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Research Critique

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Research Critique, Part 1
Grand Canyon University
Introduction to Nursing Research
NRS 433V

Research Critique, Part 1 Introduction Venous leg ulcers are common, incapacitating and major health problem more predominant in elderly (Templeton & Telford, 2010). Venous leg ulcers cause physical, psychological and social impact to the patient and financial problem to the health system. Most leg ulcers are managed in the community and the community health nurses should have adequate knowledge about appropriate management and best outcome for the patient. Healing and recurrence is difficult for venous leg ulcers (Todd, 2011). Compression bandaging is the best method for management of leg ulcer and healing occurs in effective, timely manner (Annells,O”Neill&Flowers,2008). This paper will focus on qualitative research critique on a study conducted in Australia in one of the community health centers on “Compression bandaging for venous leg ulcers: the essentialness of a willing patient” Research problem and purpose
Venous leg ulcers cause undesirable experiences such as pain, limited mobility and social seclusion. Long term care requirements increase health care economic burden (Annells, O”Neill & Flowers, 2008). Compression bandaging is the best practice for the management of venous ulcers. The effectiveness of the treatment depends on appropriate dressing done in timely manner. Community health nurses often use compression bandaging with little knowledge about why it is done. The study purpose was to explain and discover why do or why do not community nurses use compression bandaging as an element of the management of venous ulcers? The study pursued to recognize both enablers and limitations ( Annells, O’Neill & Flowers,2008). The importance of findings to clinical practice is that information is offered about what elements may pressure patients’ willingness for compression bandaging to be applied and continued as treatment for venous ulcer and what arrangements can be undertaken to facilitate willingness of the patient. Research objective and methods The objective of the research was to describe and explore the reasons for use or non- use by district nurses of compression bandaging, the best method for venous leg ulcer management (Annells, O’Neill& Flowers, 2008). According to the researchers community health nurses are knowledgeable of the necessity for evidence based practice. The interpretations obtained from this study will support planning by community nurses to progress the rate of suitable compression bandage use for venous ulcers. The research findings will help nurses to assess the venous ulcers appropriately and plan methods that are acceptable for the patient supported by best practice. The researchers used qualitative descriptive research method. The study was approved by research ethics committees of the district nursing organization. Participants were chosen by non-probability sampling which included nurses employed in the district nursing organization. A total of 22 nurses were included in the study. The mean age of the participant was 42 years. Data collection was done after obtaining signed consents. Two kinds were groups were used for the study, one is the focus group and the other group was individual semi-structured group. All the interviews were conducted by the same researcher and data analysis was done using a software package for qualitative research. Variations in the analysis were discussed between researchers and decisions were made democratically (Annells, O’Neill & Flowers, 2008). It was understood from the analysis of focus group that adequate data was obtained, data saturation had occurred and the size of the sample was considered adequate for the qualitative study.

Literature review The author reviewed many literatures on venous leg ulcer management published in Australia and United Kingdom. The researcher has included qualitative study results suggesting that community nurses provide care for 69% of leg ulcers in Australia. The literatures included on relevant research trials that discovered: compression bandaging fastens wound healing and multilayered systems work more effective than single layer ( Annells, O’Neill & Flowers,2008). The author was able to include adequate information to build a logical argument from the literature review by stating that in the United kingdom sited study of the implementation of leg ulcer guidelines among practice nurses where it was pointed out that differences in clinical background, knowledge, skills and interest in leg ulcer management influenced care given to patients with leg ulcers ( Annells, O’Neill & Flowers,2008). The author included research suggesting patient related problems can lead to therapy not being used in appropriate situations and included study that encourages patient’s acceptance of therapy by building trusting relationship with patient. According to the researcher the study limitation is that extensive research is needed on effectiveness of compression bandaging. The author has used some references older than five years such as clinical practice guidelines published in 1998 and the Illawarra leg ulcer study published in 1997. Frame of reference for the qualitative study The researchers made the frame of reference clear by stating the aim of research which was to explain the reasons for use and non-use of compression bandaging by community health nurses as the best practice for venous leg ulcer management (Annells, O’Neill & Flowers, 2008). The authors described the background of the study and the reason why the research is being done. The researchers used qualitative exploratory study method, interview data were collected with constant comparative data analysis applied until saturation was obtained. The authors used table to categorize the reasons for unwillingness of the patient. The research included the findings, conclusion and further recommendations. Evidence based nursing practices requires knowledge of cause and effect and be able to understand human reactions and choices when there is health risk. Thesis development and purpose According to the researchers community health nurses were knowledgeable of the need for evidence based practice for appropriate compression bandaging for management of venous ulcers. Providing appropriate resources and education will prepare community health nurses to assess venous ulcers and plan treatments which are acceptable for the patient. The study encourages staff and patients to realize the importance of treating venous ulcers in timely manner to achieve maximum outcome for the patient (Annells, O’Neill & Flowers, 2008). Conclusion The study results added new understandings of the problem, the research achieved its objective and recommendations for clinical practice, education, management, policy formation and further research were made. The main contribution of this study is that even though compression bandaging is the evidence based practice method for managing venous leg ulcers, unless patient is agreeable to have therapy begin and continue the treatment will not be practical.

Reference

Annells, M., O'Neill, J., & Flowers, C. (2008). Compression bandaging for venous leg ulcers: the essentialness of a willing patient. Journal of Clinical Nursing, 17(3), 350-359. Retrieved on February 18, 2012 from CINHAL Templeton, S., & Telford, K. (2010). Diagnosis and management of venous leg ulcers: a nurse's

role?. Wound Practice & Research, 18(2), 72.Retrieved on February 18, 2012 from

CINHAL

Todd, M. (2011). Venous leg ulcers and the impact of compression bandaging. British Journal

Of Nursing (BJN), 20(21), 1360-1364.Retrieved on February 18, 2012 from CINHAL

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