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NURS 350 Research in Nursing and Developing PICOT Paper
NURS 350 Research in Nursing and Developing PICOT Paper
Order ID 53003233773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
NURS 350 Research in Nursing and Developing PICOT Paper
Topic Description
To achieve improved care quality, healthcare organizations have focused on clinical care processes such as nurses’ shift reports and the involvements of patients in healthcare delivery. Malfait et al. (2017) report active patient participation has been critical in reducing medical errors especially during shift change and reporting among nurses.
The proposition is further reiterated by Buus et al. (2017), highlighting that nurse shift reports are routine occurrences in healthcare organizations aimed at transitioning the care process and improving care coordination among the interdisciplinary teams.
Current healthcare delivery has been dominated by bedside reporting due to the one-on-one communication between the nurse and the patient. The shift report remains a viable site for studying the professional role of nurses and has progressed to receive increased attention especially regarding quality improvement strategies and the reduction of medical errors.
Background Information
Mitchell et al. (2018) argue that mandatory bedside reporting has been widely implemented in various healthcare settings to improve quality and safe care. Of note, nursing bedside report allows the interaction between the incoming and outgoing nurse to assess the patient and examine for possible errors that may ensue.
Usually, bedside reporting highlights the first time the oncoming nurse has a chance to meet the patient and establish a rapport that sustains their therapeutic relationship. The reporting fosters specific care concerns during management and other issues that the oncoming nurse may want to prioritize.
Significance of the Topic to Nursing Practice
Currently, nursing practice has been rapidly evolving with a strong emphasis being placed on the quality and safety of care delivery. Malfait et al. (2017) state that nurse shift reporting has been essential to healthcare organizations in improving patient satisfaction and meeting their expectations of care.
Specifically, the study highlights that bedside reporting has been instrumental in improving care quality, as nurses can share extensive health information between themselves and the patient. Additionally, the patients can indicate their healthcare preferences, values, and expectations which can then be aligned with the best available evidence, thereby improving their care quality (Malfait et al., 2017).
By making such expectations clear to both nurses, the patient becomes more involved in the decision-making process increases the likelihood of patient-centered care. Apart from mitigating medical errors due to effective communication and handing over between the two nurses, bedside reporting also intertwines improved patient empowerment and activation.
PICOT Research Questions
Wichman (2017) argues that the patient-provider interaction during shift reporting enables the nurses to prioritize their work which ultimately enhances their accountability, medication reconciliation, and better handing over processes. In developing a PICOT question to address this topic, two key shift reporting techniques will be explored; bedside shift reporting versus nurse station shift report.
As outlined in previous literature, bedside reporting has been recommended due to reduced errors as it enhances nurses to nurse and nurse-to-patient communication. The population of interest will be patients in acute care. Due to the benefits of bedside reporting the intervention for this PICOT question will be bedside shift reporting which will be compared to nurse station shift reporting.
Although several benefits have been implicated, the outcome of this PICOT question will be medication errors investigated within a timeline of 6 weeks. Thus, the PICOT will be stated as; In acute care patients (P), how does beside shift reporting (I) compare with nurse station shift reporting (C) in reducing medication errors (O) within six weeks (T)?
References
Buus, N., Hoeck, B., & Hamilton, B. E. (2017). Nurses’ shift reports: a systematic literature search and critical review of qualitative field studies. Journal of Clinical Nursing, 26(19-20), 2891-2906.
Malfait, S., Eeckloo, K., Lust, E., Van Biesen, W., & Van Hecke, A. (2017). Feasibility, appropriateness, meaningfulness, and effectiveness of patient participation at bedside shift reporting: Mixed‐method research protocol. Journal of advanced nursing, 73(2), 482-494.
Mitchell, A., Gudeczauskas, K., Therrien, A., & Zauher, A. (2018). Bedside reporting is a key to communication. ARCHIVOS DE MEDICINA, 3(1), 13.
Wichman, L. C. (2017). Bedside Reporting: Improving Practice (Doctoral dissertation, Walden University).
NURS 350 Research in Nursing and Developing PICOT Paper
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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