NR 439 WEEK 2 DISCUSSION, SEARCH FOR LITERATURE AND LEVELS OF EVIDENCE_Complete Solution Graded A+

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Reflect on your practice, and identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources. Formulate searchable, clinical questions i... n the PICO(T) format for your nursing clinical issue. 2. Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue. 3. Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete reference to the study. Total Patient Care vs team nursings In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)? P- Adult Med/Surg/Tele patients I-Total Patient Care Nursing C-Team Nursing O-Safety and Quality of care T- 3 months Professor and Class, I currently work in a 24-hour observation 12 bed unit. Our patients are adult Med/Surg/Tele patients who may not meet the criteria to be admitted but need further workup to decide future care. On a good day these patients are alert, oriented and ambulatory. Since the Affordable Care Act our membership has grown but our facilities have not. Many days now we have admitted patients holding in our unit waiting for beds to become available in our in-patient units. Since the beds are first come first served, in regard to orders, our unit sees a much different population. Majority of days we will have 4 or more bed bound patients. In the in-patient units they are designed to function using the team nursing model. The in-patient unit has a unit clerk, certified nursing assistants(CNA), transporting nurses/techs, resource nurse and break nurses. The observation unit is designed using the total patient care nursing model. As nurses we are responsible for all aspects of care for each patient. This includes clerk work, CNA work, transporting, breaks and primary nursing tasks. We are lucky that we are in California and have a 4:1 patient to nurse ratio. We are also fortunate to be staffed with one extra nurse for break/transports. On days with multiple total care patients though this is not enough to meet the needs of all the patients. This last year we have had multiple complaints on delay of care and have experienced multiple falls. I believe that the observation unit would benefit from working This study source was downloaded by 100000831988016 from CourseHero.com on 04-18-2022 15:37:18 GMT -05:00 https://www.coursehero.com/file/31419355/Week-2-Discussiondocx/ under the team nursing model increasing the safety and quality of care that our patients receive. Below is my PICOT question. P (Population/patient) – Adult Med/Surg/Tele pateints I (Intervention/indicator)- Team nursing model C (Comparison/control) – Total patient care nursing model O (Outcome) – increase patient safety T (Time) – 90 days In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)? Putting the pieces into this intervention template my question is: In adult Med/Surg/Tele patients, what is the effect of the team nursing model on patient safety compared with the total care nursing model within 90 days. The team nursing model is defined as nursing delivered by a team of nursing professionals with a mixed set of skills.(Hughes, 2018). While total care nursing is patient-centered and depends on on the nurse to deliver all the care needed. (Hughes, 2018). When I used my PICOT question to search for evidence I found an article titled “Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals”. This article is relevant to my clinical issue because it researches each nursing care model and the impact on patient safety. I like that the article investigates both nursing models and not just one or the other. References Houser, Janet. Nursing Research: Reading, Using and Creating Evidence, 4th Edition. Jones & Bartlett Learning, 2018. Hughes, R. (2008). Patient safety and quality: An evidence-based handbook for nurses. Ch:19 Retrieved May 12, 2018. Carl-Ardy Dubois, Danielle D'amour, Eric Tchouaket, Sean Clarke, Michèle Rivard, Régis Blais; (2013, February 18). Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals | International Journal for Quality in Health Care | O [Show More]

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