Does implementation of quality improvement initiative yield to increased patient satisfaction?

Article summary1

The article focuses on the use of evidence-based practice service as a way of increasing patient satisfaction. The purpose of the research conducted was conducted to determine the impact of using evidence-based practice in emergency department and the resultant impact it has on patient satisfaction. In determining the link between evidence-based practice and patient satisfaction, a service nursing bundle as a quality improvement (QI) initiative was implemented. With the bundle, it was easier to determine the change in overall quality of care in terms of ratings and rankings (Skaggs et al, 2018).

The article is based on a quantitative study in that it focuses on the use of quantitative data and collection methods in collecting information used in making decisions. Quantitative research is distinguished by logic, data, and an objective viewpoint. The focus of quantitative research is on numerical and static data, as well as detailed, converging reasoning, as opposed to divergent thinking, which is the spontaneous, free-flowing generation of numerous ideas about a research issue (Guetterman & Fetters, 2018). In collecting data, random sampling was used in selecting samples from which data was collected. Observation audits were conducted on quality improvement initiative where all the nursing services were evaluated. Also, phone surveys were conducted to determine patients; feedbacks from the services offered.

The research question used in the study includes: Does implementation of quality improvement initiative yield to increased patient satisfaction? The quality improvement (QI) represented the evidence-based nursing practice while offering services within the emergency department. From the organization of the research study, a conclusion can be made that validity and reliability were attained. The principles of validity and reliability are often employed to gauge the effectiveness of a study. They give an indication of how accurate a method, approach, or test is. Reliability refers to the measure’s consistency, and validity refers to the measure’s correctness (Peeters & Harpe, 2020).

Reference Guetterman, T. C., & Fetters, M. D. (2018). Two methodological approaches to the integration of mixed methods and case study designs: A systematic review. American Behavioral Scientist, 62(7), 900-918. Peeters, M. J., & Harpe, S. E. (2020). Updating conceptions of validity and reliability. Research in Social and Administrative Pharmacy, 16(8), 1127-1130. Skaggs, M. K. D., Daniels, J. F., Hodge, A. J., & DeCamp, V. L. (2018). Using the evidence- based practice service nursing bundle to increase patient satisfaction. Journal of emergency nursing, 44(1), 37-45. https://www.sciencedirect.com/science/article/abs/pii/S0099176717305470

Weekly Article Summary 2

The Steps of Research This paper provides a summary of a peer-reviewed nursing scholarly article titled “What is the impact of professional nursing on patients’ outcomes globally? An overview of research evidence,” by Bellemo et al. (2019). The research process steps involved adopting an ensemble AI model. The researchers trained their model on retinal fundus images from diabetic patients. The study included all patients with diabetes diagnoses who attended mobile screening units in five urban centers in Copperbelt. “The area under the curve (AUC), sensitivity, and specificity was calculated for referable diabetic macular oedema and diabetic retinopathy compared to grading by retinal specialists” (Bellemo et al. 2019).

The Study Type

The article presents a cohort study of “the uses of Artificial Intelligence to screen vision- threatening and referable DR in Africa.”

Purpose

The purpose of this article study is “to examine the precision of AI models using profound knowledge in a population-based DR screening program in Zambia, a lower-center salary nation.” According to Bellemo et al., the study embraced an AI model comprising various convolutional neural systems for grouping retinal shading fundus pictures” (Bellemo et al., 2019, p. 5-10). The findings propose that the use of AI in the investigation of retinal images could “give an elective answer for DR screening, particularly in backgrounds with limited access to human proficiency” (Wang & Lo, 2018). Similarly, (Kumar et al., 2019) article stated that the AI DR tool might provide a clinician with the interpretation of fundus images and advise patients about the next steps quickly.

The Research Questions

The article’s research question was about the “clinically acceptable AI system for detecting diabetic muscular oedema, vision-threatening diabetic retinopathy, and diabetic retinopathy for the Zambia population.”

