NR 449 Week 1 Discussion, Clinical Decision Making (Two Responses)
Discussion #1
Describe a clinical situation where you were concerned (e.g., a
... [Show More] higher incidence of falls, infections, errors, etc.) and where decisions were made to improve the situation. What sources of evidence were utilized to make the decision (e.g., personal experience, expert advice, etc.)?
Discussion #2
Research is a fundamental role that every nurse and healthcare practitioner plays but in different ways. How can you use evidence to improve nursing care as a new nurse?
How do you fulfill a research role now, as a student? How will you fulfill this role in the future, when you are the RN? Are you a problem solver or a status quo accepter? What do you want to be?
Research can help the new nurse in a lot of ways. One instance is ensuring the new nurse that they are providing their patients with the best quality of care. With the sought-out research, the new nurse would have knowledge of up-to-date caring measures that are tailored in order to treat patients who are suffering from conditions, diseases, or disabilities.
As a student, the research role is being utilizing by becoming more familiar and exposure of things with the nursing profession by researching issues, procedures, and other measuring aspects that does occur in the field of nursing. With that all that has been acquired from research, we can learn how to apply the methods during lab, clinicals, and our work – either actual jobs or exams, projects, or discussions.
As a future RN, this role would be fulfilled by having the ability to make a clinical decision about the care of a patient in order for them to have the best quality of care.
Tingen et al (2013) mentions that future nurses are strong proponents of nursing research by using evidence during moments of their practice. Research helps a future nurse to utilize the best, but appropriate evidence produced from well-clinical publication, combined with their expertise and acquired knowledge in order to make a decision according to a patient’s preferences, current condition and values.
I would say that I am a problem solver. I would want to be a problem solver because I would want to apply my learning from evidence from research as my attempt to improve and prevent harmful deficits. These are the deficits that is currently affecting patients from the mistake of the caretakers to keep on continuing to happen to the patient.
Tingen, M. S., Burnett, A. H., Murchison, R. B., & Zhu, H. (2009). The Importance of Nursing Research. The Journal of Nursing Education, 48(3), 167–170.
Week #2
Post #1
In Unit 7, you will produce a group project based upon your assigned topic located in your team collaboration tab. Please review the current literature and provide an article that relates to your assigned topic. In this thread, please discuss how this article will be beneficial to your assigned topic.
Hello Class and Professor,
My group was assigned the topic, advancements in technologyimpact on nurse stress levels. The article that I deemed to be a good fit for the selected topic was an article written by Carina Stanton called, “Keeping up with technology”.
Stanton (2011) discusses on how the enhancements made in technology requires the nurse to have uptodate, but expert knowledge in order to provide their patient with safe patient care. As a nurse dealing with newest technology additions on their floor, the certain nurse would be usually required to demonstrate to the charge nurse, supervisors, or other floor nurses on how would they utilize the certain device on the patient. The article discuss that many nurses gets stress on the fear making a mistake, especially in the presence of using the particular device on their patient. The fear would make the nurse to feel that they are putting their patient’s wellbeing in jeopardy by the “mistake”. It is important to have nurse leaders that will work with the nurse on constant practice use on device so the nurse can develop expert knowledge, experience and are comfortable with using the device with ease. Lastly, the article said that nurses will have to learn managed strategies to combat their stress when using the latest technologies. Because technology is rapidly enhancing every few to several months, where the nurse will have to be proficient in the competitive, modern technologies. This is efficient for treating patients with severe ailments with the most unique, cutting edge technology.
It is beneficial to use this article for the assigned topic advancements in technology on nurse stress levels, because it showcases how the nurse can be afraid to even stressed on using the up todate technology due to the fear of making the mistake while using the device and could make that mistake on a patient or the lack of knowledge to use this device during floor rounds without assistance. It discusses on strategies that the nurse could perform as a way to ease their uneasiness while utilizing newer technology – such as practicing on using the device so there would not be any problem while with a patient or demonstrating the use of device with another health personnel before using it on a patient.
Reference:
Stanton, C. (2011). Keeping up with technology. Association of Operating Room Nurses.AORN Journal, 93(1), C1, C8-9. doi:http://dx.doi.org.proxy.chamberlain.edu:8080/10.1016/S0001-2092(10)01271-8
According to Houser (2015) – PICOT stands for population, intervention, comparison, outcomes, and time.
