¶ … 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. This information is...
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