In order to provide the best possible care for the patients in their care nurses should determine the most effective and accurate handover. Therefore, Analizing the level of data retained or lost from employing different handover methods is crucial.
Here the above paper with be critiqued using the step-by-step guide to critiquing research. Part 1: quantitative research (Coughlan, Cronin and Ryan, 2007).
In defining quantitative research the term can be dichotomized. Firstly, research refers to creative, systematic work with the intention to increase the knowledge of man and thereby devise new applications (OECD, 2002). In addition Gray (1997) stated that research should improve performance and that the results should be
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However, they do have familiarity with the process and terminology,
Examining the paper's abstract showed that it contains an unambiguous overview, with a simple, clear focused purpose stated rationalizing why the research was undertaken. The explanation within the abstract of the methods applied was limited, with no models or clear statement of methodology, other than to state that is was simulated and observed. While, the sample size, frequency and types were all asseverated, the selection was not stated other than to say that the handovers were between nurses and their simulated patients. The findings are clearly cited with percentages and the conclusions and recommendations expressed indubitably. Generally, the abstract is succinct and the suitability of the research easy to ascertain.
The main body of the paper explains in greater depth the purpose of the research. To provide empirical evidence establishing the retention rate of data transferred using different types of handover and thereby informing any recommendation. Indeed, Pothier asserts that database searches provided no previous evidence establishing this. In addition, Pothier reiterates the importance of accurate handovers in patient care and safety. Indeed, the Health & Safety Executive (1996) cites reviews of nursing handovers to help formulate improved offshore industrial handovers, due to its many parallels to nursing.
The above article will be critiqued using Caldwell, Henshaw and Taylor’s (2005) critiquing framework as a guide (Appendix 1). The intent is to identify the strengths and weaknesses of the research article and demonstrate knowledge and understanding of research methodology.
They are tasked to encourage and facilitate EBP projects. This is one way of actively supporting, promoting and continuing to improve patient outcomes with the use of evidence-based practices. Challenges arise when there are no consistent leadership in this SL group that may be due to personal reasons, schedule challenges and the different challenges that may come during the steps in conducting the EBP project itself. In my personal experience on the EBP project on bedside handoff, the advantages and benefits of changing from nurse-to-nurse handoff at the nurses’ station to bedside handoff were emphasized to all stakeholders, including the increase in patient satisfaction when patients are involved in their care. However, we faced a high push-back form staff when it came to the implementation phase. There were concerns that handoff would be longer than usual, and that breech of patient confidentiality and privacy would ensue if bedside handoff was done. Despite all that, the bedside handoff EBP was successfully implemented mostly due to the timing and adequacy of staff education that included role playing, as well as strong support of the leadership team. According to Adams, Farrington and Cullen (2012), “The final and perhaps most intimidating step in the evidence-based practice (EBP) process is dissemination.” But with proper preparation, this can be
Bradley, S., & Mott, S. (2010). Handover: Faster and safer? Australian Journal of Advanced Nursing, 30(1), 23-32
The significance of the study is to discuss and clarify why bedside reporting is the best method of patient handoff. The benefits associated with this kind of bedside reporting and if implemented, how it will be of help to
Standard 1.1 outlines that the registered nurse should access and analyse the best available evidence which includes research to ensure they provides safe and quality practice (Nursing and Midwifery Board of Australia, 2016). This was absent in scenario one as a result of a fast verbal medical handover Mary to Nicole. There was no guidance as to which patient was being discussed, and no time to write down all the important medical information required about her patients (Edith Cowan University, 2016). In scenario two Mary provides more guidance to Nicole about which patient she is talking about ensuring all the necessary information is received by Nicole (Edith Cowan University, 2016). Research has proven that handover is often difficult in the health care process, and often results in information being lost, distorted or misinterpreted. Verbal handover has also been described as an incomplete process when compared to information available in patient notes and records (Drach-Zahavy & Hadid, 2015). This is demonstrated in both scenarios with Nicole being given a fast handover with no guidance about where the information she is being given is relevant to. Whilst in scenario two Mary provides prompts and gives Nicole time to write down all the necessary information she requires (Edith Cowan University, 2016).
Quantitative research is done to find the accurate facts by evaluating the problems like opinion, behaviour by using numerical data. This research is based on theories, hypothesis, collecting, analysing the data to make the research accurate.
