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DQ: Describe sampling theory and provide examples to illustrate your definition

NRS 433 Topic 3 DQ 2

DQ: Describe sampling theory and provide examples to illustrate your definition

Replies to Wanda Felder

Scientific research is what guides nursing practice. Furthermore, research provides evidence-based data to support evidence-based practice (EBP) (Yates, 2015). Improving patient outcomes through the utilization of EBP should be the goal of the nurse. Yates (2015) mentions that through quality improvement (QI) projects, further research opportunities could be developed.

As we embark on nursing research and advancement professionally, think about your unit-based QI projects. Do you think your QI project could be transformed into a research study? It is not always an easy feat, for some there are reservations because of a lack of support from peers or leaders (Yates, 2015). Sometimes change it can take others more time to align with QI projects and research studies. Yates (2015) the following as means of increased interest in research: “nursing education is strengthened, time away from direct care is allocated for conducting research activities, consultant resources such as methodologists and biostatisticians are available to staff, institutional and organizational support of research are strengthened”.

At the organization I work for there are many areas that would benefit from a research study. One that is very important for the continued growth of the organization is the retention of trainees in class. The more trainees we graduate the better revenue because we will be able to increase the number of cases we accept to service. There are two populations that we have great success within retention

DQ Describe sampling theory and provide examples to illustrate your definition
DQ Describe sampling theory and provide examples to illustrate your definition

which are Spanish and Chinese trainees. They average a 90 to 100% graduation rate. Unfortunately, the African Americans average a 45 to 60% retention rate. I am responsible to document the start of class and those at the completion of class. The organization tries to be very careful concerning this issue as not to stereotype anyone or have issues with discrimination. I believe this is why they would never go further than what they have been doing to attain the information needed to see why the retention is low with this population. There has been success with research on retention, Murray, et al., (2022) concluded that the use of evidence-based strategies can improve retention. Murray et al., (2022) started with 42 and ended with 36 which was an 86% retention. They even mentioned some of the suggestions I made to the QI department that I felt might help to retain trainees. Suggestions made; recruitment location/places we are looking to interview for admission, educational background to address if they are ready for our program, services, resources, and incentives like daycare, carfare, food programs, uniforms, and books. Mentorship and support are essential for continued growth, guidance, a sense of worth and importance. My peers take it upon themselves to support and mentor their trainees, we could do even more if we had the support of upper management.

DQ: Describe sampling theory and provide examples to illustrate your definition

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For us to assist this population we need to understand their needs, a research project would most definitely assist with this. I would hate to think cost would interfere with the organizations decision not to invest in something that could bring profit in the long run. The statement has been made that our department does not bring in money, but if we don’t graduate enough trainees to work with the clients, they can’t increase the number of clients they accept into the health care program.

Reference:

Murray, T. A., Simmons, K. J., Boyd, E., Holmes, S., Bobo, T. L., & Turner, J. (2022). Evidence-based strategies to advance BSN student diversity. Journal of Professional Nursing, 39, 122. https://doi-org.lopes.idm.oclc.org/10.1016/j.profnurs.2021.12.013

 

  Jumyr Kangleon

replied toWanda Felder

Apr 24, 2022, 2:28 PM

  Replies to Wanda Felder

Dr. Felder, I believe there are a lot of QI projects in my unit that could be transformed into research studies. But I do not think it is because of a lack of support from my peers or leadership, but rather something deeper in the system that we do not quite understand. Some of the QI issues in our unit are: surgery not starting on time, no orders the day of surgery or H & Ps being done by physicians, and scheduled cases that do not fit the criteria for outpatient ASCs. Most of these issues are from certain surgeons and their schedulers. All healthcare personnel prioritize improving the quality and safety of care, and it is a never-ending effort. Efforts to enhance the quality, safety, and efficiency of health-care delivery have frequently focused on modifying methods of service organization and delivery (Hill et al., 2020). The goal of quality improvement is to increase the quality of care we provide to our patients so that we can keep them safe, which is the main priority. We also, as nurses, continuously strive to improve our practice to make our job more efficient. Helping identify problems and implementing actions to improve them helps create the best possible outcomes. Leadership created a system in my unit where we daily go over problems and concerns. Every morning, staff members gather around a white board, and we discuss and write on the board the problems that we faced the day before. Then leadership identifies what needs to be looked at so they can help find solutions to solve those problems. So far, I believe it has been a positive thing since it allows us to focus on the things that have been continuously producing difficulties and find a method to address them so that they do not reoccur.

