CHAPTER THREE
3.0 RESEARCH METHODOLOGY
3.1 Research Design
A cross sectional descriptive study design was used in order to give a detailed description of the nurse’s knowledge, practice and challenges on the care of critically ill patients. In a cross sectional study, data were collected at one point in time, the phenomena under the study was captured during one period of data collection (Polit and Beck, 2008). Quantitative approach was used to collect and analyze data from the study participants; data was quantified in numerical values, percentages to enable statistical inferences. A quantitative method was chosen because it enables the researcher to test the relationship and examine cause and effect among dependent and independent variables.
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Questionnaire (see appendix A1&A2) and checklist (appendix B1&B2) in order to answer the objectives of the study. A self-administered structured questionnaire was given to nurses in the ward. Nurses filled the questionnaire themselves after given clear instructions from the researcher. The questionnaires included both close and open-ended questions. The questionnaires were in English and Swahili version. English version because it is the communication language in health professional as well as all nurses in Tanzania are trained using English language and for Swahili version is for the purpose of comfortability of participants. The questionnaire was developed after a wide literature review and consultation of specialists in critical care and trauma. The questionnaires were administered in all three working shifts of a day. The estimated time of filling the questionnaires was about 30 – 40 minutes. The principal investigator and research assistants were all available on all shifts to seek consent, give questionnaires to participants, assisting participants for clarification and observe nurses practice on care of critically ill patients. The questionnaire comprised three sections in order to assess the following …show more content…
10 Validity
Validity is the degree to which instrument measures what is intended to measure, (Polit & Beck, 2004). In this study content validity was achieved by having the questionnaire reviewed by the professional nurses in the field of critical care and trauma and research experts to assess relevance of tool items and study objectives. To ensure face validity the researcher discussed together with professional nurse specialists if the questionnaires are clearly worded, well explained and if it addresses what it is meant to address.
3.11 Reliability
Reliability is the consistence or constancy of a measuring instrument (Polit & Beck, 2004). To ensure reliability of instrument, the questionnaire was pre-tested among nurses who were not included in the study, pre-tested was done to 17 nurses at Mnazi Mmoja Hospital (MMH) Zanzibar, it is a 10% of the sample size to check the clarity
Deadlines are not met, a cynical or resentful attitude develops, a persistent sense of fatigue pervades both are the nurse’s personal and professional’s life. Today the proportion of acute patients entering the health care system through emergency
The target respondents were invited to complete the questionnaire and directed them to a brief explanation of the research. If a respondent volunteered to participate they were able to read the instructions and complete the questionnaire online from any internet-connected device. Contact details of the researcher were also provided in the initial description of the form should the respondent have any enquiry regarding the questionnaire. Data were collected on 23rd December 2015 from 8 a.m. until 8 a.am 24th December 2015. The length of time for data collection was considered ideal as it allowed a sufficient amount of time for interested respondent to participate in the study.
The details of the study included literature review, purpose, method, data analysis, results, discussion, limitations, nursing implications, recommendations for future research and conclusion. The results were clearly presented. Study limitations were identified. The conclusion was based on study results. This review was of good quality.
Standardizing nursing practice started even from the Florence Nightingale era. Advancement of study, researches and trails provide more support for nursing practice. Care giving to an individual of couse depend upon the mentality of the nurse, but if a standard is set in the unit for the best interest of the client all professional have a model to follow. Evidence-based practice is equated with effective decision making, with avoidance of habitual practice and with enhanced clinical performance. Even with evidence practice decision making is crucial depend upon each situation.
Diminished personal accomplishment is to evaluate oneself negatively because of failure a result it occurs when the individual’s external demands become higher than their coping ability.(Maslach, Schaufeli, leiter., 2001) . Many studies revealed that there is a high prevalence of burnout among nurses worldwide, it can affect approximately 45% of medical and nursing staff .(Abdo, El-Sallamy, El-Sherbiny, & Kabbash., 2015) . Bases upon several studies 25% to 33% of critical care nurses have a symptom of sever burnout syndrome.(Moss, Good, Gozal, Kleinpell, & Sessler., 2016). BURNOUT AMONG NURSES AND QUALITY OF CARE
This paper includes a discussion and analysis of nursing sensitive indicators (NSI) and system specific resources. Identification of indicators and interventions could improve the care that was received by Mr. J., a 72 year old retired rabbi with mild dementia that was admitted for a fractured right hip after falling at home. In the course of his stay and treatment there were a few indicators of issues/problems regarding the care he received during his stay. These issues/problems might affected his healthcare outcome, safety and satisfaction with his stay at the
Dr. Jean Watson’s theory of care addressed the nurse to patient ration, according to the method “nursing is positioned with caring of the sick, prevention of sickness, restoration of health and promotion of health. This process includes the process of assessment, plan, intervention, and evaluation. On the review, the nurse observes, identifies, review problem(s) and forms a care plan that will be used in appropriate nursing care. When the nurse to patient ratio is low, the nurse will not be able to perform this assessment. This will result in a reduction of patients’ outcomes, medical errors, frequent re-admissions, patient deaths.
The understanding of nursing sensitive indicators are measures that focus on increasing quality and safety in patient care. Understanding nursing sensitive indicators can help the nurse can identify the issues in the scenario. One important nursing sensitive indicator is complication from pressure ulcers, restraint prevalence, and patient satisfaction. It was evident that Mr. J has the beginning of a pressure ulcer. In the scenario Mr. J had what can be perceived as a stage 1 pressure ulcer, he has redness over a bony prominence (Hughes, 2008)
The primary goals of the mock survey are to raise the awareness of nurse managers, educate staff, reduce anxiety, display support and provide for gathering any identified needs. A self-evaluation tool that could prove helpful in decreasing apprehension is called the mock survey which simulates the site visit process and provides standards review similar to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) parameters. The evaluation for accreditation by JCAHO can induce considerable concern for chief nursing executives and staff. This method of self-evaluation was implemented at the Department of Nursing of Genesee Hospital in Rochester, New York. All interview tools used in the survey were developed using information
This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.
• Assessment: Nurses often feel uninformed when changes are made. Not being made aware of important changes can affect patient care. • Nursing Diagnosis: Communication breakdown due to ineffective delivery of new changes related to patient care. • Goal setting: Implement an education book that is placed near the nurse 's station and nurses are responsible to read the changes and sign off when they have read it. • Evaluation: Nurses are better informed and are up to date with new
Discussion Three cecilia Folzman posted Apr 17, 2017 3:34 PM Discussion Three Workspace This author works in a rural hospital Intensive Care Unit, which is comprised of eight total beds. Although this is a small hospital, there is a wide array of surgical services provided, from orthopedics to genitourinary. The average patient load is three per nurse, and can range from intubated and sedated, to walking and ready to go home.
After the 190 participants (N = 190) completed the scale their data was combined to create one dataset. After this a reliability, validity and factor analysis was carried out on the data. A reliability analysis was utilized to investigate if the test efficiently assessed the construct being measured. A validity analysis allowed us to investigate if there was a relationship between the subscales of our scale and the other scales participants had to answer. Finally, a factor analysis established whether one or more of the items underlie other
Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.
Data would be collected from this questionnaire and used