July 24th, 2010
Nursing Research Critique Utilization Plan Paper
Part 1 Article Selection
Qualitative research is investigations which use sensory methods such as listening or observing to gather and organize data into patterns or themes. Qualitative research deals more often with language than numbers. Methods of gathering information might be focus groups or interview panels. It uses a flexible research design and utilizes an inductive process to formulate a theory. The idea is to get in depth information from the participants. The purpose is to understand and interpret social interactions.
Quantitative research is scientific investigations in which numbers are used to measure variables such as characteristics, concepts or things. It generates statistics through large scale survey research. Methods of gathering information might be questionnaires or reviewing patient charts over a certain period of time. Quantitative research uses a controlled design and defines a problem and a solution to the problem in a logical process of steps. The idea is to get generalizable findings that can be applied to other populations. The purpose is to look at cause and effect and make predictions. Database: EBSCOhost - CINAHL Plus with Full Text
Key words: quantitative nursing research; inadequate pain management; united states Limited results by full text and filtered by publication date The article:
Shrestha-Ranjit, J.M. and Manias, E. (2010). Pain Assessment and management practices in children following surgery of the lower limb. Journal of Clinical Nursing, 19, 118-128.
Part II Article Critique
Children have been under treated for pain due to many misconceptions about pediatric pain management. These misconceptions include: children do not feel pain or suffer less than adults, fears of respiratory depression or other adverse effects from medication, and the lack of routine pain assessment in children (Shrestha-Ranjit & Manias, 2010). This is a very significant problem in nursing that needs to be addressed. The title of this study, "Pain Assessment and management practices in children following surgery of the lower limb" accurately describes what the study is about. The information gathered and the population the study targets is stated in the title. The independent variables in the study are pain assessment and pain management and the dependent variable is the pain level of the pediatric patient. In the introduction of this study it clearly examines the background on pain assessment, pain management, and pain documentation in relation to pediatric patients. It discusses previous studies that show a lack of use of pain assessment tools, utilizing pain medication on a regular basis, and inadequate documentation of children's pain. Two studies were reviewed that were in support of the lack of use of validated pain assessment tools by nurses. One example was a survey of pediatric nurses that was reviewed and found that only 2% of the respondents reported using pain assessment tools (Shrestha-Ranjit & Manias, 2010).Several studies were reviewed and found that children were consistently under treated for pain management. A U.S. descriptive study was reviewed and found that although 74% of children aged 3.5 to 17 years received pain medication after surgery 51% still complained of moderate to severe pain levels (Shrestha-Ranjit & Manias, 2010). Multiple surveys were reviewed that showed that nurses understood the importance of non-pharmacological pain relief interventions but were constrained by busy workloads and inadequate knowledge (Shrestha-Ranjit & Manias, 2010). Postoperative pain in children has been found to be persistently under-treated. Pain medication is consistently prescribed and administered on a PRN basis in children. This leads to the under management of pain and high pain intensity scores for children (Shrestha-Ranjit &...