Critique of Durham et al.'s (2016) Article: Research Methods (Article Sample)
the paper was about an article critique, involving an article related to health care. the usual article critique process was followed to complete the paper.source..
Critique of Durham et al.'s (2016) Article
Critique of Durham et al.'s (2016) Article
Durham, M. L., Suhayda, R., Normand, P., Jankiewicz, A., & Fogg, L. (2016). Reducing medication administration errors in acute and critical care: Multifaceted pilot program targeting RN awareness and behaviors. Journal of Nursing Administration, 46(2), 75-81. doi: 10.1097/NNA.0000000000000299
Durham, Suhayda, Normand, Jankiewicz & Fogg (2016) identify medication administration errors (MAEs) as a problem that health care providers find difficult to deal with because of its obliviousness in practice. The authors identify a group of factors that could lead to clinicians committing MAEs. They follow the process by designing a program that is tested for effectiveness in increasing awareness among registered nurses about MAEs and influencing their change of behavior. The authors settled on using an observational study, which is appropriate when studying the change of behavior. The article does not have a clearly stated hypothesis. However, it can be deduced that the purpose of the study was to find whether a program can be designed to influence the behavior of registered nurses in administering medication, resulting in a decrease in MAEs. The expectations of the researchers were confirmed, though the statistics were not significant for the interventions. The authors cited using a small sample and an unanticipated error in administering medication as what caused the findings not to be statistically significant. The authors use the results to recommend that a program that changes the behavior of registered nurses can be used to reduce MAEs.
Evaluating the Research Methods
About the Literature Review
The authors have provided a literature review, though it is not explicitly labeled as such. It follows the trend in the beginning of the paper in which the abstract as well as the introduction are not explicitly labeled as "abstract" and "introduction", respectively. The literature review is appropriate because it identifies the problem. At one point, it identifies why the problem is important to study. For instance, it highlights that medication administration errors (MAEs) cause an increase in hospital stays by between 1.7 and 4.6 days on average. The occurrence and impact of MAEs have also caught the attention of regulators, making it an issue that is relevant for discussion in today's society.
The literature review identifies reasons why dealing with MAEs is challenging. One of the reasons that the authors highlight is that MAEs occur in a health care environment in which it is difficult to collect data on MAEs and ensure accountability. Administrators depend on the clinicians who have committed MAEs to confess or when an adverse outcome forces the management to focus on a case. The literature review identifies time pressure and workload as some of the reasons nurses may commit MAEs. The literature review also identifies strategies that can be used to reduce the occurrence of MAEs in health care settings.
Pertinent to the study, the literature review identifies the intervention and why the researchers believe the intervention would be effective. The literature review supports the use of interventions such as mindfulness and error interceptions as some of the behaviors that can reduce MAEs when taught to clinicians.
Relevance of the Research to Current Health Care Issues
The research is current and relevant to today's health care issues because it addresses one of the health care issues that have received significant media and scholarly attention in recent years. The issue of MAEs has elicited public concern similar to other issues, such as hospital readmissions, the impact of patient falling in geriatric care or hospitals, the use of the emergency room by undocumented immigrants, and closure of emergency departments by health care providers to avoid the cost of maintaining them. Following this list, MAEs are a current issue that has gained considerable attention because researchers believe that medical errors are one of the leading causes of death in the U.S., though it is not clearly documented (Makary & Daniel, 2016). The MAEs takes a considerable size of the medical errors.
The cost of health care in the US has been considered higher than other advanced economies and consumers are beginning to demand value for money by expecting that there will be fewer medical errors and hospital readmissions. The research addresses the problem of MAEs by providing a number of interventions that can be used to reduce MAEs and the identification of risk factors for mitigation of the risks. One of the risk factors identified is that a significant portion of the MAEs is likely to occur on the first day of taking care of a new patient. The other risk factor is that MAEs are likely to occur when the number of medications per session is high (Durham et al., 2016).
Research Design Used
The researchers use an observational research design to complete their study. It is appropriate for the researchers to use observational research when they are studying behaviors. Durham et al. (2016) sought to study behaviors that health care systems and registered nurses (RNs) can adopt to help reduce the occurrence of MAEs in acute and critical care settings. Observational design is appropriate for behaviors need to be observed for a long duration before one can conclude that a habit l
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