Nobody downloaded yet

An interventional approach for patient and nurse safety - Dissertation Example

Comments (1) Cite this document
The theoretical framework that was used in this study was the model of impaired sleep developed by Lee et al. The framework is based on a scientific theory (Burns & Grove, 2009) as it uses previous research linking sleep quality with errors and lack of alertness…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER97.6% of users find it useful
An interventional approach for patient and nurse safety
Read TextPreview

Extract of sample "An interventional approach for patient and nurse safety"

Download file to see previous pages The theoretical framework that was used in this study was the model of impaired sleep developed by Lee et al. The framework is based on a scientific theory (Burns & Grove, 2009) as it uses previous research linking sleep quality with errors and lack of alertnessTheoretical Model Discussion The theoretical framework is clearly discussed as having a direct significance with the research topic It is stated impaired sleep consists of either sleep deprivation (inadequate sleep) or sleep disruption (fragmented sleep). The model implies that impaired sleep results in cognitive, behavioural, physiological, social, and emotional responses. The paper elaborates how a targeted fatigue countermeasures program for nurses (FCMPN) can intervene and prevent or alleviate the cognitive and behavioural impacts (like sleep duration, daytime sleepiness, and alertness) and reduce patient-care errors. The following figure from the paper captures the conceptual and the theoretical framework employed: The framework is therefore discussed well to outline what variables are to be measured pre and post the FCMPN intervention. 2. Major Study Variables Research Variables: 1. Sleep Quality 2. Sleep Duration 3. Daytime Sleepiness 4. Vigilance 5. Risk for Accidents and Errors 6. Short Term Memory 7. Problem Solving and Coping. Conceptual Definition Sleep Duration was defined as the time duration that participants spent in uninterrupted sleep. Sleep Quality was clearly conceptualized to mean sleep which is not fragmented and which is of adequate duration. While the remaining variables were not clearly defined, conceptually they could be understood to mean the following: Daytime Sleepiness – tendency to doze during the daytime work-hours Vigilance – Drowsiness and Unplanned Sleep Episodes during work hours Risk for Errors – Any perceived deviations from standard practice Short Term Memory – Recall of errors Problem Solving and Coping – How errors were managed Operational Definition Sleep Duration was measured using the log book entries made by the participants. Sleep Quality was measured using the Pittsburgh Sleep Quality Index PSQI (Buysse, Reynolds, Monk, Berman, & Kupfer, 1989). Daytime Sleepiness was measured using Epworth Sleepiness Scale (Johns, 1991) while other variables (Vigilance, Risk for Accidents and Errors, Short Term Memory, Problem Solving and Coping) were measured using the log book entries using the self-report method 3. Sample and Setting a. Sample Inclusion/Exclusion Criteria Full-Time Hospital Staff Surgical nurses were used as the sample. In addition, the selection criteria included that the nurses should be working at least 36 hour per week. Advanced practice nurses, nurse managers, or nurses in specialized roles such as discharge planning were excluded. b. Sampling Method The paper mentions using three surgical nursing units in Michigan using convenience method for selection, though the rationale or the specific factors that led to the selection of the method is not listed. The qualifying nurses were contacted using the official mailing list and out of the 126, 62 consented to participate in the research. c. Sample Size 62 Power analysis indicated that 30 sample size would be sufficient to establish the impacts of FCMPN on the variables that are researched. d. Refusal to Participate Number and Percentage 62 out of the 147 full-time hospital staff nurses (43%). e. Sample attrition or Mortality Number and Percentage Out of the 62 selected for participation, 15 (24%) did not continue with the study for the complete duration. f. Informed Consent Process/Institutional Review Board The 147 nurses that comprised of the qualified the inclusion criteria were sent a preliminary survey to provide demographic information and give their interest to participate. Once the intent of ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“An interventional approach for patient and nurse safety Dissertation”, n.d.)
Retrieved de
(An Interventional Approach for Patient and Nurse Safety Dissertation)
“An Interventional Approach for Patient and Nurse Safety Dissertation”, n.d.
  • Cited: 0 times
Comments (1)
Click to create a comment or rate a document
avafeeney added comment 5 months ago
Student rated this paper as
I never thought 2750 words essay could be written in such a free manner. I loved the style of this essay. Will definitely use it for my own work!

CHECK THESE SAMPLES OF An interventional approach for patient and nurse safety

Patient Safety

.... For example, the study on working shift of 8hours versus 10 hours has revealed that the quality and quantity of care in 10 hours shift is significantly lower than the former as well as there is a big difference in the satisfaction and alertness level of the workers. Proper Communication and teamwork also play an important role in medical or emergency field. “Ensure that health care organizations implement a standardized approach to hand over communication between staff, change of shift and between different patients care units in the course of a patient transfer” (Communication During Patient Hand-Overs: Patient Safety Solutions 2). In...
15 Pages(3750 words)Essay

Patient Safety

...that transforms staff from being punitive and directs them towards a more “balanced” and “fair” approach. The approach concentrates on faulty systems and procedures rather than personal failure and weaknesses. Research has shown that 80 percent of poor performance results are due to hospital systems failure. In case of a mistake, Just Culture requires the manager to first, listen to the employee who committed the mistake and find out why the employee fell victim of such a risky behavior that caused the error. Through listening, the manager can investigate the system and determine the cause of the error. In our hospital, we have processes set in place to ensure patients...
5 Pages(1250 words)Essay

