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Review of literature on patient satisfaction in hospitals
Essays on importance of validity and reliability in research
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satisfactory alpha level is 0.7. I am also not very confident in the INVR because the researchers cite another study that found that is has established validity and reliability, but it does not reveal at what level it is so it makes it harder to have confidence in them. I have confidence in the NKASRP as it has reliability of greater than 70, but the authors do not note what level of validity it is. The validity and reliability scores of the Nausea Management: Nurses’ Knowledge and Attitudes Survey, the measures of job satisfaction, and the chart audits are not reported which makes it hard to assess their quality and have confidence in their use. The researchers set their significance level at the 0.5 alpha level, which is the maximum level …show more content…
Job satisfaction was found to be the high for both groups of nurses. Patients also reported high satisfaction with their care by both groups. There was no significant difference found in the amount of documentation on patient pain and nausea and the following of NCCN guidelines for CINV management. The researchers reported that they analyzed the data using SPSS 15.0. The researchers used independent sample t tests to determine the differences in nurse knowledge, symptom management, patient satisfaction, and nurse satisfaction between the groups. The only result that was statistically significant was the level of pain knowledge between certified and noncertified nurses. The certified nurses had a 0.02 difference, making it significant at the alpha level of 0.05. The fact only one dependent variable was found to be statically significant indicates that this study was not able to fully support its hypothesis and that the study had overall weak results. The researchers used t-tests, a form of inferential statistics, to calculate if certification caused differences in the dependent variable. The authors also used characteristics of descriptive statistics such as mean, range, and frequency. They talk frequency by using percentages to report the patient and nurse demographics. They also use percentages when …show more content…
The study they relate their findings to is inappropriate as it does not relate directly to their hypothesis. The researchers compare the nurses’ survey scores in this study to nurses’ survey scores in a study by Xue, Schuluman-Green, Czaplinski, Harris, and McCorkle (2007). This comparison does not relate to the researchers’ hypothesis as the study by Xue et al. (2007) does not discuss certification, which confused the reader as it is not relevant. However, the authors do make reasonable interpretations of their findings. The authors have a separate paragraph for the limitation of the study. They note that the small sample size of the study is a limitation, as well as the fact that it was only conducted in one teaching hospital, which limits the study’s potential for generalizability. Another limitation of this study is the fact that some of the noncertified nurses were working toward obtaining their certification. While the authors do not include this point specifically in the limitations paragraph, they specify that another study should be completed where one group of cancer patients are cared for by certified nurses and another group is cared for by noncertified nurses not working towards
Melnyk’s Hierarchy of Evidence is a system often use for assigning levels of evidence in nursing by integrates clinical expertise and patient choices with the best available research. It is represented by a pyramid that enumerates the levels of strength of the evidence from 1 to 7, of which level 1 is the higher level. The higher level on the pyramid, the more likelihood that the research is valid; therefore, answering a clinical or practice question. “The systematic review or meta-analysis of randomized controlled trials are at the top of the evidence pyramid and are typically assigned the highest level of evidence, due to the fact that the study design reduces the probability of bias” (Melnyk, 2011). The weakness of the system is that when
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
...dy, data analysis is well organized and the findings were applicable to the nursing profession. The article could have extended the literature review but it is likely there is a lack of research to review on this topic. The findings in this research should be utilized into practice. Even though more research is needed in this field it would benefit everyone to create supportive environments. There is little that can be done to decrease the demand on nurses but the profession can become aware of the need to support each other.
According to Kaplan, the methods section should provide sufficient information for the study to be reproduced (Kaplan, 2012). The study does acknowledge that their 57 study participants sample is too small for adequate analysis, but this can still be an acceptable number of participants, as there is no defined number for an appropriate sample size (LoBiondo-Wood & Haber, 2014). More specifically, the sample included 57 participants in their junior year at the same college of nursing encompassing six different clinical groups that were all currently enrolled in their second acute care course. The groups were evenly divided between traditional students (28 students) and accelerated students (29 students). There were 10 males and 47 females selected. This sample size is representative of the target population of nurses, which is 17.5%, which according to the National League for Nursing in 2012 in baccalaureate programs nationally is 14% (http://www.nln.org/researchgrants/slides/pdf/AS1112_F29.pdf). Selection biases were not addressed in the research study, which could influence the outcome of the study if the study p...
One of the most serious issues in nursing, that can affect a nurses career is nursing burn- out. According to the article “Where have all the nurses gone”, current nurses that are practicing, report high rates of job dissatisfaction (which is part of burn out) and 1 of 5 nurses may quit nursing in the next 5 years (Dworkin, 2002). Burnout is associated with nurses not coming in to work, not feeling satisfied when doing their job, high turnover rates and a lack of commitment to the work (Katisfaraki, 2013). If a nurse becomes burned- out, they may not take care of their patients as well and could make mistakes with medication administration. A study performed in the United States by Dr. Jeannie Cimiottti, shows that hospitals with high burn-out rates among nurses have higher levels UTI’s, and surgical infections (World, 2012). Nursing burnout not only affects the nurse, but it also affects the patient, the nurses’ colleagues, and the nurses’ family; nursing burn out often leads to emotional exhaustion and depression, that can effect relations and communication between the nurse effected and the person they are communicating with. This paper will cover what burn-out is, who is susceptible to burn out, and treatment and prevent nursing burn out.
