Debra C. Hairr Helen Salisbury M ark Johannsson N a n .docxsimonithomas47935
Debra C. Hairr
Helen Salisbury
M ark Johannsson
N a n c y Redfern-Vance
Nurse Staffing and the
Relationship to Job Satisfaction
And Retention
E x e c u t iv e Su m m a r y
p The purpose of this quantita
tive, correlational research
study was to examine the rela
tionships between nurse
staffing, job satisfaction, and
nurse retention in an acute care
hospital environment.
p Results indicated a moderately
strong, inverse relationship
between job satisfaction and
nurse retention.
P- A weak positive relationship
between job satisfaction and
nurse staffing was identified.
p Nurses reported experiencing
job dissatisfaction in the past 6
months specifically related to
the number of patients
assigned.
p Analysis suggested nurses are
staying with their current
employer because of the cur
rent economic environment.
P Improving nurse staffing will be
necessary when the economy
improves to prevent the depar
ture of discontented nurses
from acute care facilities.
I
n 2004, t h e I n s t it u t e o f
M edicine released a report,
Keeping Patients Safe: Trans
form ing the Nursing Work
Environment. This report recog
nized appropriate nurse staffing
levels are essential for patient
safety. N urse-patient ratios are a
starting point in the discussion of
appropriate levels of nurse staf
fing. R esearchers agree p a tie n t
acuity and skill m ix m ust also be
taken into c o n sid e ratio n w h e n
addressing nurse staffing issues
(Tevington, 2011). There is a p au
city of research that addresses p a
tient acuity, skill mix, and nurse-
patient ratios.
The Am erican Nurses Creden-
tialing Center (ANCC) Magnet®
hospitals are w idely recognized
for prom oting safe and appropri
ate nurse staffing and generally
have good p a tie n t outcom es
(Trinkoff et al., 2010). According
to N eedlem an a n d colleagues
(2011), Magnet hospitals also have
lower patient m orbidity and m or
tality rates th an non-Magnet hos
pitals. A 3-year study conducted
in a M agnet h o spital analyzed
over three m illion patient records.
Researchers exam ined the effect of
inadequate nurse staffing on m or
tality. There was a 6% risk of
death for patients w hen a shift
w ith a nurse staffing shortage of
just 8 hours occurred. The litera
ture suggests nurse-patient ratios
of 4:1 or less provide the m ost
optim al outcom es for patien ts
(Aiken, Clarke, Sloane, Sochalski,
& Silber, 2002; Aiken, Clarke, Sloane,
Lake, & Cheney, 2008; Aiken et al.,
2010; N eedlem an et al., 2011;
Rosenberg, 2011).
DEBRA C. HAIRR, DHSc, MSN, RNC-OB, is Contributing Faculty, College of Health
Sciences, School of Nursing, Walden University, Minneapolis, MN.
HELEN SALISBURY, PhD, is Assistant Professor, Arizona School of Health Sciences at
A. T. Still University, Mesa, AZ.
MARK JOHANNSSON, DHSc, MPH, is Adjunct Professor, Arizona School of Health
Sciences at A. T. Still University, Mesa, AZ.
NAN CY REDFERN-VANCE, PhD, .
Standardized Bedside ReportingOne of the goals of h.docxwhitneyleman54422
Standardized Bedside Reporting
One of the goals of healthcare is to ensure that the patients get the best service possible while not compromising on the satisfaction and goodwill of the nurses and other healthcare professionals. A key aspect of ensuring quality healthcare is the consistent handling of patient information from nurse to nurse during shifts; information handled wrongly can jeopardize the patients’ health (Baker, 2010). It is important to implement procedures that ensure consistent and smooth handling of patient information from nurse to nurse to increase patient safety and improve nurse satisfaction. This paper will explore the merits of standardized bedside reporting as opposed to board reporting in ensuring a positive outcome and consistent quality healthcare.
Change model overview
A key aspect in determining whether bedside shift reporting has any merits over board reporting is the John Hopkins Nursing Evidence-Based Practice Process (JHNEBP). The John Hopkins Nursing Evidence-Based Practice Process is a framework for guiding the translation and synthesis of evidence into valid healthcare practice. JHNEBP has three cornerstones that include research, education, and practice; the framework ensures that research evidence is the basis of clinical decision-making. (Dearholt & Dang, 2012) The implementation of the John Hopkins Nursing Evidence-Based Practice Process has three key phases, the first phase is the identification of an important question, the second phase involves the systematic review of research evidence, and the third phase is translating the results into action. Nurses should use the JHNEBP process because it provides a clear way for healthcare professionals to translate research results into healthcare practice.
Practice Question
The team includes several key stakeholders who will benefit greatly from my research. Among the team members include myself as ER nurse, charge nurse, ERT ( Emergency room tech), nurse case manager, nurse supervisor, physician and hospital manager.
The evidence-based practice question that the team members will explore is "Does the use of a standardized bedside report versus board reporting help increase patient safety, nurse satisfaction, and positive outcome?" The evidence-based practice question assesses the ability of bedside shift reporting to improve healthcare provision. The practice area of the question is clinical. The practice issue came about because of assessing risk management concerns in ensuring good health practices. To answer the question, the team members gathered evidence from patient preferences, peer-reviewed journals, and clinical guidelines. The team members searched peer-reviewed journal databases to gather relevant information from previous research that could affect the results.
Understanding the merits of bedside shift reporting as opposed to board reporting is important as most healthcare organization use either strategy in collecting and passin.
Contents lists available at ScienceDirectNurse Education T.docxbobbywlane695641
Contents lists available at ScienceDirect
Nurse Education Today
journal homepage: www.elsevier.com/locate/nedt
Review
The impact of nurse residency programs in the United States on improving
retention and satisfaction of new nurse hires: An evidence-based literature
review☆
Caitlin M. Eckerson1
10 Fowlerhouse RD Wappinger Falls, NY 12590, United States of America
A R T I C L E I N F O
Keywords:
BSN residency program
Traditional orientation
Retention
Satisfaction
New nurse
A B S T R A C T
Entry into practice for newly graduated nurses can be a demanding and overwhelming experience. These
stressful work conditions have contributed to decreased retention and satisfaction amongst new nurse hires. The
aim of this literature review is to answer the following question: in newly hired BSN graduates, how would the
use of a one-year nurse residency program compared to a traditional orientation affect turnover rates and re-
ported satisfaction of the new nurse hires over a one-year period? Peer-reviewed research and systematic reviews
between the years of 2012–2017 found on the Medline, Nursing & Allied health, and CINHAL were used.
Inclusion criteria were peer-reviewed literature that addressed the impact of one-year NRPs on nurse retention or
nurse satisfaction. Exclusion criteria were articles that addressed NRPs without discussing retention or sa-
tisfaction. The JHEBP Appraisal Tools were used to extract and appraise evidence. Use of NRPs showed increased
satisfaction and retention of new nurse graduates over a one-year period, leading to the conceptualization that
this is a more effective method than traditional orientations for new nurse hires.
1. The Impact of Nurse Residency Programs on Satisfaction and
Retention of New Nurse Hires
Transitioning from the student nurse role to the practicing nurse
role has been identified as a stressful and challenging time for new
nurses as they try to adjust to caring for multiple patients with chronic,
complex health conditions (Van Camp and Chappy, 2017). The chal-
lenging evolution can last as long as 12months and has been shown to
be a contributing factor for a high turn-over rate amongst new nurses
during their first year of hire (Olsen-Sitki et al., 2012). Research
studying the impact of hospital work environments on retention of new
nurse hires found that new nurses experience less anxiety and stress in
environments that foster a safe learning environment and effective
communication and support (Cochran, 2017).
This is a relevant issue to nursing education because, as educators, it
is vital to assess the needs of new graduates and develop effective
transitional programs that will empower new nurses to practice with
confidence in a safe and proficient manner, which may lead to in-
creased satisfaction and retention during their first year of hire.
In 2010, the Institute of Medicine (IOM) offered recommendations
on how to improve the nursing profession to better care for the
increasingly co.
17NURSING ECONOMIC$/January-February 2008/Vol. 26/No. 1
M
AGNET® STATUS IS AWARDED
by the American Nurses’
Credentialing Center
(ANCC) to hospitals that
satisfy a set of criteria designed to
measure the strength and quality
of their professional nursing prac-
tice. Designation as a Magnet hos-
pital originated in the 1980s. It was
awarded to hospitals that were
successful in recruiting and retain-
ing nurses during the nursing
shortage of that time (Gleason,
Sochalski, & Aikin, 1999). It is pur-
ported that nurses in Magnet-des-
ignated hospitals deliver excellent
patient outcomes (The Center for
Nursing Advocacy, 2006). When a
health care organization receives
Magnet designation, it is recogni-
tion of a facility’s attainment of
excellence (ANCC, 2006a).
