López, M. I., Ruíz-Hontangas, A., & Ortí-Lucas, R. (2020). Impact of nurses’ intervention in the prevention of falls in hospitalized patients. International Journal of Environmental Research and Public Health, 17(17), 6048.

DOI 10.3390/ijerph17176048

Point Description
Broad Topic Area/Title Effects of nurse interventions on fall prevention for hospitalized patients. Focuses on the interventions from nurses and their impact on reducing falls among patients.
Problem Statement Improving clinical safety by identifying and avoiding risks like falls, which account for approximately 10% of healthcare costs in frail and older patients, especially in acute care settings.
Purpose Statement To evaluate the effects of an educational intervention for nurses on systematic fall risk assessment in lowering fall incidences and prevalence in hospitals.
Research Questions Does systematic nurse assessment at hospital admission reduce fall incidences compared to traditional assessment methods?
Define Hypothesis

(Or state the correct hypothesis based upon variables used)

The hypothesis for the study was Patients admitted in units that have nurses trained in the systematic assessment of the risk of falls will experience fewer falls compared to those un units where nurses have not gotten specific training (p.3).
Identify Dependent and Independent Variables and the Type of Data for the Variables Variables Dependent Variables Rate of falls

Level of knowledge and application of the interventions

Independent Variables
  • Sex
  • Age categorized in years and age groups
  • Nursing units
  • Group (control and intervention
  • Type of nurse assessment on admission
Type of Data for the Variables
  • Ordinal data Group, supply of oxygen
  • Continuous Age, nutritional status on admission (standard deviation)
  • Categorical variables frequencies and percentages
Population of Interest for Study The population of interest for the study was nurses working in specialized units, especially acute care units where susceptibility to falls is high because of a patient’s overall condition
Sample The sample comprised 581 patients with 303 participants forming the intervention group while the control group consisted of 278 patients.
Sampling Method  The researchers applied purposeful random  sampling where they only recruited patients or participants that met their set criteria
Identify Data Collection Identify how data were collected The researchers collected data through various tools that included self-assessment, questionnaires and forms that nurses filled and use of systematic nurse assessment registry in all intervention units.
Summarize Data Collection Approach The data was collected through getting clinical statistics, filling in of the self-assessment forms and through the assessment registry.
Discuss Data Analysis Include what types of statistical tests were used for the variables. The article analyze the collected data used statistical program Statistical Package for Social Sciences (SPSS) version 20.0. The researchers used the Bayesian logistic regression model to as a statistical test tool.
Summarize Results of Study Through the use of logistic regression model, the study demonstrates that nurse’s interventions can reduce the likelihood of falls than not having any intervention at all. For instance, the total fall incidence rate reduced to about 1.2% (p.8). The results also show that nurses can help patients attain autonomous by increasing their awareness of falls and what they can do to prevent their occurrence.
Summary of Assumptions and Limitations

Identify the assumptions and limitations from the article.

Report other potential assumptions and limitations of your review not listed by the author. Firstly, the researchers assume that nurse led interventions are superior to traditional interventions in fall management and reduction. Secondly, they assume that by only getting knowledge and education can nurses reduce falls. Thirdly, the study assumes that by having training, nurses can drastically influence fall prevention measures implemented by either patients or facilities based on their protocols. The authors assert that a “Hawthorne effect” may have happened during the study. Secondly, nurses in both groups may have altered their behavior as a result of monitoring patients under their responsibility. The study design may also be a limitation since the authors randomized hospital units and not patients as the participants in the research.

 

Ethical Considerations

Ethical considerations are core to validate research findings as they demonstrate credibility and reliability of the collected data and the outcomes. Ethical considerations are the foundation of any research and focus on compliance with codes of ethics, biomedical principles, and ensuring that research findings are not influenced or have negative effects on others (Sharif et al., 2023).

These ethical considerations must always ensure that the confidentiality of research subjects is attained and maintained at all times. Ethical considerations like approval of the research by Institutional Review Board (IRB), adherence to beneficence, non-maleficence, autonomy, and just are essential to attaining a research validity and credibility (Kaya et al., 2023).

For instance, under beneficence, research studies should confer benefits to the study population and community while non-maleficence implies that researchers or its evidence and application should not harm human life.

Based on these ethical aspects, the study’s findings are beneficial for nurses and patients in inpatient settings since they increase provider’s knowledge and use of better interventions to reduce falls. The study asserts that no patient was harmed during the investigation and sought approval from the Institutional review board. Imperatively, the authors ensured that all participants could be part of the research only do so through their informed consent and independence.

The research followed ethical consideration as it ensured that all participants are not coerced to be part of the investigation (Montejano-Lozoya et al., 2020). For instance, eight participants declined to be part of the study. The authors also reported no fatalities during the research implying that they followed all protocols. The authors also declared no conflict of interests in their work.

Conclusion

Analysis of research articles is critical for nurses to understand the concepts and ethical considerations used by authors for effective implementation in care settings. Analysis ensures that nurses and other healthcare providers understand the underlying aspects of research and its use in healthcare to improve patient safety and outcomes like reducing and preventing falls among patients in hospitals. The implication is that through the analysis, nurses get insights and better understanding of evidence-based practice (EBP) interventions and their application in health settings or clinical practice.

References

  • Amelung, V. E. (2019). Healthcare management. Springer Berlin Heidelberg.
    Kaya, G., Yamakawa, M., Shigeuchi, M., & Naritomi, H. (2023). Discrepancy between Patients’ and Nurses’ Estimates of Patients’
    Activities of Daily Living for Fall Risk Assessment A Quantitative Observational Study. Open Journal of Nursing, 13(3), 196-206. DOI 10.4236/ojn.2023.133012
  • Montejano-Lozoya, R., Miguel-Montoya, I., Gea-Caballero, V., Mármol-López, M. I., Ruíz-Hontangas, A., & Ortí-Lucas, R. (2020).
    Impact of nurses’ intervention in the prevention of falls in hospitalized patients. International Journal of Environmental Research and Public Health, 17(17), 6048. DOI 10.3390/ijerph17176048
  • Sharif, L., Almutairi, K., Sharif, K., Mahsoon, A., Banakhar, M., Albeladi, S., … & Wright, R. (2023). Quantitative research on the
    impact of COVID‐19 on frontline nursing staff at a military hospital in Saudi Arabia. Nursing Open, 10(1), 217-229.
    DOI 10.1002/nop2.1297

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