Today’s healthcare is changing, and more hospitals are commencing to go paperless using computers for both medical records and charting. Computers are widely accepted, in personal and professional settings. It is an essential requirement for computer literacy. Numerous advances in technology during the past decade require that nurses not only be knowledgeable in nursing skills but also to become educated in computer technology. While electronic medical records (EMR’s) and charting can be an effective time management tool, some questions have been asked on how exactly this will impact the role and process of nursing, and the ultimate effects on patient safety and confidentiality. In order to
The nursing handover was defined in 1969 by Clair and Thrussel as the oral communication of pertinent information about patients. This was supported by Thurgood in 1995 who adopted the view that patient centred care is central to any definition of handover and that it is its primary function.
The setting in which this writer would start the study would be similar to the original case, by also conducting it at a state level in order to gather a big enough sample to secure and address the statistical power of the results. The setting essentially is going to target the California state's nurses that are licensed through to the
The framework that will be used to critique the above research paper is Coughlan, Cronin and Ryan (2007). This framework has been chosen because it is easy to follow and is routinely used to critique quantitative research studies (Fothergill and Lipp, 2014).
Quantitative research methods are objective as it uses measurements and analysis of statistical data to answer the study question. The researchers’ opinions do not affect the outcome of the study, ensuring that the study is unbiased. Another advantage is quantitative research uses numbers and statistics which is understood universally (Houser,2008).
Record keeping provides evidence of any interaction or intervention involving a patient. It needs to be comprehensive enough to determine that the nurse has fulfilled his/her legal and professional duty of care (Griffith 2007).
By focusing on overall patient care and satisfaction many areas patients are surveyed on can be improved. Once a performance standard is selected staff must develop a plan for improvement. The first step would be to research as many sources as possible to find the best evidence based practices that would work for the specific facility. This can be divided into two the two categories of direct nursing care and indirect nursing care. Direct nursing care would include implementing hourly rounding, adequate nursing staff and SBAR communication. Indirect nursing care includes availability of technology such as wireless communication, real time locating, wireless monitoring, and electronic medical records. The second step would contain education of the staff on what is to be implemented and why. The why is important for nurses to overcome any barriers that might be encountered. While nursing practice has grown based on evidence Vanhook (2009) explains the greatest barriers to evidence based practice, such as difficulty interpreting findings, limited time, and misunderstanding of research itself, and how to overcome these barriers. With phase one and two completed facilities can move forward with implementation and evaluation.
A.Nightingale Community Hospital is attempting to be in complete compliance with Joint Commission’s “communications” standards. Prior to the Joint Commission survey, Nightingale Community Hospital wanted to focus on items UP.01.01.01 through UP.01.03.01 of the Joint Commission handbook. According to the handbook, these items focus on the universal protocols for preventing wrong site, wrong procedure, wrong person surgery (2015). In response to these universal protocols, the hospital implemented a pre-procedure hand-off tool, which is completed and signed off by both the nurse handing off the patient as well as the nurse accepting the patient. The hospital also began
Telenursing has allowed for nurse to continue cares of their patient even after they are discharged from hospital. “The ICN defines telenursing as follows. Telenursing refers to the use of telecommunications technology in nursing to enhance patient care”. (Kamei, 2013). There are many ways to communicate and gather information about the patient via landline phones, cell phones, videophones, personal computers, patient-specific information input terminals, tablet computers, and smart phone. These devices are essential for providing health care professional and nursing consult and mentor patients. (Kamei, 2013). Telenurses monitor patient continuously paying attention to their non-verbal cues, and tone of voice, breathing rate to determine if there are any issues of concern. “The key to effectively forming and maintaining the nurse-patient relationship lies in the nurse’s ability to interact and communicate with the patient.” (Jones, Hendricks, & Cope, 2012). According to Kamei, there are five principles to follow with telenursing. The first principle is of “building a therapeutic nurse-client relationships”. The second principle is of “providing and documenting care”. The third principle is of “roles and responsibilities”. The fourth principle is “consent, privacy and confidentiality”. And last, the fifth principle is “ethical and legal considerations”. The nurse should be able to establish rapport with patient; be knowledgeable to provide proper education in