“The Magnet Recognition Pro-
gram® identifies and defines the
‘Forces of Magnetism’ as the char-
acteristics displayed by health care
organizations that develop and
maintain a professional practice
environment that helps recruit and
retain nurses” (ANCC, 2004). To
date, over 200 hospitals in the
United States and one in Australia
are recognized with Magnet desig-
nation (ANCC, 2006b). For a
health care organization to receive
Magnet designation, the environ-
ment must be provided where
nursing care promotes attainment
of the highest achievable patient
outcomes (ANCC, 2004). Evalu-
ation of patient outcomes is an
important topic because of the
concern about the quality of
healthcare.
One of the 14 Forces of
Magnetism requires a health care
organization to have a professional
model of care. The eligibility
requirements stipulate that this
model must be utilized throughout
the health care system and that the
same philosophy must be used
throughout the system. The model
of care is to “give nurses the
responsibility and authority for the
provision of direct care.” Further,
“the models of care provide for the
continuity of care across the con-
tinuum.” The models take into
consideration patients’ unique
EXECUTIVE SUMMARY
One of the 14 Forces of Mag-
netism requires a health care
organization to have a profes-
sional model of care.
The eligibility requirements stip-
ulate that this model must be
utilized throughout the health
care system and that the same
philosophy must be used
throughout the system.
The American Association of
Critical-Care Nurses Synergy
Model for Patient Care de-
scribes nursing practice based
on eight patient characteristics,
and also describes eight nurse
competencies.
The core concept of the model
is that the needs or characteris-
tics of patients and families
influence and drive the charac-
teristics or competencies of
nurses.
Synergy results when the
needs and characteristics of a
patient, clinical unit, or system
are matched with a nurse’s
competencies.
The synergy model is an excel-
lent framework to organize the
work of patient care throughout
the health care system.
It can be used and applied in
various ways and provides a
comprehensive framework for
assuring suc ...
Running head LITERATURE EVALUATION TABLE2LITERATURE EVALUATI.docxinfantkimber
Running head: LITERATURE EVALUATION TABLE 2
LITERATURE EVALUATION TABLE 2
Literature Evaluation Table
Student’s Name
Institutional Affiliation
PICOT Statement
(P) Inpatients in acute care units and acute rehabilitation unit.
(I) –Implementation of adequate nurse-to-patient staffing ratios
(C) –Disproportional nurse-to-patient staffing ratios
(O) –Improvement in quality of patient care
(T) Throughout hospitalization period
(P) For inpatients in acute care units and acute rehabilitation units(I)will implementation of adequate nurse-to-patient staffing ratio(C)against disproportional nurse-to-patient staffing ratio(O)improves the quality of patient care(T)throughout the period of the hospitalization?
Literature Evaluation Table
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-reviewed), and permalink or working link to access the article
Bridges, J., Griffiths, P., Oliver, E., & Pickering, R. M.
BMJ Quality & Safety, 28(9),
https://doi.org/10.1136/bmjqs-2018-008948
Cho, E., Sloane, D. M., Kim, E.-Y., Kim, S., Choi, M., Yoo, I. Y., Lee, H. S., & Aiken, L. H.
International Journal of Nursing Studies, 52(2), 535–542
https://doi.org/10.1016/j.ijnurstu.2014.08.006
Cho, S.-H., Lee, J.-Y., Hong, K. J., Yoon, H.-J., Sim, W.-H., Kim, M.-S., & Huh, I
Journal of Korean Academy of Nursing Administration, 26(1), 42.
https://doi.org/10.11111/jkana.2020.26.1.42
Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., & Astin, F.
European Journal of Cardiovascular Nursing
https://doi.org/10.11111/jkana.2020.26.1.42
Article Title and Year Published
Hospital nurse staffing and staff-patient interactions: an observational study.
2019
Effects of nurse staffing, work environments, and education on patient mortality: An observational study.
2015
Determining Nurse Staffing by Classifying Patients Based on their Nursing Care Needs.
2020
The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis.
2018
Research Questions (Qualitative)/ Hypothesis (Quantitative) and Purpose/Aim of the study
Research question: what is the relationship between nurse staffing and staff-patient interactions?
The purpose: The study aimed at exploring the associations between the levels and skills of nurse staffing and the quality and quantity of their interactions with patients in hospital wards.
Research question: what is the link between nursing characteristics and patient outcomes?
The aim of the study: to explore the impact of nursing staffing, education, and environment on the mortality of patients.
Research question: what is nursing staffing in terms of patients’ nursing care needs?
The aim of the study: to determine nursing staffing through the classification of nursing care needs of patients.
Research question: what is the effect of nursing staffing levels on patient outcomes?
Aim of the study: To d ...
Debra C. Hairr Helen Salisbury M ark Johannsson N a n .docxsimonithomas47935
Debra C. Hairr
Helen Salisbury
M ark Johannsson
N a n c y Redfern-Vance
Nurse Staffing and the
Relationship to Job Satisfaction
And Retention
E x e c u t iv e Su m m a r y
p The purpose of this quantita
tive, correlational research
study was to examine the rela
tionships between nurse
staffing, job satisfaction, and
nurse retention in an acute care
hospital environment.
p Results indicated a moderately
strong, inverse relationship
between job satisfaction and
nurse retention.
P- A weak positive relationship
between job satisfaction and
nurse staffing was identified.
p Nurses reported experiencing
job dissatisfaction in the past 6
months specifically related to
the number of patients
assigned.
p Analysis suggested nurses are
staying with their current
employer because of the cur
rent economic environment.
P Improving nurse staffing will be
necessary when the economy
improves to prevent the depar
ture of discontented nurses
from acute care facilities.
I
n 2004, t h e I n s t it u t e o f
M edicine released a report,
Keeping Patients Safe: Trans
form ing the Nursing Work
Environment. This report recog
nized appropriate nurse staffing
levels are essential for patient
safety. N urse-patient ratios are a
starting point in the discussion of
appropriate levels of nurse staf
fing. R esearchers agree p a tie n t
acuity and skill m ix m ust also be
taken into c o n sid e ratio n w h e n
addressing nurse staffing issues
(Tevington, 2011). There is a p au
city of research that addresses p a
tient acuity, skill mix, and nurse-
patient ratios.
The Am erican Nurses Creden-
tialing Center (ANCC) Magnet®
hospitals are w idely recognized
for prom oting safe and appropri
ate nurse staffing and generally
have good p a tie n t outcom es
(Trinkoff et al., 2010). According
to N eedlem an a n d colleagues
(2011), Magnet hospitals also have
lower patient m orbidity and m or
tality rates th an non-Magnet hos
pitals. A 3-year study conducted
in a M agnet h o spital analyzed
over three m illion patient records.
Researchers exam ined the effect of
inadequate nurse staffing on m or
tality. There was a 6% risk of
death for patients w hen a shift
w ith a nurse staffing shortage of
just 8 hours occurred. The litera
ture suggests nurse-patient ratios
of 4:1 or less provide the m ost
optim al outcom es for patien ts
(Aiken, Clarke, Sloane, Sochalski,
& Silber, 2002; Aiken, Clarke, Sloane,
Lake, & Cheney, 2008; Aiken et al.,
2010; N eedlem an et al., 2011;
Rosenberg, 2011).
DEBRA C. HAIRR, DHSc, MSN, RNC-OB, is Contributing Faculty, College of Health
Sciences, School of Nursing, Walden University, Minneapolis, MN.
HELEN SALISBURY, PhD, is Assistant Professor, Arizona School of Health Sciences at
A. T. Still University, Mesa, AZ.
MARK JOHANNSSON, DHSc, MPH, is Adjunct Professor, Arizona School of Health
Sciences at A. T. Still University, Mesa, AZ.
NAN CY REDFERN-VANCE, PhD, .
Standardized Bedside ReportingOne of the goals of h.docxwhitneyleman54422
Standardized Bedside Reporting
One of the goals of healthcare is to ensure that the patients get the best service possible while not compromising on the satisfaction and goodwill of the nurses and other healthcare professionals. A key aspect of ensuring quality healthcare is the consistent handling of patient information from nurse to nurse during shifts; information handled wrongly can jeopardize the patients’ health (Baker, 2010). It is important to implement procedures that ensure consistent and smooth handling of patient information from nurse to nurse to increase patient safety and improve nurse satisfaction. This paper will explore the merits of standardized bedside reporting as opposed to board reporting in ensuring a positive outcome and consistent quality healthcare.