DQ: Describe sampling theory and provide examples to illustrate your definition

DQ: Describe sampling theory and provide examples to illustrate your definition

Reference

 

Hill, J.E., Stephani, A.M., Sapple, P., and Clegg, A.J. (2020). The effectiveness of continuous quality improvement for developing professional practice and improving health care outcomes: A systematic review. Implementation Science, 15 (23)

https://doi.org/10.1186/s13012-020-0975-2

  Natalya Kramarczyk

replied toWanda Felder

Apr 24, 2022, 5:37 PM

  Replies to Wanda Felder

Dr.Felder,

Both the American Nurses Association and the American Association of Critical-Care Nurses identify participation in quality improvement (QI) efforts as part of a nurse’s role (Whiteman et al.,2021). In the hospital I work, nurses are strongly encouraged to participate in quality improvement programs in order to improve quality of care and patients’ safety. Nurses who provide direct care to patients are in a unique position to identify areas of improvement. Solving complex problems, however, requires in-depth exploration of both the issue and the factors contributing to it. Nurses can utilize hospital data and reports (quality or risk reports) to gather additional information for the areas of improvement and nursing management always willing to share this data with nursing staff.

QI initiatives can also arise from interactions with patients and families or from new knowledge as well. I want to share my experience of participating in QI project on my unit. The goal of this QI effort was to improve nursing knowledge of Alcohol Withdrawal Syndrome (AWS) and adhering to our hospital new Alcohol Withdrawal Policy which was implemented in 2019. With the help of QI department, I was able to collect the data showing overwhelming noncompliance with the new policy in regards of assessment, implementation and documentation. as a result, patients who were diagnosed with ETOH withdrawal were not managed and treated correctly and were at risk for complications, increased length of stay and transfers to higher levels of care. Pre-educational survey of our nursing staff revealed that nurses caring for this patient population were unaware of psychology of AWS and DTs and lacked confidence of caring for these patients. In addition, nurses expressed confusion with the use of assessment tools and documentation according to the new policy. Together with education department and pharmacist, we created an educational binder and TIP sheet to increase adherence to the policy. In addition, I conducted small group “workshops” on our unit to make sure that no gaps are left in knowledge. This QI project was very successful. I received positive feedback for QI department and from nurses on our unit.

From my personal experience I can confirm that Quality Improvement requires an interprofessional team effort. I had very good support from other departments while working and implementing this project. This QI could be potentially a further research opportunity. After reviewing and researching number of studies I came to the conclusion that there is no universal approach of treating AW patients and Alcohol Withdrawal Syndrome is overlooked and mismanaged, therefore many hospitals have different protocols of AWS.

DQ: Describe sampling theory and provide examples to illustrate your definition

A sampling theory is a statistical discipline that deals with the interpretation, analysis, and collection of data from unsystematic samples of a population of interest. Sampling theory encompasses coming up with conclusions based on collected samples, precision estimation, prior knowledge of the population, as well as probability theory. In sampling theory, both finite and infinite parameters are estimated. The process involves both probability and non-probability sampling, which is categorized into stratified, random, quota, systematic, snowball, convenience, and cluster sampling.

In a team-building activity, for example, a company might allow each employee to pick his or her position at the same time without knowing what the activity will be; this is an example of random sampling. As an example of convenience sampling, a new company, organization, firm, church, or school would distribute flyers in places where there is a crowd, such as malls, churches, and school entrances. A generalizable result is a result obtained from bringing together the results of several research studies on a large number of individuals. In the health care sector, generalizability is particularly important in cases where a specific medication can be applied to most people or to certain groups of people. As a result, most people receive the same medication because it is safe and effective for a wide range of people. Paracetamol, for example, is commonly prescribed to patients as a pain reliever because it is effective in most cases.

References

Elfil, M., & Negida, A. (2017,January 14). Sampling methods in clinical research; an educational review. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325924/

IWH. (2006, August). Generalizability. Institute for Work & Health. https://www.iwh.on.ca/what-researchers-mean-by/generalizability