References

Bellemo, V., Lim, Z. W., Lim, G., Nguyen, Q. D., Xie, Y., Yip, M. Y., Hamzah, H., Ho, J., Lee, X. Q., Hsu, W., Lee, M. L., Musonda, L., Chandran, M., Chipalo-Mutati, G., Muma, M., Tan, G. S., Sivaprasad, S., Menon, G., Wong, T. Y., Ting, D. S. (2019). Artificial intelligence using deep learning to screen for referable and vision-threatening diabetic retinopathy in Africa: a clinical validation study. The Lancet Digital Health, 1(1), e35- e44. https://doi.org/10.1016/S2589-7500(19)30004-4 Padhy, S. K., Takkar, B., Chawla, R., & Kumar, A. (2019). Artificial intelligence in diabetic retinopathy: A natural step to the future. Indian journal of ophthalmology, 67(7), 1004- 1009. https://dx.doi.org/10.4103%2Fijo.IJO_1989_18 Wang, W., & Lo, A. C. (2018). Diabetic retinopathy: pathophysiology and treatments. International journal of molecular sciences, 19(6), 1816. https://www.mdpi.com/1422-0067/19/6/1816/pdf

Weekly Article Summary 3

The Steps of Research

This paper offers a summary of a peer-reviewed nursing scholarly article titled “Preventing workplace incivility, lateral violence and bullying between nurses. A narrative literature review,” by Bambi et al. (2017). It was written and published in 2017—the article’s research process steps involved performing a narrative literature review. The researchers conducted a systematic literature review of several scientific literatures from three databases; EMbase, Pubmed-Medline, and CINAHL. Locharoenrat (2017) noted that using a literature review for research is vital because the conclusion made from the review are relevant. The research keywords included “mobbing”, “lateral”, “horizontal”, “nursing”, “violence” “incivility”, “hostility”, and “bullying”, (Bambi et al., 2017). In addition, the study limited the research to English and Italian papers.

The Study Type

The article presented an “original quantitative research, systematic reviews and meta- analysis papers” (Bambi et al., 2017). The report also included the definition of terms. For instance, “the article defines incivility as a low-intensity deviant behavior with the ambiguous intent to damage the target, breaking the norm of mutual respect in the workplace” (Bambi et al., 2017).

Purpose

This article study aimed “to find out and summarize the results of international studies regarding the prevention of individual and collective reactions towards workplace incivility, lateral violence, and bullying between nurses.” The authors identified the issues of analyzing behaviors, specifically the incivility activities among caregivers and their prevention measures. Uncivil behaviors are rude actions towards another person, revealing a lack of respect for these people (Mikaelian & Stanley, 2016).

The Research Questions

Some of the research questions used in this research were “what are some of the preventable actions, individual and collective actions against workplace incivility, lateral violence, and bullying among nurses?”

References

Bambi, S., Guazzini, A., De Felippis, C., Lucchini, A., & Rasero, L. (2017). Preventing workplace incivility, lateral violence and bullying between nurses. A narrative literature review. Acta Bio Medica: Atenei Parmensis, 88(Suppl 5), 39-47. https://dx.doi.org/10.23750%2Fabm.v88i5-S.6838 Locharoenrat, K. (2017). Data collection methods. Research Methodologies for Beginners, 71- 101. https://doi.org/10.1201/9781315364568-5 Mikaelian, B., & Stanley, D. (2016). Incivility in nursing: From roots to repair. Journal of Nursing Management, 24(7), 962-969. https://doi.org/10.1111/jonm.12403

Weekly Article Summary 4

The article Barriers and facilitators of following perioperative internal medicine recommendations by surgical teams: a sequential, explanatory mixed-methods study is a write-up that examines the impact of patients undergoing perioperative consultation on treatment outcomes in patients preparing for surgical procedures. The study was a mixed-method study comprised of qualitative and quantitative research models. The purpose of the investigative study was to deduce the kinds of recommendations that healthcare providers usually fail to adhere to, to determine the intervention that will enhance the quality of care that patients receive postoperatively (Flemons et al., 2022). It aimed to answer an important research question: What types of recommendations are not followed during postoperative care, and what are the barriers and facilitators of this trend?