reminders about common misconceptions regarding null hypothesis significance testing. Quality Of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation. Retrieved from http://ehis.ebscohost.com
Still today, nurse staffing is a crucial health policy issue. Since the 1980s, the nursing profession has taken on more prominence in America with a large focus on research studies. In fact, U.S. Public Law 99-158, Health Research Extension Act of 1985, authorized the National Center for Nursing Research (NCNR) at National Institutes of Health (NIH) (Health Research Extension Act of 1985, 1985). With U.S. Public Law 103-43, NIH Revitalization Act of 1993, the NCNR was formally changed to the National Institute of Nursing Research (NINR) (NIH Revitalization Act of 1993, 1993). The NINR started constructing purposeful research projects, which produced a positive correlation between the number of staff and quality of care. However, the 1996 Institute of Medicine (IOM) report expressed, at that time, no significance between nurse staffing and clients’ outcomes in acute-care hospitals (Institute of Medicine Staff, Davis, Sloan, & Wunderlich, 1996, p. 9).
...uickly changing medical technology and environment. The bickering and infighting amongst nurses has to come to a stop if the profession is to move forward alongside the other medical professions. It is too late to take nursing back to the point of basic care of the 19th century now fulfilled by certified nurse aides. A nurse is the first and last person many people will ever see. They provide complex care, recognize symptoms and changes when the ever shrinking physician pool is not available, advocate for patient and families, and care deeply for their patients recovery. In this paper the author used past nursing history, current medical demands and advancements, and clinical patient outcomes to argue that the minimum education for a nurse should be a Baccalaureate degree in order to meet the Institute of Medicines goal of 80% of nurses should have BSNs by 2020.
The nursing profession is one of the most physically, emotionally, and mentally taxing career fields. Working long shifts, placing other’s needs before your own, dealing with sickness and death on a regular basis, and working in a high stress environment are all precursors to developing occupational burnout in the nursing profession. Burnout refers to physical, emotional and mental exhaustion, which can lead to an emotionally detached nurse, who feels hopeless, apathetic, and unmotivated. Burnout extends beyond the affected nurse and begins to affect the care patients receive. Researchers have found that hospitals with high burnout rates have lower patient satisfaction scores (Aiken et al 2013). There are various measures that nurses can take
“This literature review explores the effect that nurse staffing patterns have on the frequency of medical errors, fatigue, and nurse burnout (Garrett, 2008, p.1191)”. A concept that is relevant to this study would include nurse sensitive concepts. Houser stated that nurse sensitive concepts include but are not limited to burnout, medication errors as well as patient falls (Houser, 2015). All these concepts are relevant in this one article which discusses studies that have been done to provide evidence based research. “Variables included total staff member work hours and nurse-sensitive outcome rates for CLIs, pressure ulcers, medication errors, falls and restraint application duration rates (ie, duration for use of mechanical restraints)(Garrett, 2008, p.1197).” The technique that was used in this research was the quantitative method. The text book defines quantitative research as “a traditional approach to research in which variables are identified and measured in a reliable and valid way” (Houser, 2015). This study that was conducted identified variables as stated above as well as collected data from diverse units of hospitals to analyze separately to measure the outcomes. The participants of this study included ninety five patient care units from ten adult acute care hospitals for this sample. The instrument used by the researcher was from an observational form that
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
Some foresee their death and lack to feel the need of adhering to medication or advice from the practitioners. As a nurse who has learned the art of patient care, I try to revive the hope of the patients through cases of other patients who have been in the same situation but are still alive and healthy. Providing assurance to my patients has been a product of learning and understanding the essence of patient care. Vaughn and Spetz (2013) assert that there is a significant relationship between nursing education and the delivery of quality care for nurses. From the research, registered nurses with high education levels decreased the mortality rate for patients considerably. A different study by Weinberg, Cooney-Miner, and Perloff (2012) articulate that the hospital-based research conducted indicates that registered nurses having a baccalaureate of science in nursing were linked to low mortality rates among patients. As such, it is evident that education plays a critical role in the nursing career. As an individual, nursing education has increased my level of empathy when addressing various issues within the society. I am more
The development of knowledge requires a number of processes in order to establish credible data to ensure the validity and appropriateness of how it can be used in the future. For the healthcare industry, this has provided the ability to create and form new types of interventions in order to give adequate care across a of number of fields within the system. Research then, has been an essential part in providing definitive data, either by disproving previous beliefs or confirming newly found data and methods. Moreover, research in itself contains its own process with a methodological approach. Of the notable methods, quantitative research is often used for its systemic approach (Polit & Beck, 2006). Thus, the use of the scientific method is used, which also utilizes the use of numerical data (Polit & Beck). Here, researches make use of creating surveys, scales, or placing a numerical value on it subjects (Polit & Beck). In the end the resulting data is neutral and statistical. However, like all things its approach is not perfect, yet, it has the ability to yield valuable data.
The profession of nursing is always regarded as complex, dynamic and noble. The nursing profession requires many things such as hard work, vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine. The present patient statistics pose, nurses are expected to take responsibility of accomplishing the requirements.