NSG 3029 Week 1 Discussion

Question 1

The company I currently work for is a small hospice homecare company that does not have a defined research committee; thus, it has staff members involved in different research depending on the data and research involved. An example of a research study conducted includes analyzing data about our palliative and hospice patients pertaining to length of stay, quality of care, and transition from palliative to hospice care vs. patients not part of our palliative program before receiving hospice care. Quantitative research involves gathering data in organized, objective ways to generalize findings to other persons or populations (Understanding Quantitative and Qualitative Approaches, n.d.). Quantitative data was collected using a computer application that compared the length of stay of the palliative patients who were transferred to hospice care vs. those who did not receive palliative care. Strategies to promote research at my place of employment could include facilitating open discussions on research and providing research training opportunities to our clinicians. Providing research training opportunities to point-of-care clinicians is a promising strategy for healthcare organizations seeking to promote EBP, empower clinicians, and showcase excellence in clinical research (Black et al., 2015).

Question 2

I have participated in two examples of evidence-based research at my facility. This directly affected patient care and led to the establishing of a formal policy for our hospital-based, long-term care units. The other establishment is a continuous ongoing process that correlates to nursing recruitment and retention, which has steadily worsened since the onset of COVID-19. Both have a direct impact on quality patient care within my facility.

NSG 3029 Week 1 Discussion

The first example directly affects patient care. I was called upon to be part of a committee to review a problem due to an adverse event involving a patient at our facility. A team was formed of five members, all voluntary, and everyone was instructed to maintain strict confidentiality while reviewing and analyzing the incident that had occurred. The team comprised one member from each department: a physician, a nurse, a nursing assistant, a social worker, and a clerical worker. Facts within the patient’s chart were reviewed (data collection), discussed, and analyzed to propose improvement.

Further communication of these results led our committee to not only propose a recommendation but also contribute an idea for a new nursing policy to achieve better outcomes. (Houser, 2016, p. 33) This adverse event led our committee to develop a new nursing charting template to set patient care standards. Accordingly, any patient on an outside pass for an overnight stay must be charted with the new template, which requires the RN to perform a complete skin assessment upon departure and return. Any variations with that skin assessment must be noted to the physician on call at the time of return. (Bear in mind that I work in the Long-Term Care area of my facility, and before COVID-19, patients would go on overnight stays with family members on occasion.)

The second area that I have contributed to and am a member of is the Nursing Resilience Committee. Our facility’s nursing administration created the committee due to many nurses resigning and the lack of nurses applying for jobs. The establishment began with the committee sending out surveys to all nursing staff members and asking them to provide insight into ways and means of improvement. The survey responses were then selected, reviewed, and interpreted, and groups of teams were each selected to research ideas to improve the originally identified areas. This is currently being worked on, so there are no results. One component due to the formula this committee (which I observed) is that the nursing staff realized their concerns were validated and knew their voices had been heard. Everyone remains hopeful that this committee’s work will improve staff morale, retention, and recruitment, as was intended.

There are other committees at my facility. I work in only one segment, but I look forward to learning more about research through this course and hope that this will assist me in any part of the ongoing work I may do.

References

Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015).

Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians. JONA: The Journal of Nursing Administration, 45(1), 14–20. https://doi.org/10.1097/nna.0000000000000151

Understanding Quantitative and Qualitative Approaches. (n.d.).

Accelerate.uofuhealth.utah.eduhttps://accelerate.uofuhealth.utah.edu/improvement/understanding-qualitative-and-quantitative-approach

Houser, J. (2016). Nursing Research: Reading, Using and Creating Evidence (4th Edition). Jones & Bartlett Learning. https://digitalbookshelf.southuniversity.edu/books/9781284138887

Houser, J. (2016). Nursing Research: Reading, Using and Creating Evidence(4th Edition).

Jones & Bartlett Learning. https://digitalbookshelf.southuniversity.edu/books/9781284138887

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