Research Critique Part 2 Nursing Research

Research Critique Part 2
Grand Canyon University
Introduction to Nursing Research
NRS-433V-0104
Cheri Church
May 25, 2014 Research Critique Part 2
This paper will review a quantitative study comparing the outcomes of physicians that use sterile versus nonsterile gloves during simple soft tissue lacerations repairs in the Emergency Room. It will address the protection of human participants, their risks/benefits, and a review of the study’s data collection, data analysis, and problem statement along with an interpretation of its findings.
Article
The article is from 2004, and was published in the Annals of Emergency Medicine. It’s entitled “Sterile Versus Nonsterile Gloves for Repair of Uncomplicated Lacerations in the Emergency Department:
Inclusion criteria were addressed by a physician or resident that included assessing for complexity of laceration, location on the body, and if it had occurred within 3 hours from patient’s arrival. A signed a consent was obtained and data was collected through completion of a checklist noting the patient’s age, sex, site of laceration, type of injury, time of injury, time of injury from the time of repair, and technique of repair. The patient was given a self-addressed, pre-stamped envelope that was to be completed by the physician who took the sutures out. This physician filled out an explicit questionnaire using specific guidelines on wound assessment (pus, erythema, fever,) their clinical impressions (infection vs. no infection), and their management plan (topical/oral/IV antibiotic use, or need for referral to wound specialist). The follow up physician was unaware of which gloves were used in initial repair of the wound. The returned questionnaires where coded to collate with the initial assessment
This writer believes that the findings are valid for several reasons. One, this study cites other previous studies that had similar outcomes in related topics such as: using tap water for cleaning/irrigating wounds, or the absence of gloves, caps or masks did not affect wound infection outcomes. Secondly, this has already become practice for many physicians in the United States. This is supported in the article by researchers when a preliminary survey of 18 ER physicians and 24 PCP showed 70% often used nonsterile technique in their repairs. Lastly, the study showed comparative infection rates of 6.1% for sterile glove use and 4.4% nonsterile glove use with a level of significance of 0.05. Limitations were defined above as variables. Implications for nursing are two-fold. One, nurses can help support this nonsterile technique and continue to ensure good wound cleansing and irrigation of wounds. Using this techniques can save hospitals up to $2000/year in ER’s that see an average of 10 suture repairs/day. Secondly, as previously mentioned, this study cites others that address wound care (ex: irrigating with tap water vs. sterile saline), so this research can be used in the future to study methods of successful wound management for