GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care

GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care In this assignment, you will draft the body of a literature review. You will continue to add and revise this draft literature review (Chapter 2 of your DPI Project) as you progress through the program. You may be able to use the feedback and suggestions from your instructor (on the Introduction to the Literature Review assignment in Topic 4) to expand the literature review for this assignment. GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care Use the following information to ensure successful completion of the assignment: GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care Use the “Empirical Research Checklist” worksheet to ensure that each article you select meets all of the established criteria. Use the “Research Article Chart” to provide a summary review of each component of your assignment. Submit the completed Research Article Chart to your instructor. Refer to the most recent prospectus template found in the DC Network (dc.gcu.edu) for details and criteria for the Literature Review (Chapter 2). Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care Directions: Part 1: Selection of 15 Articles Select 15 empirical articles related to your PICOT question. Use the “Empirical Research Checklist” worksheet to ensure that each article you select meets all of the established criteria. At least one article must demonstrate a quantitative methodology. Part 2: Research Article Chart Using the articles acquired in Part 1, provide a summary review of each component using the “Research Article Chart” template. Part 3: Literature Review Prepare a Literature Review (Chapter 2) of 2,000-3,000 words for your scholarly project. Utilizing the major concepts identified in the Topic 4 assignment, further develop each major concept and subtheme by locating 15 more empirical articles related to your project topic (30 articles total: 15 from Topic 4 assignment and 15 from Topic 6 assignment). Use the “Research Article Chart” as a guide to analyze and synthesize (summarize) the literature into the paper you began in the Topic 4 assignment. Based upon your review of the 15 additional research articles, expand on your summary of each major concept and your synthesis of the three identified subthemes that support each concept. At the end of each major concept, include a summary statement. Instructor’s Comments from previous Assignment: Julie, The introductory heading should be the exact same as the title of your paper. You have an interesting introduction. However, you need to include a clear thesis statement! Please don’t boldface the “references” heading. Very good comparison of the research questions, sample population, limitations of the study, and recommendations for future research. Interesting conclusion and a very well formatted references list. literature_review_juliechilders.docx research_table_julie_childers.docx rubric_benchmark_assignment.xlsx dnp_820_rs_researcharticlec Literature Review on DNP Project Julie Ann Childers Grand Canyon University: DNP 820 June 8, 2019 Empirical Literature Review GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care An effective treatment process includes care for the patient in the post-treatment period to prevent occurrences of new infections or the reestablishment of the original ones. Nurses in the healthcare system are primary caregivers in health facilities and are consequently responsible for the care of patients as soon as they are treated or operated on by the doctors or surgeons in whose hands the patient has been entrusted. During the transition from diagnosis or operation into the intensive care, there are certain factors, both internal and external, that are involved in determining the kind of care a patient receives. The review herein entails an analysis of patient care in five different aspects, including quality and safety in the healthcare system, patient care safety and quality as well as interruptions and distractions that characterize the healthcare process. Other elements of consideration by the review regarding patient care include the handover process in the intensive care unit as well as the coordination and Integration of the various components of patient care. In each of these aspects, the constituent subthemes also feature in the discussion as it tries to shed more light on patient care. GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care Quality and Safety in the Healthcare System Quality and safety in healthcare systems have been a priority of most institutions, facilities, and governments, extending even to the global scope where WHO has listed it as one of its primary objectives. However, achieving the optimal healthcare safety and quality in most care circles is a complex and gradual process that requires the incorporation of certain concepts including safety and quality models, corporate governance in hospitals and an understanding of healthcare sociology in the targeted jurisdictions. Evidence from the synthesized articles proves that quality and safety in the healthcare system is subject to the strong consideration and realization of the recommendations of the three concepts in tandem with a variation of other ideas and components of the system. According to Wiig, et al., 2014, successfully improving the healthcare system is subject to the cooperation between the various stakeholders involved therein including professionals, managers, and consumers of the services associated with healthcare. Interestingly, a collaboration of the entities mentioned herein requires a structured process which is guided to avoid confusion, allocate roles, and provide a means of evaluating the progress achieved by each stakeholder in their mandated capacities. Some of the most popular models for improving healthcare quality that’s been adopted by numerous facilities include Business Process Reengineering, Lean Thinking and Six Sigma Models which have previously worked in other sectors of the service industry. The theories of interest in the medical field regarding increasing healthcare quality and safety are generalized as safety theories and emerge in response for the need to adopt a system