P(opulation) – 56 year old man who has been recently diagnosed with heart failure. I(ntervention) – A changing shift in his diet in order to include more fiber, healthier variety of foods, and controlling sodium level intake per day and physical activity to become more active and losing weight.
C(omparison) – Individual being just on medications as a lone treatment options vs additional treatment options like diet and exercise.
O(utcomes) – The individual has been educated to live an active, but an improvement in his lifestyle where he would be able to experience less life threatening complications from heart failure.
T(ime) – Within 6 to a year after the initial diagnosis.
Question: For individuals with heart failure, will they see improvements of their symptoms with diet and exercise or solely depending on medications as their main treatment option?
Week 2 Reponse Hello Sofia,
I believe that your article is a great asset towards showcasing the unsafe staffing levels that many nurses in many states, especially in Texas. It is vital for healthcare facility, medical clinics, and nursing homes (or related faculties) should maintain the appropriate number of nurses to a reasonable number of patient(s) to take care of within their shift duration. Staffing knowledgeable nurses to a fewer number of patients throughout their day will assist in their delivery of their patients receiving the adequate, but exceptional quality of care. According to Needleman (2015) states that the higher in number of patients given to a nurse (for example, a nurse has to take care of 9 patients during her shifts instead of a lower amount of patients ), the higher in probability that the patient will be in exposed into harmful conditions and return back to the hospital due to not receive best care during initial hospital visit. Employers think that they are saving money from hiring more qualified nurses help to assisting with the care of patients, but they are encouraging their patients who stays at their hospitals to be within adverse patient outcome due the staffing ratio of nurses to patients. I’m glad that your group would explore unsafe levels of staffing nurses to the number of patients.
Needleman, Jack,PhD., F.A.A.N. (2015). Nurse staffing: The knowns and unknowns. Nursing Economics, 33(1), 5-7. Retrieved from http://search.proquest.com.proxy.chamberlain.edu/docview/1655479841? accountid=147674
Week 3
Before I mention if our topic falls under the qualitative research, quantitative research, or a mixed approach, I would paraphrase the differentiation between the three approaches. Houser (2015) explains that quantitative research is considerably a traditional approach in research whereas the variables are identified from the represented aspects of interest and would be measured by a reliable and valid manner. While qualitative research is more of a naturalistic approach towards research, which is more on the focus of comprehension the meaning of an experience or situation from a person’s perspective. Lastly, the mixed methods research is an approach tool that combines both of the qualitative and quantitative research in sections – it would measure variables from a situation and includes the subjective experience from an individual, respectively.
My group was given the topic of advancements in technology-impact on nurse stress levels. I would state that the topic given to us, displays the characteristics of a mixed methods research approach. The reasoning behind of the topic falling into the mixed methods approach due to measuring the variables (with statistics of the comparison of how new graduate nurses are stressed from using technology to do their daily duties such as patient charting versus using paper documentation to perform their duties within their first year of the hospital). The qualitative research of the mixed methods approach in this design would be including perspectives, thoughts, and feelings from newly graduated nurses on using paper charting and documentation perform their duties to the transition of using technology software to perform these same duties, but keeping up to date with the knowledge with any advancements that these technology software programs may offer.
, In new graduate nurses (P), how does advancement in electronic documentation systems (or technology) (I) compared to paper charting(C) affect their stress levels (O) within their first year employed at the hospital (T)?
Given your experience in search of your topic, what gaps in evidence were found?
The gaps in evidence that I found while researching articles for the chosen topic were finding articles that fit the “5 years or less” timeframe. Especially since we are in the beginning of a new year, it was difficult to find an appropriate article that was dated from 2012 and less. They aren’t lot of articles that are dated from 2017 either. They were great articles that I discovered that were dated back 20, 15, and 10 years ago, so the evidence explained in those articles were not relevant to the nursing practice today. Another issue gap that I had experience during research was finding articles that peer reviewed. There were information that I found that I thought would be great on using for my paper, however they were in the forms of encyclopedia entries, non-peer reviewed articles or thesis dissertations of resident students.
What challenges were there in finding appropriate search terms?
