Case Study Analysis- Nursing


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SCENARIO

Catherine is a 20-year old homeless woman, who is well known to the emergency department (ED).  Catherine has been admitted to the ED following the development of an abscess on her left side gluteus maximus. She states, to Nancy the RN, that she developed the abscess due to staying at a friend’s house for one night a few weeks ago. Nancy has seen Catherine on numerous occasions in the ED and is aware of her regular IV drug and alcohol use and feels that the injury may be as a result of injecting drugs into the area. During this visit Catherine has mentioned to Nancy that she maybe pregnant. Catherine currently lives in a women’s shelter and is concerned as she doesn’t want to bring a baby up within a shelter environment. Nancy discusses her concerns regarding the uncertainty of Catherine’s sexually transmitted disease (STD) status and the possible need for surgical intervention, with a senior colleague Sammy. Sammy agrees that Catherine may need surgical intervention and contacts the surgical registrar for review. Sammy also feels that while waiting for surgical review urgent bloods should be sent away for STD testing and pregnancy screening. After looking after Catherine for a few hours Nancy feels that social services may also be needed to help support her whilst receiving treatment and after discharge. Nancy askes Catherine her thoughts on receiving support from social services to which she responds “it depends if they treat me like real person or not. I mean there is more to me than being a druggie”. Nancy goes on tea break and is covered by a colleague Ben. On returning from tea she realises that Ben, during the administration of IM pain relief, has given himself a needle stick injury. Ben was not wearing gloves during the procedure, as per hospital policy, and is currently away from the ward having bloods taken and receiving counselling for the incident. The surgical registrar reviews Catherine’s abscess and feels that it can be drained using local anaesthetic. Sammy discusses the process, precautions and policies that will be need to be adhered to during the procedure with Nancy to prevent the potential transmission of STDs,  including HIV to other healthcare workers.

 

TASK: Based on the scenario please undertake the following activities. Please note you need to complete your assignment in the template and submit along with the cover sheet and title page. NO need to remove the examples provided.

Part A

For part A of the assignment you need to choose ONE topic within the scenario and develop an answerable question. Once a question has been developed, you will then need to follow the template and complete a systematic search of the literature to answer your question.

  1. What is the issue that you have identified? There is no need to use references here instead you are just telling the reader what the issue is using the case study to demonstrate the issue you have identified.

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  1. Provide your answerable question. In your answer you need to identify for the reader if you are using a PICO or PIO structure and show the breakdown of these elements

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  1. Explain, using in- text references, why you as a nurse need to know the answer to this question? Think about health and safety and clinical practice in your answer (remember at this point you are not answering the question you are just informing the reader of the importance of answering the question for clinical practice)

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

  1. Document the databases or search engines used in your search strategy

For example

A search of the databases: CINAHL, Medline, Scopus was conducted in June 2011 for the purpose of locating published research about whether hospital bath basins and soap and water bathing contribute to cross infection in hospitals.

Your answer

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  1. Specify the limits you have used

For example

The search was limited to English language academic journal articles published between 2011 and 2018

Your answer

_________________________________________________________________________________

_________________________________________________________________________________

__________________________________________________________________________________

 

  1. List the search terms used. These terms should reflect your PICO or PIO questions

For example

  • Hospital
  • Cleanse patients
  • Bath basins
  • Bath water
  • Bathing
  • Cross infection
  • Multi- drug resistant organisms
  • Healthcare associated infections

Your search terms

 

  1. Document the search process

For example

Database Search terms Number of articles Retrieved Relevance to your question (look at the title and abstract do they support the question)
CINHAL plus with full text –

Limit English language

Date restriction 2011-2018

Academic journals

Full text

S1=Bath basins 6 1
  S2=Cleanse patients 4 1
  S3= Bath water 0 0
  S4= Bathing 0 0
  S5= Cross infection 0 0
  S6= Multi- drug resistant organisms OR Healthcare associated infections 0 0
  S3 AND S5

Bath water AND Cross infection

1 0
  S4 AND S5

Bathing AND Cross infection

44 3
  S4 AND S6

Bathing AND  “Multi- drug resistant organisms” OR “Healthcare associated infections”

1 0
Total   56 5

 

 

Your table

Database Search terms Number of articles retrieved Relevance to your question (look at the title and abstract do they support the question)
       
       
       
       
       
       

 

  1. Of the articles you have left (in the example above you have 5 articles that are relevant to the question) choose three. Show the full end text reference for the article, a sentence of why that article answers your question and the recommendations for practice from the article. You will need to show the abstract for each the three articles at the end of your assignment.