perspective to address the diverse challenges that hinder effective service delivery in the industry. The concept of hospital executive boards according to Freeman et al., 2016 though misunderstood by a significant section of the general populace, is quite influential in implementing recommendations vital to the improvement of safety and quality levels associated with healthcare facilities worldwide. The basis of the argument presented by Freeman et al., 2016 originates from a study conducted in England’s medical boards. In improving the quality and safety of healthcare within the facilities under their management, executive boards give thought to the technologies, practices, experiences and the organization quality that’s more consistent with to spurring growth and capacity in the medical sector (Allen et al., 2016). As a research whose scope stretches across three continents, community, maternity, mental and hospital healthcare as well as various healthcare professionals, sociology and healthcare safety explores the multiple aspects of organizational processes that could improve safety in the sector and provides answers to the dilemma of integrating the numerous understandings of healthcare safety as one concept. Safety and Quality of Patient Care The protection of patients and the quality of care that they are accorded is the responsibility of the hospital in which they treated, at least according to information based on various empirical research studies undertaken in that context. Three different articles are addressing various concepts of patient care in hospitals document studies containing undeniable evidence that the quality of patient care in a facility depends on its personnel and their levels of qualification. In the course of the research, one of the most featured questions therein dwelt on the role of healthcare managers in learning from national safety alerts (Pfeiffer, & Schwappach, 2016). Research questions As a responsibility of the facility in which a patient is treated, the safety and quality of care to which a patient is subjected are set to vary from one facility to the other, and that begs the question; what factors determine the difference in the level of care offered by hospitals. Also, one can only wonder what roles the national and federal policies play in uplifting or lowering the level of patient care in hospitals. In addition to that, a researcher must find out if the condition of a patient is a determinant in enjoying the level of care and safety that a hospital facility channels in this or her way. Sample Populations covered in the research For the research on the quality of patient care, the three research papers reviewed in their empirical capacity sought to analyze data from various sets of populations and stakeholders within the health sector. For Roney et al., 2016, the research revolved around clinical faculty covering 24 patient occurrences. Patients occurrences detailed in the study define incidents, near miss events and unsafe conditions. Kagan and company’s research, on the other hand, documents information obtained from 390 medical professionals including physicians and nurses as well as 726 in patients admitted in a hospital ward for not less than three days. Administration of questionnaires represented the most popular method of collecting data in the case of the second research article. Finally, the last article contains documentation of data collected from Swiss healthcare quality risk and quality managers (Roney et al., 2017). GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care Limitations of the research papers In the development and documentation of their study, the researchers excluded detail from their work resulting in a mini-detailed presentation whose figures are subject to minimal research and analysis. Even though the sample population covered by the study is indicated at the beginning of the research papers, there is no communication on the results, at least numerically as the results are descriptive observations of the events associated with the research. The presentation of the data therein is also dull and monotonous with little pictorial representation of the information contained therein. Consequently, the audience targeted by the research finds it annoying as insufficiently informative despite the flashes of brilliance it exhibits. GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care Summary and conclusion Acute care settings in the United States are some of the most highly developed centers following the initial goal of turning them into High-Reliability Organizations. A combination of cognitive awareness, best practices, and infrastructure as well as pushing for the accountability of all the professionals herein is immensely significant in turning around these centers into models of quality and safe patient care. Also, general hospitals with a previous record of excellent safety and quality culture regarding their patients are responsible or higher instances of patient satisfaction which increases their recovery levels and rates in response to their mental stability and mental perceptions of safety. Finally, another research paper documented with data predominantly from Switzerland maintains that national alert systems on patient safety have a role to play when it comes to patient care. However, the efficacy of these alerts is highly dependent on the hospital’s managerial infrastructure, which is responsible for transforming the information from the signals into actions (Kagan, 2018). Interruptions and Distractions in the Healthcare Process Sassaki and Perroca, 2017 share their opinion on the breaks and distractions experienced on the nurses’ workflow and the perceptions of the nurses on those interruptions. Consequently, their report documents investigation into the phenomenon as they seek an answer to the question of whether distractions at work interfere with the jobs of a medical professional and the exact way in which the professionals are affected in their care for patients subject to factors associated with a disrupted workflow. Other scholars too have compiled data in their research documents including Taylor and Francis, 2015 who delve on whether distractions in gynecological operations