NUR 550 Identify a data collection tool you could use for your research

NUR 550 Identify a data collection tool you could use for your research

NUR 550 Identify a data collection tool you could use for your research

A data collection tool that I can use for my research is a data or record review. Using this tool and method will allow me to collect data on the patients who were educated on the wound care instruction as well as the different processes in between, prior to, and after the surgery. The barriers that could be faced in the data collection process would be lack of documentation in the patient records. Another barrier that can be an issue is other outliers that could be the cause of the surgical site infection. I could employ translational research to overcome these barriers by creating a small incentive for those who are involved with documentation of assessments and status updates. This can be a solution to the barrier of not finding adequate documentation on the wound care or the education being given. Any many unfortunate cases the tasks will be done but there is not adequate documentation of it being done. According to Abu-Odah et al. (2022), the process of translating health-related research to clinical practice is slow. This is due to many possible reasons which include lack if time, lack of motivation, and lack of education (Abu-Odah et al., 2022). The best type of translational research to overcome barriers is research that puts clinical interventions to the test. This is because in translational research it allows the researcher to see what works and does not as well as the barriers that arise. Once the barriers arise it is important to evaluate how to overcome them. This level of translational research would be T2. According to What is translational research? (n.d.), “T2 research tests new interventions in controlled environments to form the basis for clinical application and evidence-based guidelines”. The rationale for using the T2 level of translational research would be to help identify barriers in a more controlled environment. Lastly, the strategies that I would employ to provide an understanding of this type of translational research would be to recruit other researchers to bring their expertise to the study. I would also put together a core group that are actively at the bedside to identify the ongoing barriers that arises with post-op cesarean section patients. I do believe that true barriers do not arise until the study is already in effect. This would allow for collective support for the study, and it would also be beneficial to allow feedback from those involved.

Reference:

Abu‐Odah, H., Said, N. B., Nair, S. C., Allsop, M. J., Currow, D. C., Salah, M. S., Hamad, B. A., Elessi, K., Alkhatib, A., ElMokhallalati, Y., Bayuo, J., & AlKhaldi, M. (2022). Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews. Health and Social Care in the Community30(6). https://doi.org/10.1111/hsc.13898

What is translational research? Clinical and Translational Science Institute – University of Minnesota. (n.d.). Retrieved February 22, 2023, from https://ctsi.umn.edu/about/about-ctsi/what-translational-research 

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The type of data collection approach or technique that one utilizes significantly contributes to the quality of the research findings based on the credibility and validity. Data collection tools and techniques should be valid and reliable to attain findings that can be translated effectively into clinical practice and patient interventions. Based on the research topic on medication errors, the most effective data collection tool would be content analysis and observation (Diptyanusa et al., 2020). The approach would involve reviewing current evidence from papers and document that identified causes and components of medication errors. Observation would involve observing the nursing staff in their administration of medications during their shifts to see any forms of errors and what causes them and document the findings.

Barriers in during data collection are inevitable. For instance, limited resources and cooperation with patients as well as inconsistencies in data results are potential barriers that may arise during this time. Translational research can assist offer strategies on overcoming these hurdles. Through translational research, one can gather sufficient evidence on such barriers and develop right interventions in time for better data collection. The translational research type two (T2) is the most effective as it offers a chance for one to learn concerning the effectiveness of their interventions (Titler, 2018). Knowledge attain using T2 research helps to identify the basis of clinical applications, validity, and reliability of data collection tools. Again, evidence-based guidelines also determine the selection of a given intervention.

The most effective strategies in this case include getting collaborative support and sensitization of stakeholders through offering sufficient information on the benefits of having translational research implemented in their settings. Through these strategies, stakeholders will appreciate the essence of the approach and the selection of the research topic. Again, the use of these approaches will allow stakeholders to participate and offer input for effective implementation of the interventions.

References

Diptyanusa, A. & Hasanbasri, M. (2020). Lost in translation: Barriers and progress in harnessing

basic medical science into community practice in Indonesia. Translational Medicine Communications, 5, 16. DOI:10.1186/s41231-020-00070-1

Titler, M. G. (2018). Translation Research in Practice: An Introduction. Online Journal of Issues

           in Nursing, 23(2), 1. https://doi-org.lopes.idm.oclc.org/10.3912/OJIN.Vol23No02Man01

The type of data collection approach or technique that one utilizes significantly contributes to the quality of the research findings based on the credibility and validity. Data collection tools and techniques should be valid and reliable to attain findings that can be translated effectively into clinical practice and patient interventions. Based on the research topic on medication errors, the most effective data collection tool would be content analysis and observation (Diptyanusa et al., 2020). The approach would involve reviewing current evidence from papers and document that identified causes and components of medication errors. Observation would involve observing the nursing staff in their administration of medications during their shifts to see any forms of errors and what causes them and document the findings.

