NR449 Evidence-Based Practice RUA: Topic Search Strategy Guidelines Paper

RUA: Topic Search Strategy

Patient safety is the selected clinical problem of focus. The Institute of Medicine (IOM) describes patient safety as avoiding harm on patients. Patient safety is identical to providing quality health care (Pelzang & Hutchinson, 2018). Greater emphasis is placed on healthcare delivery systems that prevent medical errors, learn from past errors, and build on a culture of safety involving health care providers, health organizations, and patients. Common patient safety issues include healthcare-associated infections (HAIs), medication, diagnostic, lab, and surgical errors, surgery associated complications, falls, and errors in identifying patients and communication (Pelzang & Hutchinson, 2018). Human and healthcare system factors are major contributors to these issues. Westat et al. (2014) note that as health organizations constantly seek to improve clinical practices, there is an increasing need to create a safety culture. Patient safety in delivering quality health services is a requirement to promote better patient outcomes and make progress towards achieving SDG 3 of promoting healthy lives and fostering health and well-being for all individuals across the lifespan.

ORDER A PLAGIARISM-FREE PAPER HERE

Significance of the Problem In Terms Of Patient Outcomes

The World Health Organization (WHO) identifies unsafe patient care as a worldwide problem. Unsafe medical care is attributed to millions of injuries, morbidities, and mortalities globally, yet 50% of these detrimental outcomes are preventable through patient safety practices. The incidence of health complications secondary to unsafe medical care is a common cause of disability and mortality globally. According to the WHO (2019), medication errors are a common cause of harm and preventable injury in health care settings. Healthcare costs related to drug errors globally is approximately $ 42 billion annually. Besides, HAIs occur in 7 and 10 out inpatients. Risky transfusion procedures put patients at risk of transfusion reactions and contracting blood-borne infections. In addition, diagnostic errors are present in approximately 5% of patients in outpatient facilities putting patients at risk of severe harm and poor health outcomes (WHO, 2019). Most individuals will encounter a diagnostic error in their lifetime. Prevention of harm is a major element of patient safety and refers to freedom from accidental or preventable injuries resulting from medical care (Westat et al., 2014). Patient safety practices include interventions that seek to minimize the risk of adverse events attributed to exposure to medical care.

PICOT Question

The PICOT question with regards to the clinical problem on patient safety is: “In patients living in nursing homes, how does involving a favorable patient safety culture improve patient’s safety as compared to the normal strategies in two months?”

The purpose of this paper is to describe the levels of evidence with regards to the PICOT question and search strategy used to retrieve literature sources.

Levels of Evidence

The PICOT is a therapy question since it probes the effectiveness of an intervention (involving a favorable patient safety culture) in enhancing patient outcomes (improving patient safety). Therapy questions are used to establish which interventions lead to the best outcome. The ideal evidence to answer the PICOT is a Randomized Controlled Trial (RCT). RCT is an experimental study whereby two groups are formed by a random process, and a blinded intervention is used. Therefore, an RCT will help answer the PICOT by randomly assigning two patient groups, an experimental and a control group. The experimental group will be cared for unfavorable patient safety culture, while normal strategies will be applied in the control group. The two groups will be evaluated for the one with better patient safety outcomes.

Search Strategy

Search terms used include “nursing home,” “patient safety culture,” “improved patient safety.” The first search retrieved over 60 articles; most were irrelevant to the PICOT question. The year of publication ranged from the 1990s to 2021. Besides, the articles were written in various languages. Databases used in retrieving the articles include the Chamberlain University library, PubMed, CINAHL, and OVID Medline. The search was refined by limiting the publishing year to articles published from 2014 and written in English. In addition, I refined the search to articles that explored patient safety culture to make them more specific to the PICOT question. Five articles were produced after refining the search.

Relevant Articles

Reis et al. (2018) aimed at identifying studies that have utilized the Hospital Survey on Patient Safety Culture (HSOPSC) to obtain data on hospitals’ safety culture. The study also surveyed the findings from the studies’ in the dimensions of culture of safety and feasible interventions to improve overall healthcare. It established that creating and supporting a safety culture is an essential approach to reducing and managing healthcare risks in organizations. Lee et al. (2016) analyzed how various concepts of safety culture are connected with clinical handoffs and approaches to healthcare safety. The study found that constructive handoff of information, accountability, and responsibility were essential to positive approaches in patient safety.

Conclusion

Patient safety is a vital element of health care quality. There is a need to create a culture of safety in patient care setting to reduce the injuries, morbidity, and mortality rates associated with patient safety issues. The adverse effects of patient safety issues are widespread, affecting high, middle, and low-income countries. The PICOT question compares the impact of a favorable patient safety culture and normal strategies in improving patient safety. The selected articles establish that creating a safety culture can minimize patient risks in health organizations.

