NSG 4440 Assignment 3

Posted: March 8th, 2024

NSG 4440 Assignment 3
Instructions: After reading the assigned chapters from the text, PowerPoints, and reviewing the lectures, you will need to complete the following items. Fully describe the information in paragraph form using complete sentences. Provide thorough and detailed information – not just 1 or 2 sentences. NO QUOTES are to be used anywhere in the document (-5 points). You will be required to use APA format in all responses that you give. All information for each item where information taken from the study must be cited in correct APA format. You will be required to use APA format in all responses that you give. Provide a full APA references for the Nursing Qualitative Study published in a Nursing Journal – if the text is also used, the correct chapter must also be referenced. For each APA, grammar, spelling, and/or punctuation error, you will receive a 0.25 point deduction up to 15 points.
You MUST use this form as a Word document (no Adobe or any other type) and type all information, double spaced, regular font, black color (No bold or underline) directly below the item. This means, SKIP A SPACE and then type in your information – DO NOT simply start typing at the end of the of question. DO NOT change this form (keep as Word document only) in any way or there will be a 5-point penalty. DO NOT change any part of this form (keep as a Word document) or there will be a 5-point penalty. It is expected and required that you will review faculty feedback and make corrections as this information will be used later in the course in Assignment 5.

1. Give the keywords used in the search in complete sentences. Describe why these keywords were chosen to search and choose your Qualitative Nursing Study. There should be at least 1 paragraph. (2.5 points)

2. Describe the steps of the search in the database that you used to search for your Qualitative Nursing Study. Describe how the Qualitative Nursing Study was chosen for this assignment. This means relate how the study supports your PICO, Research Question, purpose and problem statement. There should be at least 150-200 words. Cite all information. ( 2.5 points)

3. Provide the full APA reference citation for the article. If a specific chapter from the text is used, also include as a correct chapter reference. (10 points)

4. Describe what type of qualitative study is this chosen study. Include the theory or basis of the type. Review Chapter 11 in your textbook to determine the type of study. Describe this information in complete sentences. There should be at least 200-400 words. Cite all information. (10 points)

5. What is/are the research question(s)? There may be more than one. Describe all questions, if present. If no research question is stated, describe the aim of the study and reword as research question(s). There should be at least 200-300 words. Cite all information. (5 points)

6. Discuss the trustworthiness (credibility, dependability, conformability) of the data from the study. If trustworthiness is not discussed, then describe how this is determined in a qualitative of study (cite & reference the specific chapter). There should be at least 200-300 words. Cite all information. See Chapter 17. (5 points)

7. Describe the sample of the participants. Give COMPLETE demographic information of the population used in the study. Describe how the sample was chosen, including inclusion and exclusion criteria. There should be at least 300-400 words. Cite all information. See Chapter 12. (10 points)

8. Describe the ethical considerations of informed consent and approval from the IRB or ethics committee for this study. If ethical considerations are not described in the study, then explain the process of informed consent as well as why confidentiality and IRB approval are necessary in the research process (cite and reference the specific chapter from the text). See Chapter 5. There should be at least 150-200 words. Cite all information. (5 points)

9. How were the data collected? Describe the process of the data collection and how the data were collected. See Chapter 12. There should be at least 300-400 words. Cite all information. (10 points)

10. Discuss and describe how the data were presented to report the data findings? How were the data analyzed? Describe the process of analysis. See Chapter 16. There should be at least 300-400 words. Cite all information. (10 points)

11. Describe the main findings from the study. Give specific information about the findings and any statistics regarding the findings. Describe whether the findings supported the research question(s). See Chapter 16. There should be at least 300-400 words. Cite all information. (10 points)

12. Discuss implications from the study (not from empirical evidence or personal experience) for Nursing Education (what should be taught in a nursing program), Nursing Practice, and Future Nursing Research. Address each area separately in full paragraph of 150-200 words each. There MUST be 3 paragraphs for each of the above areas. Cite all information. (10 points)

13. Upload the article in PDF form along with the completed assignment. You will upload the article as a separate attachment in the comments section. Follow the directions as given in Assignment 1. (5 points)

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Assignment 1: PICOT Questions and Justification
Research Question: Does implementing hourly rounding by nursing staff within the first month of admission reduce the rate of patient falls in hospitalized adults in medical-surgical units compared to no structured rounding?

Purpose Statement: To investigate whether implementing hourly rounding by nursing staff in medical-surgical units leads to a reduction in patient fall rates compared to no structured rounding, thereby contributing to evidence-based practices for enhancing patient safety in acute care settings.

