Posted: June 6th, 2019
Essentials of Evidence-Based Practice Assignment
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare the research methodologies employed.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.
Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.
Part 1: An Introduction to Clinical Inquiry
Create a 4- to 5-slide PowerPoint presentation in which you do the following:
Identify and briefly describe your chosen clinical issue of interest.
Write a page paper – Describe how you used keywords to search on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
Provide APA citations of the four peer-reviewed articles you selected.
Part 2: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:
The full citation of each peer-reviewed article in APA format.
A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. Please see attach upload files for the Matrix Worksheet.
Sample Answer
PowerPoint
Nurses are compelled to take long shifts which compromise their ability to deliver quality patient care. The long shifts include working between 12 to 24 hours. The long shifts lead to sleep deprivation and exhaustion. The causes lead to compromised healthcare since the concentration is low. Studies show that long hours of working are closely related to medical errors. Medical errors can be in the form of administering the wrong drug to a patient, which can lead to death. In other cases, nurses forget to administer the required drug on time. Long hours of working lead to lack of motivation and job satisfaction. It is also a factor causing stress and depression among nurses.
Nurses who work long hours are dissatisfied by their careers. Most of them have the intention to quit their job and search for employment in other nurse-friendly organizations. The intention to leave is due to the inability of the organization to focus on the nurses’ wellbeing. In most cases, healthcare facilities only focus on the need to reduce labor cost. Additionally, long shifts increase stress levels and reduce the level of concentration. Nurses who are stressed have recorded high levels of medical errors. The reason is that they are working under pressure. Additionally, the nurses are not after serving and satisfying the patient but they are after fulfilling their obligation.
The keyword search for the four articles was carried out by first identifying the right keywords. The keywords used are ‘long shifts for nurses’ which covers the articles published on the effects of long hours of working on the nurses and patients. The keywords comprise peer-reviewed to avoid getting an opinion from an individual or a book. It was also important to indicate that the article required to be in PDF format which was important for the purposes of reading the whole article in full. The keyword search identified various articles. The selection was done based on the year of publication and the comprehensiveness of the article in covering the topic ‘long shifts for nurses.’
The four databases were selected based on their history of publishing quality, peer-reviewed, credible and reliable articles, and research studies. The research for the right articles relied on four major databases including ScienceDirect, EBSCOhost, Excerpta Medica Database, and Nursing Reference Center Plus. The purpose of the database is that they serve as libraries for various articles. The databases are trusted to publish only articles and research studies from established and credible organizations or individuals. Before an article is published, it is reviewed and all the facts in it are established. Therefore, they remain credible for the nursing professional to rely on them for research.
References
Dall’Ora, C., Griffiths, P., Ball, J., Simon, M., & Aiken, L. H. (2015). Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ open, 5(9), e008331.
Banakhar, M. (2017). The impact of 12-hour shifts on nurses’ health, wellbeing, and job satisfaction: A systematic review. Journal of Nursing Education and Practice, 7(11).
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016). Healthcare staff wellbeing, burnout, and patient safety: a systematic review. PloS one, 11(7), e0159015.
Clendon, J., & Gibbons, V. (2015). 12 h shifts and rates of error among nurses: a systematic review. International journal of nursing studies, 52(7), 1231-1242.
Matrix Worksheet
Full citation of selected article Article #1 Article #2 Article #3 Article #4
Dall’Ora, C., Griffiths, P., Ball, J., Simon, M., & Aiken, L. H. (2015). Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9), e008331. Banakhar, M. (2017). The impact of 12-hour shifts on nurses’ health, wellbeing, and job satisfaction: A systematic review. Journal of Nursing Education and Practice, 7(11). Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016). Healthcare staff wellbeing, burnout, and patient safety: a systematic review. PloS one, 11(7), e0159015. Clendon, J., & Gibbons, V. (2015). 12 h shifts and rates of error among nurses: a systematic review. International journal of nursing studies, 52(7), 1231-1242.
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) The article was selected since it shows that long shifts are common in hospitals yet they are compromising the quality of care, increased job dissatisfaction and the intention to leave among nurses.
The article was selected since it provides an in-depth comparison of the 12 hour and8-hour shifts and their differences in terms of job satisfaction and the wellbeing of nurses. The article was selected since it shows the effect of healthcare staff burnouts on the quality and safety of patient care. It is a wide study comprising of six countries. The article was selected since it focuses on the negative effects of long nurse shifts including increased medical errors and patient safety vulnerability.
Brief description of the aims of the research of each peer-reviewed article The aim of the study is to examine the relationship between long working hours and job satisfaction and intention to leave among nurses. The aim of the research is to compare the impact of 12 hours and 8-hour shifts on nurses and their job satisfaction plus their wellbeing. The aim of the research was to examine the relationship between nurse burnouts and the quality of patient care among nurses in 6 countries. The aim of the study was to examine the relationship between extended work shifts among nurses and high levels of medical risks.
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. The study employed a cross-sectional survey of 31,627 in 6 European countries. It involved a quantitative study.
The study used a systematic review to gather data from various databases such as Medline, PsycINFO, and Cinhale. It was a qualitative study The study involved a secondary analysis of cross-sectional data. It was a qualitative study. The study was a cross-sectional approach to collect data. It was a qualitative data approach.
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. The strengths of the cross-sectional survey are that it is easy and quick to carry out. The weaknesses include the inability to measure an incident and it only measures prevalent cases and the inability to study a rare disease.
The method is reliable since it describes a phenomenon precisely.
It is valid since it is used to approve or disapprove assumptions. The conclusions of a systematic review are more reliable compared to a single study. It also reduces bias. Conversely, it is hard to combine the findings since the researchers carried out their findings differently.
The validity can be questionable if the research studies are not published or if the findings are misrepresented.
Systematic reviews are reliable since they reduce the level of bias. The data of all variables are collected once and multiple outcomes can be studied at once. Conversely, associations identified may be difficult to interpret and it cannot be used to measure an incidence.
It is reliable since is descriptive in nature.
The method is valid since it approves or disapproves assumptions. It is good for descriptive studies in generating a hypothesis and that data of all variables is collected once. On the other hand, it is hard to determine the outcome followed the results or the results followed the outcome. It cannot measure an incidence.
It is reliable since it can describe a phenomenon accurately.
It is valid since it approves or disapproves assumptions.
General Notes/Comments The research was successful in achieving the intended aim of showing the impact of long shifts on quality of care, increased job dissatisfaction and the intention to leave among nurses.
The study methods precisely presented the effect of long shifts on the well-being of nurses. The systematic review presented ideas from different studies showing the effects of long shifts such as burnouts. The systematic study presented the effects of long shifts such as high rate of error among nurses.
