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Does Elevation Head of the Bed Reduce Risk Ventilator Associated Pneumonia

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Does Elevation Head of the Bed Reduce Risk Ventilator Associated Pneumonia
Title:
Does elevating the head of the bed reduce the risk of ventilator-associated pneumonia (VAP)?

Introduction:
According to Polit and Beck (2012,p.3) “research is a systematic review inquiry that uses disciplined methods to answer a question or solve problems. The ultimate goal of research is to develop, improve and expand knowledge”. Research in nursing can produce new knowledge into nursing practice, develop and improve methods of caring and trial the efficacy of care (Gerrish, K and Lacey A, 2007). However, research according to Hockey (1984) in the first edition of the book, research is an attempt to increase the sum of what is known, usually referred to as a “body of knowledge” by the discovery of new facts or relationships through a process of systematic scientific enquiry, the research process’ (Hockey 1984:4, cited by Gerrish, K and Lacey A, 2007). This essay has few parts to explain how research topic and question are developed. This essay will tell where and how to search for relevant facts. This essay will focus on the critique part as well. Two selected journal articles will be critiqued, discussed, to recommend and evaluate the strength and the weakness of the published.

Main body:

Developing the topic:

Topic will be chosen first by writer and learn deeply about the content of the journal of a research study.

Ventilator associated pneumonia (VAP) is defined by the American Thoracic Society (1996) as nosocomial pneumonia that occurs after the first 48 hours of intubation and mechanically ventilated (cited K. Libby, 2007). Ventilator associated pneumonia is the main cause of mortality and greater impact on morbidity of patients that are hospitalized and ventilated in ICU (Tablan et al, 2004; Chastre and Fagon, 2002; Rello et al, 2002 cited by Masseli, D.J and Restrepo, M.I 2011). Strategies have been developed to prevent ventilator-associated pneumonia.

Developing the question:

According to Polit, D.F (2010) research



References: 1. Alkassab, A. (2008) Using the PICO Format Clinical Question to Build an Efficient & Effective Search of the Biomedical Literature. Available at: www.authorstrem.com 2 7. Crist, J. & Tanner, C.A (2003) Interpretation/analysis methods in hermeneutic phenomenology nursing research. 8 9. Fathalla & Foothalla (2004) A Practical Guide for Health Researcher. World Health Organization,Cairo. 10. Golafshani, N (2003) Understanding Reliability and Validity in Qualitative Research. Available at: http://www.nova.edu/sss/QR/QR8-4/golafshani.pdf access date 11 April 2012. 12. Hockey, L. (1984) The nature and purpose of research: In cormark, D.F.S (Ed) The research process in nursing 1st edition. London: Blackwell science, 1-10. 13. Holland, K. & Collin, R (2010) Nursing: Evidence-Based Practice skills. Published by Oxford University Press Inc., New York. 14. International Council of Nursing, 2009. DELIVERING QUALITY, SERVING COMMUNITIES: NURSES LEADING CARE INNOVATIONS Available at: http://www.icn.ch/images/stories/documents/publications/ind/indkit2009.pdf access date 1 April 2012. 15. Nursing & Midwifery Council (2008) The code: Standards of conduct, performance and ethics for nurses and midwives. Available at: http://www.nmc-uk.org/Documents/Standards/The-code-A4-20100406.pdf access on 19 April 2012. 16 17. Parahoo, K. (2006) Research principles, process and issues (2nd edition) published by PALGRAVE MACMILLAN, New York. 20. LoBiondo-Wood, G. and Haber, J. (2006) NURSING RESEARCH Methods and Critical Appraisal for Evidence-Based Practice. (6th edition) United State of America: Mosby Elsevier. 21 22. Pearson, A., Field, J., & Jordan, Z. (2007). Evidence-based clinical practice in nursing and health care: Assimilating research, experience and expertise. Oxford; Malden, MA: Blackwell Pub. 23. Polit, D.F. and Beck, C.T (2010) Nursing Research Appraising Evidence for Nursing Practice (7th edition) printed in China: Wolters Kluwer / Lippincott Williams & Wilkins. 24. Polit, D.F. and Beck, C.T. (2012) NURSING RESEARCH Generating and Assessing Evidence for Nursing Practice (9th edition) Printed in China: Wolters Kluwer / Lippincott William & Wilkins. 25 26. Gerrish, K. and Lacey, A. (2010) The Research Process in Nursing. 6th edition. Blackwell publishing Ltd. United Kingdom. 27. Keeley, L (2007) British Association of Critical Care Nurses, Nursing in Critical Care, Journal Compilation Vol 12 No 6. 28. International Council of Nursing, (2009). Available at: http://www.icn.ch/images/stories/documents/publications/fact_sheets/18a_FS-Nursing_Research.pdf access date 19 April 2012. 30. Masseli, D.J. and Restrepo, M.I (2011) Strategies in the Prevention of Ventilator-associated Pneumonia. Available at: http://www.medscape.com/viewarticle/739619 access on 01 April 2012. 31. Morse,J.M. and Field, P.A (2002) NURSING RESEARCH The application of qualitative approaches ( 2nd edition). United kingdom: Nelson Thornes Ltd. 32. Reason and Rowan (2004) Research Methods: Data analysis. Psychology Press Ltd. Available at: http://www.smartpsych.co.uk/wp-content/uploads/2012/02/psych_methods1.pdf access date 2 April 2012 33 34. Trochim, W.M.K (2006) Research Methods Knowledge Base Ethics in Research. Available at: http://www.socialresearchmethods.net/kb/ethics.php 35

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