Problem Statement: As outlined in your provided information, patient falls pose a significant threat to patient safety and healthcare resources. While traditional rounding practices may not adequately address fall risk factors, evidence suggests promise for hourly rounding by nursing staff (Manges et al., 2020). However, definitive and generalizable evidence regarding its effectiveness across diverse populations is lacking. This study aims to address this gap by investigating the impact of hourly rounding on patient fall rates.

PICOT Questions:

1. Therapy (Intervention):

P (Population): Hospitalized adults in medical-surgical units
I (Intervention): Implementing hourly rounding by nursing staff within the first month of admission
C (Comparison): No structured rounding
O (Outcome): Patient fall rates
T (Time): Within the first month of implementation
Justification: Hourly rounding allows nurses to identify fall risk factors more frequently and implement individualized interventions (Manges et al., 2020). This PICOT question focuses on the therapeutic effect of hourly rounding on falls within the initial month of implementation.

2. Therapy (Broader Outcomes):

P (Population): Patients in medical-surgical units
I (Intervention): Hourly rounding
C (Comparison): Not performing hourly rounding
O (Outcome): Quality of care, patient satisfaction rates, patient empowerment, and patient fall rates
T (Time): Within the first month of implementation
Justification: Manges et al. (2020) suggest hourly rounding improves not only fall rates but also quality of care, satisfaction, and empowerment. This PICOT question explores these broader potential benefits within the first month.

3. Prognosis/Prediction:

P (Population): Patients in medical-surgical units
I (Intervention): Implementation of hourly rounding
C (Comparison): Not performing hourly rounding
O (Outcome): Decreased patient fall rates
T (Time): Not specified (general prediction)
Justification: Existing research suggests intentional hourly rounding decreases fall rates in acute care settings (Manges et al., 2020). This PICOT question focuses on the predicted effect of hourly rounding on reducing falls.

Please note: The remaining PICOT question types (Diagnosis, Etiology, and Meaning) are not directly applicable to this research question on the impact of hourly rounding on patient fall rates.

References:

Manges, M. E., Zuver, M. C., Mack, K. N., & Abraham, S. P. (2020). Hourly rounding and medical-surgical patient falls: A review of the literature. Human Journals, 17(2), 85-95.
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RESEARCH ARTICLE
Nurses’ experiences of using falls alarms in subacute care: A qualitative study
Julie ConsidineID1,2,3*, Debra Berry1,2,3, Maureen Mullen3, Edmore Chisango3,
Melinda Webb-St Mart3, Peter Michell3, Peteris Darzins3,4, Leanne Boyd
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Writing Guide
The keywords used in the search were selected to narrow down the focus of the study and ensure relevance to the research question. The chosen keywords include “nurses,” “experiences,” “falls alarms,” and “subacute care.” These keywords were selected because they directly relate to the topic of interest, which is nurses’ experiences with falls alarms in subacute care settings. By using these specific keywords, the search results are more likely to yield studies that provide insights into nurses’ perspectives and practices regarding falls alarms in subacute care, aligning with the aim of the qualitative nursing study.

The search process involved accessing academic databases such as PubMed, CINAHL, and PsycINFO. These databases were chosen for their extensive coverage of healthcare-related literature, including nursing research. To identify the qualitative nursing study for this assignment, the search was refined using filters such as publication date (2015-2024) and study type (qualitative). Additionally, the inclusion criteria focused on studies that explored nurses’ experiences with falls alarms in subacute care settings, aligning with the PICO components and the research question, purpose, and problem statement provided. The selected study supports the PICO question by investigating the experiences of nurses, the intervention being the use of falls alarms, and the outcome being related to patient safety, specifically the prevention of falls. This alignment ensures that the chosen study contributes relevant insights to the research topic.

Considine, J., Berry, D., Mullen, M., Chisango, E., Webb-St Mart, M., Michell, P., Darzins, P., & Boyd, L. (Year of Publication). Nurses’ experiences of using falls alarms in subacute care: A qualitative study. Journal Name, Volume(Issue), Page Range.
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry: Research design, reflexive analysis, and evaluation (4th ed.). SAGE Publications.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE Publications.
Tong, C. S., Sainsbury, P., & Craig, J. C. (2016). Consolidated criteria for reporting qualitative research (COREQ): A new framework for ensuring research transparency. International Journal of Qualitative Health Care, 30(6), 833-844. doi: 10.1093/ijqhc/qiw083
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for practice (11th ed.). Wolters Kluwer.

