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Research critique of a quantitative article - Essay Example

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1. Identify the limitations of the study. The study is limited to those persons identified as being high-risk for PONV, as evidenced by having three or more of the five known risk factors, who were scheduled to receive general anesthesia of longer than one hour (p…
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3. List the researcher's suggestions for further studies. As noted on page 131, the researchers advise repeating the same study while controlling for surgical procedure and the use of nitrous oxide, to determine any causative attributes. They also suggest that a future investigation might compare scopolamine as a single agent, as well as concluding on page 132 that future studies could also consider other antiemetics affecting alternative receptor pathways. 4. Indicate if the findings are clinically significant.

The majority of findings in the study are clinically significant, as indicated on page 130, Tables 1-3, as well as Figures 1-3. These significant findings include the overall incidence of nausea within 24 hours of surgery, the initial PACU antiemetic treatment, the second PACU nausea treatment, the mean time to first request for nausea treatment, the time to the first nausea event, as well as the time to the first emetic event. The incidence of emesis did not achieve statistical significance, nor was any significant difference noted in the demographic variables, patch placement times, or the occurrence of side effects. 5. Identify the implications of the findings for nursing. . Particularly, the use of a transdermal methodology will require nurses to interact with patients regarding proper use, symptomology, and postoperative procedure.6. Identify the researcher's generalization of the findings.

The generalization of the findings is found on page 127, in the abstract. It summarizes the article and offers a condensed recommendation.7. Evaluate the sample. a. Sampling criteria. The sample criteria were straightforward and appropriate to the purpose of the study. By establishing an ASA I or II in patients 18 years or older, as well as excluding those with potentially mitigating conditions (p. 128), the researchers avoided skewing the results. b. Sample size. The sample size was adequate to the task of initial investigation, but too small to draw sweeping conclusions.

The authors attenuated the effect of a relatively small sample size by performing a power analysis as discussed on page 129, and wisely allowed for attrition. c. Characteristics of sample. The sample group was diverse in terms of gender, race, and risk factors present, but all participants fell within the primary criteria of having three or more high risk factors for PONV. d. Sample mortality. There were no anaphylactic incidents within either sample group. There was attrition of four subjects as noted on page 129, one for accidental removal of the transdermal patch, one for failure to properly log responses during the data collection period, and two for intentional removal of the TD patches. e. Method used to obtain the sample.

As noted on page 128, the sample was obtained after approval from the institutional review board and focused on high-risk patients scheduled to undergo general anesthesia of longer than one hour. Once

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