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Nursing, Pages: 3

Qualitative Research Article Analysis

Qualitative Research Article Analysis

 

 

Problem Statement

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Purpose Statement

 

 Problem Statement: The authors established that the patient’s perspective about PVC insertion has been underexplored. However, PVCs constitute the most common invasive device, which is inserted in hospitals where there is a presence of international healthcare service provision. Previous studies report that patients have experienced adverse results after implanting such devices, ranging from mild discomfort to severe pain and anxiety, yet honest narratives of patients are scarcely documented in the literature (Larsen et al., 2017).

 

Purpose Statement: The stated aim of this study was “to gain an understanding of patients’ experiences of PVC insertion” (Larsen et al., 2017, p. S18). Through PVC, the author’s objective was to see the effect the PVC insertion process could have on patients during their hospital stay, both emotionally and physically.

 
 

Assessment of Literature Reviewed

(Background information)

 

 The authors provided a comprehensive background review, highlighting the high prevalence of PVC use, estimating that up to 60% of total patients in a tertiary hospital will experience at least one occurrence of PVC during their hospitalisation. They additionally talked about the anticipated adverse outcomes to be experienced due to the insertion of PCD, such as mild pain, extreme anxiety, or pain that was reported in previous studies (Larsen et al., 2017). The authors admitted that because of failed attempts in PVC insertion, the use of PICCs and other CVADs has constantly increased, and these have more significant costs and risk of morbidity and mortality (Larsen et al., 2017). Moreover, the authors emphasized the lack of literature about hospital patients’ experiences of peripheral venous catheter insertion, quoting Robinson-Reilly’s (2016) study about a rural oncology outpatient setting (Larsen et al., 2017).

 
 

Research Question(s) written as a question

(The findings answer the research question)

 

 Although the article did not explicitly state the research question, it can be inferred as: “What are patients’ experiences of PVC insertion?” (Larsen et al., 2017, p. S19).
 

Research Design

(Phenomenological, Ethnographic, Descriptive, Exploratory, Grounded Theory)

 

 This research used a qualitative approach to inquire about the patient’s perspective to learn about the psychological and physiological effects of the PVC insertion process. The study methodologies were informed by Gadamer’s Critical Hermeneutic Process and a phenomenological-hermeneutic approach (Larsen et al., 2017).

 
 

Sample, Setting,

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Sampling Method

 

 

 The research included ten patients from the surgical and medical wards of Queensland, Australia’s Royal Brisbane and Women’s Hospital. According to Larsen et al. (2017), the convenience sample was used to recruit the participants from May to September 2015.

 
 

Data Collection

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Data Analysis

 

 

 Participants were interviewed using semi-structured interviews to gather data. A third party audio-recorded the interviews, transcribed them word-for-word, and then used a sentence-by-sentence review method to analyze the data. Collaborating researchers checked the process’s first topics. The participants who chose to get a synopsis of the results were given a chance to reply if they thought the results didn’t match up with what they went through (Larsen et al., 2017).
 

Ethical & Legal Issues (Informed Consent, Anonymity, Confidentiality, Institutional Review Board)

 

 Both Griffith University (NRS/46/14/HREC) and the Royal Brisbane and Women’s Hospital (HREC/14/QRBW/518) granted consent from their respective Human Research Ethics Committees to perform the research in compliance with the National Statement on Ethical perform in Human Research. Participants gave their informed permission after we took precautions to protect their identity and information (Larsen et al., 2017).

 
 

Limitations

 

 The study’s authors admitted that, rather than gaining information, the qualitative technique was useful for building understanding. There may be more themes that were not captured by the sample, even though we were able to get a good grasp on four major ones from the people who took part. That being said, not all patients who have PVCs will have the same outcomes as those in this research (Larsen et al., 2017).

 
 

Common Themes

 

 

 Four key themes emerged from the interview data:

1.     Communication between the patient and the inserter: Common results were communication difficulties, such as professionals not listening to patients’ worries or recommendations and a lack of trust between patients and doctors.

2.     Technique of device insertion: Participants reported varying degrees of discomfort, which was typically worse after repeated attempts at insertion. Concerning the insertion procedure speed, patients had preferences.

3.     Competence of the inserter: Patients had more positive experiences with PVC insertions when their doctors were more confident and experienced and inserted PVCs often.

4.     Location of the device: Device insertion into the antecubital fossa or the hand is associated with higher discomfort during insertion, disruptions to sleep and everyday activities, and intermittent or persistent pain at the insertion site, according to patients who have had this procedure (Larsen et al., 2017).
 

Implications for Nursing Practice

 

 The study’s results provide nurses with actionable advice for better patient care, such as asking patients where they would like their devices inserted, finding an alternative to the antecubital fossa and the hand for the PVC, and having access to competent and experienced inserters. In order to reduce patient pain and suffering during PVC insertions, the authors stressed the importance of better communication, insertion technique, and device placement choice (Larsen et al., 2017)
 

Recommendations for Further Research

 

 Researchers in the future should look into the phenomena of patients’ actual experiences with PVC implantation to better understand and treat it (Larsen et al., 2017).

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Question 

This analysis is on a qualitative research article. Choose ONE of the qualitative research articles provided in Workshop Two. Do not write a narrative paper. Use the worksheet to complete this assignment. Use your own words to paraphrase information from the article.

Qualitative Research Article Analysis

Qualitative Research Article Analysis

You can use direct quotes, but use them sparingly. Cite all paraphrases and direct quotes; each box must be cited. Use the grading rubric for guidelines on how to answer each of the questions on the worksheet. When you have completed the assignment, save a copy for yourself and submit a copy to the 2.3 Dropbox by the end of the workshop.