Project #47863 - Research

All I need is this assignment paraphrased. I need the work to be a 30% on the originality report. The entire paper is already done. Just paraphrase it. Thanks

 

 

A. Describe a nursing admission/assessment or patient care/preparation process or procedure currently found in your practice setting.

 

My hospital has a nurse call light response system for patient’s to use when they need assistance. The call light policy includes answering the call lights within 15 mins from when patient’s press the button.

 

1. Discuss why the present process or procedure needs to be changed, based on the evidence you have gathered.

 

I think answering a call light before the 15 min rule would prevent falls and other injuries.

Monitoring call light response time on a regular basis should be recommended and could be incorporated into evidence-based practice guidelines for fall prevention.

 

a. Explain who determined the basis for the current process or procedure in your practice setting.

 

The chief clinical nurse manager, the house supervisor and the CEO determined the 15 min call light answer rule.

 

b. Explain the decision makers’ rationale for instituting or supporting the current process or procedure.

 

The decision makers reason behind the 15 mins call light response time is to respond to patient’s needs within a certain amount of time to prevent falls. Nurses and aids can get busy and sometimes can not respond to a call light right away so 15 mins is adequate time to respond.

 

c. Explain why the decision makers decided to implement the current process or procedure. The decision makers decided to implement the 15 min call light answer time due to increased amount of falls and other injuries.

 

3. Recommend a practice change for the process or procedure you selected.

 

I think call lights should be answered within 3 mins to prevent falls and patient dissatisfaction and nurses should have a ohine or alarm they carry around that alerts them when a patient is requesting assistance.  For example, a patient presses the call light button and the light was answered within 15mins but when the nurse walked in the patient’s room, the patient was blue. The patient called because she was having difficulty breathing. If the nurse had responded sooner, the patient would have had the proper treatment to resolved her distress.

a. List five relevant and credible sources to support your suggested practice change.

 

According to Tuning In to Patients' Cries for Help. (n.d.). Retrieved November 13, 2014, from http://well.blogs.nytimes.com found, many call-light requests can be handled by non medical staff. When the patient has a medical need, the responder immediately tracks down a qualified employee to take care of it.

“According to principal investigator Christine Meade, PhD, Executive Director of the Studer Alliance for Health Care Research, nurse rounding should be done every hour to prevent falls and other injuries Culley T (2010) Reduce call light frequency

with hourly rounds. Nursing Management. 39,

3, 50-52

 

Encouraging call light use is a key to reducing injurious fall rates. Unit managers should routinely monitor the trend of the call light use rate and ensure that the call light use rate is maintained at least above the mean rate.

 

Tzeng, H.-M. and Yin, C.-Y. (2009), Relationship between call light use and response time and inpatient falls in acute care settings. Journal of Clinical Nursing, 18: 3333–3341. doi: 10.1111/j.1365-2702.2009.02916.x

 

The change of environment that hospitalization brings often leads to behavior changes such as an increase in confusion and agitation (Park et al 2004) or wandering (Rowe 2008), which increases the complexity of care delivery. These behaviors require constant vigilance and heightened awareness

from staff about the needs of patients with cognitive impairment (Borbasi et al 2006). The time between activation of a call bell and nurse presence may be a significant factor contributing to patient risk.

 

Patients with significant cognitive impairment

may have limited or no ability to use their call bell when they require assistance, so other measures must be used to anticipate their needs and keep them under close observation. Goodall D (2009) Environmental changes

increase hospital safety for dementia patients. Holistic Nursing Practice. 20, 2, 80-84.

 

4. Explain the clinical implications your recommended change might have on patients, based on the relevant and credible sources you listed in part A3a.

 

Answering call lights in a timely manner will significantly reduce patient stress and falls. All patient’s should be encouraged to use their call light for assistance to prevent injuries. Some patient’s who have cognitive disabilities should be rounded on more frequently. Nurses and other staff members should work as a team to make sure every patient is safe and cared for. If all of these recommendations are put into effect patient’s would feel safer being in a hospital setting. Many current nurse call systems incorporate tracking software to monitor the frequency of call lights and call light response times. Reviewing these data can identify patterns of call light use, such as mealtimes, bedtime, or shift changes. New approaches to staffing or staff utilization can be implemented to match peak call light times. For example, nurses might make "shift end" rounds an hour before the shift is over, and nursing assistants might be assigned to call light response while nurses are giving report. Some units may find it appropriate to use volunteers to help with call lights during peak times.

 

 

5. Explain the implications your recommended change might have on the practice setting, based on the relevant and credible sources you listed in part A3a.

 

The nurses and other staff member will be more aware of patient needs and fall risks if hourly rounding and faster call light response time is implemented. Staff will be a lot busier but patient safety should be priority.

 

6. Discuss how you would involve key stakeholders in the decision to change the process or procedure or to comply with the recommended change.

 I would encourage all of the nurses to write letters or email the CEO and clinical mangers regarding call light safety concerns. I would also involve the house supervisor to hold weekly meeting regarding this issue.

 

 B.

1. Discuss the specific barriers you may encounter in applying research to processes and procedures in your practice setting.

 

Many nurses are practicing the way they were taught or steeped in tradition of the healthcare system in which they work. When new graduates who have learned to take an evidence-based approach to care are meeting these nurses in real-world settings, they encounter this prevalence of a ‘this is the way we do it here’ culture.( Turkel M, Reidinger G, Ferket K, Reno K. 2010)

 

The majority of the barriers are found within the organization itself. These include difficulty in changing practice, lack of administrative support, insufficient time on the job to implement new ideas or read research works, lack of knowledgeable mentors, and insufficient time to conduct research.

The staff nurses at my hospital have a low use of databases and limited resources to learn how to access resources for evidence-based practice. Mentorship and education are important to increase research utilization at the point of care. Achieving quality outcomes, best practices, and nursing excellence requires new dissemination of knowledge. Translating research into practice advances professional nursing practice, provides patients with care that is evidence based. Most of the staff I work with have fears of rejection from management for recommending a change.

 

2. Identify at least two strategies that you and your team could use to overcome the barriers you discussed in part B1.

 

Using hospital education departments to carry out the task will assist staff members in achieving awareness because the education department will be able to provide guidelines and discuss specific topics that may need to be investigated, and be supportive of staff members who agree to complete and follow-thru with tasks. Use of online open access systems to obtain level 1 evidence quickly. Use of online systems to access databases with ready-appraised evidence is strategy for insufficient time to conduct the research.

 

3. Explain how you would implement your recommended process or procedure based on research findings.

 

 

To implement the process in my work setting, first of all I will keep a proposal in front of the senior level of management addressing the problem and what are the effects of these problems upon us Geoffrey Blainey (2011), . Then I will suggest them my idea and request them to put their attention to it. Once they get back to me I can discuss the measure further and then the things may come into process as well. Overall, it will make the whole process convenient. Of course, it will make the whole operation a bit taxing.

 

 

 

 

 

References

 

Tuning In to Patients' Cries for Help. (n.d.). Retrieved November 13, 2014, from http://well.blogs.nytimes.com

 

 

 

Tzeng, H.-M. and Yin, C.-Y. (2009), Relationship between call light use and response time and inpatient falls in acute care settings. Journal of Clinical Nursing,

 

 

observation. Goodall D (2009) Environmental changes

increase hospital safety for dementia patients. Holistic Nursing Practice.

 

Culley T (2010) Reduce call light frequency

with hourly rounds. Nursing Management.

 

Geoffrey Blainey (2011), A Short History of Clinical Practices, Penguin Viking, p 12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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