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NURS FPX 8030 Assessment 2 Evidenced-Based Literature Search and Organization

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    NURS FPX 8030 Assessment 2 Evidenced-Based Literature Search and Organization

    Student Name

    Capella University

    NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

    Prof. Name

    Date

    Evidenced-Based Literature Search and Organization

    Staffing shortages have consistently posed challenges within the healthcare sector, giving rise to concerns regarding patient safety. The repercussions of inadequate staffing manifest in various patient safety issues, including heightened rates of patient falls, catheter-associated urinary tract infections (CAUTIs), hospital-acquired pressure injuries (HAPIs), and diminished patient satisfaction scores. In addition to impacting patient care, insufficient staffing may compel nursing staff to forego certain tasks due to time constraints. Addressing staffing challenges is pivotal for healthcare, particularly in understanding its impact on nurses. This paper aims to compile evidence on the effectiveness of maintaining appropriate staffing ratios and explores whether it leads to enhanced patient satisfaction scores within a one-year timeframe. The formulated PICOT question is as follows:

    P (Population): Nurses
    I (Intervention): Safe staffing ratios 1:6
    C (Comparison): Unsafe staffing ratios less than 1:6
    O (Outcome): Patient satisfaction scores and reduction of patient safety issues
    T (Time): 6 months

    Search for Literature

    The initial step in the literature search process involves identifying a problem affecting nurses. In this case, the focus is on staffing ratios and their daily impact on nurses and patients. A PICOT question was formulated, and relevant keywords were identified to create a strategic search plan. The chosen keywords, including nurses, nursing ratios, patient satisfaction, patient safety, and six months, were utilized in a database search. Two key search engines, CINAHL Complete and Nursing & Allied Health, were employed, using an advanced search with truncation and Boolean connectors.

    Inclusion/Exclusion Criteria

    The inclusion criteria stipulated that selected articles must be peer-reviewed and not older than five years, with most articles within a three-year timeframe (2019 onwards). Full-text availability online ensured ease of access. Exclusion criteria encompassed articles older than five years, non-peer-reviewed articles, and those not set in a hospital setting. Patients with mental health problems, cognitive delay, or dementia were excluded due to challenges in obtaining accurate data and feedback from these populations.

    Research Articles

    Five relevant articles were selected based on the inclusion criteria:

    • Van Den Oetelaar, W. F. J. M., Roelen, C. A. M., Grolman, W., Stellato, R. K., & Willem, v. R. (2021). Exploring the relation between modelled and perceived workload of nurses and related job demands, job resources, and personal resources; a longitudinal study. PLoS One, 16(2). https://doi.org/10.1371/journal.pone.0246658
    • Fildes, C., Munt, R., & Chamberlain, D. (2022). Impact of dual intensive care unit and rapid response team nursing roles on service delivery in the intensive care unit. Critical Care Nurse, 42(5), 23-31. https://doi.org/10.4037/ccn2022540
    • Disch, J., & Finis, N. (2022). Rethinking nursing productivity: A review of the literature and interviews with thought leaders. Nursing Economics, 40(2), 59-71.
    • Kowalski, M. O., Basile, C., Bersick, E., Cole, D. A., McClure, D. E., & Weaver, S. H. (2020). What do nurses need to practice effectively in the hospital environment? An integrative review with implications for nurse leaders. Worldviews on Evidence-Based Nursing, 17(1), 60-70. https://doi.org/10.1111/wvn.12401
    • Al Muharaaq, E. H., Alallah, S. M., Alkhayrat, S. A., & Jahlan, A. G. (2022). An overview of missed nursing care and its predictors in Saudi Arabia: A cross-sectional study. Nursing Research and Practice, 2022. https://doi.org/10.1155/2022/4971890

    These articles, meeting the inclusion criteria, provide recent, reliable, and peer-reviewed information relevant to nursing staffing ratios and patient satisfaction.

    A PRISMA diagram (see Appendix 1) was utilized to organize and present the results of the literature search, reflecting the identification and selection of studies via databases and registers.

    References

    Al Muharaaq, E. H., Alallah, S. M., Alkhayrat, S. A., & Jahlan, A. G. (2022). An overview of missed nursing care and its predictors in Saudi Arabia: A cross-sectional study. Nursing Research and Practice, 2022. https://doi.org/10.1155/2022/4971890

    Disch, J., & Finis, N. (2022). Rethinking nursing productivity: A review of the literature and interviews with thought leaders. Nursing Economics, 40(2), 59-71.

    Fildes, C., Munt, R., & Chamberlain, D. (2022). Impact of dual intensive care unit and rapid response team nursing roles on service delivery in the intensive care unit. Critical Care Nurse, 42(5), 23-31. https://doi.org/10.4037/ccn2022540

    NURS FPX 8030 Assessment 2 Evidenced-Based Literature Search and Organization

    Kowalski, M. O., Basile, C., Bersick, E., Cole, D. A., McClure, D. E., & Weaver, S. H. (2020). What do nurses need to practice effectively in the hospital environment? An integrative review with implications for nurse leaders. Worldviews on Evidence-Based Nursing, 17(1), 60-70. https://doi.org/10.1111/wvn.12401

    Van Den Oetelaar, W. F. J. M., Roelen, C. A. M., Grolman, W., Stellato, R. K., & Willem, v. R. (2021). Exploring the relation between modelled and perceived workload of nurses and related job demands, job resources, and personal resources; a longitudinal study. PLoS One, 16(2). https://doi.org/10.1371/journal.pone.0246658

    Appendix 1: PRISMA Diagram

    Studies identified via databases and registers: 44
    Duplicate records removed: 7
    Records marked as ineligible by automation tools: 6
    Records removed for other reasons: 2
    Records screened: 29
    Records excluded: 8
    Reports sought for retrieval: 21
    Reports not retrieved: 6
    Reports assessed for eligibility: 15
    Reports excluded (Reason 1 – Insignificant population): 4
    Reports excluded (Reason 2 – Inappropriate intervention – never utilized any staffing strategies): 6
    Studies included in review: 5

    NURS FPX 8030 Assessment 2 Evidenced-Based Literature Search and Organization