Discussion: Evidence Based Practice Presentation

Discussion: Evidence Based Practice Presentation ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Evidence Based Practice Presentation I’m trying to learn for my Nursing class and I’m stuck. Can you help? Discussion: Evidence Based Practice Presentation this should be a Power Point Presentation of this Evidence Based Practice assignment part_iv___evidence_based_practice_change.pdf Running head: EVIDENCE-BASED PRACTICE CHANGE Evidence-Based Practice Change Hortensia Corredera Larkin School of Nursing EVIDENCE-BASED PRACTICE CHANGE 2 Evidence-Based Practice Change The clinical question discussed in this paper is, “what are the effects of implementing bedside shift reporting on patient satisfaction, which has been a challenge in real-world settings?” The practice issue that is pointed out is related to patient handoffs in a nursing station that results in a communication breakdown. Effective communication during handing off of patients is a very crucial tool that ensures critical information about the patient is conveyed to the incoming nurses from the outgoing ones. Notably, proper hand off from the outgoing shift to the incoming shift is critical in an ensuring safe continuity of care and the delivery of best clinical practices. (Zou, &Zhang, 2016). Relevant Population The relevant population in measuring the effectiveness of bedside shift reports are inpatients, and the unit nurses treating these patients. Significance of the problem The significance of the problem is viewed as an opportunity to reduce errors and to improve the quality of nursing and patient satisfaction through the implementation of nursing bedside reporting. Currently there is not a continuity in regard to the bedside shift reporting that is being done. The lack of similarity on how bedside handoffs are accomplished leads to the condition of patients not being reported in a systematic way, which can lead to important care issues not being properly addressed. Discussion: Evidence Based Practice Presentation EVIDENCE-BASED PRACTICE CHANGE 3 Current management approach The current nursing unit is applying various approaches to ensure patient satisfaction. These various approaches utilize greater personal interaction between nurses and their patients. For instance, it is encouraging nurses to use patients’ names while addressing them to individualize their experience. All nurses wear name tags to make it easier for patients to address them by names. Nurses are also encouraged to maintain eye contact often to show the patients that they are being taken care of. Nursing management also ensures that nurses spend more time keeping patients informed to resolve unsure and confused feelings. This is accomplished by giving patients educational instructions and materials. Additionally, supplying patients with written visit summaries is an excellent way of keeping them informed about the status of their conditions and corresponding care. Gaps/needs to address the issue However, management approaches have not fully satisfied patients’ needs. Insufficient reporting at the nursing station was one of the causes of this issue. As a result of station reporting, most patients complain that they have little knowledge of their treatment and condition, and they feel abandoned during shift changes. Poor communication and reduced teambuilding among the nurses, has led to numerous medication errors during the shift changes. According to various managers, bedside reporting has helped solve the above problems in the EVIDENCE-BASED PRACTICE CHANGE 4 hospital, and thus the management should implement it to improve patient satisfaction. (Wallenhaup, Stevenson, Thomson, Gordon, & Nunn, 2017). PICO question and key search terms The PICO question that has been formulated for this paper is: for inpatients (P) does reporting at the bedside (I) as compared to nursing station reporting (C) contribute positively towards patient satisfaction (O). The key search terms in this paper are; bedside nurse report, bedside handoff, and bedside handover. Literature summary table for quan2ta2ve studies Part II Author, 2tle, year in APA reference cita2on Research Problem and Purpose Research method Ford, Y., & Heyman, A. (2017). Patients’ perceptions of bedside handoff: further evidence to support a culture of always. Journal of nursing care quality, 32(1), 15-24. Discussion: Evidence Based Practice Presentation The transfer of Survey patient care from one nurse to another often results in errors that affect hospitalized patients. The study aimed to investigate the relationship between bedside handoffs and patient satisfaction. Sample/ popula2on Data collec2on Major method ?ndings/ conclusions 103 participants Survey questionnaires Patients feel safe whenever bedside shift reports take place. Patients who often receive beside shift reports are satisfied with the hospital services. EVIDENCE-BASED PRACTICE CHANGE 5 McAllen, E. R., Stephens, K., SwansonBiearman, B., Kerr, K., & Whiteman, K. (2018). Moving shift report to the bedside: An evidence-based quality improvement project. OJIN: The Online Journal of Issues in Nursing, 23(2). Most hospital Survey falls short of meeting their objective, achieving patient satisfaction. This study aimed to investigate how nurse bedside shift report improves patient satisfaction. 