Critique of Research Studies
Critique of Research Studies
Quantitative Study
Attitudes, risk of infection and behaviors in the operating room (the ARIBO Project)
Data analysis
The statistics were performed via the use of univariate and multivariate analysis that was essential in the adjustment of the aerolic as well as the structural characteristic of the operating room. This type of data analysis was appropriate to the study as it was able to determine and classify the behaviors as either appropriate or not. In this case, the practices observed were compared to best practices in line with the guidelines of sterility in the operating room and doing automatic classification.
Reliability and validity
By the study utilizing various methods of data collection and analysis, it gives the study reliability and validity that makes it credible for use and being a point of reference by other researchers. The reliability and validity is further demonstrated by the researcher using high technology tools in the data processing in enhancing the automatic evaluation of the behavioral dynamics of the staffs in the operating rooms and its impact of the contamination of the area as well as the subsequent development of surgical site infections. In the long haul, the study develops an original approach to integrating technology to research work.
Discussion
Interpretation of findings
The increased movements observed during the surgical procedures were related to the breaches of the sterility of the operating room. With the follow-up of patients, increased cases of surgical site infection were evident among patients handled with either high number of surgical team as well as increased movements especially staff moving in and out of the operating room.
Implications/Recommendations
The study demonstrates a clear relationship between inappropriate staffs’ behaviors and the contamination of the operating room. There is need to educate and train the healthcare teams in the operating rooms on maintenance of the prescribed best behaviors to keep the area sterile. In so doing, the surgical site infections will be reduced thus promoting patient safety and quality of care that they receive.By observing frequent movements among the staffs not engaged in the surgical procedure directly, there is need to control human traffic within the operating room to maintain sterility.
Global Issues
Presentation
There existed the dissemination of the information obtained from the study through various means. These included peer-reviewed journals as well as a presentation of the findings in international conferences. Through this means, the influence of behavior of nursing staffs can be displayed to other professionals concerning their connection with the maintenance of sterility in the operating room.
Researcher credibility
The approval of the study by the Institutional Review Board of Paris North hospitals gives the researcher the credibility.
Summary assessment
This study provides an objective quantification to the movements in the operating room which are directly related to sterility in the areas as well as the occurrence of the surgical site infection.
Qualitative Study
Hand hygiene and aseptic techniques during routine anesthetic care – observations in the operating room
Results
From the study by Megeus et al.(2015) , 2393 opportunities for hand hygiene were determined and recorded. The measurements for the number of opportunities for hand hygiene were made during the full-length surgeries with the mean being 10.9/hour. The standard deviation was 6.1 and overall adherence rate of 8.1%. The outcome for the induction face entailed a mean of 77.5/hour, the standard deviation of 27.4 and adherence rate of 3.1% to the aseptic technique guidelines. The highest adherence was observed during the period of full-length surgeries after exposure to body fluids at the rate of 15.9%. The lowest adherence was noted during the induction phase before aseptic procedures and was at the rate of 2.2%.
Data analysis
Data analysis was conducted by the use of statistical package for the social sciences. The standard deviation, mean and the rate of adherence to the guidelines about the hand hygiene were obtained to quantify the issues at hand.
Theoretical integrations
The belief-based framework of the Theory of Planned behavior was critical in this study as it determined the triggers towards hand hygiene as well as identifying the opportunities as well as the adherence by the staffs (White et al., 2015). This theory turns to be significant in averting the identified problem of low adherence to hand hygiene guidelines.
Discussion
The study assessed and quantified the practice of hand hygiene regarding the indications and the opportunities for the technique during the routine anesthetic care.
Interpretation of the findings
The results indicate an overall low adherence to the hand hygiene technique at 5.3%. Despite this low adherence, there also erupted an increased number of the hand hygiene opportunities. This translates to increased workload within the care setting. The low adherence can be associated with increased workload as well as the risk-prone care procedures.
Implications/Recommendations
The study indicates a low adherence to the guidelines pertaining hand hygiene guidelines thus needs to develop effective strategies that will avert the situation. The implementation ought to take the form of education and practical training the operating room staffs on the manner of implementing the aseptic techniques.
Global Issues
Presentation
By the use of a modified version of the World Health Organization’s hand hygiene observational method makes the study to be a presentable article for global use.
Researcher credibility
The credibility of the researcher is however questionable since it is not indicated whether the research was approved by an ethics review board.
Summary assessment
The study forms one of the few kinds of research that quantify the adherence level to aseptic technique guidelines hence critical in the implementation strategies relating to hand hygiene. The entire study replicates the situation in the various settings within the hospital set up hence various issues need to be addressed to change the situation even beyond the operating rooms.
References
Birgand, G., Azevedo, C., Toupet, G., Pissard-Gibollet, R., Grandbastien, B., Fleury, E., &
Lucet, J. C. (2014). Attitudes, risk of infection and behaviours in the operating room (the
ARIBO Project): a prospective, cross-sectional study. BMJ open, 4(1), e004274.
Megeus, V., Nilsson, K., Karlsson, J., Eriksson, B. I., & Andersson, A. E. (2015). Hand hygiene
and aseptic techniques during routine anesthetic care-observations in the operating
room. Antimicrobial resistance and infection control, 4(1), 5.
White, K. M., Jimmieson, N. L., Obst, P. L., Graves, N., Barnett, A., Cockshaw, W., … &
Martin, E. (2015). Using a theory of planned behaviour framework to explore hand
hygiene beliefs at the ‘5 critical moments’ among Australian hospital-based nurses. BMC
health services research, 15(1), 59.