Barriers in during data collection are inevitable. For instance, limited resources and cooperation with patients as well as inconsistencies in data results are potential barriers that may arise during this time. Translational research can assist offer strategies on overcoming these hurdles. Through translational research, one can gather sufficient evidence on such barriers and develop right interventions in time for better data collection. The translational research type two (T2) is the most effective as it offers a chance for one to learn concerning the effectiveness of their interventions (Titler, 2018). Knowledge attain using T2 research helps to identify the basis of clinical applications, validity, and reliability of data collection tools. Again, evidence-based guidelines also determine the selection of a given intervention.

The most effective strategies in this case include getting collaborative support and sensitization of stakeholders through offering sufficient information on the benefits of having translational research implemented in their settings. Through these strategies, stakeholders will appreciate the essence of the approach and the selection of the research topic. Again, the use of these approaches will allow stakeholders to participate and offer input for effective implementation of the interventions.

References

Diptyanusa, A. & Hasanbasri, M. (2020). Lost in translation: Barriers and progress in harnessing

basic medical science into community practice in Indonesia. Translational Medicine Communications, 5, 16. DOI:10.1186/s41231-020-00070-1

Titler, M. G. (2018). Translation Research in Practice: An Introduction. Online Journal of Issues

           in Nursing, 23(2), 1. https://doi-org.lopes.idm.oclc.org/10.3912/OJIN.Vol23No02Man01

Data collection tool which I can use for my PICOT study is CAUTI prevention bundle check list for educating the nurses by in-service training. By using this CAUTI prevention bundle tool, it trains nurses for timely catheter removal and promote best practices for catheter insertion, maintenance, and removal. It also guides nurses through key components of complete bladder assessment. Differentiating and prioritizing interventions based on individualized assessment findings related to complete bladder emptying, urinary retention, and incontinence are important in preventing CAUTIs. (Trevellini ,2015.)

 Nurses’ workload is the one of the barriers which can arise during data collection. Common barriers to CAUTI prevention bundle implementation and appropriate urinary catheter use are: 1) difficulty with nurse and physician engagement; 2) patient and family request for indwelling catheters; and 3) catheter insertion practices and customs in the ICU. Strategies to address these barriers were also identified by several of the participating hospitals including: 1) incorporating urinary management (e.g., planned toileting) as part of other patient safety programs, such as a fall reduction program; 2) explicitly discussing risks of indwelling urinary catheters with patients and families; and 3) engaging with emergency department nurses and physicians to implement a process that ensures that appropriate indications for catheter use are followed.

These barriers can be addressed with a third level of translation research type, which explores innovative way of using recommendations or guidelines. Imperatively, T3 research yields knowledge concerning the working of interventions recommended. At the core of T3 research is yielding knowledge that allow provider to offer care in real-world situations.

Strategies to overcome lack of nursing buy-in included using nurse champions and focusing on the benefits to patients of early catheter removal.  Having a nurse champion, someone who is passionate about CAUTI prevention, and the importance of making the initiative a unit-based activity. As an infection preventionist explained: “It’s just finding that person to put the individual energy into it…yes, it’s a bundle but I think it has to be rolled out as something super special for that unit…” (Krein et.al, 2013.)

References:

Krein, S. L., Kowalski, C. P., Harrod, M., Forman, J., & Saint, S. (2013). Barriers to reducing urinary catheter use: a qualitative assessment of a statewide initiative. JAMA internal medicine173(10), 881–886. https://doi.org/10.1001/jamainternmed.2013.105.

