Benchmark -Evidence-Based Practice Project: Literature Review

Benchmark -Evidence-Based Practice Project: Literature Review

The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5 “Evidence-Based Practice Project: Evaluation of Literature” assignment.

A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT.

In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:

1.  Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.

2.  Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.

3.  Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.

4.  Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).

5.  Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.

6.  Conclusion – Provide a summary statement of what you found in the literature.

7.  Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper. Benchmark -Evidence-Based Practice Project: Literature Review

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite

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Literature Evaluation Table

Student Name:

Change Topic (2-3 sentences): PICOT Analysis. Generally, a high level of patient satisfaction for the clients in the emergency department (ED) is vital, especially at this time when the healthcare system is shifting towards patient-centered care. Utilization of RTLS in the hospital’s ED, compared to manually-entered status updates to tract patients, help decrease the rate of LWBT and to raise revenue collection within 6 months, for ED patients with decreasing satisfaction levels with the provided healthcare services. This is as from the articles discussed below. Benchmark -Evidence-Based Practice Project: Literature Review

Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

 

Asamrew, N., Endris, A. A., & Tadesse, M.

https://www.hindawi.com/journals/jeph/2020/2473469/

sheim, A., Nilsen, S. M., Carlsen, F., Næss-Pleym, L. E., Uleberg, O., Dale, J., et al. https://pubmed.ncbi.nlm.nih.gov/31135613/ Boehm, L., & Petty, K. https://vocera.com/sites/default/files/resources/CXO_Survey_2016_Report_Vocera_Experience_Innovation_Network.pdf Boulos, M. N., & Berry, G. https://ij-healthgeographics.biomedcentral.com/articles/10.1186/1476-072X-11-25
Article Title and Year Published

 

Level of Patient Satisfaction with Inpatient Services and Its Determinants: A Study of a Specialized Hospital in Ethiopia. (2020) The Effect Of Emergency Department Delays On 30-Day Mortality in Central Norway. (2019) The Rise of the Healthcare Chief Experience Officer. Vocera’s Experience Innovation Network.

(2016)

Real-Time Locating Systems (RTLS) In Healthcare: A Condensed Primer. (2012)
Research Questions (Qualitative)/Hypothesis (Quantitative)

 

The level of patient satisfaction is a determinant for quality of care.

 

 

Is prolonged ED stay associated with increased risk of death? Focus on human experience of care supports highest healing potential. The article addresses RTLS application in healthcare.

 

Purposes/Aim of Study Measuring the level of patient satisfaction and its determinants. To assess whether prolonged length of stay in ED was associated with risk of death. To examine whether the chief experience officer can enable humanized care delivery. The paper evaluates if RTLS options, solutions, and deployment have benefits.

 

 

Design (Type of Quantitative, or Type of Qualitative)

 

Quantitative Experimental Mixed research Qualitative research
Setting/Sample

 

In hospital out of hospital out of hospital In hospital
Methods: Intervention/Instruments

 

Facility-related domain, general facility amenities, and provider interaction. Indicators on risk of death, discharge, and hospitalization length. Leader experience in achieving quality, safety, and performance. RTLS components and technologies.
Analysis

 

Increasing needs and demands of the patients influence suitability of satisfaction levels. Assessing patient satisfaction through various inpatient services can lead to measurement of care quality. Increased engagements with the healthcare provider can shape perceptions impacting satisfaction. Patients arriving and been admitted in hospitals ED have expectations of staying longer in the hospital after admission. This can have an impact on their satisfaction and confidence depending on the length of hospitalization. Priorities established by the leader demonstrate commitment to excellence and patient care. The care entails safety through performance improvement. Experience improvement is based on patient and family involvement in care, staff support, and support technologies enabling satisfaction.

 

RTLS in healthcare tracks emergency first response by hospitals and providers. The technology exploits real-time location and status information of tracked entities. In the ED the technology provide timely responses to patients. Care providers would receive timely information on patients, rooms, their stay in hospital, and needs.
Key Findings

 

Determinants/ predictors used ought to create perceptions on satisfaction levels. Interactions with the care provider as well as facility amenities (toilet cleanliness, accommodation, and dietary service) are key predictors in satisfaction levels. Prolonged stays in the ED were associated with discharges from the hospital. This reduced the association between increased risk of death and hospitalization. Building a sense of community and satisfaction of all shareholders considers the experiences created. Patient care strategies are highly facilitated by humanized care leadership strategies enabling healing and satisfaction. The technology can be integrated with other in-place technologies to communicate in real-time in providing quick responses. The solutions offered consider tagged locations with precision to locate rooms and needy patients.
Recommendations

 

Periodic assessments to be carried out.

