Quantitative Research Article Critique Sandra M. Smith NUR/518 February, 26, 2012 Veta Massey Quantitative Research Article Critique Kalisch, B. J., & Lee, K. (2011). Nurse Staffing Levels and Teamwork: A Cross- Sectional Study of Patient Care Units in Acute Care Hospitals. Journal of Nursing Scholarship, 43(1), 82-88. Introduction The purpose of this study is to explore the current research data and use of the Nurse Teamwork Survey to see if nurse staffing levels predicts teamwork. The importance of teamwork is to achieve a higher level of patient safety, quality of care, job satisfaction, and decrease turnover. A cross-sectional descriptive design was used with a 2,545 nursing staff on 52 units delivering patient care, …show more content…
“The setting was four hospitals within the Midwest of the United. Sampling characteristics were 60% over the age of 35. The majority of the sample were female (89%) and RN’s (70%), and the majority (74%) had at least 2 years experience” (Kalisch & Lee, 2011, p.83). The sample group was identified and described and sufficient in size and character. The size of the hospitals were between 300 -900 beds. All units were eligible for inclusion. A total of 52 beds was the study sample. The sampling staff made up 2,545 respondents. 1,741 were RN’s, 41 were LPN’s, 502 were NA’s, and 191 were unit secretaries. The sample groups were appropriately identified as pertinent to the study question. The NTS was used in this study and was intended to measure nursing teamwork in the inpatient care setting. The Bartlett test was used to indicate the correlation matrix that showed it not to be an identity matrix. The Kaiser-Meyer-Olkin measured the sample adequacy. In this study it was determined to be excellent at (0.961). Confirmatory factor analysis also showed that the team work model of five factors fit the data well. A comparative fit index model was 0.884 with a root mean square error of approximation to be 0.055. The test and retest reliability was good at 0.92. The consistency of the survey showed to be 0.94 with co-efficient ranging from 0.74-0.85. The results of these tests showed a similarity in responses of staff
Stanton, M. R. (2004, March). Hospital Nurse Staffing and Quality of Care. Research in Action. Rockville, MD, USA: Agency for Healthcare Research and Quality.
Communication, this is the key focus area that is evaluated in this summary. Communication is a key focus area of the joint commission audit and is also a key area in which Nightingale Community can make enhancements. Communications must be a two way free flow of information. The information exchanges occur between providers, staff, and patients or clients. This was an area that needed improvement was noted in the previous accreditation audit. Some noted prior issues from 2 years ago included patient and family education and information not being properly disseminated to the nursing staff. These are areas where we have targeted and currently meet. Some areas that we continue to work on are as follows.
While historically these teams were spearheaded by phyiscians, team leaders are now based on team objectives instead of a member’s professional status (Porter-O Grady, 2013). These changes have resulted in professional nurses commonly assuming inpte-rprofessional team leader roles (Porter-O Grady, 2013). As inter-professional team leaders, nurses must have knowledge of group dynamics, team characteristics, and also have the skills necessary to effectively manage teams (Porter-O Grady, 2013). According to Porter-O Grady, “facilitation, coordination, and intergration of care” are inheret to the nursing profession and are essential effective nursing practice (2013, p.__ ). These attributes are equally important when leading inter-professional teams because nurses serve as great mediators between patients, team members, and the healthcare organization (Porter-O Grady,
In an article published by Applied Nursing Research the authors point out that nurse staffing is related to patient outcomes, “lower levels of RN staffing are associated with higher rates of OPSN (Outcomes Potentially Sensitive to Nursing) in both medical and surgical patients treated in hospitals, U.S. Medicare, and other publically available administrative data” (Duffield et al., 2011, p. 245). The writer of this paper researched 5 relevant articles regarding the relationship between nurse to patient ratio, morbidity, and mortality, every article related similar information. “A systematic review of 102 studies concluded that increased RN staffing levels are associated with lower rates of morbidity and mortality” (Ball, Murrells, Rafferty, Morrow, & Griffiths, 2013, p. 2).
The sample size was large enough since it brought together 2,545 nurses, from different nursing units. In addition, the selection of four different hospitals ensured that there was no bias and that any similarity in research findings could be considered as part of the study’s objectives (Brewer, 2006, p. 650).
This Nurse searched utilizing the following terms and phrases: Nurse to patient Ratio, Nurse Staffing Ratios, Patient outcomes, Length of Stay and Nurse Staffing, Post Discharge Utilization, Patient Safety Measures, post discharge readmission and nurse to patient ratios. The databases utilized in the research process were; CINHAL, PUBMED and HEALTH SOURCE: NURSING/ACADEMIC EDUCATION.
