Discussion: Patient Satisfaction Evidence Based Practice

Discussion: Patient Satisfaction Evidence Based Practice ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Patient Satisfaction Evidence Based Practice Need help with my Nursing question – I’m studying for my class. This is the last part of the EBP assignment. This part of the assignment includes Discussion: Patient Satisfaction Evidence Based Practice Parts I, II, and III. Description of similarities and differences among the studies you selected for your report in assignment part II Discuss the practical or clinical significance of the findings to the evidence-based practice of nursing. Provide an answer to the PICO question, or describe why you are not able to definitively answer the question. The outcome should be a scholarly paper in APA format part_i_evidence_based_practice_assignment.pdf part_ii.docx part_iii__evidence_based_practice_change_.pdf BEDSIDE SHIFT REPORTING 1 Bedside Shift Reporting Hortensia Corredera Larkin School of Nursing BEDSIDE SHIFT REPORTING 2 Bedside shift reporting Part I Description of the clinical issue 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 BEDSIDE SHIFT REPORTING 3 condition of patients not being reported in a systematic way, which can lead to important care issues not being properly addressed. Current management approach The current nursing unit is applying various approaches to ensure patient satisfaction. Discussion: Patient Satisfaction Evidence Based Practice 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 BEDSIDE SHIFT REPORTING 4 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 hospital, and thus the management should implement it to improve patient satisfaction. (Wallenhaup, Stevenson, Thomson, Gordon, & Nunn, 2017). Part II 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. BEDSIDE SHIFT REPORTING 5 References Wallenhaup, C. A., Stevenson, E. L., Thomson, J., Gordon, H. A., & Nunn, G. (2017).Implementation of a Modified Bedside Handoff for a Postpartum Unit. The Journal of Nursing Administration. Zou, X. &Zhang (2016). Rates of nursing errors and handoffs related errors in a medical unit following the implementation of a standardized nursing handoff form. Journal of Nursing Care Quality. Discussion: Patient Satisfaction Evidence Based Practice Literature summary table for quantitative studies Author, title, year in APA reference citation Research Problem and Purpose Research method Sample/population Data collection method Major findings/conclusions 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. The transfer of 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. Survey 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. 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 falls short of meeting their objective, achieving patient satisfaction. This study aimed to investigate how nurse bedside shift report improves patient satisfaction. Survey 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. Survey 89 respondents Questionnaires Re-education of nurses improves their capacity and commitment to nursing bedside shift report. The study aimed to investigate whether offering education would enhance their acceptance and implementation of nurse bedside shift reports Scheidenhelm, S., & Reitz, O. E. (2017). Hardwiring bedside shift report. JONA: The Journal of Nursing Administration, 47(3), 147-153. Failure by nurses to fully implement bedside reporting affects patient satisfaction. The study aimed to assess the impacts of nurse compliance with bedside report on patient satisfaction. Quasi-experimental 149 Survey questionnaires Patient satisfaction increases with nurse compliance with bedside shift reporting. Literature summary table for qualitative studies Author, title, year in APA reference citation Research Problem and Purpose Research Method Sample/Population Data collection method Major findings/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. Discussion: Patient Satisfaction Evidence Based Practice Document review 25 articles Document review Nurse bedside shift report increases nurse satisfaction. The strategy of successful and sustainable nurse bedside shift report Successful adoption of nurse bedside shift report requires an understanding of five steps of adopting innovation and technology. 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. Most nurses fail 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. Focus group 133 articles Audio recordings The results reveal that the bedside shift report increases patient involvement. Running head: PART III-EVIDENCE BASED PRACTICE CHANGE Part III- Evidence-Based Practice Change; Summary and Critique of Literature Hortensia Corredera Larkin School of Nursing 07/11/2020 1 PART III-EVIDENCE BASED PRACTICE CHANGE 2 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 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. Discussion: Patient Satisfaction Evidence Based Practice 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). 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 PART III-EVIDENCE BASED PRACTICE CHANGE 3 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 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).Discussion: Patient Satisfaction Evidence Based Practice 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 PART III-EVIDENCE BASED PRACTICE CHANGE 4 their practice. Re-training showed that nurses could be committed to performing bedside reporting of certain conditions were supported. 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. 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. Discussion: Patient Satisfaction Evidence Based Practice 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. PART III-EVIDENCE BASED PRACTICE CHANGE 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 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. Discussion: Patient Satisfaction Evidence Based Practice 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. 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 5 PART III-EVIDENCE BASED PRACTICE CHANGE 6 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 make it challenging for generalized observations. The results could potentially be different in another setting. Discussion: Patient Satisfaction Evidence Based Practice PART III-EVIDENCE BASED PRACTICE CHANGE 7 References Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability: nursing management, 49(6), 20. 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. McAllen, E. R., Stephens, K., Swanson-Biearman, 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). 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. Palumbo, J. (2015). Implementing Bedside Shift Report: An Evaluation of Change in Practice. Journal of Nursing Studies 2(15), 1-90. Scheidenhelm, S., & Reitz, O. E. (2017). Hardwiring bedside shift report. JONA: The Journal of Nursing Administration, 47(3), 147-153. PART III-EVIDENCE BASED PRACTICE CHANGE 8 … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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