EVIDENCE-BASED PROJECT PART 1- IDENTIFYING RESEARCH METHODOLOGIES

EVIDENCE-BASED PROJECT PART 1- IDENTIFYING RESEARCH METHODOLOGIES

Matrix Worksheet Template

 

Full citation of the selected article	Article #1	Article #2	Article #3	Article #4
	Bante, A., Mersha, A., Aschalew, Z., & Ayele, A. (2023). Medication errors and associated factors among pediatric inpatients in public hospitals of Gamo zone, Southern Ethiopia. Heliyon, 9(4), e15375. https://doi.org/10.1016/j.heliyon.2023.e15375	Conn, R. L., Tully, M. P., Shields, M. D., Carrington, A., & Dornan, T. (2020). Characteristics of reported pediatric medication errors in Northern Ireland and use in quality improvement. Pediatric Drugs. https://doi.org/10.1007/s40272-020-00407-1	D’Errico, S., Zanon, M., Radaelli, D., Padovano, M., Santurro, A., Scopetti, M., Frati, P., & Fineschi, V. (2022). Medication errors in pediatrics: Proposals to improve the quality and safety of care through clinical risk management. Frontiers in Medicine, 8(814100). https://doi.org/10.3389/fmed.2021.814100	Feyissa, D., Kebede, B., Zewudie, A., & Mamo, Y. (2020). Medication error and its contributing factors among pediatric patients diagnosed with infectious diseases admitted to Jimma University Medical Center, southwest Ethiopia: Prospective observational study. Integrated Pharmacy Research and Practice, 9, 147–153. https://doi.org/10.2147/iprp.s264941
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)	The study was selected because it focuses on medication errors in pediatric inpatients in Ethiopia, providing valuable insights into a critical issue affecting child healthcare in developing nations.   Ethically, the study must adhere to rigorous standards due to its involvement with pediatric patients. Key ethical considerations include obtaining informed consent from guardians, ensuring patient confidentiality, and obtaining ethical approval from relevant institutional review boards. Researchers must prioritize the well-being and safety of the vulnerable pediatric population, aligning with ethical principles to contribute knowledge that enhances pediatric patient care while upholding research integrity and respecting individuals’ rights.	The article was chosen as it focuses on reported pediatric medication errors in Northern Ireland, shedding light on characteristics and potential areas for improvement in pediatric healthcare quality.   In terms of ethics, conducting research on reported pediatric medication errors involves a commitment to ensuring the well-being and safety of the involved patients. Ethical considerations include obtaining informed consent, protecting patient confidentiality, and securing approval from institutional review boards. Researchers must adhere to ethical principles to contribute knowledge responsibly, promoting beneficence and avoiding harm while maintaining the highest standards of research integrity.	This article was chosen to examine pharmaceutical mistakes in pediatrics and provide ways to improve quality and safety via clinical risk management.   Ethically, the study on pediatric medication errors emphasizes clinical risk management for improved quality and safety, requiring informed consent, confidentiality, and ethical review.	The study was selected for its examination of medication mistakes in pediatric patients with infectious disorders in Ethiopia, which enhances our comprehension of the variables that contribute to such errors in this particular patient group.   In researching pediatric medication errors in infectious diseases in Ethiopia, ethical considerations include obtaining informed consent, safeguarding patient confidentiality, and receiving ethical approval. Protecting the well-being of vulnerable pediatric patients is paramount, aligning with principles of beneficence, non-maleficence, and respect for autonomy.
Brief description of the aims of the research of each peer-reviewed article	The primary aim of the research is to assess the prevalence of medication errors and associated factors, focusing on the pediatric inpatient population in Gamo zone public hospitals in Southern Ethiopia. The study aims to fill the gap in recognizing medication errors in developing nations, emphasizing the vulnerability of pediatric patients.	The research aims to identify critical targets for pediatric healthcare quality improvement by evaluating types, characteristics, and areas of risk within reported medication errors in Northern Ireland. The study seeks to provide information to guide improvement efforts for patient safety.	This research aims to identify risk profiles in pediatric therapy and propose preventive strategies for medication errors. The study focuses on medication errors, including prescription, transcription, dispensing, dosage, administration, and certification errors.	The objective of the study is to evaluate medication mistakes and the variables that contribute to them among pediatric patients diagnosed with infectious illnesses who are admitted to Jimma University Medical Center in southwest Ethiopia. The study provides a prospective observational approach to understanding medication errors in a specific patient group.
Brief description of the research methodology used: Be sure to identify if the method used was qualitative, quantitative, or a mixed-methods approach. Be specific.	The research used a facility-based cross-sectional methodology to gather data from a total of 416 pediatric inpatients. The study used a combination of qualitative and quantitative methodologies. Data collection was facilitated using Open Data Kit tools, while analysis was conducted using Stata version 16.0. Statistical studies were performed to discover parameters that are linked to medication mistakes, both when considering two variables at a time and when considering many variables simultaneously.	This research used a retrospective methodology, examining a large regional dataset consisting of 1522 instances of medication mistakes in pediatric patients reported from secondary healthcare facilities in Northern Ireland over the period from 2011 to 2015. Hoare and Hoe (2013) indicate that the study technique predominantly employs quantitative methods. The emphasis is on analyzing critical event data to identify features and areas of risk associated with reported pediatric drug mistakes.	The research methodology employed in this review is predominantly qualitative. It involves doing a systematic search, screening, and synthesis of existing literature pertaining to pediatric patients, medication errors, drug treatment, and adverse events. The research does not include experimental treatments or statistical analysis but rather concentrates on summarizing and conveying essential information from chosen papers.	The study used a prospective observational approach to examine pediatric patients with infectious illnesses. The research used a quantitative methodology, employing a structured questionnaire for the purpose of data gathering. A retrospective logistic regression analysis was performed to identify the factors that contribute to medication errors in pediatric patients admitted to Jimma University Medical Center.
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.	The research used a reliable data-gathering instrument, which included diverse methodologies, including interviewer-administered surveys, facility monitoring, medical record examination, and direct observation. Moreover, the utilization of Open Data Kit techniques for data collecting amplifies the dependability of the investigation.. The inclusion of both bivariable and multivariable analyses contributes to the robustness of the research findings. However, limitations include reliance on recorded data during night shifts and in intensive care units.	The study benefited from a comprehensive regional dataset, and the participation of seasoned practitioners in the analysis enhances the legitimacy of the conclusions. The study’s emphasis on critical event data provides a distinct viewpoint on mistakes in pediatric medication. Nevertheless, the recognition of the constraint of under-reporting is accepted.	The paper’s strengths lie in suggesting proactive risk management techniques and highlighting the need for a methodical review of care routes and therapy modalities. The recommendations for standardization, electronic prescribing, training, and reporting systems contribute to the potential improvement of patient safety. However, the paper does not present specific research findings or data.	The study’s notable strengths include its prospective observational design, which offers valuable insights into medication mistakes among young patients with infectious disorders. The retrospective logistic regression analysis enhances statistical rigor in identifying predictors of medication mistakes. Nevertheless, the research admits constraints such as the dependence on self-reported information and the possibility of memory bias.
General Notes/Comments	The research offers a thorough examination of the variables linked to medication mistakes in pediatric patients who are hospitalized in Ethiopia. It highlights the need to implement interventions to decrease the frequency of such errors. The significant occurrence of pharmaceutical mistakes, when compared to national research, highlights the need for focused enhancements. The study’s emphasis on establishing an appropriate work environment, providing educational and training opportunities, involving families, and ensuring adherence to medication administration protocols aligns with the overarching objective of reducing errors in the administration of pediatric medication, as highlighted by Vaismoradi et al. (2020).	The research identifies neonates and specific drugs at risk, engaging experienced practitioners for future implementation in pediatric healthcare improvement. The focus on specific drugs and error types, such as dosing errors and omissions, provides valuable insights for targeted interventions. The utility of incident reports to direct improvement efforts is acknowledged, emphasizing the importance of involving practitioners in implementing findings. The study’s findings contribute to understanding medication errors in pediatric patients in a specific regional context.	The paper proposes proactive strategies for medication error prevention, considering various stages of treatment and emphasizing training and safety culture. The recommendations for standardization, electronic prescribing, training, and reporting systems provide practical insights for healthcare organizations to improve medication safety and form a foundation for evidence-based practice, as Melnyk & Fineout-Overholt (2018) recommended. However, the lack of specific research findings or data limits the paper’s contribution to the evidence base.	The study offers valuable insights into factors contributing to medication errors in pediatric patients with infectious diseases. The emphasis on predictors such as patient age, multiple medications, and admission during the weekend highlights specific areas for targeted interventions. The study’s call for implementing interventions like e-prescribing and collaboration with clinical pharmacists aligns with broader efforts to enhance medication safety, as posited by Ooi et al. (2021). However, the study acknowledges limitations such as the single-center design and the potential influence of unmeasured factors.

