Critique of Research Part

Quantitative article Critique

Results

o Data analysis

Of the fifty- seven patients undergoing hemodialysis through the use of central venous catheter (CVC), three- quarters were men aged 20 - 59 years; fifty- seven percent of subjects belonged to the Christian Catholic church and sixty-four percent were married. With regard to their educational qualification, forty- six percent of subjects had completed primary education while one in five patients was uneducated. With respect to CVC implant, seven out of ten implants were noted to have been installed within patients internal right jugular veins, whereas twelve percent were within their right femoral veins. Concerning causes for removal of implants, seventy percent were on account of maturation of AVF, while twenty percent were account of infection. Concerning hemodialysis dosage (gauged in terms of Kt/ V), eighty- two percent depicted > 250 ml/ min blood flow while seventy percent showed values ranging from 1.1 - 1.2 (Guimares et al, 2017).

o Reliability and validity

Drawing from NANDA Is Nursing Diagnosis of Taxonomy II, nursing professionals confirmed a couple of diagnoses associated with VA (vascular access) among individuals being hemo- dialyzed through the use of CVC and picked a couple of nursing intervention titles: vascular device- based care and maintenance of dialytic access. The link between interventional activities allows for listing actions to formulate the following 8 nurse prescriptions for CVC- employing hemodialysis patients: (1) Measurement of axillary temperature before and after treatment; (2) Keeping an eye on indications of systemic and local infections; (3) Maintenance of occlusive dressing; (4) Maintenance of aseptic practice when manipulating CVC; (5) Maintenance of standard precautions; (6) Replacement of protective CVC covering following every hemodialysis; (7) Patients and their families guidance with regard to CVC maintenance; and (8) Maintenance of access permeability using heparin following culmination of hemodialysis session (Guimares et al, 2017).

Discussion

Interpretation of findings

A couple of nurse initiatives associated with CVC- employing hemodialytic patients care were established and debated on, based on the NIC: vascular device- based care and maintenance of dialytic access. These facilitated the identification and discussion of the following 8 nurse activities: Measurement of axillary temperature before and after treatment; Keeping an eye on indications of systemic and local infections; Maintenance of occlusive dressing; Maintenance of aseptic practice when manipulating CVC; Maintenance of standard precautions; Replacement of protective CVC covering following every hemodialysis; Patients and their families guidance with regard to CVC maintenance; and Maintenance of access permeability using heparin following culmination of hemodialysis session (Guimares et al, 2017).

Implications/Recommendations

On account of hemodialytic technical specificity, nursing staff dynamically and plastically linked elements of the initiative for devising an appropriate, current patient safety-connected nurse prescription. The outlined activities are substantiated by a sound scientific base within literature, validating their application towards maintaining CVC utilization in combatting and controlling thrombotic, infectious, or traumatic complications. Hence, nursing professionals need to take on CVC- based hemodialytic patients care as a key role, since this represents a multifaceted process (Guimares et al, 2017).

Global Issues

Presentation

De Lima Guimares and colleagues (2017) research is characterized by ineffective organization. Rational thought development proves pivotal to proper relay of scientific facts. The research fails to adequately situate the...

…a few providers expressing gratitude for family caregivers presence and their capacity of identifying potential mistakes which may have, if not for their attentiveness, been overlooked. Additionally, family caregivers presence incorporated provision of patent-related information to providers, and the successive interpretation of health and treatment connected information conveyed by practitioners to the patient. This finding resembles other studies in which patients and their families believed the provider-family caregiver interaction was inefficient, while awaiting details relating to, and explaining the need for, transition (Jeffs et al, 2017).

o Researcher credibility

Jeffs and colleagues (2017) research paper delineates the existence of three limitations. All family caregivers studied were women; this can reveal findings not an adequate reflection of gender differences among aged patients family caregivers. A second limitation is the incorporation of only those subjects cognitively capable of providing their consent for participation in the research. Lastly, the research included a small patient and family caregiver sample, derived from orthopedic facilities. This potentially limits result transferability or generalization to patients suffering from other health issues. Nevertheless, the sample was adequately sized when it came to achieving thematic saturation. Researchers do not cite any conflict of interest with regard to this study (Jeffs et al, 2017).

Summary assessment

Through offering relevant details and the authentic, equal engagement of family caregivers within the process of care transition, study authors have effectively discussed when information ought to be conveyed with regard to patient care planning and recovery, besides healthcare system navigation following transition to rehab facilities and following eventual de-hospitalization (Jeffs et al, 2017). Authors offer meaningful evidence which may be applied to…