irritations are or dangerous to the patients (Sassaki, & Perroca, 2017). Research questions Regarding coordination between participants involved in patient care, various studies focus on the aspect of communication of the experts involved, barriers to their conversation and the fulfillment of a patient’s needs (Yoong, 2015). Some of the pertinent questions that arise with regards to coordination and Integration of patient care include; how many levels of communication are present in the care process; what are the most common barriers to patient-specialist and specialist-PCP communication and what are the possible solutions to breaking down barriers in communication during patient care? Sample populations The empirical research papers reviewed in the development of this compilation used different population samples of people to formulate inferences and observations, which led to the various hypotheses that define the individual research papers. Their research involves specialists including neurologists, interns, and nurses, where a fraction of the total professionals is mandated to provide primary care for inpatients and the rest for the primary responsibility of outpatients. As for the other research papers, one has its data obtained from children hospitals with its scope limited to the study of discharge communication at a children’s hospital while the remaining research focused of diabetes patients with military history as well as VHA PCPs and VHA endocrinologists Limitations of the paper The research papers are informative and as specific as can be with research papers due to its practical nature. However, they are too specific, and the information therein is tied to one aspect of the study as are their sample populations. One, for instance, obtains data by researching diabetic people of veterans with their endocrinologists, yet it is supposed to include inferences on specialist perspectives. One can only wonder the observations made by only one section of specialists is adequate to speak for all specialized doctors. The same trend is repeated in the research aimed at improving patient-PCP communication, which focuses on child populations and the relationships with primary care physicians (Drews et al., 2019). Summary and conclusion Acute care settings in the United States are some of the most highly developed centers following the initial goal of turning them into High-Reliability Organizations. A combination of cognitive awareness, best practices, and infrastructure as well as pushing for the accountability of all the professionals herein is immensely significant in turning around these centers into models of quality and safe patient care. Also, general hospitals with a previous record of excellent safety and quality culture regarding their patients are responsible or higher instances of patient satisfaction which increases their recovery levels and rates in response to their mental stability and mental perceptions of safety. Finally, another research paper documented with data predominantly from Switzerland maintains that national alert systems on patient safety have a role to play when it comes to patient care. However, the efficacy of these alerts is highly dependent on the hospital’s managerial infrastructure, which is responsible for transforming the information from the warnings into actions. Handover in Intensive Care As a responsibility of the facility in which a patient is treated, the safety and quality of care to which a patient is subjected are set to vary from one facility to the other, and that begs the question; what factors determine the difference in the level of care offered by hospitals. Also, one can only wonder what roles the national and federal policies play in uplifting or lowering the level of patient care in hospitals. In addition to that, a researcher must find out if the condition of a patient is a determinant in enjoying the level of care and safety that a hospital facility channels in this or her way (Salzwedel et al., 2016). GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care As a responsibility of the facility in which a patient is treated, the safety and quality of care to which a patient is subjected are set to vary from one facility to the other, and that begs the question; what factors determine the difference in the level of care offered by hospitals. Also, one can only wonder what roles the national and federal policies play in uplifting or lowering the level of patient care in hospitals. In addition to that, a researcher must find out if the condition of a patient is a determinant in enjoying the level of care and safety that a hospital facility channels in this or her way. GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care Sample Populations covered in the research For the research on the quality of patient care, the three research papers reviewed in their empirical capacity sought to analyze data from various sets of populations and stakeholders within the health sector. Patients occurrences detailed in the study define incidents, near miss events and unsafe conditions. Kagan and company’s research, on the other hand, documents information obtained from 390 medical professionals including physicians and nurses as well as 726 in patients admitted in a hospital ward for not less than three days. Administration of questionnaires represented the most popular method of collecting data in the case of the second research article. Finally, the last article contains documentation of data collected from Swiss healthcare quality risk and quality managers (Ganz et al., 2015). Limitations of the research papers In the development and documentation of their study, the researchers excluded detail from their work resulting in a mini-detailed presentation whose figures are subject to minimal research and analysis. Even though the sample population covered by the study is indicated at the beginning of the research papers, there is no communication on the results, at least numerically as the results are descriptive observations of the events associated with the research. The presentation of the data therein is also dull and monotonous with little pictorial representation of the information contained therein. Consequently, the audience