Assignment: Qualitative Research Write a fully developed and detailed APA essay addressing each of the following points/questions. There is no required word count; be sure to completely answer all the
Running head: USE OF HOURLY ROUND TO PREVENT PATIENT FALL 0
Turnitin score is 32% and a need to be below 20%
Introduction:
This article is authored by Francis, Kurtsev, Walter, Steele, & Staines, (2019). The authors have wide experience in clinical matters because one of the authors is a professor of nursing in Australian catholic university; other authors have wide experience in research especially in midwifery ad paramedicine. The educational background explains why this article is reliable because it's written by experts. The topic of the study was chosen specifically to meet the intention of the researcher through research interview question drafted to collect nurse’s experience and perception. The research ascertained the importance of hourly nursing rounds in improving quality care in the healthcare setting.
What type of qualitative research design was utilized to conduct the study?
The exploratory descriptive single case study design was utilized. The case study was conducted at a Catholic private acute care regional hospital in Victoria, Australia. All registered and enrolled nurses working at the hospital who were implementing hourly rounding during the past 12-month implementation we allowed to take part in the study. A confidential interview was conducted to collect the required data for this research.
Are the results valid/trustworthy and credible?
Yes, the result was valid because the information was collected from registered nurses (RN) and enrolled Nurses especially and nurses who were implementing the hourly nursing round in the past 12 months (Francis, Kurtsev, Walter, Steele, & Staines, 2019). Registered nurses are those nurses with a degree and the enrolled nurses (ENs) are those with diploma level education. Participation in the study was voluntary. The information is current as it was published in 2019 and the implementation of the program to the hospital was implemented in 2014. The authors were catholic university researcher and the research was approved by the human research ethics committee which means that the information is reliable.
How were the participants chosen?
The participants in the research volunteered to take part in the research and by conducting an interview with 15 nurses who take part in the ward. The 14 nurse's interview was conducted face to face on-site- at the hospital while the one nurse interview was conducted via a telephone call.
How were the accuracy and completeness of data assured?
The accuracy of the data was assured by ensuring the data conducted via a direct interview in a quiet private space on the ward the nurses worked to avoid noise that might affect the nurse's response. The time-release from work for the study was accommodated and this helps the nurse focus and respond accurately because the interview was an open-ended question. These measures ensure there is accuracy in the response of the questions.
How plausible/believable are the results?
The results are reasonable because the information was collected from the participants that were involved in the implementation of the hourly round and they could give accurate information on the real situation and the challenges they face while trying to meet their goal.
Are the implications of the research stated?
No, the research implication is not indicated but the research gives some insight on the hourly round where the authors suggest that the hourly round should be integrated with healthcare practice and there should be a chance from hourly round to purposeful hourly ward round.
May new insights increase sensitivity to others’ needs?
Yes, the insight gain from the research might increases sensitivity to other needs such as nurse’s perception of the hourly round.
May understandings enhance situational competence?
Yes, understand the benefits of hourly round to the patient wellbeing and its impact in reducing patient fall may enhance situation competence.
What is the effect on the reader?
The nurses addressed the interview the way they understand the question and how the hourly round impact patient. The readers gain some valuable information relating to the effectiveness of the hourly round and challenges that nurses face while implementing hourly rounds.
Is the reader imaginatively drawn to the experience?
Yes, the readers were imaginatively drawn to the experience and gain some valuable insights about the impact of hourly round to patients as one aspect of ensuring quality care because nurses through the program are vigilant about the patient.
Are the results plausible and believable?
Yes, the result was plausible and believable because it was collected from the real participants that take part in implementing the program.
What are the results of the study?
The interviewee indicates that the hourly round was good in a way that it makes nurses be more vigilant with what they were doing with patients. The patient appreciated the additional time nurses spend with them. The hourly round ensures the patients need is addressed. The participants reveal that full compliance with the protocol of ticking the ward round documentation is a challenge and the heavy workload and the busyness of the ward made it difficult to achieve rounding visits on an hourly basis(Francis, Kurtsev, Walter, Steele, & Staines, 2019).
Does the research approach fit the purpose of the study?
Yes, the research fits the purpose of the research because the authors wanted to access nurse's perception of the ward round and experience of the nurses in conducting ward rounds.
How does the researcher identify the study approach?
The researcher based their study on the topic which guided the researcher in the development of the research question that was answered by nurses.
Are the data collection and analysis techniques appropriate?
Yes, the data collection method through interviews and utilizing open-ended questions was effective and the data was recorded. The technique of data analysis was appropriate because the researcher utilizes content and thematic analysis techniques which entail reading the content several times in order to familiarise with the content followed by content analysis, producing an overview of the transcript and line-by-line thematic analysis. All the ideas were grouped together under an existing code or new code that better reflected the central theme (Francis, Kurtsev, Walter, Steele, & Staines, 2019).
Is the significance/importance of the study explicit?
Yes, the study was clear because the researcher put their fact clears on the intention of the study through the interview question.
Does the literature support a need for the study?
Yes, the literature supports the need for the study because the researcher's main intention of the study was to understand nurses' experience on the hourly round and how they perceive the hourly round to the quality of care. The nurses are the front line in patient care as they interact with a patient in day to day activity.
What is the study’s potential contribution?
