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4 pages/β‰ˆ1100 words
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Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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Date:
Total cost:
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Topic:

Glycemic Management in the Operating Room

Essay Instructions:

Rough Draft Qualitative Research Critique and Ethical Considerations
Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the "Research Critique Guidelines – Part 1" document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.
Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.
In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
References should be three to five
Plaese follow the rubric below: ( Course Code Class Code Assignment Title Total Points
NRS-433V NRS-433V-OL192 Rough Draft Qualitative Research Critique and Ethical Considerations 190.0
Criteria Percentage 1: Unsatisfactory (0.00%) 2: Less Than Satisfactory (75.00%) 3: Satisfactory (83.00%) 4: Good (94.00%) 5: Excellent (100.00%) Comments Points Earned
Content 75.0%
Qualitative Studies 5.0% Only one article is presented. Neither of the articles presented use qualitative research. Two articles are presented. Of the articles presented, only one article is based on qualitative research. N/A N/A Two articles are presented. Both articles are based on qualitative research.
Background of Study 10.0% Background of study, including problem, significance to nursing, purpose, objective, and research questions, is incomplete. Background of study, including problem, significance to nursing, purpose, objective, and research questions, is included but lacks relevant details and explanation. Background of study, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation. Background of study, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details and explanation. Background of study, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and extensive explanation.
Article Support of Nursing Practice Issue 15.0% Discussion on how articles support the PICOT question is incomplete. A summary of how articles support the PICOT question is presented. It is unclear how the articles can be used to answer the proposed PICOT question. Significant information and detail are required. A general discussion on how articles support the PICOT question is presented. The articles demonstrate general support in answering the proposed PICOT question. It is unclear how the interventions and comparison groups in the articles compare to those identified in the PICOT question. Some rational or information is needed. A discussion on how articles support the PICOT question is presented. The articles demonstrate support in answering the proposed PICOT question. The interventions and comparison groups in the articles compare to those identified in the PICOT question. Minor detail or rational is needed for clarity or support. A clear discussion on how articles support the PICOT question is presented. The articles demonstrate strong support in answering the proposed PICOT question. The interventions and comparison groups in the articles strongly compare to those identified in the PICOT question.
Method of Study 15.0% Discussion on the method of study for each article is omitted. The comparison of study methods is omitted or incomplete. A partial summary of the method of study for each article is presented. The comparison of study methods is incomplete. A benefit and a limitation of each method are omitted or incomplete. There are significant inaccuracies. A general discussion on the method of study for each article is presented. The comparison of study methods is summarized. A benefit and a limitation of each method are summarized. There some inaccuracies or partial omissions. More information is needed. A discussion on the method of study for each article is presented. The comparison of study methods is generally described. A benefit and a limitation of each method are presented. There minor are inaccuracies. Some detail is required for accuracy or clarity. A thorough discussion on the method of study for each article is presented. The comparison of study methods is described in detail. A benefit and a limitation of each method are presented. The discussion demonstrates a solid understanding of research methods.
Results of Study 15.0% Discussion of study results, including findings and implications for nursing practice, is incomplete. A summary of the study results includes findings and implications for nursing practice but lacks relevant details and explanation. There are some omissions or inaccuracies. Discussion of study results, including findings and implications for nursing practice, is generally presented. Overall, the discussion includes some relevant details and explanation. Discussion of study results, including findings and implications for nursing practice, is complete and includes relevant details and explanation. Discussion of study results, including findings and implications for nursing practice, is thorough with substantial relevant details and extensive explanation.
Ethical Considerations 15.0% Discussion of ethical considerations when conducting nursing research is incomplete. A discussion on ethical considerations of the two articles presented in the essay is incomplete. Discussion of ethical considerations when conducting nursing research is included but lacks relevant details and explanation. A discussion on ethical considerations of the two articles used in the essay is summarized but there are significant inaccuracies or omissions. Discussion of ethical considerations when conducting nursing research is partially complete and includes some relevant details and explanation. A discussion on ethical considerations of the two articles used in the essay is discussed but there are some inaccuracies, or some information is needed. Discussion of ethical considerations when conducting nursing research is complete and includes relevant details and explanation. A discussion on ethical considerations of the two articles used in the essay is presented; some detail in needed for accuracy or clarity. Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation. A detailed discussion on ethical considerations of the two articles used in the essay is presented.
Organization and Effectiveness 15.0%
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
Format 10.0%
Paper Format (use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage 100%

Essay Sample Content Preview:

Research Summaries
Name
Course
Professor
Institution
Date
Glycemic management in the operating room (Duggan & Chen, 2019)
Summary
The intraoperative and the preoperative stages in cases involving diabetes patients are very sensitive stages. Hyperglycemia is a condition in which the blood sugar levels are high and preceded by the body's conditions failing to produce or utilize insulin sufficiently. Insulin is responsible for absorbing glucose into the body’s cells. The cells then use glucose to produce energy. Hyperglycemia involves having high sugar levels in the blood, which poses a danger to the lives of patients undergoing surgery. Duggan & Chen (2019) explore stress hyperglycemia and diabetes management in the preoperative and intraoperative sessions. According to the study, surgical stress triggers an endocrine-metabolic response to trauma, promoting, among other effects, the release of catecholamines (norepinephrine and adrenaline), peak GH secretion, cortisol, and glucagon, as well as activation of cytokine production with a systemic inflammatory response (Duggan & Chen, 2019). The final effect is an increase in protein catabolism, glycogenolysis, gluconeogenesis, and, finally, hyperglycemia. Therefore, today's text of the Special Surgical Risk will talk about glycemic control.
Hyperglycemia is likely to be deleterious in perioperative and postoperative surgery. It is associated with polyuria, dehydration, electrolyte disturbances, increased predisposition to infections (especially urine and surgical wound), and decreased scarring. Several studies in the literature correlate hyperglycemia and postoperative complications (Duggan & Chen, 2019). However, there is doubt about the ideal blood glucose limit.
Each reference source is likely to have different values. The most common practice is to maintain blood glucose levels up to 200 mg/dl, with values> 400 mg/dl being indicative of suspension of surgery (Duggan & Chen, 2019). The major problem is that hypoglycemia (<60-70 mg/dl) is as or more harmful than hyperglycemia and strict glycemic control protocols, keeping it <110 mg/dl, have failed to show benefits greater than the risks and today they are used only exceptionally.
It is essential to manage the blood glucose levels in diabetic patients during surgery. The first step is to assess the basal or usual status in the preoperative period (Duggan & Chen, 2019). The more elective the surgery the physician intends to perform, the more time that will be required to balance the blood glucose.
Diabetes Mellitus: Preoperative Concerns and Evaluation (Sreedharan & Abdelmalak, 2018)
Summary
In surgical patients, the presence of diabetes mellitus (DM) or hyperglycemia is associated with increased morbidity and mortality, with a perioperative mortality rate up to 50% higher than in the non-diabetic population (Sreedharan & Abdelmalak, 2018). The reasons for these adverse results are multiple: failure to identify diabetic or hyperglycemic patients; multiple comorbidities, including micro and macrovascular complications; complex polypharmacy and errors in insulin prescription; increases in perioperative and postoperative infections; ...
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