Write a PICOT question. Discuss the quantitative nature and purpose of this study “Pressure Injury”

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Let’s construct a PICOT question related to pressure injuries and then discuss its quantitative nature and purpose.

PICOT Question

For a study on pressure injury, here’s a PICOT question:

P (Population): In hospitalized adult patients I (Intervention): does the use of daily, systematic skin assessment combined with a comprehensive pressure injury prevention bundle C (Comparison): compared to routine skin assessment alone O (Outcome): reduce the incidence of hospital-acquired pressure injuries (HAPIs) T (Timeframe): over a 6-month period?

Combined PICOT Question: “In hospitalized adult patients, does the use of daily, systematic skin assessment combined with a comprehensive pressure injury prevention bundle, compared to routine skin assessment alone, reduce the incidence of hospital-acquired pressure injuries (HAPIs) over a 6-month period?”

Let’s construct a PICOT question related to pressure injuries and then discuss its quantitative nature and purpose.

PICOT Question

For a study on pressure injury, here’s a PICOT question:

P (Population): In hospitalized adult patients I (Intervention): does the use of daily, systematic skin assessment combined with a comprehensive pressure injury prevention bundle C (Comparison): compared to routine skin assessment alone O (Outcome): reduce the incidence of hospital-acquired pressure injuries (HAPIs) T (Timeframe): over a 6-month period?

Combined PICOT Question: “In hospitalized adult patients, does the use of daily, systematic skin assessment combined with a comprehensive pressure injury prevention bundle, compared to routine skin assessment alone, reduce the incidence of hospital-acquired pressure injuries (HAPIs) over a 6-month period?”

Quantitative Nature and Purpose of This Study (“Pressure Injury”)

This study is inherently quantitative in nature, and its primary purpose is to determine the effectiveness of a specific intervention (a prevention bundle) in reducing the occurrence of a measurable outcome (HAPIs).

Here’s a breakdown of its quantitative aspects and purpose:

Quantitative Nature:

  1. Focus on Measurable Variables:

    • Independent Variable: The intervention, which is “daily, systematic skin assessment combined with a comprehensive pressure injury prevention bundle.” This can be quantitatively measured by assessing adherence to the bundle components (e.g., number of assessments performed, number of bundle elements implemented).
    • Dependent Variable: The outcome, which is “incidence of hospital-acquired pressure injuries (HAPIs).” This is a precisely measurable numerical value (e.g., number of new HAPIs per 1,000 patient-days, or percentage of patients developing HAPIs).
  2. Numerical Data Collection:

    • The study will involve collecting numerical data points such as:
      • Number of patients in each group (intervention vs. comparison).
      • Number of HAPIs that develop in each group.
      • Rates of HAPIs (e.g., per 100 or 1,000 patient-days).
      • Potentially, numerical scores from risk assessment tools (e.g., Braden Scale scores) if used to characterize the population.
  3. Statistical Analysis:

    • The collected numerical data will be subjected to statistical analysis to determine if there is a statistically significant difference in HAPI incidence between the intervention and comparison groups.
    • Common statistical tests might include chi-square tests (for comparing proportions of HAPIs), t-tests (if comparing average risk scores), or regression analysis to control for confounding variables.
  4. Objective Measurement:

    • The incidence of pressure injuries is an objective, observable, and countable event. While assessment involves clinical judgment, the outcome (presence or absence of a pressure injury) can be clearly defined and measured, reducing subjective bias inherent in qualitative studies.
  5. Generalizability:

    • Quantitative studies, especially those with robust designs like randomized controlled trials (if feasible) or quasi-experimental designs, aim for findings that can be generalized to a larger population of similar hospitalized adult patients.

Purpose of This Study:

The primary purposes of this quantitative study are:

  1. To Determine Effectiveness (Efficacy/Effectiveness): The core purpose is to ascertain whether the proposed intervention (prevention bundle) is more effective than the current standard of care (routine assessment alone) in preventing HAPIs. It seeks to answer “does it work?”
  2. To Inform Evidence-Based Practice: By providing strong quantitative evidence, the study aims to guide clinical practice. If the intervention proves effective, it supports the adoption of the comprehensive prevention bundle as a best practice in hospitals.
  3. To Improve Patient Outcomes: Ultimately, the purpose is to reduce patient suffering, complications, and mortality associated with pressure injuries, thereby improving the quality of patient care and safety.
  4. To Reduce Healthcare Costs: HAPIs are incredibly costly due to extended hospital stays, increased resource utilization, and potential litigation. If the bundle effectively reduces HAPIs, a key purpose is to identify a strategy that can lead to significant cost savings for healthcare systems.
  5. To Provide Measurable Data for Quality Improvement: The study’s findings provide concrete, measurable data that can be used for ongoing quality improvement initiatives within the hospital or across health systems. It sets a benchmark for what can be achieved with a structured prevention approach.

In essence, this quantitative study seeks to establish a clear, measurable cause-and-effect relationship (or strong association) between the implementation of a specific pressure injury prevention bundle and a reduction in the incidence of these preventable harms.

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