I used both ProQuest (one of the databases from the Chamberlain library databases page) (Stanton, 2011) and Google Scholar (Hirsch, 2014) to discover the two articles that I chose to use for the following assignment. The challenges that I had with find articles was trying simplify, but concise the term search to discover great articles. The longer that the term search that I typed in, the more that
the search includes “random” articles that does not have no relation with nursing, technology advancements, and stress of using technology in nursing. I was able to find my articles with the search of “nurses’ stress in technology advancements” instead of typing “advancements of technology-impact nursing stress levels” to find more concise articles with valid information.
What led you to believe the sources of information were credible, along with the credentials of the authors?
What helped me to believe the information from the articles that I chose to cite were credible includes including subjective experiences of nurses who were having a hard time with adjusting to the advancements of using technology, including exactly why they were having time of adjusting to technology. Both of the articles’ authors include their thoughts of technology advancements impact of nursing in general helped me to understand how credible that the authors are.
Week 4:
The most common sampling method is the convenience sample; therefore many of the studies that you find for evidence will use this sampling strategy. What are the implications of using a convenience sample on the way you interpret and use research findings? Discuss the strengths and weaknesses of this sampling strategy, comparing it to other sampling designs commonly used in research.
As mentioned by Houser (2015), convenience sampling is a method of sampling that is based from subjects who are accessible to the researcher – at times it is called accidental sampling, due to the samples are easier to use, find, and less than time consuming in the comparision of probability sampling, in which where each member of the population has an equal opportunity to be selected in the sample. A sample in probability sampling can be randomized to have characteristics to draw conclusions accurately while the conclusion is one-sided in convenience sampling.
There are several mentions that can be made from convenience sampling. When a researcher is using convenience sampling, the expressed findings does not represent the targeted or intended population or at least any of the representatives who may be a part of the population. The findings that the researcher found only represent the “sample” group or collective, which can become bias as a favored result made by the particular researcher. The researcher can skew the outcome of the findings to their liking in order for them to blend into the research or project that they may be working on.
Convenience sampling has the strength of getting fast, quick, and ready to use results that can be applied onto a research study, project, or whichever platform of the use that the results gathered will be displayed in. This sampling can be used when the researcher does not have any specifics on the research study to be resolute. The weaknesses that convenience study have includes not representing a population that can be affected subjects for the study, instead the findings would only reflect what was gathered from the group that was sampled. Next, the sampling does not randomized subjects to gather a varied collection of data, instead the data is gather and later on tweaked for the researcher’s benefit. Convenience sampling is great for pilot studies, because the researcher can gather data on how the sample individuals felt about the subject of the study.
The most common sample is Convenience Sampling, also known as “Accidental Sampling”.
Convenience Sampling is used by researchers that are in the need for accessible subjects for research. Convenience Sampling has some advantages over probability, primary samples, by logistics and cost. Issues with Convenience Sampling is that it introduces bias in collecting samples (Houser, 2015). The ways in reducing bias views in convenience sampling is to assign subject to a random group once they have been inducted in the research study (Houser,
2015). Another disadvantage is that the results from the data cannot be generalized beyond the sample (Acharya, Anita S. et al., 2013).
Hello Gian,
I agree with the part of where you have mentioned that a disadvantage that convenience sampling have is the ability to generalizing the sample’s results. Because the data was collected to gain data of identities within the sample and nothing outside of the selected sample; it is limited. Since the data is limited because the sample was selected for a particular purpose by the researcher, there is a great opportunity for selection bias to the regard to results to be favored in a particular choice or decision (Houser, 2015). According to the suggestion made by Houser (2015) of limiting selection bias in convenience sampling, having the researcher to assigned the participants into groups after being selected in the sample group randomized– either numbering them off or heads or tail with the coin. The results would have a broader but varied choices or decisions, that can be used beyond what was expressed in the sample.
Reference:
Hello Sonia,
I thought that the article that you chose helped to reiterate the importance of informed consent and confidentiality. You brought a good point in your post, a patient should be explained again and/or being asked on if they understand of what is being taken place, regarding to their health information to be used in medical research studies, trials, or publications. Bristol and Hicks (2014) supplemented your point very well with stating that just because a patient signs a plethora of documents regarding their informed consent on the intended use of their health information, does not mean that the decision is the final decision of use. The researcher or health professional should ask the patient verbally, on if they have the patient’s permission to utilize their health information in an utmost manner. The patient should not be in the “dark” with how their information would be used.