 Trevellini, C. (2015). Operationalizing the ANA CAUTI prevention tool in acute-care settings. American Nurse Today, 10(9), A5+. https://link.gale.com/apps/doc/A434414862/AONE?u=anon~77c44c69&sid=googleScholar&xid=16c56d75

One data collection tool that would be beneficial during my research would be observations. Being that there is very little information about pressure ulcer prevalence and prevention in the long-term acute care population, observing pressure injury prevalence in this setting as well as effectiveness of current interventions would provide detailed data without much effort on the part of the participant (Iterators, 2021). Potential barriers I foresee have already been mentioned: the availability of data on the specific patient population I am planning the intervention for. T1 level translational research would help overcome this barrier, as this would help focus on methods of pressure injury prevention in the LTAC patient population. This would be a controlled environment where the efficacy of the pressure injury prevention interventions can be tested, which is exactly the goal of my project. To gather collaborative support among my colleagues, I would provide education on costs of hospital acquired pressure injuries, including longer length of stay and morbidity/mortality rates, benefits of early prevention, and current data on how well the product help prevent pressure injuries in the acute care population.

References:

Iterators. (2021). Data Collection: Best Methods + Practical Examples. Retrieved from Iterators HQ: https://www.iteratorshq.com/blog/data-collection-best-methods-practical-examples/

Translational research is essential in bridging the gap between the laboratory and real-world applications. This comprehensive applied research approach seeks to translate available knowledge into meaningful and promising interventions. Data collection is a key component of any research project and is an essential step for collecting reliable and valid information. I will use semi-structured interviews (SSIs) as my research project’s primary data collection tool. SSIs are a valuable data collection tool for my research, as they allow a researcher to examine a participant’s beliefs, thoughts, and feelings about a particular topic (DeJonckheere & Vaughn, 2019). However, potential barriers may arise in collecting data, lack of participant engagement, and difficulty obtaining access to potential participants.

The best type of translational research to address this barrier would be community-based participatory research (CBPR). CBPR is a type of translational research involving a collaborative approach between researchers and community members. It focuses on bringing together researchers and members of the community to work together to identify problems, generate solutions, and evaluate and implement interventions (Warren & White, 2020). This type of research is particularly well-suited to addressing barriers to data collection, as it allows community members to be involved in the process and have their voices heard.

I would employ various strategies to provide an understanding of CBPR and gather collaborative support. These strategies include meeting with members of the target community to discuss my research, providing educational materials about the research, and offering incentives for participation. I would also seek to build relationships with members of the target community, such as local community organizations and leaders, to ensure that the community accepts and supports my research. Additionally, I would seek to increase transparency by providing detailed information about my research and its goals and engaging the community in data collection and analysis. 

References

DeJonckheere, M., & Vaughn, L. M. (2019). Semi-structured interviewing in primary care research: A balance of relationship and rigour. Family Medicine and Community Health. 7(2). https://doi.org/10.1136/fmch-2018-000057 

Warren, J. R., & White, B. M. (2020). A translational science approach to community-based participatory research using methodological triangulation. Journal of Public Health. https://doi.org/10.1007/s10389-020-01311-1

My PICOT is comparing wounds with different treatments. My research will including primary debridement for wounds verse other primary treatment. Within my research it is shown that if wounds are debrided in a timely matter the quicker the comprehensive heal rate. According to Ennis and Sheridan (2021) debridement has shown to be beneficial to wound healing and can lead to improvement in healing in complex wounds. The data collection tool I would use for my research project would be an Electronic Medical Record (EMR). In the EMR the patients history, medical concerns, and wound type and measurements would be recorded. It will be important to verify that all nurses and providers who are measuring the wounds have the same training to verify correct measurements are being placed within the record. If the correct wound measurements length, width, and depth are not measured accurately it could cause a barrier in the research and cause inaccurate results of proper healing time. The measurements of the wound and monitor the size over time is one of the only ways to estimate the accurate wound healing (Jorgensen et al, 2016). Therefore, inaccurate measuring or recording within the EMR could affect the results. In the T2 phase of translational research when guidelines are implemented it will be important to establish guidelines on the correct way to measure wounds and add them within the medical record, so all staff are implementing them the same. With accurate and valid data, it will allow for a better observation period and have reliable information to determine if primary debridement wound care achieves a high healing rate. Observation and systemic translational research will be important to verify which treatment options has proven to show the best comprehensive healing rate.

Reference:

Ennis, W. & Sheridan, M. (2021). The use of Modalities in Wound Care Part 1: Debridement. Healogics. https://n2r8m7y5.stackpathcdn.com/wp-content/uploads/2021/04/Use-of-Modalities-in-WC-Pt.-1_WP.pdf

Jorgensen, L. B., Sorensen, J. A., Jemec, G. B., & Yderstraede, K. B. (2016). Methods to assess area and volume of wounds – a systematic review. International wound journal13(4), 540–553. https://doi.org/10.1111/iwj.12472