The method that the author used in the investigative study was a mixed model that examined the chart audits of over 250 patients and carried out semi-structured interviews on eighteen healthcare professionals. The authors incorporated an equal number of male and female participants and a substantially large number of participants. The purpose of encapsulating these measures was to ensure that the research was dependable (Damasceno, 2020). The result of the study showed that the healthcare providers fail to follow protocols recommended during the preoperative period, such as the prescribed anticoagulation management and cardiac biomarker surveillance process (Flemons et al., 2022). Further, the study results also indicated that failure to adhere to the recommended protocols was due to individual-level reasons such as the failure to examine notes made during preoperative consultations and system-level reasons such as failure to define the individuals tasked with implementing different roles in the clinical setting.

The study results caused the authors to conclude that only half of the recommendations made are usually followed, causing a significant gap in the quality of care that the patients received. Therefore, it is necessary to address the factors that contributed to the failure to follow the recommendation to increase healthcare providers’ adherence.

References

Damasceno, B. (2020). Research Methods and Designs. In Research on Cognition Disorders (pp. 123-137). Springer, Cham.

Flemons, K., Bosch, M., Coakeley, S., Muzammal, B., Kachra, R., & Ruzycki, S. M. (2022). Barriers and facilitators of following perioperative internal medicine recommendations by surgical teams: a sequential, explanatory mixed-methods study. Perioperative Medicine, 11(1), 1-12.

Weekly Article Summary 6

The article Environmental Needs, Barriers, and Facilitators for Optimal Healing in the Postoperative Process: A Qualitative Study of Patients’ Lived Experiences and Perceptions is an investigative research whose purpose is to determine the needs of environmental needs of ailing individuals who have undergone surgical procedures, and the factors that bar or facilitate their chances of experiencing optimal healing (Hesselink et al., 2020). The query that the article aims to answer is: What are the environmental requirements of ailing individuals during post-operative care and what barriers and facilitators impact these needs?

Hesselink et al. (2020) use a qualitative research design to determine the impact of patients’ environment during the post-operative period on the speed with which they recuperate. They used the purposive sampling model to select a total of twenty-one patients. The purpose of using the sampling design was to ensure that the selected participants could provide the factual data needed to answer the research question. Subsequently, the diversity present in the population was also considered to ensure that the outcomes of the study did not have any biases that limit its credibility (Tracy, 2019). With adequate consent, the authors collected data by interviewing the patients to get their views on the aspects that impacted their healing process.

The outcomes compiled from the investigative research presented several noteworthy themes. Firstly, they perceived the ability to have adequate control over different aspects of the treatment process such as privacy as a significant aspect that determined the treatment outcomes (Hesselink et al., 2020). Subsequently, the presence of positive distracting features was identified as a significant aspect that hastened the healing process. A therapeutic healing environment further enhanced the healing process. On the other hand, barriers such as monotony and lack of control over the systems disrupted the healing process, while aspects such as involvement in the treatment process and adequate accommodations enhance the healing process.

The outcomes of the article lead the authors to conclude that the environment that patients stay in during the post-operative period has a significant impact on their healing. Therefore, healthcare providers should provide a positive environment to elicit positive outcomes in the treatment process.

References

Hesselink, G., Smits, M., Doedens, M., Nijenhuis, S. M., van Bavel, D., van Goor, H., & van de Belt, T. H. (2020). Environmental needs, barriers, and facilitators for optimal healing in the postoperative process: A qualitative study of patients’ lived experiences and perceptions. HERD: Health Environments Research & Design Journal, 13(3), 125-139.

Tracy, S. J. (2019). Qualitative research methods: Collecting evidence, crafting analysis, communicating impact. John Wiley & Sons.