Although the information would be used and not the actual patient, Bristol and Hicks (2014) stated that the researcher should treat the patient’s health information with the best quality of
care, as if they are dealing with the patient themselves. This would lead of keeping the information confidential especially if the use of intention is publicizing it on a publication platform. This includes the researcher uses pronouns when necessary and use anonymous identifiers (like initials) versus using the patient’s name.
Reference:
Bristol, S. T., & Hicks, R. W. (2014). Protecting boundaries of consent in clinical research: Implications for improvement. Nursing Ethics, 21(1), 16-27. doi:http://dx.doi.org.proxy.chamberlain.edu:8080/10.1177/0969733013487190
Week 5
Discussion 1
One example of a data collection method used in one of the articles was survey. Houser (2015) (via DeVellis (2011)) states that the survey and questionnaire method is a universal tool that is used by the researcher to gather information directly from subjects about their experiences, behaviors, attitudes, or observations towards a certain issue, action, or policy. Hirsch (2014) conveyed the survey method in her article by conducting a questionnaire that helped to measure how many nurses felt that documenting patient’s information was easier through a paper charting format rather than using many information technology software programs. This was how she was able to gather information to make an inference that new nurses have the difficulty to obtain of multi-tasking on a health information technology platform or software in the comparison to expert nurses.
Hirsch, A. (2014). Technology management strategies for nurse leaders. Nursing Management (Springhouse), 45(2), 41-43. doi:10.1097/01.numa.0000442645.01325.fe
Discussion 2
Data collection method that was mentioned in my first discussion was the survey since that was one data collection that was displayed within one of my articles. One of the factors that can help to determine the validity in the selected data collection method is the content that is being asked in the survey is valid to the targeted issue. As mentioned by Houser (2015), surveys are written as open-ended or close-questions. The author retorts on open-ended questions, it can be longer with the time for a subject to produce an answer to the asked question. The validity can be observed on if the subject understood the question being asked, accurately to mark or write down an answer that used as data. If the subject misunderstood the question, then it would take a while for the researcher to analyze the response. Another factor on if the results would also be simplified for the intended population of the sample.
In the case of reliability, depending on the consistency of measurement in questions is being asked in the same manner would produce similar results within in similar conditions. Houser (2015) states that depending on the questions being asked on the surveys, it can rely on a quanititative, qualitative, or a mixed method designs. The reliability can be flawed if the researcher used closed-ended questions for one survey, but asked open-ended questions for another survey. It will gain a different result since the answers were not answered in similar conditions.
Hello Miguel.
From reading the description of what you given about how your article is trying to achieve on if the nurses are satisfied with their work environment. I can infer that survey would be the best data collection method for the researcher who is conducting the research in your article to collect the feelings, opinions, and additional information from the subjects in the sample (the nurses’ satisfaction within their unit). You mentioned that surveys are anonymous, the nurses would have the freedom to speak their mind. It sounds like the survey method from your article was composed through mainly through open-ended questions, in order for the nurse manager can evaluate the feelings and perceptions of why the certain nurse is often coming in late or how does the nurse get along with the other nurses on their unit.
According to Houser (2015), open-ended questions are a part of qualitative research. She continues by stating that researchers use open-ended questions on surveys when the researcher does not know all of the possible responses or when the researcher wants for the survey participants to respond to the questions in their own words. In your article’s case, I think that the researcher wants for the nurses to write responses in their words, so the nurse manager could evaluate the results and gain understand as why the nurse acts the manner that they do when they are at work.
Hello Laura
Houser (2015) mentions that validity is the ability of an instrument to consistency measure on what to supposed to measure. It seems that the articles that you acquired from the CINHAL has brought validity onto your research, since it contains interventions that has been performed within the last ten years on the horizontal violence within nursing. Construct validity looks like it was used in determine validity for this instance. You said that you discovered up to 10 years of tactics in horizontal violence within nursing. Construct validity implies that the measurement captures a hypothetical basis on the variable being tested (Houser, 2015). Nonetheless, the author continues with mentioning that it can take researchers years to see if the instrument best represents the variable.