Change model overview
A key aspect in determining whether bedside shift reporting has any merits over board reporting is the John Hopkins Nursing Evidence-Based Practice Process (JHNEBP). The John Hopkins Nursing Evidence-Based Practice Process is a framework for guiding the translation and synthesis of evidence into valid healthcare practice. JHNEBP has three cornerstones that include research, education, and practice; the framework ensures that research evidence is the basis of clinical decision-making. (Dearholt & Dang, 2012) The implementation of the John Hopkins Nursing Evidence-Based Practice Process has three key phases, the first phase is the identification of an important question, the second phase involves the systematic review of research evidence, and the third phase is translating the results into action. Nurses should use the JHNEBP process because it provides a clear way for healthcare professionals to translate research results into healthcare practice.
Practice Question
The team includes several key stakeholders who will benefit greatly from my research. Among the team members include myself as ER nurse, charge nurse, ERT ( Emergency room tech), nurse case manager, nurse supervisor, physician and hospital manager.
The evidence-based practice question that the team members will explore is "Does the use of a standardized bedside report versus board reporting help increase patient safety, nurse satisfaction, and positive outcome?" The evidence-based practice question assesses the ability of bedside shift reporting to improve healthcare provision. The practice area of the question is clinical. The practice issue came about because of assessing risk management concerns in ensuring good health practices. To answer the question, the team members gathered evidence from patient preferences, peer-reviewed journals, and clinical guidelines. The team members searched peer-reviewed journal databases to gather relevant information from previous research that could affect the results.
Understanding the merits of bedside shift reporting as opposed to board reporting is important as most healthcare organization use either strategy in collecting and passin.
Contents lists available at ScienceDirectNurse Education T.docxbobbywlane695641
Contents lists available at ScienceDirect
Nurse Education Today
journal homepage: www.elsevier.com/locate/nedt
Review
The impact of nurse residency programs in the United States on improving
retention and satisfaction of new nurse hires: An evidence-based literature
review☆
Caitlin M. Eckerson1
10 Fowlerhouse RD Wappinger Falls, NY 12590, United States of America
A R T I C L E I N F O
Keywords:
BSN residency program
Traditional orientation
Retention
Satisfaction
New nurse
A B S T R A C T
Entry into practice for newly graduated nurses can be a demanding and overwhelming experience. These
stressful work conditions have contributed to decreased retention and satisfaction amongst new nurse hires. The
aim of this literature review is to answer the following question: in newly hired BSN graduates, how would the
use of a one-year nurse residency program compared to a traditional orientation affect turnover rates and re-
ported satisfaction of the new nurse hires over a one-year period? Peer-reviewed research and systematic reviews
between the years of 2012–2017 found on the Medline, Nursing & Allied health, and CINHAL were used.
Inclusion criteria were peer-reviewed literature that addressed the impact of one-year NRPs on nurse retention or
nurse satisfaction. Exclusion criteria were articles that addressed NRPs without discussing retention or sa-
tisfaction. The JHEBP Appraisal Tools were used to extract and appraise evidence. Use of NRPs showed increased
satisfaction and retention of new nurse graduates over a one-year period, leading to the conceptualization that
this is a more effective method than traditional orientations for new nurse hires.
1. The Impact of Nurse Residency Programs on Satisfaction and
Retention of New Nurse Hires
Transitioning from the student nurse role to the practicing nurse
role has been identified as a stressful and challenging time for new
nurses as they try to adjust to caring for multiple patients with chronic,
complex health conditions (Van Camp and Chappy, 2017). The chal-
lenging evolution can last as long as 12months and has been shown to
be a contributing factor for a high turn-over rate amongst new nurses
during their first year of hire (Olsen-Sitki et al., 2012). Research
studying the impact of hospital work environments on retention of new
nurse hires found that new nurses experience less anxiety and stress in
environments that foster a safe learning environment and effective
communication and support (Cochran, 2017).
This is a relevant issue to nursing education because, as educators, it
is vital to assess the needs of new graduates and develop effective
transitional programs that will empower new nurses to practice with
confidence in a safe and proficient manner, which may lead to in-
creased satisfaction and retention during their first year of hire.
In 2010, the Institute of Medicine (IOM) offered recommendations
on how to improve the nursing profession to better care for the
increasingly co.
17NURSING ECONOMIC$/January-February 2008/Vol. 26/No. 1
M
AGNET® STATUS IS AWARDED
by the American Nurses’
Credentialing Center
(ANCC) to hospitals that
satisfy a set of criteria designed to
measure the strength and quality
of their professional nursing prac-
tice. Designation as a Magnet hos-
pital originated in the 1980s. It was
awarded to hospitals that were
successful in recruiting and retain-
ing nurses during the nursing
shortage of that time (Gleason,
Sochalski, & Aikin, 1999). It is pur-
ported that nurses in Magnet-des-
ignated hospitals deliver excellent
patient outcomes (The Center for
Nursing Advocacy, 2006). When a
health care organization receives
Magnet designation, it is recogni-
tion of a facility’s attainment of
excellence (ANCC, 2006a).
“The Magnet Recognition Pro-
gram® identifies and defines the
‘Forces of Magnetism’ as the char-
acteristics displayed by health care
organizations that develop and
maintain a professional practice
environment that helps recruit and
retain nurses” (ANCC, 2004). To
date, over 200 hospitals in the
United States and one in Australia
are recognized with Magnet desig-
nation (ANCC, 2006b). For a
health care organization to receive
Magnet designation, the environ-
ment must be provided where
nursing care promotes attainment
of the highest achievable patient
outcomes (ANCC, 2004). Evalu-
ation of patient outcomes is an
important topic because of the
concern about the quality of
healthcare.
One of the 14 Forces of
Magnetism requires a health care
organization to have a professional
model of care. The eligibility
requirements stipulate that this
model must be utilized throughout
the health care system and that the
same philosophy must be used
throughout the system. The model
of care is to “give nurses the
responsibility and authority for the
provision of direct care.” Further,
“the models of care provide for the
continuity of care across the con-
tinuum.” The models take into
consideration patients’ unique
EXECUTIVE SUMMARY
One of the 14 Forces of Mag-
netism requires a health care
organization to have a profes-
sional model of care.
The eligibility requirements stip-
ulate that this model must be
utilized throughout the health
care system and that the same
philosophy must be used
throughout the system.
The American Association of
Critical-Care Nurses Synergy
Model for Patient Care de-
scribes nursing practice based
on eight patient characteristics,
and also describes eight nurse
competencies.
The core concept of the model
is that the needs or characteris-
tics of patients and families
influence and drive the charac-
teristics or competencies of
nurses.
Synergy results when the
needs and characteristics of a
patient, clinical unit, or system
are matched with a nurse’s
competencies.
The synergy model is an excel-
lent framework to organize the
work of patient care throughout
the health care system.
It can be used and applied in
various ways and provides a
comprehensive framework for
assuring suc ...
Running head LITERATURE EVALUATION TABLE2LITERATURE EVALUATI.docxinfantkimber
Running head: LITERATURE EVALUATION TABLE 2
LITERATURE EVALUATION TABLE 2
Literature Evaluation Table
Student’s Name
Institutional Affiliation
PICOT Statement
(P) Inpatients in acute care units and acute rehabilitation unit.
(I) –Implementation of adequate nurse-to-patient staffing ratios
(C) –Disproportional nurse-to-patient staffing ratios
(O) –Improvement in quality of patient care
(T) Throughout hospitalization period
(P) For inpatients in acute care units and acute rehabilitation units(I)will implementation of adequate nurse-to-patient staffing ratio(C)against disproportional nurse-to-patient staffing ratio(O)improves the quality of patient care(T)throughout the period of the hospitalization?
Literature Evaluation Table
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-reviewed), and permalink or working link to access the article
Bridges, J., Griffiths, P., Oliver, E., & Pickering, R. M.
BMJ Quality & Safety, 28(9),
https://doi.org/10.1136/bmjqs-2018-008948
Cho, E., Sloane, D. M., Kim, E.-Y., Kim, S., Choi, M., Yoo, I. Y., Lee, H. S., & Aiken, L. H.
International Journal of Nursing Studies, 52(2), 535–542
https://doi.org/10.1016/j.ijnurstu.2014.08.006
Cho, S.-H., Lee, J.-Y., Hong, K. J., Yoon, H.-J., Sim, W.-H., Kim, M.-S., & Huh, I
Journal of Korean Academy of Nursing Administration, 26(1), 42.
https://doi.org/10.11111/jkana.2020.26.1.42
Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., & Astin, F.
