¶ … setting, definition Sample/Setting
Conclusions (Appraisal)
Level of Evidence
(Flagg, 2015)
Implementing patient-focused healthcare within settings burdened by the combined challenges of scarce support systems, huge patient loads and constantly-growing patient care responsibilities, especially chronically ill patients
A healthcare organization with nursing staff on twelve-hour schedules
Characteristics: Number of patients individual nursing professionals have to cater to, which ranges between 3 and 5.
Catheter care, blood extractions, surgical schedules planned, antibiotic drugs' presence in the hospital inventory, patients' medicine/treatment plans
Necessity of bedside reporting, patient satisfaction and all-inclusive care framework
A case study technique implies researchers cannot undertake a broad-scale research using the sample. Outcomes might be case-specific and non-generalizable.
This article contributes to clarifying nursing role by employing numerous kinds of patient-focused care elements for improving care quality safely and manageably.
Level 4.d -- Descriptive Observational Studies -- Case Study
(Fawaz, Williams, Myers, Jones, & Logsdon, 2015)
Assessing the efficacy of a combined intervention entailing script-based interaction, hourly rounding and whiteboard use associated with pain management and satisfaction of patients with pain management efforts of nursing staff
Design: quasi-experimental, retrospective, post-test -- pre-test design.
Setting: Wards of a South US educational health science institution's hospital which offer care services to patients with various surgical-medical diagnoses
Pain-related communication, hourly rounding, script-based provider-patient interaction, and whiteboard utilization intervention
Nursing staff deemed whiteboard utilization and script-based interaction to be appropriate approaches.
Achieving the positive impacts of this communication intervention might take time.
When nursing staff employed open, continuous communication with pain patients, with time, a positive impact was observed on the element of satisfaction of patients with their pain management. The simple intervention proved to be successful and replicable in various healthcare facilities.
Level 2.d -- Quasi-experimental study design - -- Post-test, pre-test or retrospective/historic control group research
(Martin, 2015)
Employing a pain-care toolkit to ascertain whether or not it facilitates improvement in patients' pain care perceptions
Design: Hospital units
Setting: Healthcare organizations that have adopted the value-based buying/purchasing (VBP) concept
Improvement or lack thereof in patients' perceptions regarding their pain care.
Thanks to the VBP Program, healthcare organizations can now be reimbursed for superior care delivery; this entails patients' opinion of care provided, as gauged by the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) that covers patient experiences with their pain care.
NA
By applying a toolkit for enhancing patient care quality, their views with regard to their pain care may improve, thereby enhancing the likelihood of maximum VBP reimbursement.
Level 2.a - Quasi-experimental Study Designs -- A systematic analysis of quasi-experimental researches
(Martin L. K., 2016)
Executing/maintaining processes for improving patient views of the quality of their pain care through the implementation of a quality-of-pain-care toolkit within care standards in case of 3 inpatient nurse units.
Design: Implementation of quality-of-pain-care toolkit
Setting: A community hospital with a capacity of housing 110 inpatients simultaneously, belonging to a major multi-center health care system
Communication, pain scales, whiteboards, patient...
Information points after intervention are very scare and cannot support trends in enhanced quality of patient pain care
Constant supervision of compliance with toolkit use and measures of quality of pain care is necessary for driving and maintaining process improvements.
Level 3.b -- Analytic, Observational Study Designs -- A systematic analysis of analogous study designs such as cohort designs
(Huang, 2016)
Successful pain management represents a widespread and insistent requirement in the current healthcare arena. Pain, if left untreated, has the potential to severely affect QOL (quality of life) of patients and cause adverse psychological and clinical effects
Design: A pilot project with patients as partners
Setting: UPMC-Passavant hospital
Factors associated with patient pain management -- institutional/human factors, visual signs, pain cards, reduced dose, pain hotline and rebalancing of nurse assignments
Healthcare organizations must necessarily regard pain management to be crucial to patient satisfaction. This pilot project proved the efficacy of multiple quality initiatives
Patients' hospital experience perceptions may be impacted by elements such as sound patient-provider communication, clinical result, responsiveness, consideration, etc. Hence, scoring immeasurable events may complicate attempts at coming up with the appropriate treatment.