Nurse-to-Patient Ratio

...are assigned to care for a selected number of patients. Quoting Barbara Blakeney, President, American Nurses Association (ANA), the American Association of Critical Care Nurses (AACN) endorses the fact that inadequate nurse staffing is the primary concern for the nurses and that “when RN care is insufficient, patient safety is compromised and the risk of death is increased” (Nurse-to-Patient Ratios, 2007). Shortage of nurses places extra onus on the available staff and hence seasoned nurses are matriculating away from bedside nursing....
8 Pages(2000 words)Research Proposal

Patient Safety

...facility. Patient safety should be centered on the physical nature of the health facility, the efficiency of the health delivery processes, and the qualification and abundance of staff. All equipments should be in proper working conditions while staff should not be overworked. References: Banja, J. (2005). Medical errors and medical narcissism. Sudbury. Jones and Bartlett Publishers. Cohen, M. (2007). Medication errors. Washington, DC. American Pharmacist Association. Leaper, D & Whitaker, I. (2010). Post-operative complications. Oxford. Oxford University Press. Lehne, R. (2004). Pharmacology for nursing care. London. Rutledge. Naylor, R. (2002). Medication errors: lessons learnt for...
6 Pages(1500 words)Essay

Therapeutic Nurse Patient Relationship

...patient relationship encourages participatory interaction between the healthcare provider and the client. While examining a patient, the nurse endeavors to comprehend the client by processing both verbal and nonverbal signs. In this case, therapeutic patient nurse relationship enhances the ability of the nurse to make accurate health assessment of the client (Desmond & Copeland 2000). Therefore, the nurse is able to make accurate diagnosis and execute relevant treatment and management intervention. Sundeen et al. (1998, p. 118) defined accurate diagnosis as “an art of communication that is perfected by...
6 Pages(1500 words)Essay

Nurse-Patient Ratio

...cost-outcome study in India and Pakistan. The British Journal of Psychiatry, 176(6), 581-588. Clarke, S. P., & Donaldson, N. E. (2008). Nurse staffing and patient care quality and safety. Patient safety and quality: An evidence-based handbook for nurses, 2, 08-0043. Davis, D., O'Brien, M. A. T., Freemantle, N., Wolf, F. M., Mazmanian, P., & Taylor-Vaisey, A. (1999). Impact of formal continuing medical education. JAMA: the journal of the American Medical Association, 282(9), 867-874. Kimmelstiel, C., Levine, D., Perry, K., Patel, A. R., Sadaniantz, A., Gorham, N., ... & Konstam, M. A. (2004). Randomized, Controlled Evaluation of Short-and...
3 Pages(750 words)Essay

Mandatin Nurse-Patient Ratios

...? Mandating Nurse-Patient Ratios My Strategies to Influence Votes  As nurses prepare to present their problemsinto parliament by use of their political clout and legislative power, it is important to decide the appropriate and effective strategies to use (Abood, 2007). This section momentarily addresses the five strategies that one can apply. These are, coming into legislative area, knowing activities and the procedure, knowing the players of power, getting law makers and knowing committees (Abood, 2007). 1) Coming into the legislative arena The arena for legislation is where most supporters focus their tasks to air their viewpoint on specific known issues. It is where people converge with their lawmakers and meet with the team... of...
3 Pages(750 words)Essay

Nurse-Patient Relationship

...candidates openly said that they felt suffocated during the hospitalization, more than the usual patients. Definitely hospitals are not happy areas; but their stay was full of apprehensions and misgivings, thinking the result on their lives and professions. They knew that most of their thoughts were baseless and did not know how to justify them. But, they said, the misgivings would not go away. 21. 22 members said they specifically informed their family members not to be too open with the nurses. They knew that without getting much information from the nurse-patients, the nurses would approach the family members and the...
27 Pages(6750 words)Essay

Patient Safety

...Patient Safety One of the fundamental causes of medical errors is the lack of patient’s knowledge of the process and consequences of the treatment. With no knowledge of treatment, patients are susceptible to taking expired medicines, avoiding the medical tests or showing ignorance or indifference towards the results, going to the hospitals with insufficient or inadequate facilities, avoiding follow-up care, attaining unexpected results of surgery. FDA conducted a research to determine the fatal errors of medication experienced in the years between 1993 and 1998 (Stoppler, 2011). Among the errors identified, the most common error that was the cause of 41 per cent of all...
2 Pages(500 words)Research Paper

Mandating Nurse-Patient Ratio

...Mandating Nurse-Patient Ratio The global health care systems are faced with limited resources and increased demand for health services. The base of seeking support is related to the following proof: Nursing organizations have, for a long time, reported the shortage of the personnel required in the provision of the high quality care (Aiken, Xue, Clarke & Sloane, 2007). The recent large scale research on nursing shortage indicates that the current nurse patient ratio is 1:4. The increase in the work load resulted into the increased probability of fatality among patients i.e. 14 per cent within 30 days of admission...
4 Pages(1000 words)Assignment
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Dissertation on topic An interventional approach for patient and nurse safety for FREE!

Contact Us