Improvement and job-training of health providers.

Hospital reformation and modernization.

Improvements in facility amenities.

Improvements in client-patient interactions.

 

Improvements in care quality to shape patient perceptions. Adopting new measures on healthcare humanity.

Accepting advanced technology in hardwiring humanity.

Patients setting course for experience improvements.

Seamless patient journeys across the care continuum.

Improvements within the capabilities of the technology.

Careful vendor selection in hardware and software support.

Careful technology selection as per intended application.

Explanation of How the Article Supports EBP/Capstone Project

 

The article offers evidence on the need to establish variables as predictors to patient satisfaction. The article supports the capstone project by articulating how quality care can influence satisfaction reducing risk of death. The article offers evidence-based practice on experience and technology incorporation to facilitate patient satisfaction. The article offer substantial evidence on RTLS technology.

 

 

 

Criteria Article 5 Article 6 Article 7 Article 8
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

Drazen, E., & Rhoads, J. https://www.chcf.org/publication/using-tracking-tools-to-improve-patient-flow-in-hospitals/ Heath, S.

https://patientengagementhit.com/features/patient-satisfaction-and-hcahps-what-it-means-for-providers

 

Prakash, B. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3047732/ Son, H., & Yom, Y.-H. https://onlinelibrary.wiley.com/doi/full/10.1111/jjns.12132
Article Title and Year Published

 

Using Tracking Tools to Improve Patient Flow in Hospitals. (2011) Patient Satisfaction and HCAHPS: What It Means for Providers. (2016) Patient Satisfaction. (2010) Influencing Satisfaction With Emergency Department Medical Service: Patients’And Their Companions’Perspectives. (2017)
Research Questions (Qualitative)/Hypothesis (Quantitative)

 

Usage of tracking tools can be effective in improving patient flow in hospitals. Understanding patient satisfaction through consumer assessment survey enabled in hospitals. Patient satisfaction is an indicator of doctor or hospital performance. Consumer satisfaction can be applied as a barometer for the improvement of service quality.
Purposes/Aim of Study To examine tracking technologies and techniques available to hospitals. To explore hospital quality and patient satisfaction through 27 questions to patient recent stay in hospital. To evaluate if patient satisfaction can be used to measure quality of care. To examine the individual determinants that influence satisfaction with services at the ED and compare factors that influence satisfaction compared with their companions.
Design (Type of Quantitative, or Type of Qualitative)

 

Qualitative Experimental Descriptive analysis Cross-sectional study design
Setting/Sample

 

Out of hospital out of hospital setting Out hospital setting Household setting
Methods: Intervention/Instruments

 

Tracking technologies and techniques

 

 

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Patient satisfaction in practice building. Individual factors influencing satisfaction.
Analysis

 

Hospitals are expected to meet growing patient volumes. This would enable providers to satisfy patients in various stages of treatment through technologies. Client satisfaction information in the ED department can streamline workflow. While technology can be applied to enhance the satisfaction, providers are required to provide technical quality in care delivery. Assessment of quality from a report published in 2001 showed how patient satisfaction can be used to shape healthcare practice. The doctor, patient, and organization are important factors in service excellence. Through regression analysis, the results depicted predictors of satisfaction in the ED for patients and companions. Core domains in satisfaction entailed age, gender, and employment of the patient. Companions with lower education levels and visited due to patient illness were more satisfied.
Key Findings

 

Patient-tracking technologies help providers by providing real-time information on patients. The information is used to mould workflow enabling customization to fit patient and organization needs.  Benchmark -Evidence-Based Practice Project: Literature Review Social rapport built creates both trust and satisfaction to the parties. However, providers should consider authentic engagement for deeper connections. This has regards to reduced computer usage. Even if patient satisfaction is an attitude, it determines patient loyalty to the doctor and the hospital. Patient-focuses care provided is expected to meet expectations besides ensuring the organizations strives to provide better care. The satisfaction can act as an indicator to quality care. Active communication between care providers and patients or companions can help in predicting patient satisfaction. Communication in the ED is important to keep visitors satisfied and cared for.
Recommendations

 

Technology benefits should fit organizational and patient needs to yield outcomes. Face to face interaction in patient engagement.

