Overview Patient safety is a crucial component within the nursing discipline and is of utmost importance in health care. According to Kirwan, Matthews and Scott’s quantitative nursing research article, The impact of the work environment of nurses on patient safety outcomes: A multi-level modelling approach, published in 2013 in the International Journal of Nursing Studies, contributing factors that may have an impact on patient safety may include the nurse’s work environment as well as the nurse’s education level (Kirwan, Matthews, Scott, 2013). This article has relevance in the nursing discipline across health care settings and is important to this writer’s nursing practice to reinforce the importance of the work environment and nursing …show more content…
741). Quantitative research can be experimental or nonexperimental in nature and identified according to the purpose of the study to include categories of: clinical trials, evaluation research, health services and outcomes research and survey research (Polit and Beck, 2017). The general flow of a quantitative research study involves five phases including conceptual, design and planning, empirical, analytic and dissemination (Polit and Beck, 2017, p. 55). This nursing research was conducted utilizing survey research as a self-administered questionnaire was utilized to obtain data from nurses (Kirwan, et al., 2013, p. 255). This was an appropriate quantitative research methodology fitting for this research study as it provided information relevant to the research …show more content…
(2013), “… the most internationally validated tool for measuring the practice environment of nurses” (p. 255). Kirwan et al. provide this tool’s reliability by noting “…an overall Cronbach’s alpha score of 0.82” (p. 256). Another instrument utilized by the researches was the Maslach Burnout Inventory, consisting of 22 questions via a self-administered questionnaire (Kirwan, et al.,, 2013, p. 256). Sample for the Study Kirwan et al. (2013) based their nursing research study off of the Nurse Forecasting: Human Resource Planning in Nursing which encompassed 12 European countries review of the discipline of nursing and the nursing work environment in Europe (p. 255). Kirwan et al. focused on the nursing discipline and nursing work environment in Ireland and included in the sampling plan all 32 of the hospitals in Ireland (p. 255). This sampling plan was clearly identified in this quantitative nursing research study. Sampling
Needleman, J., Buerhaus, P., Pankratz, S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011). Nurse staffing and inpatient hospital mortality. England Journal of Medicine, Retrieved from http://www.nejm.org/doi/full/10.1056/nejmsa1001025
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
Safety competency is essential for high-quality care in the medical field. Nurses play an important role in setting the bar for quality healthcare services through patient safety mediation and strategies. The QSEN definition of safety is that it “minimizes risk of harm to patients and providers through both system effectiveness and individual performance.” This papers primary purpose is to review and better understand the importance of safety knowledge, skills, and attitude within nursing education, nursing practice, and nursing research. It will provide essential information that links health care quality to overall patient safety.
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
Burnout is a highly unusual type of stress disorder that is essentially characterized by emotional exhaustion, lack of empathy with patients, depersonalization, and a reduced sense of personal accomplishments. The nature of the work that healthcare practitioners perform predisposes them to emotional exhaustion. On the other hand, the lack of empathy towards patients is caused by the nurses feeling that they are underpaid and unappreciated. Numerous researches have associated burnout with the increasing rate of nurse turnover. This paper explores the causes of burnouts in nurses as well as what can be done to prevent the them.
This paper explores four different strategies to help improve patient safety. Burston, S., Chaboyer, W., Wallis, M., and Stanfield, J. (2011) suggests that there are three approaches to transforming care: Transforming Care at the Bedside, Releasing Time to Care: The Productive Ward, and the work of the Studer Group. Sheerwood (2015) suggests that patient safety comes from the individual and group values, attitudes, competencies, and patterns of behavior. The collective commitment or mindset to the safety of the individuals in an organization that determines achievement of patient safety goals. Vaismoradi, M., Salsali, M., and Marck, P. (2011) did a study about how well nursing students understood concepts of patient safety and how the designers of the nursing curriculum should go beyond theoretical concepts of education and application of knowledge of patient safety. The final article, Battie, R., and Steelman, V. is about the accountability of the nurse and other healthcare professionals.
According to an article in Health Services Research, safety is one of the main reasons that HCAHPS/Press Ganey surveys patients after their hospital stays (Isaac, Zaslavsky, Cleary & Landon, 2010). This positive aspect brought about by HCAHPS/Press Ganey surveys is the re-focus of patient safety, something that should be a top priority and nursing responsibility of all patient care. A direct example of this focus is that if a patient experiences a serious safety event or is harmed by a medical error, his or her overall experience will be negatively impacted. (Isaac et.al., 2010). Cohen (2015) predicts that if the focus of healthcare shifts to the delivery of safe, compassionate, high-quality care, the patient experience and satisfaction with their overall care is likely to rise. There is also evidence that increased patient satisfaction is important for improving patient adherence. How patients perceive the receptiveness of the unit’s hospital staff likely reflects the hospital 's safety culture thus promoting adherence to treatment guidelines (Isaac, Zaslavsky, Cleary & Landon, 2010). Patients are more likely to continue suggested healthy habits and be compliant with their medication if they are satisfied with their healthcare practitioners. Spence & Fida (2015) correlated in their article the relationship between a nurse 's job satisfaction, job retention, and perceived
Vargus, Crsitina , Guillermro A. Canadas, Raimundo Aguayo, Rafael Fernandez, and Emilia I. de la Fuente. "Which occupational risk factors are associated with burnout in nursing? A meta-analytic study." International Journal of Clinical and Health Psychology 14.1 (2014): 28-38. Ebscohost. Web. 11 Mar. 2014.
Patient’s safety will be compromised because increase of patient to nurse ratio will lead to mistakes in delivering quality care. In 2007, the Agency for Healthcare Research and Quality (AHRQ) conducted a metanalysis and found that “shortage of registered nurses, in combination with increased workload, poses a potential threat to the quality of care… increases in registered nurse staffing was associated with a reduction in hospital-related mortality and failure to rescue as well as reduced length of stay.” Intense workload, stress, and dissatisfaction in one’s profession can lead to health problems. Researchers found that maintaining and improving a healthy work environment will facilitate safety, quality healthcare and promote a desirable professional avenue.
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.
Recent literature reports that there is a nursing shortage and it is continually increasing. Data released by the American Association of Colleges of Nursing (2011) projects that the shortage, would increase to 260,000 by the year 2025. AACN (2011) also reported that 13% of newly registered nurses changed jobs and 37% were ready to change within a year. A study conducted reports that there is a correlation between higher nursing workloads and nurse burnout, retention rates, job dissatisfaction and adverse patient outcomes (Vahey & Aiken, 2004). Among the nurses surveyed in the study, over 40% stated that they were suffering from burnout while 1 in 5 nurses intended
Mitchell, P. H. (2008). Defining patient safety and quality care an evidence-based handbook for nurses. Rockville,Maryland: Hughes. DOI: //www.ncbi.nlm.nih.gov/books/NBK2681/
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
Poghosyan, Clarke, Finlayson, and Aiken (2010) in a cross-national comparative research explored the relationship between nurses’ burnout and the quality of care in 53,846 nurses from six countries. Their researched confirmed that nurses around the world experience burnout due to increase workload. Burnout was manifested as fatigue, irritability, insomnia, headaches, back pain, weight gain, high blood pressure, and depression. Burnout influenced nurses’ job performance, lowered patient satisfaction, and it was significantly associated with poor quality of care. Patient safety decreased as nurses’ job demands