European Journal of Cardiovascular Nursing
https://doi.org/10.11111/jkana.2020.26.1.42
Article Title and Year Published
Hospital nurse staffing and staff-patient interactions: an observational study.
2019
Effects of nurse staffing, work environments, and education on patient mortality: An observational study.
2015
Determining Nurse Staffing by Classifying Patients Based on their Nursing Care Needs.
2020
The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis.
2018
Research Questions (Qualitative)/ Hypothesis (Quantitative) and Purpose/Aim of the study
Research question: what is the relationship between nurse staffing and staff-patient interactions?
The purpose: The study aimed at exploring the associations between the levels and skills of nurse staffing and the quality and quantity of their interactions with patients in hospital wards.
Research question: what is the link between nursing characteristics and patient outcomes?
The aim of the study: to explore the impact of nursing staffing, education, and environment on the mortality of patients.
Research question: what is nursing staffing in terms of patients’ nursing care needs?
The aim of the study: to determine nursing staffing through the classification of nursing care needs of patients.
Research question: what is the effect of nursing staffing levels on patient outcomes?
Aim of the study: To d ...
The relationship between nurses stress and nurse staffing fac.docxoreo10
The relationship between nurses' stress and nurse staffing factors
in a hospital setting
STACEY R. PURCELL R N , M S N 1, MARY KUTASH A R N P , M S N 2 and SARAH COBB P h D , R N 3
1Research, College of Nursing, University of South Florida, Tampa, Florida, USA, 2Nurse Specialist, Tampa General
Hospital, Tampa, Florida, USA and 3Former Associate Professor, Florida Mental Health Institute, Tampa, Florida, USA
Introduction
Nurses have many job-related stressors including stress
as a result of dealing with death and dying (Hoffman &
Scott 2003), emotional exhaustion (Vahey et al. 2004),
stress owing to working conditions (Golubic et al.
2009) and less than adequate staffing mixes or abilities
(Brooks & Anderson 2004, Donaldson et al. 2005).
Although there are notable research studies related to
stress and nurse burnout (Blythe et al. 2008, Sasaki
et al. 2009) and job satisfaction related to burnout
(Aiken et al. 2002), there is a lack of research relating
job stressors to specific nurse staffing and such realities
in practice as: days of week worked, presence of unto-
ward events during a shift and nurses� ages.
The present study will add to the body of knowledge
about the relationships between nursing stress and
staffing factors. It was hypothesized that staffing factors
such as shift length, days of week worked and cumu-
lative nursing work hours will increase nursing stress. It
was anticipated that the findings of the present study
could be used toward planning and improving the
Correspondence
Stacey R. Purcell
103 Bennetts Creek Landing
Suffolk, VA 23435
USA
E-mail: [email protected]
P U R C E L L S . R . , K U T A S H M . & C O B B S . (2011) Journal of Nursing Management 19, 714–720
The relationship between nurses' stress and nurse staffing factors in a
hospital setting
Aim The present study objective was to examine the relationships between nurses�
stress and nurse staffing in a hospital setting.
Background Nurses have many job-related stressors. There is a lack of research
exploring the relationship between job stressors to staffing and day of week worked.
Methods The sample consisted of registered nurses (RNs) (N = 197) providing
direct patient care. Data were collected via electronic software. Variables included
demographic information, work setting information, Perceived Stress Scale (PSS)
scores and Nursing Stress Scale (NSS) scores. Data analysis included descriptive
statistics, correlations and analysis of variance.
Results Among respondents, a positive correlation (r = 0.363, P < 0.05) was found
between the NSS and PSS and between age and patient work load (i.e. number of
patients the nurse cared for) (r = 0.218, P < 0.05). A negative correlation
(r = )0.142, P < 0.05) existed between NSS and respondents� age. Analysis of
variance showed that younger nurses had more nursing stress than older nurses
(F1,195 = 4.283, P < 0.05).
Conclusions Age, patient work load and day of the week worked are ...
Research PaperSelect a professional healthcare administrative po.docxeleanorg1
Research Paper
Select a professional healthcare administrative position for which you believe you will be qualified upon graduation. Research this or similar positions and describe, using publically available data and information sources, the responsibilities of this job, scope of responsibility, typical remuneration and supervisory responsibilities if appropriate. What does the person in the position do on a day to day basis.
You can write about any position in the healthcare administration field such as hospital management or Program Director.
Within what kind of organization is this position generally situated? How would one go about finding and securing such a position? If appropriate, identify someone in this or a similar position and talk to them about these questions. How would you utilize what you have studied in this course so far should you attain this job? Be specific with the terms you used.
Utilize a minimum of three (3) sources to research your career topic.
Please include an introduction, body of the paper, and conclusion.
submit a paper of at least 3 pages excluding cover, attachments and bibliography in APA format. In text citations should also be in APA format.
Running head: NURSING LITERATURE REVIEW 1
NURSING LITERATURE REVIEW 4
Nursing Literature Review
Claudia Herrera, R.N.
Miami Dade College
Nursing Literature Review
One of the significant nursing challenges in primary care institutions is understaffing, leading to a high nurse to patient ratio. Many states in the United States have tried to recommend the required nurse to patient ratios with the intention to improve the quality and safety of care. For instance, after the State of California mandated the lowest registered nurse to patient ratio, twelve other American states followed suit by creating nurse staffing policies to reduce workloads in healthcare organizations and improve care safety (He, Staggs, Bergquist-Beringer, & Dunton, 2016). The struggle by these and many other states reveals that there is a substantial relationship between nurse to patient ratio and patient safety. According to Carlesi, Padilha, Toffoletto, Henriquez-Roldán, and Juan (2017) explain that nurse a high nurse to patient ratio contributes to role overload, which is associated with adverse safety outcomes that comprise nosocomial conditions such as hospital-acquired infections. By seeking to answer the question on whether an increase in the nurse to patient ratio reduces patient safety, five research articles will be reviewed to confirm or reject the hypothesis: an increase in the nurse to patient ratios has a link with the decrease in patient safety.
Information from secondary sources ascertains that a high nurse to patient ratio increases the occurrence of negative, patient safety outcomes. For instance, Carlesi et al. (2017) conducted a quantitative cross-sectional study by reviewing medical records to determine any associated between workloads in nurses and the occur.
NR505 Advanced Research Methods Evidence-Based Pract.docxvannagoforth
NR505 Advanced Research Methods: Evidence-Based Practice
Evidence-Based Practice Change Project Proposal Template
Nursing Practice Concern/Problem
PICOT Question
Key Stakeholders
Theoretical Framework
Literature Review
Data Collection Methods
Analysis
Expected Outcomes
NR 505 Week 7 Assignment _7/24/2019JPTS
1
Chamberlain College of Nursing NR 505 ADVANCED RESEARCH METHODS – EVIDENCE-BASED PRACTICE
Research Summary Assignment
Chamberlain College of Nursing
NR 505: Advanced Research Methods: Evidence-Based Practice
Dr. Hellem
Sept. 2019
NR 505: Research Summary Template
PICOT QUESTION: In patients, what is the effect of bedside report in comparison to phone report on patient outcomes in a period of six weeks?
Full reference for article (APA Format)
Purpose
Research Method
Participants
Data Collection
Study Findings
Limitations
Relevance to PICOT
Rush, S. (2014). Bedside reporting: Dynamic dialogue. Nursing Management,43(1), 40-40. doi:10.1097/01.NUMA.0000409923.61966.ac
The study focused on increasing patient satisfaction and safety
through bedside reporting at Catholic Healthare West (CHW).
Qualitative Research
Participants included hospital staff, leaders, and patients.
Nurse supervisors observed bedside reporting at change of shift. They then filled out a questionnaire that had to be checked off to ensure bedside reporting was done correctly.
Bedside reporting made a positive impact in the hospital. Its success was witnessed by nurse leadership rounding on patients in the hospital.
The sample of participants was small and only one department of the hospital was used.
The findings conclude the positive outcomes on patient satisfaction with bedside reporting.
Lu, S., Kerr, D., & McKinlay, L. (2014). Bedside nursing handover: Patients' opinions. International Journal of Nursing Practice,20(5), 451-459. doi:10.1111/ijn.12158
Evidence proves bedside reporting is beneficial. This study tries to develop a protocol for nurses to follow when shift report is given at bedside.
Qualitative research.
A sample of 30 admitted, consenting patients were used. The patients were admitted to one of the three departments where the process of bedside report had been implemented for at least one year.
All data was collected from the answers from the patients through audio-recorded interviews. A research assistant and a registered nurse were present in the interview.