However, like you stated within your post, there have could a lot of interventions that can be updated in the past ten years. It could bring conflicting issues on if the information can be
reliable enough to use on the current issue of horizontal violence in nursing, to be at this right moment. Houser (2015) mentions reliability described if the instrument used will be consistent. Using horizontal violence within nursing approaches from 10 years to this current time, will make the approach to be outdated to test against how horizontal violence is being displayed and handled nowadays. Your articles reliable to the intended audience since they are peer-reviewed. If using any approaches that are five or less years, would bring more reliable, but recent relevant methods on how to horizontal violence in nursing between new, graduated nurses and expert nurses.
Week 6
Hello everyone,
Houser (2015) explains that descriptive statistics involves a range of complexity – simple counts of data to analyses of relationships in a certain subject. The classifications of descriptive statistics follow: Counts of data, Measures of central tendency, Measures of variability, Measure of position, Measures of relationship, and Graphical presentations.
I chose option number 4 out of the results options. What is your age?
Average age is 41 years
20–24 4.1%
25–29 3.6%
30–34 13.2%
35–39 15.5%
40–44 17.6%
45–49 28.0%
50–64 21.4%
65 and over 0.2%
The descriptive statistic that was used in this example is measure of central tendency, since the age are disturbed within various points in the sample. Houser (2015) mentions that measure of central tendency includes discovering the median, mode, and mean. The sample helped to display what was the average among the various ages.
The sample is probably related to common ages of students who are enrolled in nursing school at the moment of research. While many would assume that the common age ranges for students who are in nursing would 20 to 24, 25 to 29, or 30 to 34. The study helps to illustrate that the mean of the students are from the youngest aged student to oldest aged student, which gave the mean of 41.
Houser, J. (2015). Nursing research: reading, using, and creating evidence (3rd ed.). Sudbury, MA: Jones and Bartlett .
Discuss the importance of inferential statistics in research. How does it differ from descriptive statistics? Please give an example of inferential statistics and support your answer with current literature.
Houser (2015) explains that inferential statistics helps to differentiate between groups measured analyzed and quantitatively. Inferential statistics has importance in research by giving the allowance of the researcher to determine the probability of that random error is responsible of the outcome of research results. Also, inferential statistics gives the reader some write up information about the magnitude of the effect in that outcome. Ternes of Purdue Owl (n.d.) explains that descriptive statistics and inferential statistics differs in that descriptive statistics is when the statistics gives a description of the group that they can belong to, while inferential statistics is when the statistics that are used to get inferences about a larger group of people.
Example of this type of statistics include asking about healthcare provider influence as mentioned by StatCrunch (n.d.) . The researcher asked 200 people if they have change their healthcare providers based on health ailments they gained or outward appearances since being with the healthcare provider? The answer choices are either yes or no. The results were having 180 people, a percentage of 90%, answered no to changing their healthcare providers. While there 20 people, a percentage of 10%, answered yes to changing their healthcare providers.
Inferential Statistics ReportHealthcare Provider Influence Survey on StatCrunch. (n.d.). Retrieved February 08, 2017, from https://www.statcrunch.com/5.0/viewreport.php?reportid=41407
Welcome to the Purdue OWL. (n.d.). Retrieved February 08, 2017, from https://owl.english.purdue.edu/owl/owlprint/672/
Professor and Class,
Inferential Statistics “probability of characteristics of population based on the characteristics of population based on the characteristics of your sample and help assess strength of the relationship between your independent (causal) variables, and your dependent (effect) variables” (Albrecht, 2012). The difference between descriptive and inferential statistics is that with descriptive statistics you cannot infer or draw generalized conclusions. One important use of inferential statistics is evidence-based nursing practice. In the study of the causes of the spread of infection and the importance of handwashing it was revealed that
“80% of communicable diseases are transferred by touch” and that only “75% of women and less than 50% of men wash their hands after going to the bathroom” (B4 Brands, 2013). As a nurse, it is important to utilize evidence-based practice in all aspects of patient care. Thank you!
