Evidence-Based Practice Proposal – Section C: Literature Support Essay
To begin, work through the reference list that was created in the \”Section B: Problem Description\” assignment in Topic 2. Appraise each resource using the \”Rapid Critical Appraisal Checklists,\” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.
Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the \”Evaluation Table Template,\” available in the textbook appendix. Use the \”Evaluation Table Template\” as an adaptable template.
Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:
Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria). Evidence-Based Practice Proposal – Section C: Literature Support Essay.
Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.
Incorporate a description of the validity of the internal and external research.
It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.
Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine \”Section C: Literature Support\” for your final submission. This will be a continuous process throughout the course for each section.
This paper reviews literature in support of implementing BSR in the author’s healthcare institution. It describes the literature search strategy and outcomes, summarizes the supporting literature, and describes validity of the external and internal research. A literature review is an integral part of EBP, which demonstrates that a researcher understands a subject by identifying, summarizing, and critically appraising past studies relevant to a research problem. Apart from justifying a research question, it promotes the identification of potential gaps in the literature that a researcher can address with his work. Evidence-Based Practice Proposal – Section C: Literature Support Essay.
The author conducted an initial search for literature in CINAHL, PubMed, MEDLINE, and Cochrane databases using the following keywords: shift report, bedside report, handoff, and bedside shift handoff. For more refined search outcomes, the author used Boolean search operators “AND” and “OR”. To obtain the most relevant studies, the author narrowed the search to articles that either discussed or compared bedside shift report with traditional shift report published in English within the last five years.
The author selected qualitative or quantitative full text and non-full text articles that discussed or compared bedside shift report with traditional shift report published within the last five years in English.
The author excluded studies that were not published in English, studies published beyond the last five years, and articles that failed to include bedside shift report as the primary intervention compared to other methods.
The overall search yielded 203 articles. However, after applying the inclusion and exclusion criteria, the search narrowed to four articles that were relevant to the research topic.
Summary of Research Studies
The study by Dorvil (2018) evaluated the factors that increase the successful implementation of nurse bedside shift reports by reviewing 25 quantitative and qualitative articles from MEDLINE, PubMed, and CINAHL databases published between 2006 and 2016. Based on the search outcomes, the researchers developed the following themes on the bedside shift report: patient experiences, nursing satisfaction, financial impact, and sustainability. Dorvil (2018) conclude that, for successful adoption of bedside shift report, implementers should carefully examine current organizational environment, culture, and individuals, use a five-step adoption approach, and use nurses with characteristics of early adopters and innovators. The study further emphasizes the following skills that nurse leaders who want sustainability and successful dissemination must possess: skills in mentoring, a good understanding of relationship building and process management, and an implementation process that is well planned and executed. A major strength of this study is its design as a systematic review, which is a level I evidence. However, its limitation is that most of the studies used had a small sample size(less than 100patients) and used indirect measures to evaluate patient experiences.
The study by Natafgi et al. (2017) discussed the implementation of shift handoffs using TeamSTEPPS. In qualitative research design, the researchers used semi-structured interviews and direct observations to collect data on the practices of implementing shift-handoff in a rural hospital. Evidence-Based Practice Proposal – Section C: Literature Support Essay. Collected data were coded in the following themes: barriers, purpose, trajectory, and facilitators of implementing BSR. A potential strength of this study is that it provides a framework to guide rural and small hospitals on how to implement handoffs using the TeamSTEPPS initiative. Its limitation is the inability to generalize its findings when implementing handoffs in all settings due to varied organizational characteristics and structures.
The purpose of the study by Walsh et al. (2018) was to evaluate BSR based on nurses’ perspectives on satisfaction, accountability, work effectiveness, communication, and empowerment. The researchers collected data from 184 RNs (104-pretest, 73 posttests) using questionnaires. The findings revealed significant statistical differences in work effectiveness, satisfaction, empowerment, and communication, but no significant statistical differences in accountability. A potential strength of this study is the ability to generalize findings since the researchers used an ethnically diverse and large population size (184 RNs with Latinos as the majority (pretest n=63 and post-test n=44).
The study by Williams (2018) compared the benefits and risks of bedside shift reports and traditional shift reports. Using a systematic review design, the researchers systematically analyzed studies using evidence hierarchy tiers. The findings revealed that although most organizations have implemented bedside shift reports in inpatient settings, it is not utilized appropriately. The findings further supported the implementation of bedside reports since it reduces safety risks, medical errors, and improves patient’s quality of care. This study’s strength is that is has a high level of evidence since it is a systematic review.
The validity of the Internal and External Research
To ensure validity of the research, it is commendable that researchers used appropriate data collection instruments that were relevant to the study’s purpose. For instance, in the study by Walsh et al. (2018), the researchers evaluate besides reporting based on nurses’ perspectives on satisfaction, accountability, work effectiveness, communication, and empowerment. Therefore, they collected data using specific questionnaires (demographic questionnaire, the Specht and Ramler Accountability Index-Individual Referent, and the Conditions for Workplace Effectiveness Questionnaire-II). Evidence-Based Practice Proposal – Section C: Literature Support Essay.