The study finding will help other hospitals implement the approach if the found the approach effective in improving patient satisfaction and in reducing readmission.
Is the sampling clear and guided by study needs?
Yes, Sampling was clear and guided by study needs because the researcher only conducted an interview with nurses that took part in the ward and this shows their intention was to get information on the nurse's experience and perception.
Does the researcher control the selection of the sample?
Yes, the researcher did control the selection of the sample because the individual sampled in the interview voluntarily agreed to take part in the research and the researcher concentrated on the nurses who take part in the ward which shows that the nurse controls the participants because they targeted certain information.
Do sample size and composition reflect the study needs?
Yes, the sample size and composition of the participants reflected the study need because the participants include registered nurses and enrolled nurses (ENs) who had taken part in the ward round in the past 12 months (Francis, Kurtsev, Walter, Steele, & Staines, 2019).
Is the phenomenon (human experience) clearly identified?
Yes, the research drafted the interview question with an aim to understand the nurse's experience in the implementation of the hourly round and challenges they face while implementing the hourly round.
Are our data collection procedures clear?
The data collection procedure was clear because it was recorded after the interview ensure no data is lost and the interviewer could listen to the interviewee's response while analyzing the data.
Are sources and means of verifying data explicit?
Yes, the sources and means of verifying the data were clear because the sources of the data were nurses who take part in the ward round and the interview question was drafted by the researcher to guide them in collecting the information.
Are researcher roles and activities explained?
Yes, the research roles and activities were explained where the 8 interviews were conducted by two research and the seven interviews were conducted by one researcher.
Are data analysis procedures described?
Yes, the data analysis would be collected through interviews and recorded. The data generated from the interviews would be examined using content and thematic analysis techniques. The data would be read several times in order to familiarize the reader with the text; the textual data generated from the interviews were examined using content and thematic analysis (Francis, Kurtsev, Walter, Steele, & Staines, 2019).
Does analysis guide directions of sampling when it ends?
No, the analysis does not give direction on the sampling when it ends.
Our data management processes described?
Yes, the data management processes described where the researcher indicated that data would be digitally recorded and subsequently transcribed verbatim.
What are the reported results (descriptive or interpretation)?
The reported results are descriptive because the data are summarized in a meaningful way such that patterns might emerge from the data.
How are specific findings presented?
The finding presented include nurses' response to the experience of rounding, the strength associated with incorporating rounding into nursing practice and challenges that the nurses face when using rounding. The nurses responded to the question by indicating that the hourly round keeps nurses alert, improves patient satisfaction as they can request for help while the nurses are conducting their ward round and this improve their well-being. The nurses also indicated that they faced challenges of filling up the ward round form because of work overload.
Are the data meanings derived from data described in context?
Yes, the data meaning derived from the data described is in context because the research relied on the interview question to interpreted his findings and give his conclusion.
Does writing effectively promote understanding?
Yes, the writing effectively promotes understanding because the authors used simple language and there is no difficulty because the research finding and discussion involve words and not a mathematical symbol that makes it difficult to understand the content.
Will the results help me care for my patients?
Yes, the results would help me advocate for an hourly round in my facility as one approach of reducing patient satisfaction, patient falls and reduce patient readmission due to hip fracture that occurs when patients try to wake up or stand up. The approach would improve the quality of care for the facility therefore I would be pleased to use the result to improve the quality of care in my facility.
Are the results relevant to persons in similar situations?
Yes, the results are relevant in nurses in a similar situation because there is a shortage of nurses that make it difficult for them to engage effectively in ward round and in fulfilling other protocols of the organization. Hourly round is effective to patients in need in ward and the result would be effective in improving patient wellbeing
Are the results relevant to patient values and/or circumstances?
Yes, the results are relevant to patient value because it improves their wellbeing and promotes quality care by reducing readmission, improve nurse's response to patient needs, and low chance of falls.
How the results may be applied to clinical practice
The result may be applied in the clinical practice to improve patient satisfaction and lower patient falls and readmission. The facility can use the information to improve the nurses to patient ratios so as to lower nurses' workload that increases burnout hence affecting their effectiveness in acute care, especially when handling a patient with a special need. The facility may use the result to implement the program with a target of lowering cost because it reduces electricity usage, improve customer satisfaction because nurses are always around when the patient needs the most. The result may be used to hire more nurses so as to lower nurse's workload and ensure nurses fulfill the organization protocol by filling hourly round each time.
Conclusion
The study design involved registered nurses and enrolled nurses who take part in the ward round. The nurses have personal experience with the ward hourly round therefore their response is reliable in research findings. The researcher used a recommendable analysis method that includes thematic and content analysis to analyze the data digitally managed. The finding reveals that hourly round was effective in improving patient satisfaction, a lower rate of readmission and in improving quality of care because the nurses would be alert and would help nurses at need. The finding may be used in a healthcare facility to improve patient care and ensure there is less incidence of patient fall, and increase number of nurses to meet demand.
Reference
Francis, K., Kurtsev, A., Walter, D., Steele, C., & Staines, C. (2019). Nurses’ experiences and perceptions of hourly rounding: a private Australian catholic hospital single case study. International Archives of Nursing and Health Care, 5(2), 1-6. DOI: 10.23937/2469-5823/1510125
