The Experience of New and Student Nurses - Speech or Presentation Example

Research Presentation Critique on Horizontal Violence: The Experience of New and Nurses The presentation was short; although not that extensive, still, has convincingly laid down the necessity of the proposed intervention to improve nurse care and to abate the high turnout rate among the new graduate nurses. With the study chosen based on actual observations, despite the limited related studies and although they do not directly tackle the issue of the study, the day-to-day observations on the experiences of new graduates and nursing students had been enough to justify the intervention. The study that directly deals with the effect of horizontal violence to new graduate nurses used pre and post survey to rate evidence strength, with the change in behavior as criteria. The study asserts that nurses are experiencing horizontal violence and they are unprepared to deal with it causing them to leave the profession on their first year of service, which is costly not only to the individual but to the whole organization. To abate this, nurses shall be taught how to deal with horizontal violence to bring back their self-esteem and respect to their profession in order to enable them to effectively provide patient care. There were no tables or graphs that could have shown the rate of the problem, which could be the objective limitation of the study as there are more unreported incidences of horizontal violence. However, in place of this, the presentation could have included some case studies that would show the seriousness of the problem to require this intervention. No data analysis was made. Findings from prior studies were used as basis for this project concluding that once thought how to deal with horizontal violence nurses are more likely to stay in the profession. Moreover, with the presentation focused more on the recommended intervention, the ability to discriminate between clinical and statistical significance cannot be seen here, as the presentation did neither deal with any of these. Despite its limitation, the presentation still convincingly laid down the need for practice change. Findings of reviewed literatures although with different focuses similarly support the claim that horizontal violence is commonly experienced by nurses starting from nursing schools adversely affecting their self-esteem up to being disillusioned with the profession resulting to high turnout. Specifically, Griffin’s study had proven that teaching nurses how to confront horizontal violence helped them effectively confront it. How precise the studies are is hard to assess, as the presentation focused more on their findings. Despite this, the review helped a lot in answering patient care question since they deal with the care provider themselves, because you cannot give what you do not have. Clearly, patient care is dealt with in the studies by insuring that providers are capable of patient care are capable of providing it, which necessarily answers everything about patient care. Thus, the recommended intervention is worth the risk, harms and cost because it is necessary to the profession. Thus, it should be an integral part of the nursing curriculum and hospital programs. The intervention seems simple but in actuality it is not easy as it tries to dismantle a deeply rooted culture of horizontal violence in the profession that may in fact lead to the disinter an unwanted Pandora’s Box since one of its key elements is collection of baseline data on horizontal violence in the hospital. Although, it was not stated as to how data are to be collected. Another key element is finding the “nurse champion” and selecting the team, as this requires both credibility and courage. Next is policy development, which is similarly difficult as there are many things to consider especially when there is conflict of interest. And last, the education program, which requires additional cost. And here lies one possible problem, who would shoulder the cost, which is time allocation, money, materials, etc. Definitely the findings/conclusions of the review have sufficiently established the need to change the practice. The project has not only clearly identified its purpose but has even justified its need and importance, citing the long-time ignored presence and damaging effect of horizontal violence to nurses’ self-esteem and respect to their profession which are vital in enabling them to provide patient care. The project is guided by Kristen Swanson’s Theory of Caring, which defines caring as “a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility,” (as cited in Allen, 2009, p. 7). Moreover, the project is systematically conceived giving due attention to facilitators (the nursing champion and the team), the factors that may possibly influence, impede or challenge the study. Although the review of related literature is not that extensive, it was presented in an integrated table of meta-synthesis showing the culture of horizontal violence in nursing from the university to the workplace, its damaging effect to the individual and the profession, and the possible intervention to abate the problem, making it sufficient to support the assertion of the project. Since the project focuses on changing human behavior, IRB approval will be needed as “the primary purpose and responsibility of the IRB is to protect the rights and welfare of human research participants” (Clinical Research & Institutional Review Board,” 2009, p. 118), especially so that IRB’s major work centers on the “assessment of research related benefit-risk ratios, and assuring that informed consent is properly obtained and documented” (Ibid). Furthermore in the US, such kind of study could not be performed without IRB approval (Lemaire, 2006, p. 363), as defined by the Code of Federal Regulations, 45CFR46 Subpart A (Human Subjects Research Program 2004, p. 7). So for the project to be implemented, the researcher should apply and submit the ‘paper study’ to IRB for review and approval. “The investigator’s actual research and interaction with human subjects begins only after this approval has been obtained” (Ibid). Project outcomes deal only with the process and the organization, as it deals with patient care providers and not the patients. Based on the presented timeline, it could be assumed that evaluation would be conducted after a 10-month period through post-implementation survey. There was no remediation plan, maybe because the project is progressive. What could be modified in the process is the recommended policy, the perceived appropriate behavior and the modules to be used in the education program. To carry out the project, the researcher will need the collaboration, time and cooperation of the hospital administrators and staff, materials and money to finance the program. Findings are to be disseminated to hospital administration, local and statewide nursing schools, nursing students, and current employees – people who need to know the project, as they are the stakeholders. Dissemination could be made via all level forums – although there are no indications in the presentation if there have been invitations, using the internet, and maximizing nursing and medical publications and the like. Also, based on the presentation it could be assumed that the project would most likely be implemented in a hospital. Presented in a longitudinal timeline the project is to be implemented into six phases with each phase consuming two months. Although, the actions to be taken for every phase are self-explanatory, the researcher justified the actions as to its relevance to the overall purpose and target outcome. On the overall, the presentation is clear, very organized, not boring although there are some problems in the formatting of slides 12-14. There are no questions after the presentation but there were supporting statements on the reality of the problem and the possible risks and challenges awaiting the project. References Allen, Amy. (2009). Horizontal Violence: The Experience of New and Student Nurses [A Power Point Presentation]. Nursing, 697: 1-21, Fall. Retrieved December 3, 2009 http://breeze.indstate.edu/p54629541 Clinical Research and Institutional Review Board. (2009). Aria Health System. Retrieved December 6, 2009 http://www.frankfordhospitals.org/default.aspx?pageid=118 Human Subjects Research Program, 2nd Edition. (2004). From Paper to People: After IRB Approval of Research Studies. Office of Biological and Environmental Research, SC-72. Office of Science, US Department of Energy. Retrieved December 6, 2009 http://humansubjects.energy.gov/doe-resources/files/P2Pbook.pdf Lemaire, Francois. (2006). Do all types of human research need ethics committee approval? (Editorials). American Journal of Respiratory and Critical Care Medicine, 174 (4): 363-364. Retrieved December 6, 2009 http://ajrccm.atsjournals.org/cgi/reprint/174/4/363 Read More