References

Lee, S. H., Phan, P. H., Dorman, T., Weaver, S. J., & Pronovost, P. J. (2016). Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC health services research, 16, 254. https://doi.org/10.1186/s12913-016-1502-7

Pelzang, R., & Hutchinson, A. M. (2018). Patient safety issues and concerns in Bhutan’s healthcare system: a qualitative exploratory descriptive study. BMJ Open, 8(7), e022788. https://doi.org/10.1136/bmjopen-2018-022788

Reis, C. T., Paiva, S. G., & Sousa, P. (2018). The patient safety culture: A systematic review by characteristics of hospital survey on patient safety culture dimensions. International Journal for Quality in Health Care, 30(9), 660–677. https://doi.org/10.1093/intqhc/mzy080

Westat, R., Sorra, J., & Nieva, V. (2014). Hospital survey on patient safety culture. U.S. Department of Health and Human Services. Retrieved from https://proqualis.net/sites/proqualis.net/files/User%20guide%20HSOPSC.pdf

World Health Organization. (2019, September 13). Patient safety. WHO | World Health Organization. https://www.who.int/news-room/fact-sheets/detail/patient-safety

BUY A CUSTOM- PAPER HERE

Purpose

NR449 Evidence-Based Practice RUA: Topic Search Strategy Guidelines

The Topic Search Strategy paper is the first of three related assignments. The purpose of this initial paper is to briefly describe your search strategies when identifying two articles that pertain to an evidence-based practice topic of interest.

Course outcomes: This assignment enables the student to meet the following course outcomes. CO 1: Examine the sources of knowledge that contribute to professional nursing practice. (PO 7)

CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

 

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 160 points

Preparing the assignment:

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

• Students will be placed into groups by the end of the second week of the session. The groups will work together to select a practice problem of interest as the focus for the three RUA assignments in this The practice topic of interest will also be used to complete week 3 and week 5 independent student assignments, as well as a group PowerPoint presentation in week 7.
  5. Individuals will complete this assignment independently for weeks 3 and
  6. Teams must assure that members do not use the same articles when completing this
  7. Please make sure you do not duplicate articles within your
  8. Paper should be 3-4 content pages in length. Title and reference pages are required but are excluded from 3-4 page
• The paper will include the following sections:
  1. Clinical Question (45 points/28%)
     • Describe the What is the focus of your group’s work?
     • Explain the significance of the problem in terms of patient What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.
     • PICOT question in support of the group
     • State the purpose of your What will your paper do or describe? This is similar to a problem

statement. “The purpose of this paper is to . . .”

1. Levels of Evidence (20 points/13%)
   • Identify the type of question being asked (therapy, prognosis, meaning, ).
   • What is the best type of evidence to answer that question (e.g., RCT, cohort study, qualitative study, etc.)?
2. Search Strategy (65 points/41%)
   • List search terms and
   • Databases used (start with the CU library). Link your search with the PICOT question described
   • Refinement As you did your search, what decisions did you make in refinement to get your required articles down to a reasonable number for review? Were any limits used? If so, what?
   • Identification of two (2) most relevant articles (primary sources published within the last 5 years).
3. Format (30 points/18%)
   • Correct grammar and
   • Include a title
   • Use of headings for each
     • Clinical Question, Levels of Evidence, Search Strategy, and Conclusion
   • Adheres to current APA formatting and

 

NR449 Evidence-Based Practice RUA: Topic Search Strategy Guidelines

• 3-4 pages in length, excluding title and reference

 

For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library.

 

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned.

NR449 Evidence-Based Practice RUA: Topic Search Strategy Guidelines

Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section not present in paper
Clinical Question (45 points/28%)	45 points	40 points	37 points	33 points	0 points
Required criteria 1.       Describe the problem. What is the focus of your group’s work? 2.       Explain the significance of the problem in terms of patient outcomes. What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations. 3.       PICOT question in support of the group topic. 4.       State the purpose of your paper. What will your paper do or describe? This is similar to a problem statement. “The purpose of this paper is to . . .”	Includes 4 requirements.	Includes 3 requirements.	Includes 2 requirements.	Includes 1 requirement.	No requirements for this section presented.
Levels of Evidence (20 points/13%)	20 points	16 points	10 points	0 points
Required criteria 1.       Identify the type of question being asked (therapy, prognosis, meaning, etc.). 2.       What is the best type of evidence to answer that question (e.g., RCT, cohort study, qualitative study, etc.)?	Includes 2 requirements.	Includes 1 requirement.	Incomplete or inaccurate information presented.	No requirements for this section presented.
Search Strategy (65 points/41%)	65 points	58 points	54 points	48 points	0 points
Required criteria 1.       List search terms and results. 2.       Databases used (start with the CU library). Link your search with the PICOT question described above. 3.       Refinement decisions. As you did your search, what decisions did you make in refinement to get your required articles down to a reasonable number for review? Were any limits used? If so, what? 4.       Identification of two (2) most relevant articles (primary sources published within the last 5 years).	Includes 4 requirements.	Includes 3 requirements.	Includes 2 requirements.	Includes 1 requirement.	No requirements for this section presented.
Organization and APA Style (30 points/18%)	30 points	27 points	25 points	15 points	0 points
Required criteria 1.        Correct grammar and spelling. 2.        Include a title page. 3.        Use of headings for each section. 4.        Clinical Question, Levels of Evidence, Search Strategy, and Conclusion 5.        Adheres to current APA formatting and guidelines. 6.        3-4 pages in length, excluding title and reference pages.	Includes 6 requirements.	Includes 5 requirements.	Includes 3-4 requirements.	Includes 1-2 requirements.	No requirements for this section presented.
Total Points Possible = 160 points

NR449_RUA_Topic_Search_Strategy_Guidelines_Sept20                                                                                                                                            3