HESI A2 Grammar study materials
HESI A2 Grammar study resources

Punctuation Triage in a Word-Capped Research Abstract

HESI A2 Grammar · Put your knowledge to work in context.

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Punctuation Triage in a Word-Capped Research Abstract

You are the faculty mentor for a senior nursing student submitting a 250-word structured abstract to a regional research day. The portal closes in 48 hours, the abstract has to fit a single text box that hard-stops at 250 words, and reviewers score clarity and mechanics as 10 percent of the acceptance decision. The content is solid: 42 participants recruited from two clinics, a 12-point gain on a mobility scale in the intervention group versus 3 points in the control group at four weeks. The prose is where it falls apart. You have three sentences a reviewer would circle, and you have to decide which are true errors and which are defensible choices, because rewriting everything will push the abstract over the limit. The student wants a short written explanation of each change for a writing portfolio.

1. Sentence one: "The intervention group improved by 12 points on the mobility scale, the control group improved by 3 points." Name the error and give the three repairs, ranked for a word-capped abstract.

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This is a comma splice: two independent clauses joined by nothing but a comma. Each half has its own subject and verb (group improved), so a comma alone cannot carry the join.

Repairs, ranked by cost:

  1. Subordinate one side with whereas or while: "The intervention group improved by 12 points on the mobility scale, whereas the control group improved by 3 points." Costs one word and makes the comparison explicit - the best choice here, because the comparison is the finding.
  2. Semicolon: "...on the mobility scale; the control group improved by 3 points." No words added, signals contrast, but leaves the reader to infer the relationship.
  3. Period and capital letter: grammatical, but splits a single two-part comparison into sentences that no longer read as a pair.

Comma plus but or and also works if the word budget allows. What does not work: comma plus however ("..., however the control group improved"), which is still a splice and is a very common second error when students patch the first.

2. Sentence two: "Patients, who received the intervention, showed the largest gain, however the difference was not statistically significant." The student says the commas are just style. Explain what the punctuation actually claims, and rewrite.

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The commas change the science, not just the style.

  • "Patients, who received the intervention," is nonrestrictive. It presupposes that all patients received the intervention and merely adds a comment. That contradicts a two-group design and would have a reviewer questioning the methods section.
  • "Patients who received the intervention" is restrictive: no commas, because the clause identifies which patients are meant.

Second problem: however is a conjunctive adverb, not a coordinating conjunction. It cannot join two independent clauses with a comma. Use a semicolon before and a comma after.

Revised: "Patients who received the intervention showed the largest gain; however, the difference was not statistically significant."

Test for the student: drop the clause. If the sentence still picks out the same group, the clause is nonrestrictive and needs commas. If dropping it changes who is described, the clause is restrictive and takes no commas.

3. Sentence three, flagged as a pair by a reviewer: "The study enrolled 42 participants, they were recruited from two clinics; three measures were collected: grip strength, gait speed and balance." Decide which flagged item is genuinely wrong and which is correct as written, then fix what needs fixing.

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Treat the two flagged items differently - one is fine, one is not.

  • The colon is correct. A colon may follow an independent clause to introduce a list, and Three measures were collected stands alone, which is the test. Do not add a comma before grip strength, and do not swap the colon for a semicolon. Two consistency checks: the list is grammatical parallel (all nouns), and if the rest of the abstract uses the serial comma, write gait speed, and balance so punctuation is uniform throughout.
  • "The study enrolled 42 participants, they were recruited..." is a comma splice. Best fix: "The study enrolled 42 participants, who were recruited from two clinics." The comma is right because 42 participants already identifies the group completely - all 42 came from the two clinics - so the clause is nonrestrictive. A semicolon would also be grammatical but reads more abruptly in an abstract.

Revised: "The study enrolled 42 participants, who were recruited from two clinics. Three measures were collected: grip strength, gait speed, and balance." This adds one word, all the cap will bear.