 References

Bante, A., Mersha, A., Aschalew, Z., & Ayele, A. (2023). Medication errors and associated factors among pediatric inpatients in public hospitals of Gamo Zone, Southern Ethiopia. Heliyon, 9(4), e15375. https://doi.org/10.1016/j.heliyon.2023.e15375

Conn, R. L., Tully, M. P., Shields, M. D., Carrington, A., & Dornan, T. (2020). Characteristics of reported pediatric medication errors in Northern Ireland and use in quality improvement. Pediatric Drugs. https://doi.org/10.1007/s40272-020-00407-1

D’Errico, S., Zanon, M., Radaelli, D., Padovano, M., Santurro, A., Scopetti, M., Frati, P., & Fineschi, V. (2022). Medication errors in pediatrics: Proposals to improve the quality and safety of care through clinical risk management. Frontiers in Medicine, 8(814100). https://doi.org/10.3389/fmed.2021.814100

Feyissa, D., Kebede, B., Zewudie, A., & Mamo, Y. (2020). Medication Error and Its Contributing Factors Among Pediatric Patients Diagnosed with Infectious Diseases Admitted to Jimma University Medical Center, Southwest Ethiopia: Prospective Observational Study. Integrated Pharmacy Research and Practice, Volume 9, 147–153. https://doi.org/10.2147/iprp.s264941

Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27(18), 48–55.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

Ooi, P. L., Zainal, H., Lean, Q. Y., Ming, L. C., & Ibrahim, B. (2021). Pharmacists’ interventions on electronic prescriptions from various specialty wards in a Malaysian public hospital: A cross-sectional study. Pharmacy, 9(4), 161. https://doi.org/10.3390/pharmacy9040161

Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 1–15. https://doi.org/10.3390/

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Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment; select original research articles.
Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.
Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

The full citation of each peer-reviewed article in APA format.
A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.