Exploring Research Results: NR 505 Week 7 Discussion

Exploring Research Results: NR 505 Week 7 Discussion
Using the following steps found within the translation phase of the Practice Evidence Translation (PET) model developed by Johns Hopkins, select a research result reported in a journal article that supports your PICOT/PICo question. Please respond to the following steps. Please note that wording of the steps may have been modified slightly from the PET so that they help with this posting. Include the permalink at the end of your posting.
Using references, identity the research result that you could use in your practice setting.
Determine fit, feasibility, and appropriateness of the result for your practice setting.
Using Plan-Do-Study-Act (PDSA), outline an action plan.
Identify the resources (physical, personal, technology) needed to implement your action plan.
Determine the criteria that you would use to determine whether the implementation of your project was successful.
Identify one future research study that would be useful in extending knowledge of your selected project result.
Exploring Research Results SAMPLE
PICo questions: How do nurses in an inpatient setting perceive the value of bedside shift report?
Completing last week’s research, it is apparent that bedside shift report adds a layer of safety for the patients. A qualitative study in an inner-city, acute care teaching hospital, was done to gain insight on what experiences nurses had with BSR. Jeffs et al. (2013) interviewed 43 female nurses from various clinical specialties. The participants were asked to list the positive and the negatives about BSR. Topics that were covered included describing the positives and negatives of face to face interactions with nursing colleagues; the negative outcomes associated with the interactions and involvement of patients in care planning; and if they felt that the care was more patient-centered and safer. Over six months, the nurses took in observations and found that they could identify, intercept and correct potential errors. In addition, they could clarify the care plan and patient needs. The nurses were also able to prioritize care with a quick assessment. The results may be affected by the limitation of the study only taking place in one hospital. The study was well rounded to include nurses from different units.
My plan in implementing a change to bedside shift report is to improve patient safety by improving nurse to nurse communication and reducing hospital events including patient falls. I would gather the baseline quality data for the hospital units involved in the study.
Exploring Research Results NR 505 Week 7 Discussion
Once the plan is discussed with all members involved and the education on how to conduct the BSR is provided to the nurses involved in the implementation the next step is to do. Set the date and start monitoring and evaluating the new process of BSR. Conducting interviews with nurses at the beginning and several weeks later to understand barriers and successes from the new process. The length of time to conduct interviews can be difficult to determine in a qualitative study. In this process change scenario, I would continue to conduct interviews until I started to receive redundant responses to questions multiple times. Next, I will study the data obtained through the interviews and the quality data collected over that same time period. I should be able to determine if I reached the outcome I predicted and if the implementation went as I planned. This is a good time to evaluate any barriers or challenges encountered during the implementation. The step in the PDSA is act. Taking the information learned during the implementation and ensuring that the solutions remain sustainable.
Exploring Research Results SAMPLE RESPONSE
Your post regarding bedside shift report (BSR) is quite interesting. I believe there is a need for more data supporting the efficacy and benefits associated with bedside shift report. I have worked in facilities where the staff was transitioned to bedside shift report. For the most part, staff was extremely resistant to the idea for a myriad of reasons that varied from BSR extends the length of time it takes to report off to concerns regarding the risk of breaks in patient confidentiality to the staff just simply did not see a need to do so. Roslan and Lim (2016) conducted an interpretive, descriptive, qualitative study using focus group interviews with semi-structured questions. Twenty nurses were asked about their perception of bedside clinical handover. Results of this study concluded that the nurses found bedside clinical handover to be a possible cause of breaks in patient confidentiality, a source of interruption and distraction by patients and family members. On the other hand, research subjects also found bedside clinical handover to be a foundation for communication between patients and nurses. As an acute care nurse, I know and understand the angst caused from bedside report. Despite this fact, I remain a staunch supporter of bedside shift report. When I was a manager, I cannot recall the number of times I received complaints from staff who complained because the patient in room 301 had an infiltrated IV at the start of the shift or the patient in room 345 was dirty at the beginning of the shift or the patient in room 320 was complaining because they have been asking for pain meds for over an hour. Each of the issues would have been known and could have been addressed during shift report. Most nurses do not intentionally leave work undone but there is the occasional unicorn who leaves work undone on a consistent basis. Although healthcare is a 24-hour rotation, no nurse wants to follow someone who consistently leaves a mess for the next shift. BSR hinders the possibility of this becoming a persistent issue.
I look forward to your continued research on this matter.