Dorvil B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability. Nursing Management, 49(6), 20–25. https://doi.org/10.1097/01.NUMA.0000533770.12758.44
Natafgi, N., Zhu, X., Baloh, J., Vellinga, K., Vaughn, T., & Ward, M. M. (2017). Critical Access Hospital Use of TeamSTEPPS to Implement Shift-Change Handoff Communication. Journal of nursing care quality, 32(1), 77–86. https://doi.org/10.1097/NCQ.0000000000000203
Walsh, J., Messmer, P. R., Hetzler, K., O’Brien, D. J., & Winningham, B. A. (2018). Standardizing the bedside report to promote nurse accountability and work effectiveness. The Journal of Continuing Education in Nursing, 49(10), 460-466. https://doi.org/10.3928/00220124-20180918-06
Williams, C. L. (2018). A comparison of the risks and benefits of nursing bedside shift report vs. traditional shift report: A systematic review of the literature. International Journal of Studies in Nursing, 3(2), 40. https://doi.org/10.20849/ijsn.v3i2.382
|Study Findings||Worth to Practice
|Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability. Nursing Management (Springhouse),49(6), 20-25. doi:10.1097/01.numa.0000533770.12758.44||The purpose of the study is to is review articles on bedside shift report implementation and the success of practice and sustainability.
|The conceptual framework is implementing and sustaining BSR in the real-world of nursing and hand-off report.||Systematic review||25 articles||N/A||Patient and nurse satisfaction are increased or if incremental overtime is increased||N/A||The author found strong evidence that patient satisfaction increases overall with bedside shift report. The author also found nurse satisfaction increases. Most of the articles supported bedside shift report does not increase overtime and actually decreases it improving economics of the hospital.||Recommendations is to adopt innovation of BSR increases the success and sustainability throughout the hospital and nursing staff.|
|Natafgi, N., Zhu, X., Baloh, J., Vellinga, K., Vaughn, T., & Ward, M. M. (2017). Critical Access Hospital Use of TeamSTEPPS to Implement Shift-Change Handoff Communication. Journal of Nursing Care Quality,32(1), 77-86. doi:10.1097/ncq.0000000000000203||The purpose of the study is to examine shift change handoff of the implementation of TeamSTEPPS.
This paper contributes to the handoff literature by examining: (1) what practices have been deployed by hospitals in implementing handoff; and (2) how the implementation attributes relate to handoff performance in hospitals. We analyzed data collected from on-site interviews and handoff process observations to address these
|The conceptual framework is utilizing specific handoff tools and strategies to improve information exchange during transitions of care during shift change.||Qualitative||8 hospitals||Independent variable is report with no standard & BSR with Team STEPPS implementation, and the dependent variable are the responses of nurses and leadership team of the hospitals with the implementation of BSR.||Quality, Safety and effectiveness through NPS and Joint Commission surveys and audits||Comparative analysis of low- and high-scoring hospitals. 54 low performance and 86 high performance with BSR strategy and tool implementation.||The authors found bedside shift report improved patient satisfaction scores. The purpose is to formalize the handoff to include patients and families. Confirming patient’s information and clarifying any discrepancies is noted in bedside shift report.||Staff involvement and having a facilitator to change management and to generating buy-in by explaining the reasons and significance of handoffs. The more involvement with staff and 5management helps implement the tools for BSR.|
|Walsh, J., Messmer, P. R., Hetzler, K., Obrien, D. J., & Winningham, B. A. (2018). Standardizing the Bedside Report to Promote Nurse Accountability and Work Effectiveness. The Journal of Continuing Education in Nursing,49(10), 460-466. doi:10.3928/00220124-20180918-06||The purpose of the study is to evaluate bedside reporting from the nurse’s perspective regarding accountability, empowerment, work effectiveness, satisfaction, and communication.Evidence-Based Practice Proposal – Section C: Literature Support Essay.||The conceptual framework is the effects of effective education on BSR relating to accountability and work effectiveness.||Qualitative||104 nurses||Independent variables nurses completing the pretest questioner on BSR, and nurses finishing the post test on BSR education. Dependent variable are nurses receiving education.||Examine the effects of education on Accountability and work effectiveness
|Statistically significant differences were seen with empowerment, work effectiveness, communication, and nurse job satisfaction posttest; no statistically significant difference was found with accountability.||The authors found from the surveys that bedside shift report improved accountability, empowerment, work effectiveness, communication, and nurse job satisfaction. They found it is important to properly implement in order to be effective and improve the quality of patient care||The strength of this is the education of the effect of BSR. The recommendations are to implement BSR because it increases job satisfaction, accountability, and positive outcomes.|
|Williams, C. L. (2018). A Comparison of the Risks and Benefits of Nursing Bedside Shift Report vs. Traditional Shift Report: A Systematic Review of the Literature. International Journal of Studies in Nursing,3(2), 40-43. doi:10.20849/ijsn.v3i2.382||The purpose of this study was to compare the risks and benefits of bedside shift report (BSR) versus
traditional shift report
|The conceptual framework implements BSR versus the traditional SBAR report. The implementation increases safety.||Quantitative||8 articles||Major variables are BSR versus traditional report with SBAR.||Risks and benefits comparing BSR to traditional shift report||Data analysis is systemic review of BSR and traditional report with SBAR.||The author found bedside shift report reduces medical errors, safety risks and improves quality of care. The author recommends performing bedside shift report.||The evedeve support the recommendation of using BSR to reduce medical errors, safety risks, and improve quality of care.|
Evidence-Based Practice Proposal – Section C: Literature Support Essay