You are to create an 8- to 9-slide PowerPoint presentation in which you do the following: Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to

CRITICAL APPRAISAL OF RESEARCH







4B: Critical Appraisal of Research

Lakme O’Connell

Walden University

Essentials of Evidence Based Practice

NURS-6052N

7/17/20

4B: Critical Appraisal of Research

The best practice arising from the four research articles' critical appraisal was the article discussing the impacts of a work shift to quality of care in nursing practice (Lin, 2014). This is because a prolonged work schedule of nurses is a common thing, very little is recognized regarding how such extended hours influence the care patients to get or the nurses' well-being (Stimpfel, 2013). Even though there are schedules for nurses, the tangible shifts are unpredictable due to fluxes in patient wants and unexpected staffing modifications. Because of this, nurses are forced to work overtime past the scheduled length of shift.

Once long shifts are merged with overtime, shifts, which revolve between day and night responsibility, and the following shifts, nurses face the risk of stress and exhaustion, which as a result, may compromise the patients’ care (Stimpfel, 2012). Regardless of the guidelines on the length of shifts and the collective working hours for resident doctors and other people in other organizations, national work hour guidelines for registered nurses are lacking. Nurses have always reported being coerced about working overtime.

Following the fact that nurses are facing a lot of challenges regarding the prolonged shifts, it is a significant area of study that aims to improve patient care and because there is limited research regarding this area of study. Therefore, it is vital to study the impacts the working shifts have on the work outcome of nurses and patient care.

References

Lin, S. H., Liao, W. C., Chen, M. Y., & Fan, J. Y. (2014). The impact of shift work on nurses'

Job stress, sleep quality, and self‐perceived health status. Journal of nursing management22(5), 604-612.

Stimpfel, A. W., Sloane, D. M., & Aiken, L. H. (2012). The longer the shifts for hospital nurses,

The higher the levels of burnout and patient dissatisfaction. Health Affairs31(11), 2501-2509.

Stimpfel, A. W., & Aiken, L. H. (2013). Hospital staff nurses’ shift length associated with safety

And the quality of care. Journal of Nursing Care Quality28(2), 122.



References

Lin, S. H., Liao, W. C., Chen, M. Y., & Fan, J. Y. (2014). The impact of shift work on nurses'

Job stress, sleep quality, and self‐perceived health status. Journal of nursing management22(5), 604-612.

Stimpfel, A. W., Sloane, D. M., & Aiken, L. H. (2012). The longer the shifts for hospital nurses,

The higher the levels of burnout and patient dissatisfaction. Health Affairs31(11), 2501-2509.

Stimpfel, A. W., & Aiken, L. H. (2013). Hospital staff nurses’ shift length associated with safety

And the quality of care. Journal of Nursing Care Quality28(2), 122.