94 Questionnaires The results reveal that Nurse bedside shift report increases patient and nurse satisfaction. Palumbo, J. (2015). Implementing Bedside Shift Report: An Evaluation of Change in Practice. Journal of Nursing Studies 2(15), 1-90. Most hospitals and health centers have not universally accepted and implemented nurse bedside shift report. This is due to poor implementation strategies that health administrators adopt. The study aimed to investigate whether offering education would enhance their acceptance and implementation of nurse bedside shift reports 89 respondents Questionnaires Re-education of nurses improves their capacity and commitment to nursing bedside shift report. Survey EVIDENCE-BASED PRACTICE CHANGE Scheidenhelm, S., & Reitz, O. E. (2017). Hardwiring bedside shift report. JONA: The Journal of Nursing Administration, 47(3), 147-153. Failure by nurses Quasito fully experimental implement bedside reporting affects patient satisfaction. The study aimed to assess the impacts of nurse compliance with bedside report on patient satisfaction. 6 149 Survey questionnaires Patient satisfaction increases with nurse compliance with bedside shift reporting. Literature summary table for qualita2ve studies Author, 2tle, year in APA reference cita2on Research Problem and Purpose Research Method Sample/ Popula2on Data collec2on Major method ?ndings/ themes Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability: nursing management, 49 (6), 20. It is challenging to sustain nurse bedside shift reports in real practice. Document review 25 articles Document review The strategy of successful and sustainable nurse bedside shift report Nurse bedside shift report increases nurse satisfaction. Discussion: Evidence Based Practice Presentation Successful adoption of nurse bedside shift report requires an understanding of five steps of adopting innovation and technology. EVIDENCE-BASED PRACTICE CHANGE Miller, K., Hamza, A., Metersky, K., & Gaffney, D. M. (2018). Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals. Patien t Experience Journal, 5(1), 90-96. Most nurses fail Focus group to implement an effective nurse to nurse shift reporting system, thereby leading to patient dissatisfaction. The purpose of the study is to investigate the perception of patients towards nurse bedside shift report. 7 133 articles Audio recordings The results reveal that the bedside shift report increases patient involvement. Part III- Evidence-Based Practice Change; Summary and Critique of Literature Ford, Y., & Heyman, A. (2017). Patients’ perceptions of bedside handoff: further evidence to support a culture of always. Journal of nursing care quality, 32(1), 15-24. Patient care transfer is a problem within many healthcare settings that have been found to result in errors. The study’s primary objective was to identify the patients’ perception of the bedside handoff with the help of direct and quantitative analysis. The researchers used a survey of 103 adult medical-surgical patients (Ford and Heyman, 2017). The results showed mean EVIDENCE-BASED PRACTICE CHANGE 8 responses to the parameters in the survey were higher for those patients that experienced a bedside handoff compared with those that received sporadic responses. It showed that registered nurses’ handoff had a positive impact on the patient’s perception of safety and general satisfaction. It was concluded that the end of shift bedside handoff was most effective when it was done consistently. The sample size was homogenous and small. The patients that agreed to participate in the survey were mainly self-selected and so may not be considered representative of the more significant patient population. Another weakness of the results revolves around the recruitment methods and characteristics, which limits the generalization of the findings. McAllen, E. R., Stephens, K., Swanson-Biearman, B., Kerr, K., & Whiteman, K. (2018). Discussion: Evidence Based Practice Presentation Moving shift report to the bedside: An evidence-based quality improvement project. OJIN: The Online Journal of Issues in Nursing, 23(2). Many hospitals fail to meet patient satisfaction. The study focused on a strategy of incorporating bedside report to the basic nursing care as a way of enhancing patient safety in the hospital. The study was done on a 532-bed acute care survey of a facility located in the Midwest (McAllen et al. 2018). The bedside reports were incorporated into the standard nursing operations and studied over four months. During the period, the researchers studied fall rates, captured the HCAHPS and Press Ganey® score, the nurses’ responses to a satisfaction survey (McAllen et al. 2018). The main findings showed that patient fall rates went down by 24 per cent, and the nurse’s satisfaction rates improved by 67 per cent following the introduction