NURS 6052 Wk 4 Assignment: EBP Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

NURS 6052 Wk 4 Assignment EBP Part 2 Advanced Levels of Clinical Inquiry and Systematic Reviews

This presentation will discuss:

• Clinical issue of interest
• Process of developing PICOT question
• Research Databases
• Peer-reviewed articles
• Strengths of Systematic Reviews

Clinical Issue of Interest

}Issue of interest: Nursing shortage

}Cause d by: low job satisfaction

}Reduced quality of care & missed nursing care

}Causes poor patient outcomes

}Decreased patient satisfaction

}Increased nurses’ workload

My clinical issue of interest, for NURS 6052 Wk 4 Assignment EBP Part 2 Advanced Levels of Clinical Inquiry and Systematic Reviews assignment, is nursing shortage, which is an increasing concern in the health care systems in the U.S. Nursing shortage is associated with a detrimental impact to patients, nurses, and the healthcare organization (Johnson et al., 2016).  It contributes to poor health outcomes due to reduced

quality of care and missed nursing care. Common patient outcomes attributed to nursing shortage include increased patient falls, pressure ulcers, and medical errors (Johnson et al., 2016). This results in increased inpatient stays, morbidity rates, and patient costs. Besides, reduced quality of patient care results in decreased patient satisfaction.

Nursing shortage results in an increased workload for nurses; this contributes to reduced job satisfaction and motivation. Failure to adhere to the recommended nurse to patient ratios often leaves nurses exhausted and causes burnout, which is linked to high turnover rates (Johnson et al., 2016). A high nursing turnover rate results in a greater nursing shortage and further worsens the situation. Low job satisfaction has been considered the primary cause of nursing turnover, which causes nurses’ shortage (Johnson et al., 2016). Health organizations need to identify ways of increasing nurses’ job satisfaction to increase their retention and eventually reduce the nursing shortage.

References

Johnson, W. G., Butler, R., Harootunian, G., Wilson, B., & Linan, M. (2016). Registered nurses: The curious case of a persistent shortage. Journal of Nursing Scholarship, 48(4), 387-396. https://doi.org/10.1111/jnu.12218

Developing a PICOT Question

}Population of interest- Registered Nurses

}Intervention- increasing job satisfaction

}Comparison plan-  no intervention

}Outcome- increase nursing retention

}Timeline- 12 months

vIn registered nurses, does increasing job satisfaction compared to no intervention increase nursing retention within 12 months?

I developed my PICOT question from the clinical issue of interest by first identifying the population of interest, registered nurses. Secondly, I identified an intervention that would help address the nursing shortage and a comparison plan. The identified intervention is, increasing job satisfaction and the comparison plan is no intervention. I also identified the intervention’s outcome, which is to increase nursing retention and a time frame of 12 months.

The final PICOT question is:

In registered nurses (P), does increasing job satisfaction (I) compared to no intervention (C) increase nursing retention (O) within 12 months (T)?

Research Databases

}Research Databases used to search for articles:

qPubMed

qScience Direct

qMEDLINE

qBMJ Journals

The research databases used to search the peer-reviewed articles on nursing shortage include:

PubMed

Science Direct

MEDLINE

BMJ Journals

Levels of Evidence

Bridges et al. (2019) used a Case series, Observational study.  Case series are considered Level IV evidence since they have no comparison group.

Level IV refers to evidence from case series and case reports.

Jarrar et al. (2019) employed a Cross-sectional survey. This is Level III evidence since it involves making inferences about a population of interest at one point in time.

Nantsupawat et al. (2017) used a cross‐sectional survey. This is Level III evidence.

Perry et al. (2018) conducted a qualitative study using online surveys. The study is Level III evidence.