Article 1-

Full end text reference (refer to the APA referencing guide for correct structure)

Your answer

 

 

Relevance to my question

For example

Changing a peripheral venous cannula when clinically indicated in comparison to changing routinely every three days does not lead to more patient complications. However, it reduces equipment costs

Your answer

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Recommendations for practice

Your answer

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Article 2

Full end text reference (refer to the APA referencing guide for correct structure)

Your answer

 

 

Relevance to my question

Your answer

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________                                                                                                                                                       

 

Recommendations for practice

Your answer

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Article 3

Full end text reference (refer to the APA referencing guide for correct structure)

Your answer

 

 

Relevance to my question

Your answer

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________                                                                                                                                                        

 

Recommendations for practice

Your answer

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Part B

The case study continued

The blood test results for Catherine have returned from pathology. It was found that Catherine is Hepatitis C positive as a result of being an IV drug user. Nancy approaches Catherine along with the surgical register who informs her of the blood test results. Catherine is visibly upset by the news stating that she was “scared to get tested in the past and was anxious about the possibility of being Hep C positive”. The nurse stays and comforts Catherine and during this time thinks about some of the barriers and facilitators of Hepatitis C screening for IV drug users. Nancy decides at the end of her shift to go to the hospital library and carry out a search of the literature to identify some of the potential barriers and facilities to this. On searching the evidence, she finds an article addressing the barriers and facilitators of hepatitis C screening among people who inject drugs. She needs to critique the article to identify its relevance to her practice.

 

 

Task: Critically review the provided article and identify its merits for practice.

Barocas, J. A., Brennan, M. B., Hull, S. J., Stokes, S., Fangman, J. J., & Westergaard, R. P. (2014). Barriers and facilitators of hepatitis C screening among people who inject drugs: a multi-city, mixed-methods study. Harm reduction journal, 11(1), 1.

 

  1. Use paragraphs under each heading to critique the article. Refer to the questions under the headings for the content that needs to be discussed within your paragraphs. NB you do NOT need an introduction or conclusion for this component of the assignment or in-text references.

 

Title, Authors and Abstract

  • Does the title reflect the content?
  • Are the authors credible?
  • Did the abstract contain sufficient information about the stages of the research process (e.g. the aims, research approach, participants, data collection, data and analysis and findings)

Literature review

  • Is the literature review comprehensive and up-to-date?
  • Are the stated gaps in the reviewed literature identified?
  • Are the aims/ objectives stated and what are they?

NB: as this is a mixed methods paper you will need to have a paragraph on both the quantitative and qualitative components of the paper

Quantitative method  

                Quantitative data collection

  • How were the data collected (questionnaires etc.)?
  • Who collected the data?
  • Is the data adequately described?
  • What is the origin of the instrument and has this been provided?
  • Is the instrument described in terms of being valid/reliable?
  • Were ethical issues discussed?

Quantitative data analysis

  • Are descriptive or inferential statics used?
  • Does the method of data analysis appear valid and reliable?

Qualitative method

Qualitative data collection

  • Are the data collection strategies appropriate for the research question?
  • Is the topic of interest focused on human experience within the natural setting?
  • How were the participants and setting selected (e.g. sampling strategies)?
  • Was confidentiality of participants assured?
  • How was anonymity of participants assured?
  • What ethical issues were identified in the study?
  • Is the method of data collection auditable?

 

Qualitative data analysis

  • How were the data analysed?
  • Is the analysis technique congruent with the research question/?
  • Is there evidence that the researcher captures the participants meaning? I.e. did they repeat the information back to the participant?
  • Did the research test for credibility, confirmability?

 

Findings

  • Are the results presented in a clear way?
  • Does the researcher link the findings to existing literature?
  • Identify any gaps or limitations in the study.
  • Were suggestions made for future research?
  • Did the researcher mention the implication to healthcare?
  • Can the results be generalised or transferred?

Conclusion of the article

  • Is the conclusion of the article comprehensive?

 

  1. Based on your critique of the article please undertake the following:
    • Briefly in your own words summarise the study identifying weaknesses and strengths. This can be achieved by identifying which questions from the above headings have been answered within the article and which ones have not.
    • Consider the relevance of the article to clinical practice. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

To get your Assignment/Homework solutions;

Simply Click ORDER NOW and your paper details. Our support team will review the assignment(s) and assign the right expert whose specialization is same to yours to complete it within your deadline. Our Editor(s) will then review the completed paper (to ensure that it is answered accordingly) before we email you a complete paper 

Email Us for help in writing this paper for you at: support@customwritings-us.com

One response

  1. I would like to know the answers for the above case analysis

    Like

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