Create authentic engagements with patients.

Doctors and hospitals should strive to provide better care and exceed patient expectations. Assessment of the waiting period as a determinant of patient satisfaction.
Explanation of How the Article Supports EBP/Capstone

 

The article will be utilized to educate how tracking technology integration can be used to promote best practices. The article also emphasizes the efficiency provider-patient engagement for satisfaction. The article evaluates patient satisfaction as an element in improving quality of care. The article offers substantial information on patient satisfaction determinants across ED settings.

 

Criteria Article 9 Article 10 Article 11
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

Wand, T., Crawford, C., Bell, N., Murphy, M., White, K., & Wood, E. https://pubmed.ncbi.nlm.nih.gov/31047855/ Wang, H., Kline, J. A., Jackson, B. A., Robinson, R. D., Sullivan, M., Holmes, M., et al. https://pubmed.ncbi.nlm.nih.gov/31047855/ Xesfingi, S., & Vozikis, A. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1327-4
Article Title and Year Published

 

Documenting The Pre-Implementation Phase For A Multi-Site Translational Research Project To Test A New Model Emergency Department-Based Mental Health Nursing Care. (2019) The Role Of Patient Perception Of Crowding In The Determination Of Real-Time Patient Satisfaction At Emergency Department (2017) Patient Satisfaction With The Healthcare System: Assessing The Impact Of Socio-Economic And Healthcare Provision Factors. (2016)
Research Questions (Qualitative)/Hypothesis (Quantitative)

 

Reorientation of health services and resources can meet change in demand in ED for people with mental health, drug health, and behavioural problems. Is overcrowding in the ED associated with lower real-time patient satisfaction? Patient satisfaction is an important measure in healthcare quality.
Purposes/Aim of Study To implement and evaluate an innovative model of mental health nursing care in three EDs across New South Wales Australia. Evaluate the associations between real-time patient satisfaction and ED crowding as determined by patient perception and crowding estimation tool score in a high-volume ED. To assess the degree of patient satisfaction and study the relationship between patient satisfaction of health system and set of socio-economic and healthcare provision indicators.
Design (Type of Quantitative, or Type of Qualitative)

 

Qualitative mixed methods design Observational study design Descriptive analysis
Setting/Sample

 

In hospital setting In hospital setting In hospital setting
Methods: Intervention/Instruments

 

Timeliness of consultations, documentation processes, delays in decisions, and lengthy assessment.

 

National emergency department overcrowding scale (NEDOCS) and Severely overcrowded not overcrowded Estimation tool (SONET). Satisfaction index and healthcare provision indicators.
Analysis

 

Increased patients rates in EDs dealing with mental, drug, and behavioral problems are due to staff frustrations. Existing models on the practice constitute reasons leading to the frustrations. Analysis of the observed data to create comparisons between overcrowded and not overcrowded associations with patient satisfaction. Included data from Euro Health Consumer Powerhouse based on literature indicators. The information regarded the years 2007 to 2012 on hospital performance from patient perceptions.
Key Findings

 

Adopting and implementing new models of care can reduce frustrations and improve patient satisfaction. This would impact staff willingness to support change and corporate in the implementation of innovative practice models. Higher degrees of crowding and overcrowding at the ED during patient admission lowered patient satisfaction levels. Patient satisfaction levels and healthcare provision indicators have a strong association in the ED. In addition, socio-economic aspects shape patient satisfaction levels. Patients on public health expenditures and the elderly are observed to be more satisfied with the country’s healthcare system.
Recommendations

 

Adoption and implementation of new models with a consideration of applicability and suitability of the EDs. Hospitals to reduce ED crowding to enhance client satisfaction. Further evaluations on the construction of the satisfaction index.

Focus on country-level analysis.

 

Explanation of How the Article Supports EBP/Capstone

 

The article will be utilized to educate on how innovative changes can be useful in the ED. The article also emphasizes the efficiency patient satisfaction from reduced ED crowding. Benchmark -Evidence-Based Practice Project: Literature Review The article evaluates the association between patient satisfaction and quality provision of healthcare as per current improvements in the system.