Systematic Review Qualitative Research

In “Patient outcomes in the field of nursing: A concept analysis”, researches completed a concept analysis on job satisfaction as a means to make managers aware that the nursing workforce should be stabilizes especially in a time of a world-wide nursing shortage. (Liu, Aungsuroch, and Yunibhand, 2016, p84) Researchers completed this analysis by utilizing the Walker and Avant concept analysis model. The Walker and Avant model, established in 2011, is comprised of eight steps: a) selecting a concept, b) determining the purpose or aim of the analysis, c) identify all possible uses of the concept, d) determine the essential attributes, e) construct an example of the concept in use, f) construct illegitimate, related, contrary, borderline, and invented examples, g) identify antecedents and consequences, and h) define empirical referents. (McEwen & Wills, 2014,

On reading this article and identifying the study, there was a clear insight on how death and dying, and even improved health, impacted those nurses (Conte, 2014). Nurses, who worked closely with their patients, through the perils and suffering, culminating of death and losses, had grief not readily explored to enable that comfort zone (Conte, 2014).

Once an area of evidence-based practice has been chosen for investigation, the reviewer must locate current evidence sources and, using a structured approach, assess each for applicability to the issue being investigated. The aim of this paper is to use a Rapid Critical Appraisal Checklist (Melnyk and Fineout-Overholt, 2011) to support these sources of evidence into a review that discusses the importance of daily, high-level, multidisciplinary communication and patient safety. The summaries of these evaluations will be provided as an appraisal of each study.

I believe that the limitations of the study findings were generalized. The author did not have the access to the data; a vendor was tracking the patient satisfaction data. According to the report there was

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

The purpose of this meta-synthesis research was to synthesize a qualitative study performed to better understand the underlying reasons why only a fraction of cancer patients participate in cancer research trials. The attempt is to explore factors that influence participation in this type of study. Literature in the subject indicates poorly understood process of how patients are enrolled into clinical trials. This systematic review tries to improve the patient decision-making process in participating in cancer clinical trial and to provide Oncology nurses to treat patients with solid background utilizing evidence based practice (Biedrzycki, 2010).

Patient satisfaction is an important phenomenon that affects hospital ratings and reimbursements. Hospitals across nation are seeking measures to improve patient satisfaction, decrease patient falls and call light usage. A medical surgical clinical nurse specialist (CNS) at a northeast hospital collected data on the rate of patient falls, patient satisfaction for a period of 15 months and usage of call light for 4 weeks, which showed that this is a crucial problem that the hospital is facing and there is a lot of opportunity for improvement. The CNS assembled a team to identify measures to improve the current situation and decided to replicate the study on rounding conducted by Meade and colleagues (2006).

“Patient outcomes become the ultimate measure of quality as they reflect the influence of both structure and process of care” (Stanik-Hutt et al., 2013, p. 492). The use of patient satisfaction tools is routine in healthcare facilities. What actually do the results of patient satisfaction surveys tell us about the quality of nursing care? The results of patient satisfaction are used to better understand what can be done in the future to improve the patient care outcome, ultimately achieving the most desireable outcome. It is essential to know exactly how APRNs contribute to the quality, safety, and effectiveness of healthcare so that they may be utilized to the best of their abilities to provide evidence based

Even when kids don’t remember the abuse, they sometimes subconsciously will develop negative behaviors. A. Danese and M. Tan, in their journal article “Childhood Maltreatment and Obesity: Systematic Review and Meta-analysis”( 2014), explain that child maltreatment and obesity are often related. Danese and Tan use factual evidence and a meta- analysis of 41 studies conducted to support that “Improving the psychosocial environment children live in might contribute to the primordial prevention of obesity and its consequence”( Danese and Tan 552). The authors’ purpose is to educate readers on the effects child abuse has on an individual's health in order to lower the obesity rates by helping children who are being mistreated. By keeping their article extremely formal and

​The highest priority in most hospitals across America is patient satisfaction. Patient satisfaction begins the moment the patient steps in the hospital doors although nurses hold a majority of the responsibility. The face to face interactions between nurse and patient on a day to day basis naturally puts nurses at the front line. Nurses are there to answer questions for the patient’s while making them as safe and comfortable as possible. There are a lot of factors to take in to account while determing satisfaction in the hospital. A common debate in the medical field is if there is an

Heintze, C., Sonntag, U., Brinck, A., Huppertz, M., Niewöhner, J., Wiesner, J., & Braun, V. (2012). A qualitative study on patients' and physicians' visions for the future management of overweight or obesity. Family Practice, 29(1), 103-109. doi:10.1093/fampra/cmr051

According to the systematic review covered by Apfel, Turan, Souza, Pergolizzi & Hornuss, 2013 there is a significant reduction in postoperative nausea and vomiting and opioid use when using intravenous acetaminophen. The reviewers used Medline and Cochrane databases to conduct their search along with a hand search of abstracts to identify randomized-controlled trials using intravenous acetaminophen. The review was to determine if the acetaminophen was going to have a significant decline in nausea and vomiting following surgical procedures as

Critical Appraisal skills program (CASP) will be defined and will be later use to critically appraise the research mentioned above. The importance of evidence based (EBP) in healthcare settings would be briefly explained. Lastly validity, strength and weakness of the study would be looked into and to conclude if it’s or not fair enough to be used or modified services to patients and service users in care settings.

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.