Quantitative Article Critique : Call Bell Requests

This reading discusses the use of wireless alerts pagers in a Surgical Intensive Care Unit and how it affects both work practices and information flows through a qualitative study. From the research that exists, we can see that pagers are successful communication tools because of the mobility and immediacy they provide. Interviews were completed with physicians and pharmacist who used the pagers and nurses who did not use the pager about how it impacted their work. In addition to collecting data this way, the researchers also compiled observational data from watching the device be used in regular practice. The study noted that

The basic reason for this study is to identify ways to improve the quality of healthcare among patients through bedside reporting method.This will better satisfaction and services delivered at the hospitals. The ever increasing specialization to improve patient outcomes and better health care delivery can contribute to the serious riskof fragmentation of care and problems with handoffs. These are some of the issues associated with emergency room reporting method (Radtke, 2013). There is need to evaluate the handoff method used in hospitals and understand which is the best way to use that increases patient satisfaction. Bedside handoff gives the patient an opportunity to contribute to his or her plan of care. It allows the nurse to visualize the client and as necessary questions regarding their health status. This is the reason there is a need to conduct research on bedside reporting.

A realistic goal of this study is to reduce the fall related to a delay in answering the call light to less than the standard national data base that can be found in National Database of Nursing Quality Indicators (NDNQI). The nurse will be able to compare the data obtained on the unit to similar hospital units by referencing (benchmarking) to the national data from NDNQI. There will be a follow up study and gradual modification of the plan in order to achieve the outcome. The team has to set

This is a critique study on “effects of nursing rounds on patients’ call light use, satisfaction, and safety by Christine Meade, PHD, Amy Bursell, PHD and Lyn Ketelsen MBA,RN(2006)”outline as quasi-experimental research design. The author states in this article about patient’s frequent usage of call light in the hospital. Frequent call light usage seems to be an ongoing problem in the hospital setting.  This study was to determine how to reduce the call light use and burn out staff, also increase patient satisfaction and safety.

Call lights are the lifeline to receiving care throughout inpatient hospital settings. Technology is built within the call light tool for patients to communicate from the press of a button on the remote. Nurses and certified nursing assistants answer the call light from a phone device that is sent from the call light. Locally, Bellin Hospital in Green Bay, call light is designed with a red cross to send a call to the patient’s certified nursing assistant. If the certified nursing assistant doesn’t acknowledge the call then the nurse receives the call. Additionally, Bellin’s call light system has tv options, nurse request and toilet request. Call lights signal through noise, outside patient room light, nursing stations and nursing staff.

The purpose of this BSR project is to assess the nurse’s performance during their handoff report and develop some strategically possible solutions that may improve a patient quality of care, safety, and satisfaction. Communication plays such an important role between nurses and patients to emphasize that an “Effective workforce planning and policymaking require better data collection and an improved

contribute to the costly effect include the fact that nurses have, increased incidence of nurse burnout and patients have poorer outcomes increasing both mortality and readmission rates. Nurses are a large component to keeping readmission rates down through spending time with a patient and educating and empowering patients on self-care through helping patients understand importance of medication regimen adherence, importance of diet adherence, ways to reduce infection and various other skills to care for self at home" (Problem Memorandum Assignment, 2015) The documents exigence is crucial the audience to better the outcome of patients and that of the health

The article “Dance of the call bells, using ethnography to evaluate patient satisfaction with quality of care” suggest the Key phenomenon and group under the study, by stating dance of the call bells, referring to the amount of times in a shift the call bells would ring and the group that it affects most are the patients. The title states how the call bells interfere with a patient opinion on whether quality care was received.

Suppose there is a Labor/Delivery nurse with many years of experience; a national healthcare organization employs him or her to be a teletriage nurse, a role which he or she enjoys and contributes more to the public. He or she can be located in Calofornia, giving advice to a patient in North Carolina. Software programs are used to guide patient through a series of questions. Depending on this nurse¡¯s judgment of the severity of the patient¡¯s problem, he or she gives patient advice to rest at home, go to see a health practitioner without delay or give patient the name and phone number of the nearest community hospitals.

Evidence also supports that bedside shift reporting is financially beneficial for staff nurses and nursing management. The average report time is significantly decreased from an average of 45 minutes to 29 minutes (Gregory, et al., 2014). This reduces overtime and saves hospitals money. Nurses’ satisfaction is improved because they get to end their shift on time. They get to proceed with shift report more quickly, with fewer distractions and in real time (when compared with writing or recording report). Increase in nursing satisfaction reduces turn over and, once again, saves hospitals money (Gregory, et al., 2014).

In observation, (Fahnestock, McComb, & Deshmukh, 2013) stated "Information technologies are transforming the way healthcare is delivered. Innovations such as computer-based patient records, hospital information systems, computer-based decision support tools, community health information networks and new ways of distributing health information.” (p.3.2). In the sector of delivering healthcare using technology, has made it easier for healthcare professionals to access medical records, digitization of prescriptions and view test results. With the use of high-performance devices being used in the hospital, helps to make the jobs of healthcare professionals a little easier. As well as relieve anxiety from anxious patients that may be awaiting lab results to come back. Therefore, IT devices and services has been and continues to be a tremendous help and game changer for the healthcare system. However, there is still a lot of work to be done to help shape and reform the healthcare

Tzeng and Yin (2009) identified the main reasons for call light use and the impact that hourly rounds have in decreasing the call light use rate and patient falls. This study was done in a community hospital located in Michigan and used archived hospital data for analyses. The archives involved were from four adult acute care units during February 2007- June 2008: one surgical unit with 53 beds, two medical units with both totaling 87 beds and one medical-surgical combined unit with 58 beds (Tzeng, & Yin, 2009).

The goal of this literature review is to increase our knowledge about technology use in practice and to identify where there is need for improvement. Information technology seems to be a widely discussed topic these days and most nurses have no clear idea how it can transform the way we do things on an every day basis. We will also look at the impact technology has on nursing, patients, and colleagues. We will then focus on a specific nursing setting, in this case the emergency room. This literature review is organized to grow on each independent section so that you, the reader, can form your own opinion, but take with you the universal understanding of how information technology will lead us down a new and exciting career path.

The abstract of the study clearly and concisely summarized the main features of the report. It stated that the study was conducted as a qualitative, ethnographic research. Then, it briefly described the problems associated with call bells and how these problems affected patients’ perceptions regarding the quality of care. It explained that the study identified three interrelated themes regarding communication through call bells including answering the call bell, communicating the patient’s request to the appropriate health care provider and following through with the

The phenomenon of interest stated is to evaluate is the readiness of the nurses to answer patient calls rapidly upon request. Qualitative method is a good way to analyze the existing problem between the bell call and care. This is because they provide a deeper understanding of the experience the patient is having in the hospital. Qualitative studies are capable of undertaking a new phenomenon that is poorly understood and they develop a more comprehensive context bound understanding the problem. One of the problems encountered is that the research question is not explicitly stated but can be inferred from the context. Of the problems encountered was the existing issue in relation to responding the