Four essential components came out of the study. Some regarded patient feelings and some regarded possible changes. Patients felt bedside reporting was ‘effective and personalized’ (1). They felt empowered in their care (2). Some felt their privacy was at jeopardy (3), thus allowing for training (4) in this sensitive matter.
The study was limited to three departments in the hospital and no clear generalizability came out of it. Sample collected was small.
Patients ...
E V I D E N C E S Y N T H E S I SModels of care in nursing.docxmadlynplamondon
E V I D E N C E S Y N T H E S I S
Models of care in nursing: a systematic reviewjbr_287 324..337
Ritin Fernandez RN MN (Critical Care) PhD,1,2 Maree Johnson RN BAppSci MAppSci PhD,3,4
Duong Thuy Tran BMed (Vietnam) MIPH (USyd)5 and Charmaine Miranda BPsycholgy6
1School of Nursing, Midwifery and Indigenous Health, University of Wollongong, Wollongong, 2Centre for Research in Nursing and
Health, St George Hospital, Kogarah, 3Centre for Applied Nursing Research, Sydney South West Area Health Service, 4School of Nursing
and Midwifery, University of Western Sydney, Sydney, 5School of Medicine, University of Western Sydney, Sydney, and 6Centre for Positive
Psychology and Education, School of Education, University of Western Sydney, Sydney, New South Wales, Australia
Abstract
Objective This review investigated the effect of the various models of nursing care delivery using the diverse levels
of nurses on patient and nursing outcomes.
Methods All published studies that investigated patient and nursing outcomes were considered. Studies were
included if the nursing delivery models only included nurses with varying skill levels. A literature search was
performed using the following databases: Medline (1985–2011), CINAHL (1985–2011), EMBASE (1985 to current)
and the Cochrane Controlled Studies Register (Issue 3, 2011 of Cochrane Library). In addition, the reference lists of
relevant studies and conference proceedings were also scrutinised. Two reviewers independently assessed the
eligibility of the studies for inclusion in the review, the methodological quality and extracted details of eligible studies.
Data were analysed using the RevMan software (Nordic Cochrane Centre, Copenhagen, Denmark).
Results Fourteen studies were included in this review. The results reveal that implementation of the team nursing
model of care resulted in significantly decreased incidence of medication errors and adverse intravenous outcomes,
as well as lower pain scores among patients; however, there was no effect of this model of care on the incidence of
falls. Wards that used a hybrid model demonstrated significant improvement in quality of patient care, but no
difference in incidence of pressure areas or infection rates. There were no significant differences in nursing outcomes
relating to role clarity, job satisfaction and nurse absenteeism rates between any of the models of care.
Conclusions Based on the available evidence, a predominance of team nursing within the comparisons is
suggestive of its popularity. Patient outcomes, nurse satisfaction, absenteeism and role clarity/confusion did not differ
across model comparisons. Little benefit was found within primary nursing comparisons and the cost effectiveness
of team nursing over other models remains debatable. Nonetheless, team nursing does present a better model for
inexperienced staff to develop, a key aspect in units where skill mix or experience is diverse.
Key words: evidence-based practice, nursing, systemat ...
E V I D E N C E S Y N T H E S I SModels of care in nursing.docxkanepbyrne80830
E V I D E N C E S Y N T H E S I S
Models of care in nursing: a systematic reviewjbr_287 324..337
Ritin Fernandez RN MN (Critical Care) PhD,1,2 Maree Johnson RN BAppSci MAppSci PhD,3,4
Duong Thuy Tran BMed (Vietnam) MIPH (USyd)5 and Charmaine Miranda BPsycholgy6
1School of Nursing, Midwifery and Indigenous Health, University of Wollongong, Wollongong, 2Centre for Research in Nursing and
Health, St George Hospital, Kogarah, 3Centre for Applied Nursing Research, Sydney South West Area Health Service, 4School of Nursing
and Midwifery, University of Western Sydney, Sydney, 5School of Medicine, University of Western Sydney, Sydney, and 6Centre for Positive
Psychology and Education, School of Education, University of Western Sydney, Sydney, New South Wales, Australia
Abstract
Objective This review investigated the effect of the various models of nursing care delivery using the diverse levels
of nurses on patient and nursing outcomes.
Methods All published studies that investigated patient and nursing outcomes were considered. Studies were
included if the nursing delivery models only included nurses with varying skill levels. A literature search was
performed using the following databases: Medline (1985–2011), CINAHL (1985–2011), EMBASE (1985 to current)
and the Cochrane Controlled Studies Register (Issue 3, 2011 of Cochrane Library). In addition, the reference lists of
relevant studies and conference proceedings were also scrutinised. Two reviewers independently assessed the
eligibility of the studies for inclusion in the review, the methodological quality and extracted details of eligible studies.
Data were analysed using the RevMan software (Nordic Cochrane Centre, Copenhagen, Denmark).
Results Fourteen studies were included in this review. The results reveal that implementation of the team nursing
model of care resulted in significantly decreased incidence of medication errors and adverse intravenous outcomes,
as well as lower pain scores among patients; however, there was no effect of this model of care on the incidence of
falls. Wards that used a hybrid model demonstrated significant improvement in quality of patient care, but no
difference in incidence of pressure areas or infection rates. There were no significant differences in nursing outcomes
relating to role clarity, job satisfaction and nurse absenteeism rates between any of the models of care.
Conclusions Based on the available evidence, a predominance of team nursing within the comparisons is
suggestive of its popularity. Patient outcomes, nurse satisfaction, absenteeism and role clarity/confusion did not differ
across model comparisons. Little benefit was found within primary nursing comparisons and the cost effectiveness
of team nursing over other models remains debatable. Nonetheless, team nursing does present a better model for
inexperienced staff to develop, a key aspect in units where skill mix or experience is diverse.
Key words: evidence-based practice, nursing, systemat.
PED 138 – Cardio Variety – Home Assignment For the Week of 31620.docxkarlhennesey
PED 138 – Cardio Variety – Home Assignment For the Week of 3/16/2020
There will be two assignments for you to do next week (though, you’re welcome to start them now, if you wish!).
Assignment #1: Reading and summarizing two cardiovascular exercise-related articles.
Assignment #2: Exercising for at least 30 minutes for at least two days next week.
Assignment #1 Article Summaries (10 pts each):
https://www.medicalnewstoday.com/articles/327100
https://www.health.harvard.edu/heart-health/updated-exercise-guidelines-showcase-the-benefits-to-your-heart-and-beyond
What To Do:
1. Since we’ve been focusing on cardiovascular exercise in this class, please read the two cardiovascular exercise-related articles listed above.
2. After reading each article, please write a one-page summary for each article (double-spaced and 12-font).
3. In your summary for each article, include the following:
-Summarize the article in your own words.
-Write about two things that you learned from the article.
-Explain how you can/do implement cardiovascular exercise in your weekly routine.
-Remember to properly site the article if you’re using any specific quotes.
4. Please email OR give me your typed summaries no later than Monday 3/23.
Assigment #2 Exercise (5 points each):
What To Do:
1. To substitute the two “live” classes that we’ll miss next week, do some kind of cardiovascular exercise at least two times for at least 30 minutes next week.
You may choose one of the following (or something similar):
-Walking or Running
-Biking
-Doing an exercise DVD
-Go to an exercise class at your local gym (if you have that opportunity, and if they’re open)
-Playing an active sport (not e-sports!)
2. Please record (for each of your exercise sessions):
-What exercise you did
-When you did it
-How long you did it for
-How you felt during and after your exercise session
3. Please be sure to type this (double-spaced and 12-font) as your third page to Assignment #1.
4. Please email OR give me your typed exercise sessions with your Assignment #1 no later than Mon 3/23.
Total Points: 30 points
ORIGINAL ARTICLE
A quantitative assessment of patient and nurse outcomes of bedside
nursing report implementation
Kari Sand-Jecklin and Jay Sherman
Aims and objectives. To quantify quantitative outcomes of a practice change to a
blended form of bedside nursing report.
Background. The literature identifies several benefits of bedside nursing shift
report. However, published studies have not adequately quantified outcomes
related to this process change, having either small or unreported sample sizes or
not testing for statistical significance.
Design. Quasi-experimental pre- and postimplementation design.
Methods. Seven medical-surgical units in a large university hospital implemented a
blend of recorded and bedside nursing report. Outcomes monitored included patient
and nursing satisfaction, patient falls, nursing overtime and medication errors.
Results. We found statistically sig ...
