Develop a PICOT question using your approved nursing practice problem. Post a draft of your PICOT question in the following format
Topic 3 DQ 1
Develop a PICOT question using your approved nursing practice problem. Post a draft of your PICOT question in the following format:
In_______________(Population), how does _______________ (Intervention) compared to _______________ (Comparison) affect _______________ (Outcome) within______________(Time, optional)?
This should be the same question you will be using in your “PICOT Question Development” assignment. Give and receive feedback to refine your PICOT question.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Expert Answer and Explanation
In_______acute care settings________(Population), how does _______bedside shift reporting________ (Intervention) compared to ______traditional reporting_________ (Comparison) affect ________patient satisfaction _______ (Outcome) within______ hospitalization period________(Time, optional)?
The quality of handover communication is a critical element that determines the quality of care from that moment onwards. There are various shift reporting approaches each having its merits and demerits. Some have challenges when it comes to engaging patients, while others are prone to missing out on vital information, which, at times, could compromise patient safety. Research by Raeisi et al. (2019) noted that poor handover increases the risk of patient safety, increases instances of missed care medical errors, and prolonged hospital stays, and by extension, increases the cost. Therefore, having the right handover approach in acute care settings is crucial for delivering quality and safe patient care.
For my capstone, I will select bedside shift reporting as my intervention. Bedside shift reporting has been hailed as an effective approach that increases patient participation during handover, thus aligning with the goals of patient-centered care. Bedside handover also facilitates interprofessional collaboration between nurses and other care providers, leading to enhanced quality in care delivery (Abou Hashish et al., 2023). However, one of its downsides has been that it takes a considerably longer duration to implement, at times, leading to delays in care delivery (Raeisi et al., 2019). Therefore, the capstone will evaluate the effectiveness between bedside shift reporting and traditional reporting in acute care settings and how it affects patient satisfaction.
References
Abou Hashish, E. A., Asiri, A. A., & Alnajjar, Y. K. (2023). Shift handover quality in Saudi critical care units: determinants from nurses’ perspectives. BMC Nursing, 22(1), 186. https://doi.org/10.1186/s12912-023-01348-z
Raeisi, A., Rarani, M. A., & Soltani, F. (2019). Challenges of patient handover process in healthcare services: A systematic review. Journal of Education and Health Promotion, 8, 173. https://doi.org/10.4103/jehp.jehp_460_18
Topic 3 DQ 2
Define the role of the Institutional Review Board (IRB) when conducting research. Provide an example of a peer-reviewed research article involving human subjects and addressing a nursing practice issue. Discuss the ethical considerations the researchers considered when conducting the study.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Expert Answer and Explanation
Research concerning human subjects is a delicate process that could lead to ethical issues if not well monitored and regulated. The role of the Institutional Review Board (IRB) is to protect the welfare, rights, and privacy of human subjects, by ensuring that research is conducted in an ethical and safe manner. The board has the legal authority to approve or disapprove any research activity that falls within its jurisdiction (Abedin et al., 2020). The IRB plays a critical role in ensuring that the research methodology being undertaken has the required safety protocols to prevent any harm from befalling the human participants.
One example of a peer-reviewed article involving human subjects is an article by Madan et al. (2023). The article was focused on evaluating the safety, feasibility, and efficacy of the ERAS pathway in patients undergoing elective loop ileostomy or colostomy reversal surgery. The study population consisted of 120 patients admitted for elective loop ileostomy or colostomy reversal. To conform to the ethical requirements, the researchers got approval from the Institute Ethics Committee (IEC). All participants in the study were issued with a written informed consent and patients were given full freedom to withdraw at any point during the study.
References
Abedin, Z., Teller, A., Ruotolo, B., Muhammad, K., Stiles, D. F., Ferreira, R., & Green, N. (2020). A personalized Institutional Review Board Liaison Service: Evaluation over its initial 30 months. International Journal of Academic Medicine, 6(2), 96–102.
Madan, S., Sureshkumar, S., Anandhi, A., Gurushankari, B., Keerthi, A. R., Palanivel, C., & Kate, V. (2023). Comparison of Enhanced Recovery After Surgery (ERAS) Pathway Versus Standard Care in Patients Undergoing Elective Stoma Reversal Surgery-A Randomized Controlled Trial. Journal of Gastrointestinal Surgery, 27(11), 2667-2675. https://doi.org/10.1016/j.ajic.2023.11.016
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