Peer Feedback: Practice Questions and Search Strategies

Proposed Practice Question

The focus practice question for my literature review is: How do higher nurse-to-patient ratios than current staffing practices impact patient safety outcomes of falls, pressure ulcers, and medication errors in adult hospitalized patients in acute care units at St. Michael’s Medical Center over six months? This question was chosen because of the ongoing problems with staffing shortages and their perceived impact on clinical safety and the quality of care within the organization (Twigg et al., 2021):Peer Feedback: Practice Questions and Search Strategies.

PICOT Format

In a PICOT format, the population (P) is adult patients in acute care facilities. The intervention (I) is the introduction of enhanced nurse-to-patient staffing ratios. The comparison (C) is existing nurse staffing levels.

The outcome (O) is decreased safety events of falls, pressure ulcers, and medication errors. The time (T) in which the outcomes will be assessed is six months. This framing facilitates evidence-based inquiry with quantifiable, time-limited outcomes.

Search Strategies

I carried out an extensive literature search of the Walden Library databases, including PubMed, CINAHL, and Embase. The keywords used were “nurse-patient ratio,” “nurse staffing,” “acute care,” “missed care,” “patient falls,” and “medication errors.” Boolean operators were used to expand and narrow the results (Alharbi & Stevenson, 2020). Filters were used to include full-text, English-language, peer-reviewed research published from 2020 to 2025.

Inclusion and Exclusion Criteria

The inclusion criteria were peer-reviewed research published between 2020 and 2025 that assessed nurse staffing and patient outcomes among adult patients in acute care. Exclusion criteria were pediatric or psychiatric patient populations, original research devoid of articles, or non-English articles. Quantitative and qualitative studies, as well as relevant non-research evidence, were included to build the synthesis.

Research and Non-Research Evidence

Research and non-research evidence were considered. Research evidence included qualitative, quantitative, and mixed-method studies with quantifiable patient safety and staffing outcomes (Wasti et al., 2022). Expert consensus reports and clinical guidelines were some non-research evidence used to support best practices. Including both enhanced the review’s usefulness and applicability in acute care environments.

References

Alharbi, A., & Stevenson, M. (2020). Refining Boolean queries to identify relevant studies for systematic review updates. Journal of the American Medical Informatics Association, 27(11), 1658–1666. https://doi.org/10.1093/jamia/ocaa148

Twigg, D. E., Whitehead, L., Doleman, G., & El‐Zaemey, S. (2021). The impact of nurse staffing methodologies on nurse and patient outcomes: A systematic review. Journal of Advanced Nursing, 77(12). https://doi.org/10.1111/jan.14909

Wasti, S. P., Simkhada, P., van Teijlingen, E., Sathian, B., & Banerjee, I. (2022). The growing importance of mixed-methods research in health. Nepal Journal of Epidemiology, 12(1), 1175–1178. https://doi.org/10.3126/nje.v12i1.43633

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WK9 8114 BLOG: PEER FEEDBACK: PRACTICE QUESTIONS AND SEARCH STRATEGIES
For this Blog, you will share your progress, thus far, on the Literature Review Assignment that you are currently working on. Specifically, you will share your proposed practice question, PICOT format, and proposed search strategies. This is a unique opportunity to receive valuable feedback from your colleagues, which you can incorporate to improve your Assignment.

By the end of the week, please reflect upon the feedback you received. Apply whatever feedback you find valuable as you work toward completing your Literature Review Assignment. This Assignment is due by Day 7 of Week 10.

To Prepare

• Continue working on your Literature Review Assignment. Be prepared to share the following with your instructor and colleagues for feedback:
  • Your proposed practice question
  • Your PICOT format
  • Your proposed search strategies including:
    • Inclusion criteria
    • Exclusion criteria
  • Research and non-research evidence

Note: If you are still developing any of the above elements of your Assignment, please share what you have at this point. Use the feedback you receive to refine your work.

Peer Feedback: Practice Questions and Search Strategies

By Day 3 Of Week 9
Post the following related to your Literature Review Assignment:

• Your proposed practice question
• Your PICOT format
• Your proposed search strategies including:
• Inclusion criteria
• Exclusion criteria
• Research and non-research evidence

Note: You may also provide any explanation you deem necessary to help your colleagues understand what you are sharing. Your proposed practice question, PICOT format, and search strategies, however, should speak for themselves.