Inconsistent nurse-patient ratios are a concern in hospitals across the nation because they limit nurse’s ability to provide safe patient care. Healthcare professionals such as nurses and physicians agree that current nurse staffing systems are inadequate and unreliable and not only affect patient health outcomes, but also create job dissatisfaction among medical staff (Avalere Health, 2015). A 2002 study led by RN and PhD Linda Aiken suggests that "forty percent of hospitals nurses have burnout levels that exceed the norms for healthcare workers" (Aiken, Clarke, Sloane, Sochalski & Silber, 2002). These data represents the constant struggle of nurses when trying to provide high quality care in a hospital setting.
During the team formation, a number of challenges manifested. Firstly, it was the fact that there were nurses from other units. Hence, there were fears that they may not be well informed with procedures undertaken in our unit. However, this challenged was effectively addressed by assigning the nurses from other units a nurse from our unit to help her during the emergency period.
Purposive sampling was utilized to recruit 14 participants. A purposive sample is a non-representative subset of a larger population and is constructed to serve a very specific need or purpose. Research assistants distributed study flyers at hospitals and professional meetings throughout one Southeastern state. Criteria for inclusion included being an RN over the age of 50, working in direct patient care, and having a self-identified history of depression and/or musculoskeletal pain. Study participants included 13female and one male RN ranging in age from 50 to 65 years (mean of 57 years). Twelve of the RNs worked full time, two worked part time; eight worked the day shift, four worked the night shift, and two worked the evening shift. Thirteen of the participants were Caucasian and one was African American. Seven of the RNs worked in critical care settings, two worked in geriatric rehabilitation, and the others worked in newborn nursery, surgical,
For over a decade researchers have been performing studies examining the effects patient-to-nurse ratios have on adverse outcomes, mortality rates, and failure-to-rescue rates of patients and on job dissatisfaction and burnout experiences of nurses. Aiken, Sloane, Sochalski, and Silber (2002) performed a study which showed that each additional patient per nurse increased patient mortality within 30 days of admission by 7% and increased failure-to-rescue by 7% as well. This same study also showed that each additional patient per nurse resulted in a 23% increase in nurse burnout and a 15% increase in job dissatisfaction. Additionally, Rafferty et al. (2007) performed a study in which the results showed that patients in hospitals with higher patient-to-nurse ratios had a 26% higher mortality rate and nurses were twice as likely to have job dissatisfaction and experience burnout. Blegen, Goode, Spetz, Vaughn, and Park (2011) performed a study where results showed that more staffing hours for nurses resulted in lower rates of congestive heart failure morality, infection, and prolonged hospital stays. The same study also showed that increased nursing care from registered nurses resulted in lower infection and failure to rescue rates and fewer cases of sepsis.
In team nursing the responsibilities usually divided in between the personnel, so that everyone’s has its own role in patient’s care.
Teamwork in nursing is a little different that the teamwork of an actual team. In nursing, there is an ‘I’ in team, except here the ‘I’ stands for independent (QSEN Institute, 2015). Nurses and hospital faculty work their independent jobs, but communicate in order to give the patient the best care possible. Once again as stated before by Berman, the QSEN Institute believes that knowing your team 's strengths and weaknesses will also help you to be able to provide the best care possible.
What is a team work? Team work can be defined as when actions of individuals are brought together for the purpose of a common goal. Each person in a team puts his efforts to achieve the objectives of large group. Teams make efforts to achieve the success but not necessarily the success is achieved every time. Within a team every member plays a role to achieve the team’s objectives. These roles add new and important dimensions to interactions of team members. Bruce Tuckman’s team development theory provides a way to tackle the tasks of making a team through the completion of the project. On the part of the team every member played an important role to achieve the success at
Teamwork and collaboration in nursing can be defined as the development of partnerships to achieve best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer. (Giddens & Liesveld, 2013). This means that nurses are constantly working as a team to provide the best care for their patients. Working as part of a team may include listening to the client, getting help from another nurse to verify dosage calculations or working alongside the doctor to carefully facilitate their orders. I don’t believe any one nurse would be effective if they were working by themselves. The profession alone is demanding and one nurse working by themselves to assist the needs of more than one patient at a time would be dangerous.
In the hospital, a team includes a CEO, managers, supervisors, charge nurses, medical doctors, nurses, nursing assistants, social workers and maintenance crews; it can also include many other members. In addition, a well-functioning team is led by a good leader; a leader does not necessary mean the CEO, but someone who is driven, knowledgeable, and a good communicator. Charge nurse and nurses are normally the one that handles the care of patients in the hospital. Both charge nurses and nurses can be considered leaders. It is why, it is very crucial that nurses are good communicators. One would say that nurses are the spoke person of a hospital to its patients. The nurses care for their patient closely, they communicate with the doctors regarding the care of the patient; they communicate with the pharmacies, nursing assistant, colleagues, and many more. Those