The relationship between nurses stress and nurse staffing fac.docxoreo10
The relationship between nurses' stress and nurse staffing factors
in a hospital setting
STACEY R. PURCELL R N , M S N 1, MARY KUTASH A R N P , M S N 2 and SARAH COBB P h D , R N 3
1Research, College of Nursing, University of South Florida, Tampa, Florida, USA, 2Nurse Specialist, Tampa General
Hospital, Tampa, Florida, USA and 3Former Associate Professor, Florida Mental Health Institute, Tampa, Florida, USA
Introduction
Nurses have many job-related stressors including stress
as a result of dealing with death and dying (Hoffman &
Scott 2003), emotional exhaustion (Vahey et al. 2004),
stress owing to working conditions (Golubic et al.
2009) and less than adequate staffing mixes or abilities
(Brooks & Anderson 2004, Donaldson et al. 2005).
Although there are notable research studies related to
stress and nurse burnout (Blythe et al. 2008, Sasaki
et al. 2009) and job satisfaction related to burnout
(Aiken et al. 2002), there is a lack of research relating
job stressors to specific nurse staffing and such realities
in practice as: days of week worked, presence of unto-
ward events during a shift and nurses� ages.
The present study will add to the body of knowledge
about the relationships between nursing stress and
staffing factors. It was hypothesized that staffing factors
such as shift length, days of week worked and cumu-
lative nursing work hours will increase nursing stress. It
was anticipated that the findings of the present study
could be used toward planning and improving the
Correspondence
Stacey R. Purcell
103 Bennetts Creek Landing
Suffolk, VA 23435
USA
E-mail: [email protected]
P U R C E L L S . R . , K U T A S H M . & C O B B S . (2011) Journal of Nursing Management 19, 714–720
The relationship between nurses' stress and nurse staffing factors in a
hospital setting
Aim The present study objective was to examine the relationships between nurses�
stress and nurse staffing in a hospital setting.
Background Nurses have many job-related stressors. There is a lack of research
exploring the relationship between job stressors to staffing and day of week worked.
Methods The sample consisted of registered nurses (RNs) (N = 197) providing
direct patient care. Data were collected via electronic software. Variables included
demographic information, work setting information, Perceived Stress Scale (PSS)
scores and Nursing Stress Scale (NSS) scores. Data analysis included descriptive
statistics, correlations and analysis of variance.
Results Among respondents, a positive correlation (r = 0.363, P < 0.05) was found
between the NSS and PSS and between age and patient work load (i.e. number of
patients the nurse cared for) (r = 0.218, P < 0.05). A negative correlation
(r = )0.142, P < 0.05) existed between NSS and respondents� age. Analysis of
variance showed that younger nurses had more nursing stress than older nurses
(F1,195 = 4.283, P < 0.05).
Conclusions Age, patient work load and day of the week worked are ...
Research PaperSelect a professional healthcare administrative po.docxeleanorg1
Research Paper
Select a professional healthcare administrative position for which you believe you will be qualified upon graduation. Research this or similar positions and describe, using publically available data and information sources, the responsibilities of this job, scope of responsibility, typical remuneration and supervisory responsibilities if appropriate. What does the person in the position do on a day to day basis.
You can write about any position in the healthcare administration field such as hospital management or Program Director.
Within what kind of organization is this position generally situated? How would one go about finding and securing such a position? If appropriate, identify someone in this or a similar position and talk to them about these questions. How would you utilize what you have studied in this course so far should you attain this job? Be specific with the terms you used.
Utilize a minimum of three (3) sources to research your career topic.
Please include an introduction, body of the paper, and conclusion.
submit a paper of at least 3 pages excluding cover, attachments and bibliography in APA format. In text citations should also be in APA format.
Running head: NURSING LITERATURE REVIEW 1
NURSING LITERATURE REVIEW 4
Nursing Literature Review
Claudia Herrera, R.N.
Miami Dade College
Nursing Literature Review
One of the significant nursing challenges in primary care institutions is understaffing, leading to a high nurse to patient ratio. Many states in the United States have tried to recommend the required nurse to patient ratios with the intention to improve the quality and safety of care. For instance, after the State of California mandated the lowest registered nurse to patient ratio, twelve other American states followed suit by creating nurse staffing policies to reduce workloads in healthcare organizations and improve care safety (He, Staggs, Bergquist-Beringer, & Dunton, 2016). The struggle by these and many other states reveals that there is a substantial relationship between nurse to patient ratio and patient safety. According to Carlesi, Padilha, Toffoletto, Henriquez-Roldán, and Juan (2017) explain that nurse a high nurse to patient ratio contributes to role overload, which is associated with adverse safety outcomes that comprise nosocomial conditions such as hospital-acquired infections. By seeking to answer the question on whether an increase in the nurse to patient ratio reduces patient safety, five research articles will be reviewed to confirm or reject the hypothesis: an increase in the nurse to patient ratios has a link with the decrease in patient safety.
Information from secondary sources ascertains that a high nurse to patient ratio increases the occurrence of negative, patient safety outcomes. For instance, Carlesi et al. (2017) conducted a quantitative cross-sectional study by reviewing medical records to determine any associated between workloads in nurses and the occur.
NR505 Advanced Research Methods Evidence-Based Pract.docxvannagoforth
NR505 Advanced Research Methods: Evidence-Based Practice
Evidence-Based Practice Change Project Proposal Template
Nursing Practice Concern/Problem
PICOT Question
Key Stakeholders
Theoretical Framework
Literature Review
Data Collection Methods
Analysis
Expected Outcomes
NR 505 Week 7 Assignment _7/24/2019JPTS
1
Chamberlain College of Nursing NR 505 ADVANCED RESEARCH METHODS – EVIDENCE-BASED PRACTICE
Research Summary Assignment
Chamberlain College of Nursing
NR 505: Advanced Research Methods: Evidence-Based Practice
Dr. Hellem
Sept. 2019
NR 505: Research Summary Template
PICOT QUESTION: In patients, what is the effect of bedside report in comparison to phone report on patient outcomes in a period of six weeks?
Full reference for article (APA Format)
Purpose
Research Method
Participants
Data Collection
Study Findings
Limitations
Relevance to PICOT
Rush, S. (2014). Bedside reporting: Dynamic dialogue. Nursing Management,43(1), 40-40. doi:10.1097/01.NUMA.0000409923.61966.ac
The study focused on increasing patient satisfaction and safety
through bedside reporting at Catholic Healthare West (CHW).
Qualitative Research
Participants included hospital staff, leaders, and patients.
Nurse supervisors observed bedside reporting at change of shift. They then filled out a questionnaire that had to be checked off to ensure bedside reporting was done correctly.
Bedside reporting made a positive impact in the hospital. Its success was witnessed by nurse leadership rounding on patients in the hospital.
The sample of participants was small and only one department of the hospital was used.
The findings conclude the positive outcomes on patient satisfaction with bedside reporting.
Lu, S., Kerr, D., & McKinlay, L. (2014). Bedside nursing handover: Patients' opinions. International Journal of Nursing Practice,20(5), 451-459. doi:10.1111/ijn.12158
Evidence proves bedside reporting is beneficial. This study tries to develop a protocol for nurses to follow when shift report is given at bedside.
Qualitative research.
A sample of 30 admitted, consenting patients were used. The patients were admitted to one of the three departments where the process of bedside report had been implemented for at least one year.
All data was collected from the answers from the patients through audio-recorded interviews. A research assistant and a registered nurse were present in the interview.
Four essential components came out of the study. Some regarded patient feelings and some regarded possible changes. Patients felt bedside reporting was ‘effective and personalized’ (1). They felt empowered in their care (2). Some felt their privacy was at jeopardy (3), thus allowing for training (4) in this sensitive matter.
The study was limited to three departments in the hospital and no clear generalizability came out of it. Sample collected was small.
Patients ...
E V I D E N C E S Y N T H E S I SModels of care in nursing.docxmadlynplamondon
E V I D E N C E S Y N T H E S I S
Models of care in nursing: a systematic reviewjbr_287 324..337
Ritin Fernandez RN MN (Critical Care) PhD,1,2 Maree Johnson RN BAppSci MAppSci PhD,3,4
Duong Thuy Tran BMed (Vietnam) MIPH (USyd)5 and Charmaine Miranda BPsycholgy6
1School of Nursing, Midwifery and Indigenous Health, University of Wollongong, Wollongong, 2Centre for Research in Nursing and
Health, St George Hospital, Kogarah, 3Centre for Applied Nursing Research, Sydney South West Area Health Service, 4School of Nursing
and Midwifery, University of Western Sydney, Sydney, 5School of Medicine, University of Western Sydney, Sydney, and 6Centre for Positive
Psychology and Education, School of Education, University of Western Sydney, Sydney, New South Wales, Australia
Abstract
Objective This review investigated the effect of the various models of nursing care delivery using the diverse levels
of nurses on patient and nursing outcomes.
