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NRS 433 Nursing research is used to study a dilemma or a problem in nursing

NRS 433 Nursing research is used to study a dilemma or a problem in nursing

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss how addressing the problem through nursing research can improve patient outcomes. Provide rationale and support for your answer.

Nursing problems vary in prevalence, manifestations, and impacts. Understanding them is essential for nurses to offer comprehensive solutions. A common nursing problem is job burnout, which health professionals experience at all levels. New graduate nurses are among the most vulnerable groups whose support is essential for improved patient outcomes. Catarelli et al. (2023) found that inadequate resiliency is a leading cause of high job burnout among nurses transitioning from education into practice. The impacts are far-reaching since the problem affects nurses, patients, and the organization. For instance, experiencing burnout during the early stages of working life is associated with high cognitive dysfunction, depression, and job dissatisfaction (Rudman et al., 2020). Job burnout is an issue I have also experienced at a personal level, hence the need for robust structures and adequate support to help nurses cope with it.

Addressing job burnout through nursing research can improve patient outcomes significantly. As Connor et al. (2023) mentioned, health professionals conduct research to generate new knowledge about a particular problem. Commonly, researchers use various scientific methods, such as observational and experimental studies. After the study, data is synthesized and analyzed to develop new concepts. A similar approach can be used to evaluate the causes of job burnout among new graduate nurses. For instance, surveys of experiences with care can be conducted to findings thematically analyzed. This information can then be used to design and implement evidence-based solutions for preventing job burnout. As White et al. (2019) posited, preventing nurse burnout improves patient care by preventing medical errors, job dissatisfaction, and nurse turnover, among other issues that hamper care quality. Using research to improve knowledge of issues is a foundation of effective solutions, hence high, sustainable outcomes.

Nursing research should be encouraged since it promotes evidence-based practice. Findings from randomized controlled trials and other studies guide nursing interventions on a broader scale. Research also allows nursing professionals to compare findings. For instance, resiliency building is compared with other interventions to determine the best method for preventing nurse burnout. Using the best methods implies a determination to achieve the highest patient outcomes.

 

 

References

Catarelli, B., Nobles, P., Aull, M., & Yi, F. (2023). Evaluating burnout and resiliency in new graduate nurses: a cross-sectional study. The Journal of Nursing Administration, 53(5), 259–265. https://doi.org/10.1097/NNA.000000000000127

Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., … & Gallagher‐Ford, L. (2023). Evidence‐based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on Evidence‐Based Nursing, 20(1), 6-15. https://doi.org/10.1111/wvn.12621

Rudman, A., Arborelius, L., Dahlgren, A., Finnes, A., & Gustavsson, P. (2020). Consequences of early career nurse burnout: a prospective long-term follow-up on cognitive functions, depressive symptoms, and insomnia. EClinicalMedicine, 27. https://doi.org/10.1016/j.eclinm.2020.100565

White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society, 67(10), 2065–2071. https://doi.org/10.1111/jgs.16051

 

Nursing research develops knowledge about health and the promotion of health over the full lifespan, care of persons with health problems and disabilities, and nursing actions to enhance the ability of individuals to respond effectively to actual or potential health problems (Institute of Medicine, 1983). Fall risk is, and will always be, a concern in hospital settings. According to the National Library of Medicine, “30–50% of falls result in some physical injury and fractures occur in 1–3%. No fall is harmless, with psychological sequelae leading to lost confidence, delays in functional recovery, and prolonged hospitalization. Yet falls are not true accidents and there is evidence that a coordinated multidisciplinary clinical team approach can reduce their incidence (Morris, 2017).

My Facility currently implements the “WAR” approach, which stands for within arm’s reach. We educate our patients that we must be always within arm’s reach of them when they are out of bed if they meet fall risk criteria. Many times, patients give pushbacks. But we constantly explain that it is for their safety and benefit. If they have any types of intravenous lines connected, oxygen tubing, or connections that tie them to their bed. For example, continuous pulse oximetry they must call before they fall. Staff must supervise or standby assist to make sure they get where they’re going safely. We have double-sided skid-proof socks that are to be worn when patients are out of bed. Bed alarms are enforced. Patients, of course, can refuse to have better alarms on but that is documented. Our fall rates have decreased since the WAR initiative was rolled out last year. Last year we had 16 falls on days and night shifts combined. This year so far, we’re halfway through 2022 and we’ve only had 5. Successful so far!

Reference

Institute of Medicine (US) Division of Health Care Services. Nursing and Nursing Education: Public Policies and Private Actions. Washington (DC): National Academies Press (US); 1983. Appendix 8, Nursing Research: Definitions and Directions. Available from: https://www.ncbi.nlm.nih.gov/books/NBK218540/

Morris, R., & O’Riordan, S. (2017). Prevention of falls in hospital. Clinical medicine (London, England), 17(4), 360–362. https://doi.org/10.7861/clinmedicine.17-4-360

Zhao, Y. L., Bott, M., He, J., Kim, H., Park, S. H., & Dunton, N. (2019). Evidence on Fall and Injurious Fall Prevention Interventions in Acute Care Hospitals. The Journal of nursing administration, 49(2), 86–92. https://doi.org/10.1097/NNA.0000000000000715

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One problem that I have noticed is nursing staff retention. Retention of nursing staff is vital to the healthcare field because it fosters teamwork and promotes patient safety, satisfaction, and outcomes. A survey conducted by McKinsey in 2022 showed that 31 percent of nurses were likely to resign from their current position providing direct patient care (McKinsey & Co.). This results in a ten percent rise from the year prior. Hospitals in the past five years have had over one hundred percent turnover rates, with nurses contributing to over 72 percent of that statistic. Mainly, nursing staff retention costs hospitals an average of nine million annually, with the average cost of training a new nurse being over 46 thousand a year (Beckers). A large part of why the retention rate in nursing is so high is COVID-19, making many nurses leave and retire earlier than expected. Another reason may be workload, burnout, stress, and lack of nursing support with management.

The best way to address the problem is through continued nursing research. They are researching the root cause of why the retention rate may be high in one field of nursing as opposed to another. Researchers can choose to be as specific or as broad as they want to help find the reasoning behind the problem. Therefore, nursing research can focus on particular areas of nursing where changes and improvements can be made to help slow down the problem. Researching to find the cause, evaluating results to find the problem, and implementing change to help fix the problem can result in better patient outcomes because happier staff results in better patient care and satisfaction. The partnership between conducting and implementing research and nursing leaders results in nurses maintaining their positions longer and benefits the patients by not experiencing any interruption of care. Research to help slow the retention rate can also help prevent treatment errors. This is because having a higher retention rate leads to shortages, which leads to a more increased workload, which can then lead to more mistakes.

In conclusion, using nursing research to help find the problem of nursing retention can lead to a snowball effect of spending less money on healthcare facilities, keeping nurses longer, reducing stress, and ultimately better quality patient care.

Resources:

Berlin, G., Murphy, M., (2023, 05/05). McKinsey & Company Healthcare. Nursing in 2023: How Hospitals are Confronting Shortages. https://www.mckinsey.com/industries/healthcare/our-insights/nursing-in-2023.

Robertson, M., (2023, 01/03). Becker’s Hospital CFO Report. Hospitals Average 100% Staff Turnover Every 5 years – Here’s what that costs. https://www.beckershospitalreview.com/finance/hospitals-average-100-percent-staff-turnover-every-5-years-heres-what-that-costs.html.

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