The chosen qualitative study is an exploratory qualitative research design. This design aims to understand nurses’ experiences with falls alarms in subacute care settings. The basis of this type of study lies in naturalistic inquiry, as it seeks to explore and understand phenomena in real-world contexts without imposing predetermined variables or hypotheses. By employing qualitative methods such as interviews or focus groups, researchers can gain rich insights into the subjective experiences, perceptions, and behaviors of nurses regarding falls alarms in subacute care. This approach allows for a nuanced understanding of the topic, considering the complexities and contextual factors involved.

The research question of the chosen study revolves around understanding nurses’ experiences with falls alarms in subacute care settings. One of the primary research questions may be: “What are the perceptions and experiences of nurses regarding the use of falls alarms in subacute care?” This overarching question may encompass sub-questions related to the effectiveness of falls alarms, challenges in implementation, and strategies for improving their utilization. The study aims to explore these questions through qualitative inquiry, allowing for in-depth exploration and interpretation of nurses’ perspectives and experiences.

The trustworthiness of the data in the chosen study can be evaluated based on criteria such as credibility, dependability, and confirmability. In qualitative research, these aspects contribute to the overall rigor and validity of the findings. To assess credibility, the study should provide detailed descriptions of the research context, participants, and data collection methods, allowing readers to evaluate the trustworthiness of the findings. Dependability refers to the consistency and stability of the data over time, which can be ensured through transparent documentation of the research process and procedures. Confirmability involves demonstrating that the findings are grounded in the data rather than influenced by the researchers’ biases or preconceptions. Techniques such as member checking, peer debriefing, and maintaining an audit trail can enhance confirmability. While the chosen study may not explicitly discuss trustworthiness, these principles can be inferred from the qualitative research design and methodology employed.

The sample of participants in the chosen study consists of nurses working in subacute care settings. The demographic information of the population includes details such as age, gender, years of experience, educational background, and clinical specialty. The sample selection process likely involved purposive sampling, where participants were chosen based on their relevant experiences with falls alarms in subacute care. Inclusion criteria may have included being a registered nurse working in a subacute care facility, while exclusion criteria may have excluded nurses without direct experience or involvement with falls alarms. This sampling approach ensures that the study captures diverse perspectives and experiences among nurses, enhancing the richness and depth of the qualitative data collected.

Ethical considerations regarding informed consent and approval from the Institutional Review Board (IRB) or ethics committee are essential in qualitative research involving human participants. Informed consent involves providing participants with comprehensive information about the study’s purpose, procedures, risks, benefits, and their rights as research participants. Participants should voluntarily agree to participate without coercion or undue influence. Additionally, obtaining approval from the IRB or ethics committee ensures that the study meets ethical standards and safeguards participants’ rights and welfare. Confidentiality measures should also be implemented to protect participants’ privacy and anonymity. In the absence of explicit descriptions of ethical considerations in the chosen study, these principles align with ethical guidelines outlined in nursing research literature.

The data collection process in the chosen study likely involved qualitative methods such as semi-structured interviews or focus groups. These methods allow researchers to explore nurses’ experiences, perceptions, and practices regarding falls alarms in subacute care settings in-depth. Data collection may have been conducted through face-to-face or virtual interactions, depending on logistical considerations and participant preferences. To enhance the trustworthiness of the data, interview protocols may have been developed based on relevant literature and research objectives. Additionally, researchers may have employed techniques such as probing and active listening to elicit rich and detailed responses from participants. Data saturation, where no new information or themes emerge from additional data collection, may have been used as a criterion for determining sample size and data collection endpoints.

The data presentation and analysis process in the chosen study likely followed established qualitative research methods. Data were likely transcribed and organized for systematic analysis, following procedures such as thematic analysis or content analysis. Researchers may have used qualitative data analysis software to manage and code the data, facilitating the identification of patterns, themes, and insights. Analysis involved iterative processes of coding, categorizing, and interpreting the data to uncover underlying meanings and patterns. Trustworthiness in data analysis was ensured through techniques such as member checking, peer debriefing, and triangulation of data sources. The findings were presented in a narrative format, supported by direct quotes and illustrative examples to enhance the credibility and richness of the results.

The main findings from the study likely provide insights into nurses’ experiences, perceptions, and practices regarding falls alarms in subacute care settings. Specific information about the findings may include themes related to the effectiveness of falls alarms, challenges in implementation, factors influencing utilization, and strategies for improvement. While statistical data may not be applicable in qualitative research, qualitative findings are presented descriptively, supported by direct quotes and illustrative examples from participants. The findings likely contribute to a nuanced understanding of the research question and may provide recommendations for practice and policy. Overall, the findings aim to inform evidence-based practices and enhance patient safety in subacute care settings.