Hello Jaimie,
I like on how you gathered your information on inferential statistics. I agree with your difference on descriptive statistics does not allow the researcher to draw conclusions like inferential statistics does. Houser (2015) mentions that inferential statistics enables the researcher to draw a conclusion since the independent variable has an influence on the outcome in statistical analysis. Ternes of Purdue Owl (n.d.) describes descriptive statistics having the ability to describe the statistics that they belong to compared to inferential statistics. Another difference that inferential statistics helps experimental design to measure groups quantitatively and in an analysis, according what was stated by Houser (2015). I also agree with your reference with inferential statistics has importance in evidence based practice. According to Cruz et al (2016), inferential statistics (along descriptive statistics) helps to analyze the data of academic strategies that were used in order to implementation in the demands of the healthcare system.
References:
Cruz, J. P., Colet, P. C., Alquwez, N., Alqubeilat, H., Bashtawi, M. A., Ahmed, E. A., & Cruz, C. P. (2016). Evidence-Based Practice Beliefs and Implementation among the Nursing Bridge Program Students of a Saudi University. International Journal of Health Sciences, 10(3), 405–414.
Welcome to the Purdue OWL. (n.d.). Retrieved February 08, 2017, from https://owl.english.purdue.edu/owl/owlprint/672/
Week 7
Discussion 1
How does a nurse know what (if any) knowledge in a research study is usable for clinical practice? What would a critical thinker look for in the evidence before deciding to change? What influence do credibility and clinical significance have on your decisions to integrate research-based evidence into your practice?
How does a nurse know what (if any) knowledge in a research study is usable for clinical practice?
Goodall et al (2013) extensively mentions that a nurse would know what knowledge in research study is unusable for their clinical practice depending what information from the study that is relatable to their area and significance of their clinical practice, seeking on the credibility of the article of the study, and utilizing their best judgement on if the evidence from the study is useable. From there, the nurse can critically evaluate the knowledge of the study on certain
conditions – such as the type of study, study population, or if the study can be replicated under different premises or circumstances.
What would a critical thinker look for in the evidence before deciding to change?
A critical thinker should observe for the evidence before deciding to change, would pursue as for the reason of the study and see how accurate is the evidence from the content is usable before changing to another article. The thinker would have to test any other ways that the evidence that was obtain from the study as might not stand a chance for being correct or credible and if the evidence selected can be reproduced in another manner.
What influence do credibility and clinical significance have on your decisions to integrate research-based evidence into your practice?
The influence that credibility and clinical significance have on your decisions to integrate research-based evidence in the practice due to the fact that the both have a huge influence. Goodall et al (2013) expressed in their article with that research-based evidence is based on the knowledge of previous work that has been tested or conducted can be used to solve new, arisen issues encountered. In the regard of the case of credibility, all depends how much is there to believe in the accuracy in the evidence from the content of the published work, and the impression that it would have on the particular area of clinical practice.
References:
Goodall, D. L., Marples, G., & Roberts, K. (2013). Approaches to producing credible and useful literature reviews. Cancer Nursing Practice (through 2013), 12(3), 31-35. Retrieved from http://search.proquest.com.proxy.chamberlain.edu/docview/1347628877?accountid=147674
Week 2:
Please share the factors you used to determine that the evidence found in your group project is sufficient for a change of practice and defend your decision.
Hello Class and Professor,
In the group project, our topic was about the advancements in technology affects the stress levels in nurses. The factors that were considered to determine on if the evidence was sufficient for a change in practice include utilizing databases of ProQuest (from Chamberlain library database) and Google Scholar seek for peer-reviewed articles that had experienced subjects that would be valid in the evidence. Next, we made sure that the articles had recent but related information from last 10 years to make sure that the evidence were recent to go against the current issues of the topic at hand. The authors, Stanton (2011) and Hirsch (2014), were credible since they are nurses in their fields and had problems with how advancements of technology came with difficulties, so with those difficulties, raised their stress levels. That the authors to creates studies related towards experiences that the nurses, especially new nurses, felt during their first year of practice.
Hirsch, A. (2014). Technology management strategies for nurse leaders. Nursing Management (Springhouse), 45(2), 41-43. doi:10.1097/01.numa.0000442645.01325.fe
Stanton, C. (2011). Keeping up with technology. Association of Operating Room Nurses.AORN Journal, 93(1), C1, C8-9. doi:http://dx.doi.org.proxy.chamberlain.edu:8080/10.1016/S0001-2092(10)01271-8
Hello Professor and Class,
Per American Association of Colleges of Nursing, nurse research provides a scientific basis for the practice of the profession. Evidence base research has a tremendous influence on the current and future aspects of nursing care, for advancement and for optimal patient outcome. Some individuals have challenges as to how to identify evidence based. Essentially, nurses will be able to identify and implement research into patient care by reading evidence based article. With supportive team leaders, time will be set aside for research based practices and learning. Allowing nurses time to seek and learn about credible research and how to apply.
