Research Article Critique 1

Research Article Critique 1research Article Cri

Critically evaluate a research article focused on patient involvement to improve patient safety, analyzing its methodology, findings, ethics, and relevance to nursing practice. Summarize the study, discuss its strengths and weaknesses, and assess its contribution to healthcare.

Paper For Above instruction

Title: Patient involvement for improved patient safety: A qualitative study of nurses’ perceptions and experiences. This research article was published online in August 2017. The study investigates nurses' perceptions and experiences regarding patient involvement in enhancing patient safety, highlighting the importance of patient participation in healthcare settings.

Introduction and Significance

This study addresses a crucial aspect of healthcare delivery—patient involvement—by exploring how nurses perceive their role and the impact of patient participation on safety outcomes. Understanding nurses' perspectives provides valuable insights for policy development and clinical practice aimed at fostering a safety-oriented culture that emphasizes active patient engagement.

Research Methodology

The study utilized a qualitative design, employing standardized open-ended questions during interviews to gather rich, detailed data on nurses’ perceptions and experiences. This approach aligns with the constructivist paradigm, acknowledging that human experiences are constructed through interaction (Creswell & Poth, 2018). Open-ended questions facilitate depth and flexibility, enabling participants to express their views comprehensively. However, this process can be time-consuming and relies heavily on interviewer skill and participant engagement.

Phenomenon of Interest and Purpose

The article does not explicitly specify a phenomenon of interest but indicates an overarching focus on patient participation in safety. The general purpose was to explore nurses’ perceptions and experiences concerning this involvement. This exploration is relevant, as nurses are vital in implementing safety protocols and fostering patient engagement, which can lead to improved outcomes (O’Connor et al., 2016).

Sampling and Data Collection

Purposive sampling was employed to select nurses from diverse backgrounds and specialties, ensuring a variety of perspectives. This technique prevents homogeneity that might limit transferability and enhances the richness of data (Yin, 2018). Data collection involved interviews with questions centered on the relevance of patient safety, personal experiences, existing guidelines, and strategies for improvement. Pilot testing was conducted to refine questions, though incorporating additional recording methods, such as field notes, could enhance data quality.

Data Analysis and Trustworthiness

Data were analyzed through thematic analysis, involving coding, grouping similar codes, and identifying patterns. Triangulation was used to bolster validity, with multiple researchers independently coding data and resolving discrepancies collaboratively (Nowell et al., 2017). The qualitative approach provided in-depth understanding, aligning findings with the research objectives and maintaining consistency with participants’ narratives. Data saturation was achieved, indicating adequate coverage of perceptions.

Ethical Considerations

The study adhered to ethical standards outlined by the Declaration of Helsinki. Participants provided informed consent, and confidentiality was maintained by anonymizing responses. While the article notes that IRB approval was not obtained, it is generally recommended to seek institutional review board approval in qualitative research, even when personal data are not collected, to uphold ethical transparency and compliance (Polit & Beck, 2017).

Findings, Conclusions, and Practical Implications

Findings revealed three core themes: shared responsibility between patients and nurses, the importance of nurturing a dialogue environment, and barriers such as systemic issues and professional practices that hinder participation. These insights underscore the need for systemic changes to promote patient-centered safety initiatives. The conclusions emphasize that enhancing nurse-patient communication and addressing systemic barriers can significantly improve safety outcomes.

The study’s credibility is supported by rigorous independent coding, multisource literature references, and alignment with existing literature emphasizing patient engagement's importance (Doran et al., 2015). Transferability is plausible across diverse healthcare contexts. However, the absence of external audits and specific details on participant demographics may limit generalizability.

Recommendations from this research include fostering open communication, training nurses for patient engagement, and revising policies to support systemic improvements. Notably, the study does not propose avenues for future research explicitly, highlighting an area for further scholarly exploration, such as longitudinal studies evaluating intervention effectiveness on patient safety metrics.

In conclusion, this qualitative study provides valuable insights into nurses’ perceptions of patient involvement in safety, demonstrating the integral role of communication, systemic support, and shared responsibility. Its findings contribute to advancing patient safety initiatives and inform policy and practice improvements within nursing and broader healthcare systems.

References

• Creswell, J. W., & Poth, C. N. (2018). Qualitative Inquiry and Research Design: Choosing Among Five Approaches. Sage Publications.
• Doran, D., Doran, T., & Friary, J. (2015). The importance of patient engagement in improving healthcare safety. Journal of Patient Safety, 11(3), 123-130.
• O’Connor, S., Ryan, D., Murphy, M., et al. (2016). Patient participation in healthcare: Barriers and facilitators. BMC Health Services Research, 16, 1-8.
• Polit, D. F., & Beck, C. T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer.
• Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16, 1-13.
• Yin, R. K. (2018). Case Study Research and Applications: Design and Methods. Sage Publications.
• Yardley, L. (2000). Dilemmas in qualitative health research. Psychology & Health, 15(2), 215–228.
• Cotton, S. R., & Gupta, S. S. (2004). Characteristics of online and offline health information seekers and factors that discriminate between them. Social Science & Medicine, 59(9), 1795–1806.
• Skagerström, J., Ericsson, C., Nilsen, P., Ekstedt, M., & Schildmeijer, K. (2017). Patient involvement for improved patient safety: A qualitative study of nurses’ perceptions and experiences. Nursing Open, 4(4), 255–263.
• Gathering and Appraising the Literature. (n.d.). In your textbook, Chapter 3, pages 51–56, provide guidelines and databases for literature search.