Methods All published studies that investigated patient and nursing outcomes were considered. Studies were
included if the nursing delivery models only included nurses with varying skill levels. A literature search was
performed using the following databases: Medline (1985–2011), CINAHL (1985–2011), EMBASE (1985 to current)
and the Cochrane Controlled Studies Register (Issue 3, 2011 of Cochrane Library). In addition, the reference lists of
relevant studies and conference proceedings were also scrutinised. Two reviewers independently assessed the
eligibility of the studies for inclusion in the review, the methodological quality and extracted details of eligible studies.
Data were analysed using the RevMan software (Nordic Cochrane Centre, Copenhagen, Denmark).
Results Fourteen studies were included in this review. The results reveal that implementation of the team nursing
model of care resulted in significantly decreased incidence of medication errors and adverse intravenous outcomes,
as well as lower pain scores among patients; however, there was no effect of this model of care on the incidence of
falls. Wards that used a hybrid model demonstrated significant improvement in quality of patient care, but no
difference in incidence of pressure areas or infection rates. There were no significant differences in nursing outcomes
relating to role clarity, job satisfaction and nurse absenteeism rates between any of the models of care.
Conclusions Based on the available evidence, a predominance of team nursing within the comparisons is
suggestive of its popularity. Patient outcomes, nurse satisfaction, absenteeism and role clarity/confusion did not differ
across model comparisons. Little benefit was found within primary nursing comparisons and the cost effectiveness
of team nursing over other models remains debatable. Nonetheless, team nursing does present a better model for
inexperienced staff to develop, a key aspect in units where skill mix or experience is diverse.
Key words: evidence-based practice, nursing, systemat ...
E V I D E N C E S Y N T H E S I SModels of care in nursing.docxkanepbyrne80830
E V I D E N C E S Y N T H E S I S
Models of care in nursing: a systematic reviewjbr_287 324..337
Ritin Fernandez RN MN (Critical Care) PhD,1,2 Maree Johnson RN BAppSci MAppSci PhD,3,4
Duong Thuy Tran BMed (Vietnam) MIPH (USyd)5 and Charmaine Miranda BPsycholgy6
1School of Nursing, Midwifery and Indigenous Health, University of Wollongong, Wollongong, 2Centre for Research in Nursing and
Health, St George Hospital, Kogarah, 3Centre for Applied Nursing Research, Sydney South West Area Health Service, 4School of Nursing
and Midwifery, University of Western Sydney, Sydney, 5School of Medicine, University of Western Sydney, Sydney, and 6Centre for Positive
Psychology and Education, School of Education, University of Western Sydney, Sydney, New South Wales, Australia
Abstract
Objective This review investigated the effect of the various models of nursing care delivery using the diverse levels
of nurses on patient and nursing outcomes.
Methods All published studies that investigated patient and nursing outcomes were considered. Studies were
included if the nursing delivery models only included nurses with varying skill levels. A literature search was
performed using the following databases: Medline (1985–2011), CINAHL (1985–2011), EMBASE (1985 to current)
and the Cochrane Controlled Studies Register (Issue 3, 2011 of Cochrane Library). In addition, the reference lists of
relevant studies and conference proceedings were also scrutinised. Two reviewers independently assessed the
eligibility of the studies for inclusion in the review, the methodological quality and extracted details of eligible studies.
Data were analysed using the RevMan software (Nordic Cochrane Centre, Copenhagen, Denmark).
Results Fourteen studies were included in this review. The results reveal that implementation of the team nursing
model of care resulted in significantly decreased incidence of medication errors and adverse intravenous outcomes,
as well as lower pain scores among patients; however, there was no effect of this model of care on the incidence of
falls. Wards that used a hybrid model demonstrated significant improvement in quality of patient care, but no
difference in incidence of pressure areas or infection rates. There were no significant differences in nursing outcomes
relating to role clarity, job satisfaction and nurse absenteeism rates between any of the models of care.
Conclusions Based on the available evidence, a predominance of team nursing within the comparisons is
suggestive of its popularity. Patient outcomes, nurse satisfaction, absenteeism and role clarity/confusion did not differ
across model comparisons. Little benefit was found within primary nursing comparisons and the cost effectiveness
of team nursing over other models remains debatable. Nonetheless, team nursing does present a better model for
inexperienced staff to develop, a key aspect in units where skill mix or experience is diverse.
Key words: evidence-based practice, nursing, systemat.
PED 138 – Cardio Variety – Home Assignment For the Week of 31620.docxkarlhennesey
PED 138 – Cardio Variety – Home Assignment For the Week of 3/16/2020
There will be two assignments for you to do next week (though, you’re welcome to start them now, if you wish!).
Assignment #1: Reading and summarizing two cardiovascular exercise-related articles.
Assignment #2: Exercising for at least 30 minutes for at least two days next week.
Assignment #1 Article Summaries (10 pts each):
https://www.medicalnewstoday.com/articles/327100
https://www.health.harvard.edu/heart-health/updated-exercise-guidelines-showcase-the-benefits-to-your-heart-and-beyond
What To Do:
1. Since we’ve been focusing on cardiovascular exercise in this class, please read the two cardiovascular exercise-related articles listed above.
2. After reading each article, please write a one-page summary for each article (double-spaced and 12-font).
3. In your summary for each article, include the following:
-Summarize the article in your own words.
-Write about two things that you learned from the article.
-Explain how you can/do implement cardiovascular exercise in your weekly routine.
-Remember to properly site the article if you’re using any specific quotes.
4. Please email OR give me your typed summaries no later than Monday 3/23.
Assigment #2 Exercise (5 points each):
What To Do:
1. To substitute the two “live” classes that we’ll miss next week, do some kind of cardiovascular exercise at least two times for at least 30 minutes next week.
You may choose one of the following (or something similar):
-Walking or Running
-Biking
-Doing an exercise DVD
-Go to an exercise class at your local gym (if you have that opportunity, and if they’re open)
-Playing an active sport (not e-sports!)
2. Please record (for each of your exercise sessions):
-What exercise you did
-When you did it
-How long you did it for
-How you felt during and after your exercise session
3. Please be sure to type this (double-spaced and 12-font) as your third page to Assignment #1.
4. Please email OR give me your typed exercise sessions with your Assignment #1 no later than Mon 3/23.
Total Points: 30 points
ORIGINAL ARTICLE
A quantitative assessment of patient and nurse outcomes of bedside
nursing report implementation
Kari Sand-Jecklin and Jay Sherman
Aims and objectives. To quantify quantitative outcomes of a practice change to a
blended form of bedside nursing report.
Background. The literature identifies several benefits of bedside nursing shift
report. However, published studies have not adequately quantified outcomes
related to this process change, having either small or unreported sample sizes or
not testing for statistical significance.
Design. Quasi-experimental pre- and postimplementation design.
Methods. Seven medical-surgical units in a large university hospital implemented a
blend of recorded and bedside nursing report. Outcomes monitored included patient
and nursing satisfaction, patient falls, nursing overtime and medication errors.
Results. We found statistically sig ...
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NR 439 CCN Week 6 Relationship Between Nursing Job.pdf
1. NR 439 CCN Week 6 Relationship Between Nursing Job
NR 439 CCN Week 6 Relationship Between Nursing JobNR 439 CCN Week 6 Relationship
Between Nursing JobRead over each of the following directions, the required Reading
Research Literature worksheet, and grading rubric.Complete the required Reading
Research Literature (RRL) worksheet (Links to an external site.). This must be used.
(ATTACHED)Required article to use is attachedThis assignment contains:Purpose of the
Study: Using information from the required article and your own words, summarize the
purpose of the study. Describe what the study is about.Research & Design: Using
information from the required article and your own words, summarize the description of
the type of research and the design of the study. Include how it s the purpose (aim or
intent) of the study.Sample: Using information from the required article and your own
words, summarize the population (sample) for the study; include key characteristics,
sample size, sampling technique.Data Collection: Using information from the required
article and your own words, summarize one data that was collected and how the data was
collected from the study.Data Analysis: Using information from the required article and
your own words, summarize one of the data analysis/ tests performed or one method of
data analysis from the study; include what you know/learned about the descriptive or
statistical test or data analysis method.Limitations: Using information from the required
article and your own words, summarize one limitation reported in the
study.Findings/Discussion: Using information from the required article and your own
words, summarize one of the authors’ findings/discussion reported in the study. Include
one interesting detail you learned from reading the study.Reading Research Literature:
Summarize why it is important for you to read and understand research literature.