Pain drives people to seek expert help as well as allows healthcare professionals enhance care efficacy and quality. Pain management ought to be made a nationwide priority.
Level 2.a -- A systematic quasi-experimental research work analysis
(Dempsey, Wojciechowski, McConville, & Drain, 2014)
Appraising nurse managers' contribution to patient care
Design: A connected, understanding healthcare framework
Setting: Determining approaches to meet the challenging tasks of interacting with pain patients and decreasing their pain
Functional, clinical, behavioural and cultural components linked to patient care for targeting patient requirements depending on their condition
Nurse managers are in charge of facilitating direct-care nursing staff's connection with patients for enhancing their care experiences. Compassionate linking to patients for alleviating their inherent pain and avoiding unnecessary pain is vital to achieving patient experience improvements
Nurses express more understanding and kindness towards patients, while nurse managers are in a better position to engage their subordinates at inpatient bedsides.
Level 2.a -- A systematic quasi-experimental research work analysis
(Maben, Griffiths, & Penfold, 2015)
Examining single-room patient unit staff's experiences. This is chiefly founded on comprehensive midwives and nurse interview analyses in 4 case study units, conducted roughly 12 months following hospital establishment.
Design: Researcher observations and interviews of allied health professionals, nurse leaders and medical staff.
Setting: Open-plan unit personnel appreciated their auditory and visual closeness to their charges and coworkers
Room check quality, patient monitoring and surveillance, patient interactions, direct communication and avoiding patient falls
Hospital unit and patient room designs fulfilled several personnel expectations for a better work climate and facilitated effectual, successful care delivery.
Personnel voiced concerns that levels of new-unit staffing didn't always suffice when it came to delivery successful, safe healthcare.
Personnel devised novel work approaches and care processes including patient supervision, decentralized nurse teams,…
Patients in hospitals often complain of pain regardless of the diagnosis. Several activities in a patient's life contribute to pain. Some of the activities include amount of sleep, daily chores and quality of life (Alaloul, Williams, Myers, Jones, & Logdson, 2015). While health care expenses have increased significantly over the years, there have been great improvements in increasing both family and patient involvement in medical care. Hourly care is one
Inpatient Whiteboards This study is a theoretical framework exploring whiteboard use preferences and recommendations for patient-centered care and communication through whiteboard use. This study is a theoretical framework exploring whiteboard use, script-based communication, and hourly rounding to evaluate effectiveness of care associated with pain management and patient satisfaction. The study utilizes a conceptual framework. This article uses a conceptual framework that provides a literature review Conceptual framework Conceptual Framework Conceptual Framework A 3-week pilot involving multidisciplinary whiteboard
diagnoses, pain is a common complaint among inpatients. In the U.S. alone, approximately 100 million patients experience chronic pain (Alaloul et al., 2015). Pain negatively affects numerous aspects of an individual's life, such as sleep, quality of life, and physical functioning. Pain is also associated with negative psychological outcomes like depression, extended hospitalization, and a huge economic burden. In the U.S., for instance, pain imposes an estimated cost of
Hourly nurse rounds help to reduce falls, pressure ulcers, call light use and contribute to rise in patient satisfaction base on evidence base practice The healthcare center is faced with numerous challenges affecting clinical results and client satisfaction (e.g., ulcers, use of call light and falls). The above challenges have brought on the need to develop and institute an appropriate framework to improve patient care delivery by means of better and
Pain Management in Post-Operative Patients Pain suffered patients undergoing surgery. The severity pain vary patient. It nurse caring patient postoperative phase manages patient's pain. Questions arise pain assessment, nurses estimation mismanagement patient pain, modes administration medical orders pain management suitable. Pain Management in Post-Operative Patients Effective pain control in post-operative patients is essential in ensuring patient's quick recovery, earlier mobilization and lower cost and higher patient satisfaction. The immune system of patients who
Patient Falls and Nursing PICO Question -- Among acute care patients on a Medical-Surgical Unit, does hourly rounding, as opposed to only setting the bed alarm, significantly reduce patient falls (at least by 50%)? Modern healthcare and nursing are more complex than ever before. The nurse's role is far more than simply an assistant, and requires the understanding and application of a large toolbox to deal with many different situations within the
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