Gcu Internal Data

Parahoo, K (2014). Nursing Research: Principles, Process and Issues. 3rd ed. Hampshire: Palgrave Macmillian . p122 - 123.

Another important barrier is nursing education. Nurses who graduated many years ago were not taught evidence-based practice and even current schools focus too much researching rather than how to implement current research into care (AJN, 2012). This lack of knowledge on how to implement may stem from the lack of knowledge on how to read and interpret research data or that nurses might feel overwhelmed due to the fact that there is so much and might not know how to narrow what is important or how to read all of it (Brown et al., 2009). In the Tacia study (2015), advanced care nurses could easily point out

An important component of evidence-based nursing, is the professional nurse’s ability to create a search strategy that will assist professionals in finding relevant research articles that address an important clinical problem in need of a timely solution. As the Institute of Medicine’s core competencies for health care professionals have called upon nurses to advocate person-centered care, evidence-based practice, quality improvement, and informatics, United Health Group’s complex medical conditions case managers are advocating person-centered care while creating quality outcomes (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, 2010). This assignment will explain five

You are to locate and document research databases that relate to a significant clinical nursing issue of your choice. The research databases may be labeled as such, or may be collections of research studies, reports, articles and/or findings that are not specifically called databases. Please note: Individual journals and journal articles do not meet the criteria for a research database, and therefore, do not qualify for this assignment.

Kalisch, Beatrice J. PhD, RN, FAAN; Tschannen, Dana PhD, RN; Lee, Kyung Hee MPH, RN (2012). Missed Nursing Care, Staffing, and Patient Falls. Journal of Nursing Care Quality: January/March 2012 - Volume 27 - Issue 1 - p 6–12 doi: 10.1097/NCQ.0b013e318225aa23.

BSN is expected to also use research studies for a basis for their decision making. ADN analyzes assessment data, where BSN synthesizes comprehensive assessment data to solve problems. ADN’s evaluate and report outcomes and plan interventions from evidence based practice, where BSN nurses compare these interventions and outcomes to benchmarks in research and evidence-based practice and plans follow-up nursing care. They both create teaching plans to promote healthy outcomes, although BSN’s go on to assess population risk (BON,

Mandatory staffing ratios have been suggested as a way to meet nursing staffs’ concerns of high nurse to patient ratios. Mandatory staffing ratios are used as a way to reduce workload and patient mortality and are aimed at addressing the perceived imbalance between patient needs and nursing resources. (American Nursing Association, 2014). However, issues have been raised on applicability of staffing ratios since it could lead to increased costs without the guarantee of improvement in the quality of health care and could also lead to unintended consequences including unit closures, limited infrastructural development and limited access by patients (American Nursing Association, 2014).

The sample size was large enough since it brought together 2,545 nurses, from different nursing units. In addition, the selection of four different hospitals ensured that there was no bias and that any similarity in research findings could be considered as part of the study’s objectives (Brewer, 2006, p. 650).

The aim of this paper is to formulate a PICOT question and describe how important this research question is to nursing practice. It will include a summary of five research articles related to my PICOT question and identify a nursing practice that is supported by current research. The paper will also explain how a nursing practice that is supported by evidence-based practice can contribute to better outcomes. Lastly, I will share a strategy to share evidence-based practice throughout my organization and explain the importance of the practice.

“Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties” (Applied Nursing Research, n.d., p. 1).

This paper will address and evaluate the research problem itself, the design of the study, the sample, how the data is collected, its limitations, and its findings. Furthermore, how does this study impact the overall nursing process?

Nursing research has been a part of nursing practice for many years, consisting of both qualitative and quantitative research; it is essential in guiding nursing practice. Many nurses have a baseline understanding of research in general, but it is important for the researcher to understand their own values and beliefs when determining the type of research they will be performing. By understanding the differences between epistemology, methodology, and methods, the researcher can confidently conduct a valid research project.

Houser, J. (2012). Nursing research: reading, using, and creating evidence. (2nd ed.). Boston: Jones & Bartlett.

Dr. Avedis Donabedian developed a model for categorizing and measuring the quality of healthcare providing a framework that conceptualized quality in broad terms and classification to measure and assess different aspects of quality in nursing care (Sollecito & Johnson, 2013). In the footsteps of Donabedian’s framework, Dr. Beatrice Kalisch developed a model conceptualizing missed nursing care otherwise known as “unfinished nursing care” or “care left undone”. Missed nursing care as defined in the Missed Nursing Care Model is any aspect of required patient care that is omitted, either in part or whole, or delayed (Kalisch, Landstrom, & Hinshaw, 2009). The structural aspects Kalisch’s model include labor resources, nursing staff, competency level of staff, education and experience, material resources, teamwork and communication. Kalisch model indicates that nurses with recent restricted resources in the nursing process determining clinical priorities is costly making decisions either to delay or omit certain care and is heavily influenced by team perception, nurse judgment, ("Missed Nursing Care AHRQ," 2015).

The first quantitative study analyzed was conducted by Dabney and Kalisch in 2015 and surveyed 729 patients. The purpose of the study was to continue researching for any correlation between patient outcomes and nurse staffing. They analyzed patient reports of missed nursing care and determined if there was a relationship between patient reports and the nurse staffing levels. The design and sample include data that was obtained in the study of patient reports of missed nursing care and compared it to the level of nurse staffing. The sample was made up of 729 patients on 20 units in 2 hospitals. The 20 units consisted of 12 medical units with 420 participants, 6 surgical units with 255 participants, and 2 rehabilitation