of the bedside report survey (McAllen et al. 2018). Also, the HCAHPS and Press Ganey® findings showed improvement in 2 of the three nursing units. The conclusion was that by implementing EVIDENCE-BASED PRACTICE CHANGE 9 bedside reporting, there was a positive effect on patient satisfaction, safety, and nurse satisfaction survey (McAllen et al. 2018). The problem with the findings is that the quality improvement design used and the specificity does not allow for generalization of results in other settings. Palumbo, J. (2015). Implementing Bedside Shift Report: An Evaluation of Change in Practice. Journal of Nursing Studies 2(15), 1-90. Many healthcare facilities are yet to implement nurse bedside shift reporting. The study’s primary aim was to determine if retraining the nurses on the use of bedside shift report would encourage their compliance. The study focused on the one acute-care hospital where the bedside nurses developed and adopted a shift reporting protocol based on best practices. The protocol was used for three months, and a survey was administered (Palumbo, 2015). The results of the review process at the end of the three months showed that the bedside shift reporting was not collectively accepted and applied. Guided by the findings, a re-training program was initiated and a 2-week training done. 89 respondents were interviewed on the bedside shift report initiative (Palumbo, 2015). The results showed there was a strong perception of the change to their practice. Re-training showed that nurses could be committed to performing bedside reporting of certain conditions were supported. Discussion: Evidence Based Practice Presentation The researchers concluded that ongoing evaluation is needed in promoting patient safety, improving the outcomes, among other patients’ satisfaction responses. The results are tied to other factors and conditions within the hospital, touching on nurses’ satisfaction. Therefore, it is not possible to conclude that it is the retraining that brought about the change. Scheidenhelm, S., & Reitz, O. E. (2017). Hardwiring bedside shift report. JONA: The Journal of Nursing Administration, 47(3), 147-153. EVIDENCE-BASED PRACTICE CHANGE 10 Nurses fail to fully implement bedside reporting, which in turn affects the quality of service they offer. The study’s primary focus was to enhance nurse agreement with bedside reports to raise patient satisfaction scores. The researchers used a quasi-experimental within the group and comparing the pre and post-implementation of the patient satisfaction scores units (Scheidenhelm & Reitz, 2017). The surveys were conducted on two units within a community hospital. Also, the researchers compared the compliance with bedside reporting before and after implementation. After five months of introducing the bedside reporting, and the nurses complying to the reporting, the patient scores went up in both units (Scheidenhelm & Reitz, 2017). The results concluded that change management approaches and uniform bedside reporting are essential to increasing nurse compliance to processes, leading to improved patient satisfaction. The drawback of the study is that other factors within the facility can influence the respondents. Also, the study was done in 2 units of a community hospital, which makes it challenging to generalize on other facilities within the urban setting that attend to a bigger population of patients. Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability: nursing management, 49(6), 20. The study focuses on the problem of sustaining a bedside shift report. It is believed that through sustaining the bedside, reporting could lead to a successful sustainability practice. The researchers used a literature review of studies on the topic area published between 2006 and 2016. They carried out a systematic review on electronic search engines CINAHL, MEDLINE, and PubMed using keyword phrases like bedside handoff, bedside nurse report, and others. The search yielded 25 articles. The results showed that successful adoption of nursing bedside EVIDENCE-BASED PRACTICE CHANGE 11 reporting is time-consuming and calls for a thorough examination of the individuals, environment, and organizational culture. A five-step process implementation with the frontline staff’s help could help in successful implementation and ensure its sustainability. It was concluded that a good implementation requires a good understanding of the management processes, mentorship skills, and well-thought-out and executed process for its implementation. It is not safe to generalize the results given that other factors linked to the environment and training of nurses can affect the successful implementation of bedside reporting. Miller, K., Hamza, A., Metersky, K., & Gaffney, D. M. (2018). Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals. Patient Experience Journal, 5(1), 90-96. Discussion: Evidence Based Practice Presentation Within most healthcare settings, there is a failure by the nurses to implement nurse shift reporting, which results in patient dissatisfaction effectively. The study’s primary objective was to look at the family members, patients, and nurses’ perceptions linked to the bedside nurses’ transfer of accountability (TOA) (Miller et al. 2018). The researchers used focus groups that were done before and after the implementation of nurse shift reporting. The focus group sessions were audio-recorded, transcribed, and then analyzed with the help of content analysis (Miller et al. 2018). The results showed positive outcomes such as improved patient safety, well-informed patients, communication was done more between the staff, and so on (Miller et al. 2018). The strength of the research findings is that it relied on information from all stakeholders; the nurses, patients, and family members. However, the inconsistencies in TOA applicability and procedures EVIDENCE-BASED PRACTICE CHANGE 12 make it challenging for generalized observations. The results could potentially be different in another setting. Part IV Similarities and Differences between the Two Studies Similarities: Both quantitative and qualitative studies are similar in terms of their research problem and purpose. The quantitative studies used four resources, which assessed how the nurse bedside shift report helped improve patient satisfaction. For example, Palumbo (2015) identified that many hospitals have not agreed on the importance of the bedside shift reports, making the implementation low. As such, the author’s main aim was to assess if education will enhance the application of bedside shift. This closely connects with looking at the importance of the bedside shift report on the patients’ satisfaction with hospital services. Similarly, qualitative studies have the purpose of assessing how the implementation of bedside shift reports will help in improving patients’ satisfaction. In both studies, it was identified that most hospitals had not implemented this, and there is a need to sensitize hospitals on its importance for proper acceptance and implementation. Another similarity between quantitative and qualitative studies is significant findings. The quantitative studies found that bedside shift report is essential to both the nurse and patients. According to Ford & Heyman (2017), patients feel safe during the bedside shift report. This is supported by the quantitative studies of Scheidenhelm & Reitz (2017), who highlighted that EVIDENCE-BASED PRACTICE CHANGE 13 satisfaction of patients on the hospital services increases with the nurse compliance with the bedside shift report. Similarly, qualitative studies identified that the bedside shift report improves nurses’ satisfaction. This is because it helps in reducing the chances of errors that might occur in hospitals. Generally, the two studies agreed that bedside shift should be implemented since it helps make patients and nurses satisfied. Differences: The first difference between quantitative and qualitative studies is the sample or population used in the study. Discussion: Evidence Based Practice Presentation Quantitative studies used many participants ranging from 89 to 149. The population was chosen to represent the entire population since it is hard to use the whole population in the study. The number is made large to represents many people for the proper conclusion of the study. On the other hand, qualitative studies used articles in doing research. The studies were done by researching various articles about nurse bedside shift reporting to conclude its importance. Another difference is found in the research method used in the studies. The quantitative research used survey method and quasi-experimental. The survey used in these studies was chosen because a large amount of data was required. It helped in describing the characteristics of a more significant population by using the results of respondents. On the other hand, qualitative studies used document review and focus group methods. This is because the data required was concerned with the quality of the studies. Document review helped in reviewing and analyzing the findings of expert opinion found out in various articles talking about nurse bedside shift report. The last difference found between the two studies is based on the method of data EVIDENCE-BASED PRACTICE CHANGE 14 collection. Quantitative studies used questionnaires methods, while qualitative used document review and audio recording. The methods were chosen depending on the nature and the amount of data required for the study. Clinical Significance of the Findings to the Evidence-Based Practice of Nursing The first findings showed that patients feel safe and satisfied when bedside shift is being conducted. This is significant as it helps various hospitals implement the idea and ensure that bedside shift is made mandatory. In today’s’ world, various hospitals are moving towards making healthcare services to be patient-centered. As such, bedside shift will enhance this as it will improve healthcare quality (Dorvil, 2018). The findings will help improve patients’ safety and make the nurses observe ethical considerations whil … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10