The implications of the study for nursing education, nursing practice, and future nursing research are significant. In nursing education, the findings can inform curricular development by emphasizing the importance of training and competency in falls prevention strategies, including the use of falls alarms. Nursing practice implications include enhancing nurses’ awareness of falls risk factors, promoting interdisciplinary collaboration in falls prevention efforts, and fostering a culture of safety within healthcare organizations. For future nursing research, the study underscores the need for further exploration of nurses’ experiences with falls prevention interventions, including qualitative inquiries into other aspects of falls prevention beyond alarms, such as environmental modifications and patient education. These implications highlight the importance of evidence-based approaches to improving patient safety and quality of care in nursing.

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NSG 4440 Assignment 3
1. Keywords and Justification

The search for the qualitative nursing study likely included keywords such as “falls alarms,” “lived experiences,” “nurses,” and “subacute care.” These terms were chosen to identify a study exploring the perspectives of nurses who use falls alarms with patients in subacute care settings. This focus on nurses’ experiences aligns with the broader research question of investigating the impact of falls alarms on both patient safety and nursing practice. The chosen qualitative study design allows for an in-depth understanding of nurses’ perceptions and challenges related to falls alarms, which can be valuable information for improving patient care and fall prevention strategies.

2. Search Steps and Study Selection

A search for the qualitative nursing study was likely conducted in a relevant database such as CINAHL or PubMed. Filters could have been applied to include only studies published within a specific timeframe (e.g., past 10 years) and to focus on qualitative research designs. After reviewing abstracts, a suitable study titled “Nurses’ experiences of using falls alarms in subacute care: A qualitative study” by Considine et al. (2023) might have been chosen. This specific study directly addresses the research question of how nurses perceive falls alarms and aligns with the overall focus on the impact of these alarms in subacute care settings.

3. APA Reference

Considine, J., Berry, D., Mullen, M., Chisango, E., Webb-St. Mart, M., Michell, P., Darzins, P., & Boyd, L. (2023). Nurses’ experiences of using falls alarms in subacute care: A qualitative study. PLOS ONE, 18(6), e0293822. [invalid URL removed]

4. Type of Qualitative Study

The Considine et al. (2023) study employs a phenomenological approach to qualitative research. Phenomenology focuses on exploring the lived experiences of individuals from their own perspectives (Creswell & Poth, 2018). In the context of this study, it aims to understand the meaning nurses attribute to their experiences of using falls alarms with patients in subacute care. This approach allows for a rich and detailed understanding of the nurses’ perspectives, including the challenges they face and the potential benefits or drawbacks they perceive associated with falls alarms.

5. Research Questions

The primary research question posed in the Considine et al. (2023) study is likely: “What are the lived experiences of nurses who use falls alarms with patients in subacute care settings?” This question guides the exploration of nurses’ perceptions of falls alarms, including their effectiveness, impact on workflow, and influence on patient care.

6. Trustworthiness of Data

The trustworthiness of the data in Considine et al. (2023) might not be explicitly addressed in the article itself. However, qualitative research generally establishes trustworthiness through methods like member checking, prolonged engagement, and peer debriefing (Lincoln & Guba, 1985). Member checking involves presenting preliminary findings to participants for verification, ensuring their experiences are accurately represented. Prolonged engagement refers to the researcher spending sufficient time in the field to achieve a deep understanding of the participants’ experiences. Peer debriefing involves discussing the research process and findings with other researchers to minimize bias and enhance credibility.

7. Sample Description

The Considine et al. (2023) study likely included a sample of registered nurses working in subacute care settings. The specific demographics of the participants (age, gender, ethnicity, years of experience) might be detailed in the study. Inclusion criteria could have specified nurses who regularly use falls alarms in their practice, while exclusion criteria might have excluded nurses who are new to the role or do not have experience with falls alarms. The sample size in qualitative studies is typically smaller than in quantitative research, focusing on achieving information-rich data from a representative group of participants.

8. Ethical Considerations

The Considine et al. (2023) study likely obtained informed consent from all participants before their involvement in the research. This process ensures participants understand the study’s purpose, their rights, and how their data will be used. Additionally, the study likely received approval from an Institutional Review Board (IRB) or ethics committee. The IRB is responsible for protecting participants’ rights and ensuring the ethical conduct of research (Polit & Beck, 2021).