Reading, understanding, and appreciating original nursing research literature is essential for evidence-based practice (AACN, 2008; QSEN, 2018)
Purpose
Reading, understanding, and appreciating original nursing research literature is essential for evidence-based practice (AACN, 2008; QSEN, 2018). This assignment provides a learning activity for students to read an original research study and complete a worksheet to demonstrate understanding of the study purpose, design, sample, data collection, analysis, limitations, conclusions, and the importance of reading research literature.
Course Outcomes
This assignment enables the student to meet the following Course Outcomes.
CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)
CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4, 8)
CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)
Due Date
Submit the completed RRL Worksheet
Assignment Directions
Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric.
Review the following link which contains a tutorial for your Week 6 Assignment. Tutorial may look slightly different session to session. Grading criteria and rubric will be the same. Click here for transcript. (Links to an external site.)
https://lms.courselearn.net/lms/video/player.html?video=0_jhxsfia6
Download and complete the required Reading Research Literature (RRL) worksheet (Links to an external site.). This must be used.
Download or access the required article below. This must be used.
Diacon, A. & Bell, J. (2014). Investigating the recording and accuracy of fluid balance monitoring in critically ill patients. Southern African Journal of Critical Care, 30(2), 55-57. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.2db92a9d728747eaa508e67b298f67bd&site=eds-live&scope=site (Links to an external site.)
This assignment contains:
Purpose of the Study: Using information from the required article and your own words, summarize the purpose of the study. Describe what the study is about.
Research & Design: Using information from the required article and your own words, summarize the description of the type of research and the design of the study. Include how it supports the purpose (aim or intent) of the study.
Sample: Using information from the required article and your own words, summarize the population (sample) for the study; include key characteristics, sample size, sampling technique.
Data Collection: Using information from the required article and your own words, summarize one data that was collected and how the data was collected from the study.
Data Analysis: Using information from the required article and your own words, summarize one of the data analysis/ tests performed or one method of data analysis from the study; include what you know/learned about the descriptive or statistical test or data analysis method.
Limitations: Using information from the required article and your own words, summarize one limitation reported in the study.
Findings/Discussion: Using information from the required article and your own words, summarize one of the authors’ findings/discussion reported in the study. Include one interesting detail you learned from reading the study.
Reading Research Literature: Summarize why it is important for you to read and understand research literature. Summarize what you learned from completing the reading research literature activity worksheet.
You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
Submit the completed Reading Research Literature Worksheet to the Week 6 Assignment.
ARTICLE
Investigating the recording and accuracy of fluid balance
monitoring in critically ill patients A Diacon, MCur; J Bell,’ 3 MCur, BCur, PGDN
1 Division o f Nursing, Faculty o f Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
3 TASK Applied Science, Karl Bremer Hospital, Bellville, Cape Town, South Africa
3 Department o f Nursing Science, School o f Clinical Care Sciences, Faculty o f Health Sciences, Nelson Mandela Metropolitan University,
Port Elizabeth, South Africa
Corresponding author: A Diacon (adiacon@mac.com)
Background. The accurate assessment o f flu id balance data collected during physical assessment as well as during monitoring and
record-keeping forms an essential part of the baseline patient information tha t guides medical and nursing interventions aimed at
achieving physiological stability in patients. An informal audit o f 24-hour fluid balance records in a local intensive care unit (ICU) showed
that seven out of ten flu id balance calculations were incorrect.
Objective. To identify and describe current clinical nursing practice in fluid balance monitoring and measurement accuracy in ICUs,
conducted as part of a broader study in partial fu lfilm ent of a Master o f Nursing degree.
Methods. A quantitative approach utilis ing a descriptive, exploratory study design was applied. An audit of 103 ICU records was
conducted to establish the current practices and accuracy in recording o f flu id balance monitoring. Data were collected using a
purpose-designed tool based on relevant literature and practice experience.
Results. Of the original recorded fluid balance calculations, 79% deviated by more than 50 mL from the audited calculations. Further-
more, a significant relationship was shown between inaccurate fluid balance calculation and administration of diuretics (p=0.01). Conclusion. The majority o f flu id balance records were incorrectly calculated.
S AfrJCrit Care 2014;30(2):55-57. DOI:10.7196/SAJCC.193
M ain ta in ing a balance between flu id intake and
output plays an im portant role in the management
o f a crit ica lly ill patient. The accurate assessment
o f the flu id balance data collected during physical
assessment as well as during m onitoring activities
and record-keeping forms an essential part o f the baseline patient
in fo rm ation tha t guides medical and nursing in terventions to
achieve physiological stability in a patient. Changes in a critically ill
patient’s fluid balance can complicate the patient’s clinical condition.
It is, therefore, necessary that flu id balance parameters are accu-
rately monitored and recorded for all patients in intensive care units
(ICUs).111
A daily observation sheet is used to record all vital signs, nursing
interventions, medical procedures and the fluid balance for each
24-h period of a day. The fluid balance record comprises records of
the intake and output of fluids by a patient over a 24-h period. The
difference between the volumes is calculated to provide the 24-h
fluid balance.121 The monitoring of a patient’s fluid balance is of great
importance in understanding and managing a patient’s clinical status
and, as such, accurate monitoring and recording of fluid balance data
plays an essential role in patient care management.131
Several studies have considered the relationship between
fluid imbalances and patient outcomes in critical care. The Sepsis
Occurrence in Acutely III Patients (SOAP) study by Vincent et al.,m
conducted across 198 ICUs in Europe in 2002, determined that a
positive flu id balance is a strong prognostic factor for death in criti-
cally ill patients. Similarly, research by Alsous et a/.,151 Boyd et al.m
and Payen et o/.I7] concluded that a more positive fluid balance
is associated w ith an increased risk o f mortality in patients w ith
septic shock or acute renal failure. Furthermore, Rosenberg et a/.181
determined that a cumulative negative fluid balance in patients
w ith acute lung in jury is associated w ith lower mortality. The
conclusions offered by these studies require that monitoring and
recording of flu id balance data must be complete and accurate,
w ith assessment o f a patient’s fluid balance being recognised as an
important component o f nursing any critically ill patient.
In South Africa (SA), the practice of a registered nurse is regulated
by the Scope of Practice drawn up by the SA Nursing Council.191
Chapter 2, section 2(i) of these regulations identifies that fluid balance
monitoring is part of the scope o f practice of a registered nurse.
Therefore, a registered nurse working in a critical care environment
is responsible and accountable for the accurate recording and
calculation of fluid balance when caring for and managing a critically
ill patient. Managing a patient’s fluid balance is as equally important
as carrying out any other patient care activity for the critically ill, such
as administering a medication prescription or providing nutrition.121
Fluid balance management in ICU patients is complex. Monitoring
and measurement of fluid balance requires close attention to ensure
that current methods are applied accurately and consistently to
provide the most complete data, upon which patient management
decisions can be based.
Based on practice experience and underpinned by an informal
audit of 24-h fluid balance charts in a local ICU, where seven out of
ten calculated totals were incorrect, the research question posed was:
What are the current practices o f registered nurses in ICUs w ith regard
to fluid balance monitoring?
Methods A quan tita tive approach u tilis ing an
exploratory,…
