Delirium Patients in the ICU, Nursing Peer-Review, Qualitative Article

Delirium patients in the ICU, nursing peer-review, qualitative article
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Delirium patients in the ICU, nursing peer-review, qualitative article
Swan, B. A., Becker, J., Brawer, R., & Sciamanna, C. N. (2011). Factors Influencing the Implementation of a Point-of-Care Screening Tool for Delirium. MEDSURG Nursing, 20(6)
The problem is clearly stated. In this peer-reviewed article, Swan et al. (2011) stated that nursing professionals are crucial in evaluating the risk for delirium – a serious health problem – since they offer round-the-clock care and observe the patient in various conditions. Failure to recognize this health problem could result in poor events such as urinary tract infections, increased hospital length of stay, and even restraint use (Swan et al., 2011; Elliot, 2014). Interventions, as Elliot (2014) pointed out, are required at the point of care in order to aid nursing staffs recognize delirium and enable them to make appropriate interventions. Even so, nursing staffs first need to understand how to recognize delirium before the can implement the appropriate strategies (Swan et al., 2011; Belanger & Ducharme, 2011; Jung, Lim & Kim, 2013).
The purpose of the qualitative study is stated. The authors pointed out that their purpose in this study was essentially to explore the things which may influence the computerized execution of the Confusion Assessment Method (CAM), an important tool used by nursing professionals to screen delirium at the point of care on 3 units. The authors have not stated the research question. Even so, the objective is expressed extensively enough for a qualitative research study. The study design is consistent with its qualitative approach. Swan et al. (2011) used qualitative descriptive method.
The subjects were obtained through convenience sampling technique, a method that is consistent with the qualitative methodology. The sample consisted of 2 focus groups – one had 5 participants and the other had 10 participants – which represented 30 percent participation rate of nursing staffs on the 3 study units. The setting is appropriate for the study; it included 3 orthopedic units in which patients are admitted after emergency and elective orthopedic surgery (Swan et al., 2011).
The methods of data collection are consistent with the purpose of the qualitative approach. Swan et al., (2011) used focus groups. Bedside nursing staffs who would utilize the system at the point of care and ICUs were signed up to be included in focus group discussions. In the focus groups, a semi-structured interview format was utilized. The researchers have not reported about the protection of the rights of human subjects. Data saturation occurs when a researcher reac...