The critical thinker will identify key aspects of research such as relevance, sample size, population source, author statistics, evidence and tools used; before implementing. Also, using, organization that are not credible, information is not from a trusted source. If the information was tested and implement by credible source such as the CDC or the Healthy People 20/20, then the critical thinker will be more inclined to use the information into their practice. Special time should be set aside for nurses to find research to implement with patient care. It can be very challenge because nurses are so busy with patient care.
To optimize patient care and safety evidence based research should be used. Nurses need to critical thinkers because we work with various settings and we care for individuals who deserve the best care. The profession is ever changing and there is a need to transition with all the changes.
Reference:Nursingtimes.net www.americannursetoday.com nursing.advanceweb.com
Hello Kristy,
I agree with your post. Research in nursing helps to bring a scientific element towards the field. Allow the nurse to test the problem with participants and provides evidence that is align to what is current to recent occurring in the field at that point of time. You brought a good point with how a nurse can use evidence. According to Raines (2013), nurses can use the evidence within their practice and making sure that the information that within that content is reliability and credible. By utilizing those factors, a nurse can see if the practice of providing evidence is practical to use in order to give their patient the best quality of care. Nurses as you said, have to be critical thinkers and utilize all possible options to use the evidence and test its credibility before trying to see if it safe to use for the care of the patient.
Reference:
Raines, Deborah A, PhD, EdS,R.N., A.N.E.F. (2013). Finding the evidence. Neonatal Network, 32(3), 203-
5. Retrieved from http://search.proquest.com.proxy.chamberlain.edu/docview/1350294962? accountid=147674
Week 8
Hello,
Thanks to your team to enlighten the class of a serious topic that occurs not only in the nursing field, but in different areas of healthcare as well. When your team was talking about horizontal violence, I was not aware of it by the term of horizontal violence, but the name of lateral violence. Reynolds et al (2014) explains that horizontal violence in nurses is when nurses who has a lot of experience would bully nurses, certified nurse assistants, patient care assistants, or any individual who has less experience or younger than them with aggression or non-aggression such as what your team explained in the PowerPoint with threats, nasty facial expressions, withholding information, or gossiping about the individual. I found it interesting that in your study results displayed in your team’s PowerPoint, that females were nearly 12 times more likely to experience horizontal violence than males. I would say that the females would be easier to push out the control and taunt bullying behaviors on than in the comparison of a man.
Thanks to your team for publicizing unsafe staffing levels out there for our class to learn from. Coming from a mom who has been a nurse for about 18 years and shadow her from time to time, I do see her being burn out and from caring for 10 to 12 patients in the duration of her shifts. I think staffing levels nowadays are unsafe for both of the nurses’ and patients. Like you mentioned towards the beginning slides of your team’s PowerPoint, assigning those many patients to a nurse, introduce mistakes. Mistakes including errors that the nurse could make while caring for the patient includes misidentification of the patient, giving medications to one patient that were intended for another patient, or neglecting needs of one patient due to tending the needs of another other patient.
Kasestner and Kaestner (2012) mentions that nurses are more likely to get injured while making rounds because of the constant, rigorious back and back that they would have to quickly have to get to a particular patient at a certain of time, as a manner to document and monitor any updates that they notice from the patient that can cause conflicts to the patient’s care. I believe if many medical centers or hospitals hire more nurses to reduce the nurse-to-patient ratio, patient’s illness needs will be quickly in met and nurse would be able to do their job properly with caring for a lesser number of patients, more energized in care for the patient, and reduce the amount of injuries that a nurse may get.
Reference:
Kaestner, K., & Kaestner, A. (2012). Nurse to patient ratios. Nevada RNformation, 21(3), 14. Retrieved from http://search.proquest.com.proxy.chamberlain.edu/docview/1026588332?accountid=147674 [Show Less]