Research Critique

Background

According to the first article by Sabur, Elgamil, & Elhadi, (2016), wound Vacuum-assisted closure was made to ensure the healing of the wound. In this regard, nurses that are responsible for the patient wound require to have a particular level of education and expertise as part of ensuring optimum wound care. The study was thus important as it assesses the practices and knowledge of nurses on wound care therapy. This study also had two objectives, which were to determine the current Nurse's training regarding Vacuum-assisted therapy and the Nurse's knowledge related to Vacuum-assisted therapy. In the second study, the researchers aimed at exploring the experience of nurses a competence in would use management and assessment in an acute hospital setting.

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According to the second study by MCluskey & McCarthy, (2012), the knowledge of nurses in would assessment is usually not sufficient to ensure that they practice well and even in the situations that there is the presence of the experience, it is often not reflected during the clinical practice (MCluskey & McCarthy, 2012). In this regard, the researcher is of the idea that competence requires to perform wound care assessment and management will usually depend on the context. Other areas will be the incorporation of the ability of each Nurse; the task accomplished, and the setting that is completed (MCluskey & McCarthy, 2012). There is often a relationship between competence and knowledge which is said to exist. However, the studies also indicate that no studies were examined and competence in would management and care.

How do these two articles support the nurse practice issue you chose?

The two articles support the nursing practice because they provide relevant data regarding the factors affecting the practice of wound management and care. For example, when looking at Sabur, Elgamil, & Elhadi, (2016) the researchers reveal that acute and chronic wounds often affect at least 1% of the populations which means that it will represent a very significant part of the risks associated with amputation, hospitalization, sepsis and at times death. In this regard, the provision of successful wound care is a preeminent part in all health institutions. This means that a nurse who is in the front line on the provision of care for patients under the VAC therapy needs to be knowledgeable. This is because nurses that are responsible in caring for wounds that do not heal can result to extreme health issues, calling for them to poses a particular level of education and expertise to ensure there is an optimum level of wound care.

Also, not all the health facilities have the ability to provide the required orientation to nurse on the issue of wound management and care. Even, the research by MCluskey & McCarthy, (2012) informs that assessment is critical as it calls for the formulating the plan of care within a broader framework regarding holistic assessment that also considers a total evaluation of patients' would. In this regard, the researchers agree that nurses should have a basic understanding of the wound physiology and factors that influence it. The study also acknowledges that most nurses do not have the required knowledge that informs the practice of wound care, which is also reflected in their clinical practice (MCluskey & McCarthy, 2012). Also, the study shows that the knowledge of nurses requires continuous improvement to reduce the disparities in nursing wound care. The researchers also suggest that there should be standardization in wound education and complexity or diversity regarding wound treatment and aetiologies as part of the requirements (MCluskey & McCarthy, 2012).

Method of Study:

The two studies were quantitative. In the first study by (Sabur, Elgamil, & Elhadi, 2016), the researcher conducted a quantitative descriptive exploratory design. The study was held that the King Abdul-Aziz University Hospital where a convenient sampling that was selected from all the surgical inpatient nurses including surgical nurses at the KAUH (Sabur, Elgamil, & Elhadi, 2016). To conduct the study, the researcher used a questionnaire as the primary research tool in assessing the knowledge of nurses regarding would VAC therapy. In the first part, there was a demographic data sheet, while in the second part, the researcher used a questionnaire in assessing the knowledge of the nurse's regarding would VAC. In the second took, the researchers used a questionnaire to evaluate the practices of nurses regarding wound VAC therapy. In the second study by (MCluskey & McCarthy, 2012) researcher made use of a quantitative descriptive survey in which data were collected from 150 nurses through a questionnaire that was designed by the researcher.

Results of Study

From the first study, the results indicated that the Nurse wound VAC total test score mean was (37.32 +- 5.12). In this regard, the assessment of Nurse wound VAC practice assessment over the different response was 2.23 out of 3 that was considered to be very frequent. Also, the researchers found weak correlations existing between the nurses would VAC total mean knowledge score concerning the overall practice. In this regard, the Pearson correlation was also found to be at 0.206, p <0.05. From the second study by (MCluskey & McCarthy, 2012), it was found that knowledge regard parameters of wound assessment were excellent. In this regard, it was also discovered that is the significant correlation among the study respondents that had updated their knowledge in wound care in the previous two years also suggested that the more the nurses treated the patient wounds, would significantly impact in the competence, but not on the Nurse's knowledge regarding wound care.



Outcomes Comparison

Regarding the two studies, it is evident that knowledge and competence would care are not the same. In most case, nurses had the knowledge of wound care, but when it comes to practice, only a few were competent enough to ensure patient wound care (MCluskey & McCarthy, 2012). The outcomes of the two studies are similar to the anticipated results since the whole research is based on the essential knowledge to ensure the practice of patient wound care.

References

1. MCluskey, P., & Mccarthy, G., (2012). Nurses' knowledge and competence in wound management. Clinical Research Audit, 8(2).

2. Sabur, A., Elgamil, A. E., & Elhadi, M. M. (2016). Assessment of Nurses’ Knowledge and Practices Regarding Wound Vacuum Assisted Closure Therapy. IOSR Journal of Nursing and Health Science (IOSR-JNHS), 6(5), 27-32. doi:10.1055/b-0036-132203

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