Systematic Review Essay examples

Stanton, M. R. (2004, March). Hospital Nurse Staffing and Quality of Care. Research in Action. Rockville, MD, USA: Agency for Healthcare Research and Quality.

One of the external threats that were present during the survey is the patients’ condition, which could have influenced the work of the nurses. Since there are different conditions of patients, one of these could have influenced patient cases, teamwork and hence the study was not considerate enough. In addition, the study failed to integrate the participation of the nurses and instead focused on other staffs (Kalisch & Lee, 2011, p. 86). This could have triggered any negative relationships between the selected staffs and the nurses.

In an article published by Applied Nursing Research the authors point out that nurse staffing is related to patient outcomes, “lower levels of RN staffing are associated with higher rates of OPSN (Outcomes Potentially Sensitive to Nursing) in both medical and surgical patients treated in hospitals, U.S. Medicare, and other publically available administrative data” (Duffield et al., 2011, p. 245). The writer of this paper researched 5 relevant articles regarding the relationship between nurse to patient ratio, morbidity, and mortality, every article related similar information. “A systematic review of 102 studies concluded that increased RN staffing levels are associated with lower rates of morbidity and mortality” (Ball, Murrells, Rafferty, Morrow, & Griffiths, 2013, p. 2).

Slutsky, J. (2005). Using evidence-based guidelines: Tools for improving practice. In B. F.-O. Melnyk, Evidence-based practice in nursing & healthcare. A guide to best practice (pp. 221-236). Philadelphia, PA: Lippincott, Williams & Wilkins.

Fry’s extensive literature search comparison provides current evidence that positive clinical trends are demonstrated with the use of nurse practitioners in the hospital setting. Margaret Fry is an associate professor for Higher Research Degree Coordinator at the University of Technology in Australia and identified 1048 articles referencing the impact nurse practitioners with 47 studies considered relevant. This article is well written and researched, including a long list of pertinent references.

As part of the literature review, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google Scholar, Cochrane, and EBSCOhost databases were used in the search for sources to be utilized in this DNP project. Evaluative criteria were used to determine quality, suitability, and coverage of selected articles. For instance, the aspect of

Two types of data were collected through surveys, both before and after implementation of the combined approach (Sand-Jecklin and Sherman,2014). The first data was on nurses’ point of view with regards reporting process, and the second on patients view regrading nursing care. The baseline survey included 233 patients and 148 nurses, while the survey three months into the implementation period included 157 patients and 98 nurses. The final survey, 13 months into the impanation, was completed by 154 patients and 54 nurses. The patient survey also included responses from patient families. These were 70, 72, and 53 responses for baseline survey, three-month postimplementation surveys, and 13-month postimplementation surveys.

For the literature review an electronic search was undertaken of articles published in English using the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed and Cochrane databases from 2009 to 2013 were searched for medical subject heading terms, both individual terms and combination of the following

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

NDNQI is a unique database containing unitlevel nursing sensitive measurement hospital data. The goals of NDNQI are to provide hospitals with unit-level comparison data for quality improvement initiatives and provide data for research on nursing quality and the nursing work environment. Analysis of NDNQI research provides a different perspective on the influences of patient outcomes. The following highlight the results of some of the studies performed using NDNQI. They are consistent in demonstrating differences among nursing units and outcomes due to the nursing workforce and patients cared

By focusing on overall patient care and satisfaction many areas patients are surveyed on can be improved. Once a performance standard is selected staff must develop a plan for improvement. The first step would be to research as many sources as possible to find the best evidence based practices that would work for the specific facility. This can be divided into two the two categories of direct nursing care and indirect nursing care. Direct nursing care would include implementing hourly rounding, adequate nursing staff and SBAR communication. Indirect nursing care includes availability of technology such as wireless communication, real time locating, wireless monitoring, and electronic medical records. The second step would contain education of the staff on what is to be implemented and why. The why is important for nurses to overcome any barriers that might be encountered. While nursing practice has grown based on evidence Vanhook (2009) explains the greatest barriers to evidence based practice, such as difficulty interpreting findings, limited time, and misunderstanding of research itself, and how to overcome these barriers. With phase one and two completed facilities can move forward with implementation and evaluation.

Ignatavicius, D. D. & Workman, M. L. (2013). Medical-surgical nursing: Patient-centered collaborative care (7th ed.). St. Louis, MO: Elsevier

The authors utilize past research to build a foundation for their study. They recognize that nursing care has usually been conducted in qualitative studies. These studies often look at the satisfaction of the nurse and are unrelated to patient satisfaction. Only one experimental study was reviewed, and while it was not as current as some other literature, it was

In this research, a qualitative study was used during data collection and analysis. The researcher used focus group interviews during her study which encompassed nursing staff working in medical-surgical units in two major state hospitals. The hospitals used in this study were; a 210-bed hospital in the southern region and a 458-bed regional medical center in the northern parts of the United States of America.

Throughout the past ten weeks, I have grown in my understanding of nursing research on all levels. I feel that the most essential knowledge I have gained is the ability to critically review a research article. Because of this class, I have a better grasp on the necessary components to include, as well as how to determine rigor and validity in research. This is a valuable skill which I will utilize throughout my career as a nurse practitioner. I anticipate applying this knowledge as I review articles to determine which intervention is best to incorporate into management plans for my patients. As an example, if I am