Summarize what you learned from completing the reading research literature activity
worksheetORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSHairr, Debra C.
Salisbury, Helen Johannsson, Mark Redfern-Vance, Nancy The Relationship Between Nurse
Staffing and Job Satisfaction and Retention EXECUTIVE SYNOPSIS The goal of this
quantitative, correlational study was to look at the connections between nurse staffing,
work satisfaction, and nurse retention in an acute care hospital setting. Job satisfaction and
nurse retention were found to have a moderately substantial, adverse connection. There
was shown to be a slight positive connection between job satisfaction and nurse staffing.
Nurses reported experiencing job dissatisfaction in the past 6 months specifically related to
the number of patients assigned. Analysis suggested nurses are staying with their current
employer because of the current economic environment. Improving nurse staffing will be
2. necessary when the economy improves to prevent the departure of discontented nurses
from acute care facilities. 2004, THE INSTITUTE OF Medicine released a report, Keeping
Patients Safe: Transforming the Nursing Work Environment. This report recognized
appropriate nurse staffing levels are essential for patient safety. Nurse-patient ratios are a
starting point in the discussion of appropriate levels of nurse staffing. NR 439 CCN Week 6
Relationship Between Nursing JobResearchers agree patient acuity and skill mix must also
be taken into consideration when addressing nurse staffing issues (Tevington, 2011). There
is a paucity of research that addresses patient acuity, skill mix, and nursepatient ratios. The
American Nurses Credentialing Center (ANCC) Magnet® hospitals are widely recognized for
promoting safe and appropriate nurse staffing and generally I N have good patient
outcomes (Trinkoff et al., 2010). According to Needleman and colleagues (2011), Magnet
hospitals also have lower patient morbidity and mortality rates than non-Magnet hospitals.
A 3-year study conducted in a Magnet hospital analyzed over three million patient records.
Researchers examined the effect of inadequate nurse staffing on mortality. There was a 6%
risk of death for patients when a shift with a nurse staffing shortage of just 8 hours
occurred. The literature suggests nurse-patient ratios of 4:1 or less provide the most
optimal outcomes for patients (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Aiken,
Clarke, Sloane, Lake, & Cheney, 2008; Aiken et al., 2010; Needleman et al., 2011; Rosenberg,
2011). DEBRA C. HAIRR, DHSc, MSN, RNC-OB, is Contributing Faculty, College of Health
Sciences, School of Nursing, Walden University, Minneapolis, MN. HELEN SALISBURY, PhD,
is Assistant Professor, Arizona School of Health Sciences at A. T. Still University, Mesa, AZ.
MARK JOHANNSSON, DHSc, MPH, is Adjunct Professor, Arizona School of Health Sciences at
A. T. Still University, Mesa, AZ. NANCY REDFERN-VANCE, PhD, RN, CNM, is Associate
Professor, College of Nursing, Valdosta State University, Valdosta, GA. 142 NURSING
ECONOMIC$/May-June 2014/Vol. 32/No. 3 Health care in the United States is a commodity,
and nurses are an expensive budgetary consideration. Health care facilities have the
potential to achieve large financial savings by reducing the number of nurses. NR 439 CCN
Week 6 Relationship Between Nursing JobDespite the evidence, many institutions are
unwilling or unable to provide nurse staffing that is ed by the growing body of research
(Duffin, 2012; Garretson, 2004). Implementing this one evidence-based practice could have
a positive impact on patient outcomes, ultimately decreasing patient morbidity and
mortality (Aiken et al., 2002; Aiken et al., 2008; Aiken et al., 2010; Needleman et al., 2011;
Shamliyan, Kane, Mueller, Duval, & Wilt, 2009). Positive patient outcomes are not the only
benefit from improved nurse staffing. Aiken and associates (2002) examined nurse
satisfaction and retention issues. The authors noted that when nurses are exposed to
inadequate staffing levels, they leave their positions. Retaining as many nurses in their roles
as possible makes fiscal sense for any organization. Costs to an organization to retrain a
specialty nurse have been estimated as being as high as $80,000 (Burr, Stichler, & Poeitler,
2011; Tellez, 2012). Not only will patient care and outcomes improve with additional
nurses, but also cost savings may result. Aiken and co-authors (2010) suggested a ratio of
four patients to one nurse will save each health care organization $60,000 a year. Retaining
just one nurse and utilizing the recommended nurse-patient ratios may result in savings of
around $140,000 every year. That is just for one nurse retained in his or her position, taking
3. care of four patients on a medical-surgical floor. Extrapolating that number to every
medical-surgical floor, in every hospital across the United States, would result in the
realization of enormous savings to health care. In the current economy, administrators
would not be fis- cally responsible if they did not examine every avenue that could save
lives, improve nursing job satisfaction, retain nurses at the bedside, and save health care
dollars. Methods Study participants. This quantitative, correlational research study was
developed to examine the relationships between nurse staffing, job satisfaction, and nurse
retention in an acute care hospital environment. Survey participants were practicing
licensed registered nurses with at least 6 months of acute care nursing experience. A
consecutive sample was recruited on nursing listserv’s, Facebook, MySpace, and
Allaboutnurses.com. Consecutive sampling is a “form of non-probability sampling where
survey participants are recruited as they become available” (Portney & Watkins, 2009, p.
865). Inclusion criteria for participating in the survey included (a) licensed as a registered
nurse, (b) a minimum of 6 months direct patient care nursing experience, and (c) employed
in an acute care hospital. Additional demographic data were collected and included (a)
gender, (b) age, (c) academic preparation for initial licensure, (d) highest level of education
attained, (e) nursing specialty, (f) if employed in a Magnet hospital, and (g) number of years
nursing experience. The research protocol for this study was approved by the A. T. Still
University Institutional Review Board. Survey tool. The survey tool is a revision of one of
the most widely used tools to assess the clinical nursing environment, the Nursing Work
Index (NWI) (Kramer & Hafner, 1989). The NWI consists of 65 items on a 4-point Likerttype
scale ranging from 1 (strongly agree) to 4 (strongly disagree). The NWI scale was revised by
Aiken and Patrician (2000). The authors used 57 of the original 65 NWI items for the
Nursing Work Index- NURSING ECONOMIC$/May-June 2014/Vol. 32/No. 3 Revised (NWI-
R). NR 439 CCN Week 6 Relationship Between Nursing JobThe NWI-R captures
organizational attributes that characterize professional nursing practice environments
including job satisfaction (Aiken & Patrician, 2000). The NWI-R has four subscales. The
subscale that can be attributed to job satisfaction is the Control Over Practice (COP)
subscale. The reliability of the NWI-R survey tool has been previously demonstrated with
Cronbach’s alpha of 0.96 for the entire NWI-R, and the subscale COP alpha noted at 0.91
(Aiken & Patrician, 2000). Additional survey questions addressed the survey participants’
current experiences with nursepatient ratios and job dissatisfaction. The participants were
asked the following additional questions: How many patients were assigned to you at the
beginning of your last shift? Has the number of patients you have been assigned resulted in
job dissatisfaction? Have you thought about leaving your current nursing position in the last
6 months due to job dissatisfaction? If this question was answered in the affirmative, an
additional question was asked: Has the current economic downturn influenced your
decision to stay in your current position? These additional questions were an attempt to
gauge the effect that the economy may have on a nurse’s reluctance to change jobs in spite
of job dissatisfaction. Data collection. Data were collected via an electronic survey. An
explanatory invitation was posted online with inclusion criteria and the link to
SurveyMonkey. The link was available for 30 days. Statistical Analysis Data were analyzed
using the IBM Statistical Package for Social Sciences (SPSS), version 20. Descriptive
4. statistics were obtained for demographic and NWI-R COP subscale variables. The NWI-R
COP data were tested for normality. Percentages and frequencies were also obtained. 143
Table 1. Sample Demographics Correlational analyses for each research question were
performed. As ordinal scales were used in this study, and data were not normally
distributed, nonparametric statistical analysis was appropriate. Spearman’s Rank
Correlation Coefficient Analysis was used to determine whether the predictive variables of
job satisfaction and nurse staffing were related to the criterion variables of nurse retention
and job satisfaction, respectively. The NWI-R COP was used to measure job satisfaction. An
additional retention variable was analyzed. The question was asked if the current economic
downturn had affected a decision to stay in a current position. Frequencies and percentages
were analyzed. Statistical significance (p) level of the analysis was set at ? = 0.05, two-tailed.
Characteristics Gender Age 144 Female Male 9 (12.9) NR 439 CCN Week 6 Relationship
Between Nursing Job