targeted by the research finds it annoying as insufficiently informative despite the flashes of brilliance it exhibits. GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care The transition from specialized care to primary care is subject to numerous instructions, including medication and treatment plans, discharge documentation, as well as the multiple modes of communication available between the various care teams. Miscommunication concerning any one of the three sets of instructions is cause for adverse repercussions and could delay the recovery process or trigger an unrelated complication. In addition to instruction adherence, understanding o stakeholder perspective plays a vital role in the patient recovery process. For instance, clarity and agreement of the roles and responsibilities of an endocrinologist in treating a veteran diabetic reinforces their qualifications at the back of the patient’s mind resulting in respect and obedience from the patient, two values necessary for the purposes of enhancing a patient’s discipline (Spooner, et al., 2015). GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care Patient care is a process that begins with preventive measures taken for individuals at risk of disease contraction or condition development and ends with healing after treatment, operation (where applicable) and completion of the convalescence stage. Therefore, various individuals are involved in the care process which also requires the attention of different classes of medical professionals including medical doctors, surgeons, nurses, nutritionists, and even psychologists and physiotherapists if the need arises. Communication between the levels of care for a patient is varied according to the research documents reviewed in this review. Also, the research evaluates the importance of communication with primary care physicians and tests out the means involved in improving communication with PCPs. Finally, (Vimalananda, et al., 2018) looks at specialty patient care in an integrated healthcare system and the role of patient, PCP and specialist’s perspective in patient care (Rattray et al., 2017). Research questions Regarding coordination between participants involved in patient care, various studies focus on the aspect of communication of the experts involved, barriers to their communication, and the fulfillment of a patient’s needs. Some of the pertinent questions that arise with regards to coordination and Integration of patient care include; how many levels of communication are present in the care process; what are the most common barriers to patient-specialist and specialist-PCP communication and what are the possible solutions to breaking down barriers in communication during patient care? Sample populations The empirical research papers reviewed in the development of this compilation used different population samples of people to formulate inferences and observations, which led to the various hypotheses that define the individual research papers. For instance, Rattray’s Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hospital to the Primary Care Clinic limits its scope to stroke patients. Their research involves 21 specialists, including neurologists, interns, and nurses, where nine professionals are mandated to provide primary care for inpatients and 12 for the primary responsibility of outpatients. As for the other research papers, one has its data obtained from children hospitals with its scope limited to the study of discharge communication at a children’s hospital while the remaining research focused of diabetes patients with military history as well as VHA PCPs and VHA endocrinologists (Destino et al., 2017.). Limitations The research papers are informative and as specific as can be with research papers due to its practical nature. However, they are too specific, and the information therein is tied to one aspect of the study as are their sample populations. One, for instance, obtains data by researching diabetic people of veterans with their endocrinologists, yet it is supposed to include inferences on specialist perspectives. One can only wonder the observations made by only one section of specialists is adequate to speak for all specialized doctors. The same trend is repeated in the research aimed at improving patient-PCP communication, which focuses on child populations and the relationships with primary care physicians (Mohr et al., 2019.). GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care The transition from specialized care to primary care is subject to numerous instructions, including medication and treatment plans, discharge documentation, as well as the multiple modes of communication available between the various care teams. Miscommunication concerning any one of the three sets of instructions is cause for adverse repercussions and could delay the recovery process or trigger an unrelated complication. In addition to instruction adherence, understanding o stakeholder perspective plays a vital role in the patient recovery process. For instance, clarity and agreement of the roles and responsibilities of an endocrinologist in treating a veteran diabetic reinforce their qualifications at the back of the patient’s mind resulting in respect and obedience from the patient, two values important for enhancing a patient’s discipline. GCU DNP820 Empirical Research Relationship Nursing & Quality of Patient Care References Allen, D., Braithwaite, J., Sandall, J., & Waring, J. (2016). Towards a sociology of healthcare safety and quality. Sociology of Health & Illness , 38 (2), 181-197. Destino, L. A., Dixit, A., Pantaleoni, J. L., Wood, M. S., Pageler, N. M., Kim, J., & Platchek, T. S. (2017). Improving communication with primary care physicians at the time of hospital discharge. The Joint Commission Journal on Quality and Patient Safety , 43 (2), 80-88. Drews, F. A., Markewitz, B. A., Stoddard, G. J., & Samore, M. H. (2019). Interruptions and Delivery of Care in the Intensive Care Unit. Human factors , 61 (4), 564-576. Freeman, T., Millar, R., Mannion, R., & Davies, H. (2016). Enacting corporate governance of healthcare safety and quality: a dramaturgy of hospital boards in England. Sociology of health & illness , 38 (2), 233-251. Ganz, F. D., Endacott, R., Chaboyer, W., Benbinishty, J., Nun, M. B., Ryan, H., … & Spooner, A. (2015). The quality of intensive care unit nurse handover related to end of life: a descriptive comparative international study. International journal of nursing studies , 52 (1), 49-56. Kagan, I., Porat, N., & Barnoy, S. (2018). The quality and safety culture in general hospitals: patients’, physicians’ and nurses’ evaluation of its effect on patient satisfaction. International Journal for Quality in Health Care . Mohr, D. C., Benzer, J. K., Vimalananda, V. G., Singer, S. J., Meterko, M., McIntosh, N., … & Charns, M. P. (2019). Organizational coordination and patient experiences of specialty care integration. Journal of general internal medicine , 1-7. Pfeiffer, Y., & Schwappach, D. (2016). Taking up national safety alerts to improve patient safety in hospitals: The perspective of healthcare quality and risk managers. