Analyzing the Chapter III Approach Essay

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evidence- based practice project is to compare the effects of bedside handoff report to handoff report away from the bedside using the IOWA model of evidence-based practice. The efficacy of the bedside handoff shall be determined by the variations in the patient contentment scores on personnel responsiveness and nurse communication. The project shall actually be applied in a sub-acute unit having grownup post-operative patients. Presently in the facility, handover is conducted at the conference room with the nurses and not including involvement of the patients. In accordance to the TRUTHPOINT survey, patients have been lamenting regarding the absence of nursing personnel on the unit to actually assist them during the report time that resulted to a drop in the satisfaction of the patients. In addition, the survey also stated that numerous patients felt as if there existed no communication between them and the nurses, and they were not taking part in their own medical decisions. The TRUTHPOINT survey is usually conducted on a monthly basis and published quarterly in the facility to gauge the satisfaction of patients with respect to care that they obtained while at the facility. The survey actually determines the satisfaction of patients on the following: pain management, nurse communication, safety, cleanliness of the room, and personnel responsiveness, among others.

Methodology

The IOWA model of evidence-based practice is used for this proposal. The EBP is used because health professionals find it intuitively understandable and it has proven suited for use in healthcare and academic setting. EBP focuses on an institution and collaboration of the personnel, thus ability to target problem and knowledge triggers, which encourage personnel to criticize current methods based on available literature. For the purpose of this proposal, the IOWA EBP has been adopted into the research methodology process.

As per EBP, Nurse communication is one of the categories of the TRUTHPOINT survey, which entails the opinion of the patient of the nurse's listening, explaining, and respect skills. It is simply a nursing specific group. In bedside handoff, nurses actually report on the condition of the patient and any changes, which might have taken place within the place in the last twenty-four hour duration. Daily goals are formulated and particular questions based on the patient's care are put forward and problem solved by the bedside handoff team, with the inclusion of the nurse and patient. The nursing communication score on the TRUTHPOINT survey shall thus display any effect of bedside handoff on the nursing communication. The scores shall then be compared for a duration of three months before handoff application and three months after bedside handoff application, with the percentage change in these figures getting reported (Melnyk & Fineout-Overholt, 2014).

Readmissions shall actually be a direct comparison, utilizing an encoded database to guarantee patient privacy safety, of the readmission information and bedside handoff involvement information to establish returning patients that took part in the bedside handoff. The information shall give the direct quantity of patients that took part in bedside handoff and returned within thirty days, having similar diagnosis. The assessment shall concentrate on the rates of readmission of those patients that took part in bedside handoff three months following the introduction of bedside handoff.

Population/Sampling

The representative sample population for this particular assessment as guided by the IOWA EBP, shall be surgical or medical patients in the hospital list team at sub-acute unit. These particular patients shall have experienced care at the unit at a particular instance from 1st January, 2016 to 31st July, 2016. Patients that are attended to by the nurses and are not being discharged shall also be part of bedside handoff. The nurses taking part in the bedside handoff program are actually those that shall have worked in between the 1st January, 2016 to the 31st July, 2016. Nurses that offer care during day shift are directly concerned with bedside handoff. Nonetheless, nurses in the other shift shall also be involved in patient-associated questions or worries. It is actually anticipated that a total of twenty-three nurses shall participate in the study. The patient population shall be made up of those that are eighteen years of age or older that shall be admitted at the sub-unit three months prior to the introduction of the study and three months after bedside handoff application. Those taking part in the research shall therefore be established via suitable random sampling (Melnyk & Fineout-Overholt, 2014).

Data to be Ccollected

Patient satisfaction shall be gathered via TRUTHPOINT survey. The survey, according to EBP shall be carried out via a random sampling by an independent company.

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This information is specific to every month and shall be institutionally and openly presented. The survey shall be conducted between two days and six weeks after discharge of the patient from the hospital. The sub-unit is actually a low-volume hospital, so every willing discharge patient shall be served with the survey. Thirty day rates of readmission shall be a percentage report of patients in a particular duration that shall come back to the facility as patients (Melnyk & Fineout-Overholt, 2014; Deitrick, Paxton & Swavely, 2012). It shall be established via patient financial number. This particular information shall be acquired for three months beside handoff introduction and after three months.

Study Ethics

This particular research was endorsed by the National Institutes of Health Intramural Office of Human Subjects Research. Those taking part in the research were byare by compulsory requiredment to be eighteen years old and above. Involvement in the study shall be via informed consent, with all involved patients signing a form of consent. The survey shall be bar-coded in order not to expose the individual person, however, to give the service date as well as the attending doctor. In this particular project, assessment of the bedside handoff procedure shall be conducted, utilizing information acquired via state-mandated sources of reporting of existing information and internal information having patient identifiers in the milieu of Financial Identification Number (FIN) figures. This information was arranged by the application of a study code system. In the course of database development, an exclusive study identification number was allocated to all FIN numbers. Any demographic data that might have been identified were attached in the database to that particular study number. The data shall be protected by a password protected data base, situated at the University department in a locked room. It is just the investigator who shall have access to the information during data entry as well as investigation. Dumping of the information into hospital specific, endorsed lock boxes shall be conducted per the policy of every sub-unit upon the project's conclusion (Deitrick et al., 2012).

Data Collection

In this semi-retrospective assessment study, evaluation of TRUTHPOINT survey outcomes for the months of January and July 2016, together with thirty-day rates of readmission in the same time span shall be conducted. Information shall be from different sources with the inclusion of the TRUTHPOINT survey database, as well as records stored by the sub-unit clerks of those who took part in the bedside handoff program. The investigator shall do data compilation (U.S. Department of Veterans Affairs, 2013).

Patient Satisfaction Data

TRUTHPOINT survey information is stored in a database by the sub-unit's manager. The TRUTHPOINT survey is administered between two days and six weeks after discharge to a random population sample of those that have actually been adult inpatients at a hospital. It can be handed out via mail, telephone, or even interactive voice recognition (IVR). The survey is conducted every month, and more than 300 surveys should be completed over four calendar quarters (U.S. Department of Veterans Affairs, 2013).

Thirty Day Readmission Data

A list of patients there at the facility of who had and had not taken part in the bedside handoff program is kept by secretaries of the sub-unit in a locked cabinet. This particular information contains a patient's FIN and if he or she took part in the bedside handoff. This data is fed into a database for evaluation. The database had a specific identification number for every patient. The original information isshall then be returned back to the locked cabinet after the database is actually complete. The completed database provides the data of thoseas to who took part in the bedside handoff program. The information is thenshall be compared with a thirty-day readmission data to establish whether any patients that encountered bedside handoff went back within thirty days or not (Melnyk & Fineout-Overholt, 2014). A database utilizing Excel shall be developed froorm the information which shall be obtained from the secretaries of the unit regarding those that took part in bedside handoff.

Patient Satisfaction Data

This parameter'sparameters of the EBP evaluation phase seeks to establish the outcomes of this assessment process through a retrospective comparison of TRUTHPOINT survey scores given in percentage format directly from the TRUTHPOINT report database. Assessment of this information shall be via evaluation-based service dates in the present database. Given that no bedside handoff was applied from 1st January to 31st March 2016, baseline information shall be utilized from….....

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