Critical Review Protocol or Plan Development

1. Introduction

A "fifth metacarpal neck fracture" is known as the boxers fracture, which refers to the most common type of hand bone fracture in the human body. This kind of fracture occurred about 5% more than the other types (Rodriguez et al., 2022). In addition, the fifth metacarpal neck fracture primarily happens due to the palmer angulations due to the forces through the interosseous muscles in the human body. As per the clinical report of the healthcare sector, it has been found that this kind of fracture is the most burning issue in the emergency department in a healthcare setting (Johnston, et al. 2022). Based on these perspectives, this study is going to focus on the improvement of the entire management system to provide better care facilities to patients suffering from fractures in the metacarpal neck.

2. Significant of the topic

Management of the fifth metacarpal fractures is different for each healthcare setting. According to the clinical concept the diagnosis of the "fifth metacarpal neck fracture" is quite difficult another disease due to the extreme collateral injuries to the human body from any kinds of injury as well as fractures. As per the present scenario, it has been found that most adults suffer from the "fifth metacarpal fracture" and this percentage is approximately 40% of the total patient (Geerdink et al., 2020). Most importantly, it has been found that this kind of injury normally occurs among the active population, in this sense; there is a high need to improve the management system of a healthcare setting to provide better healthcare services to the patients.

3. Type of Review with rationale

Management of the care service for the patient suffering from "fifth metacarpal fractures" is quite difficult, in this sense, to improve the management; this study has tried to focus on the management. To critically review this research area, the preferred review type is the Integrative Review, which is based on the research question as well as the inclusion and exclusion criteria of the relevant research area (Pellatt et al., 2019). This kind of typical review strategy is beneficial to conduct a scholarly review that helps to critically identify the strength of the research gap also it will help to enhance the future research based on the scientific viewpoint of the cause and responsible factors (Geerdink et al., 2020), which often increases the rate of "fifth metacarpal fractures" among the younger adults.

4. Research Question

RQ 1: What are the "fifth metacarpal fractures" and their influence on the human body?

RQ 2: What kinds of issues are faced by the management of the healthcare setting to provide better care service to the injured patients?

RQ 3: What age groups are mostly affected through the How to improve the care services for the patient suffering from "fifth metacarpal fractures"?

RQ 4: How to improve the care services for the patient suffering from "fifth metacarpal fractures"?

5. Inclusion/exclusion criteria using the PICO framework

Table 1: PICO Framework

6. Type of study and a brief justification

This kind of research area has preferred to be continued through the primary qualitative or primary mixed methods study, which helps to collect the data from any previous research articles or journals from authentic sources. In this context, the primary mix method will help to establish a complete phenomenon based on the relevant topic.

7. Method: Search strategy

This relevant research area is highly preferred to conduct using an electronic database such as Pub Med, ReserarachGate, and Science Direct. Using these sources, this study will conduct by collecting resources from the year 2018 to 2022 based on the statistical report and the factors that are affecting the people of Australia for this disease (Cao et al., 2022). To enhance the search criteria, this study has professed keyword research using the characteristics of the fifth metacarpal fractures, an effective management strategy for emergency care units, and so on.

8. Indicate a plan for effective appraisal

This study will use the Critical Appraisal tool (CASP), to make an effective plan for improving the management of the emergent unit in the healthcare setting for the patient suffering from the disease "fifth metacarpal fractures" (Ahn et al., 2022). The CASP tool will help to critically identify the factors that are mostly affecting the younger generation in Australia. In addition, it will help to improve the entire treatment procedure as well as the diagnosis of the patient in the emergency unit of the healthcare setting.

9. Conclusion

Doing the entire study, it can be concluded that the entire research area is highly significant to improving the management of the emergency care unit of the healthcare system of Australia that will. Especially, this study will critically identify the most responsible that are affected the younger generation through the "fifth metacarpal fracture" in the human body. In this sense, this study is highly significant to provide better care service to the patient in the emergency department of the Australian healthcare setting.

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