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen , 110 , 26-35. Rattray, N. A., Sico, J. J., Cox, L. M., Russ, A. L., Matthias, M. S., & Frankel, R. M. (2017). Crossing the communication chasm: Challenges and opportunities in transitions of care from the hospital to the primary care clinic. The Joint Commission Journal on Quality and Patient Safety , 43 (3), 127-137. Roney, L., Sumpio, C., Beauvais, A. M., & O’Shea, E. R. (2017). Describing clinical faculty experiences with patient safety and quality care in acute care settings: A mixed methods study. Nurse education today , 49 , 45-50. Salzwedel, C., Mai, V., Punke, M. A., Kluge, S., & Reuter, D. A. (2016). The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. Journal of critical care , 32 , 170-174. Sassaki, R. L., & Perroca, M. G. (2017). Interruptions and their effects on the dynamics of the nursing work. Revista gaucha de enfermagem , 38 (2). Spooner, A. J., Corley, A., Chaboyer, W., Hammond, N. E., & Fraser, J. F. (2015). Measurement of the frequency and source of interruptions occurring during bedside nursing handover in the intensive care unit: an observational study. Australian critical care , 28 (1), 19-23. Wiig, S., Robert, G., Anderson, J. E., Pietikainen, E., Reiman, T., Macchi, L., & Aase, K. (2014). Applying different quality and safety models in healthcare improvement work: boundary objects and system thinking. Reliability Engineering & System Safety , 125 , 134-144. Yoong, W., Khin, A., Ramlal, N., Loabile, B., & Forman, S. (2015). Interruptions and distractions in the gynecological operating theatre: irritating or dangerous? Ergonomics , 58 (8), 1314-1319. Research Article Chart Criteria and Defining Characteristics Article 1: Interruptions and their effects on the dynamics of the nursing work Article 2: Organizational coordination and patient experiences of specialty care integration Article 3: The quality of intensive care unit nurse handover related to end of life: a descriptive comparative international study Abstrac t After reading the abstract what do you expect to learn from the article? Nurses’ perception about interruptions during the workflow and their implications on the professional practice environment. Successful coordination of specialty care requires understanding the perspectives of patients, primary care providers, and specialists—that is, the specialty care “triad.” This study used qualitative methods to compare these perspectives in an integrated health care system, using diabetes specialty care as an exemplar. Quality ICU end-of-life-care has been found to be related to good communication. Handover is one form of communication that can be problematic due to lost or omitted information. A first step in improving care is to measure and describe it. Introduction: Summarize the following in paragraph form. · What is the purpose of the study? · What is the scope of the study? · What is the rational for the study? · What is the hypothesis or research question? · What key concepts and terms are noted? · Is a review of the literature provided? Establish how interrupting nurses in the workplace affect their service delivery. A school hospital in Sao Paulo with 133 nurses over a period of one year. The interruptive processes have repercussions on the working dynamics, on the caring process and on the patient’s safety. “In what situations, in what form and at what frequency do interruptions occur during the care process? How do nurses perceive their implications for the work dynamics?” Workflow; Time management; Nursing staff; Nursing process NO Comparing perspectives of the “triad” in an integrated healthcare system. VA medical center, VA New England. Quality care for specialty patients requires an understanding of the perspective of the patient, primary care physician and the specialist in charge. Care coordination is the deliberate organization of patient care between 2 or more participants (including the patient) to account for each other’s actions and facilitate the appropriate delivery of health care services. Care coordination, qualitative methods, referrals and specialty care. NO Describe the quality of ICU nurse handover related to end-of-life care and to compare the practices of different ICUs in three different countries. 7 ICU units in 3 different countries; Australia (1), UK (3) and Israel (3) covering 157 handovers. Despite technological changes, handover has survived as an important formal process of nursing communication. Yet, there is little known about the quality of ICU nurse to nurse handover communication, especially associated with end-of-life care. Practices of end-of-life-handover communication vary greatly between units. However, room for improvement exists in all areas in all of the units studied. Handover, End of life, Communication, Nurse, Intensive care unit YES Methods: Summarize the following in paragraph form. · What is the population being sampled? · What data collection procedure is presented? · What other procedures are described? The article samples a medical center for the care of 102 cities that belong to the Regional Health Division of Rio Preto (RHD 15). It has 708 beds and makes an average of 89,025 monthly appointments. The nursing team is composed of 242 nurses, 565 nursing technicians and 481 nursing

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