NURS FPX 9902 Assessment 3 Literature Synthesis

• NURS FPX 9902 Assessment 3 Literature Synthesis.

Literature Synthesis

The ongoing healthcare system wants to refresh patient safety and satisfaction while upgrading communication and teamwork among healthcare providers. Notwithstanding, challenges, such as preventable falls, incorporate the fundamentals for creative interventions. In this context, the ongoing errand twirls around fall prevention in the endeavor site of the emergency division (ED) by executing nursing-conducted bedside shift reports (BSR) to diminish fall rates, as explored in the NURS FPX 9902 Assessment 3 Literature Synthesis.

The objective of this literature synthesis is to conclude the issue of fall prevention in the errand site in the ED. Specifically, the endeavor means analyzing the effectiveness of nursing-conducted BSR, as contrasted with current nursing practices, in diminishing fall rates in the ED. The endeavor is created by the PICOT (Population, Intervention, Comparison, Result, Time) question: “For the emergency division nursing staff, how does the implementation of nursing-conducted bedside shift reports contrasted with current nursing practice impact the ED unit fall rates over 12 weeks?”

Search Strategy

• Electronic Literature Search Strategies

An electronic literature search utilized the Capella Library and Loyola School clinical staff library resources. Standard search strategies were applied across information bases, including CINAHL, Ovid, and ProQuest, using Organization terms, for instance, “bedside shift report,” “handoff communication,” “nursing shift handover,” “fall prevention,” and “emergency office.”

Furthermore, Trow and Manuel’s terms like “hand over at the bedside,” “hand off in nursing,” “safety of patients,” and “nurses’ communication” were also used. The Boolean operators “AND” and “OR” were utilized to combine the search terms, and a truncation system was applied to obtain variations of some keywords, for example, ‘bedside shift report.’

The articles included in this review have been published in scholarly journals, and full-text articles were sent in 2019-2024. The searches produced 127 journal articles. The materials were screened for relevance to the clinical query, redundancy, and language proficiency. Hand searches focused on the references of the articles and specific electronic databases and websites such as the National Patient Safety Foundation, the American College of Emergency Physicians, and nursing associations/organizations.

Articles that were informational or did not contribute to inducing the clinical question investigation were avoidedionally; central articles or rules were consolidated to compare imperfect research driving clinical principles versus enormous research that contradicts a couple of standard recommendations. Additional inclusion standards were articles that proposed bedside shift reporting as a component of a bundled fall prevention strategy or organization reimbursement rules. Literature frames were consolidated due to their outline comparisons and discussions of the authenticity of the results.

The last number of articles used for synthesis in this literature review was 40. The picked articles were considered to give extensive inclusion of the subject and were pleasing for the level of the evaluation. Coordinating openings from these investigations, this framework researches the various pieces of bedside shift reporting, fall prevention strategies, impact on patient safety, teamwork and communication, and patient education and empowerment.

It focuses on the positive correlation of BSR with patient safety points such as reduced falls, combined with revived teamwork and communication. These fall prevention strategies also call for cautious interventions that look for environmental risks, patient-expressed bet factors, and staff education, and thus tend to achieve promising outcomes in fall-related injury reduction.

The Guideline summarizes the best work of evidence-based interventions in fall prevention initiatives. The most common is the Falls I-Tip Card. Thus, these interventions will be translated into routine clinical practice in many ways. It may involve education, coordination, continued monitoring, and performance initiatives,
DNP Project

Effectiveness of Bedside Shift Reporting

The DNP project will restore patient safety by monitoring communication opportunities within the ED mission site related to patients at risk of falling. Though there are preventive analyses like yellow socks, fall lights, and fall risk gadgets, ED falls continue to occur due to ineffective communication during shift reports. The effort to conquer any issues is presenting bedside shift reports conducted by clinical guards that, with discussions at the patient’s bedside, see and reduce the ED patients’ fear of falls.

Insider information compiled from the effort site in the ED during 2022-2023 showed 36 falls; thus, it is proven that something is fundamentally in place that could be done to prepare a fall prevention strategy remarkably. These revised strategies may use assistive devices, education, and anti-slip wear to enhance patient safety.

To conclude the issue, the endeavor will likely work on patient safety and fall prevention, considering everything, through completing bedside shift change reports. The fall reports will be kept aware of by a covered Falls TIPS card, which will be conclusively positioned to confront the patient’s bed. The Falls TIPS card will consolidate bet components and interventions, giving a visual manual for block events and work on patient safety. By completing these actions; the endeavor wants to diminish the many falls in the ED and confirm a safer patient environment from a general point of view.

• Benefits of BSR Implementation

The effectiveness of bedside shift reporting (BSR), in addition to making patient safety results and working on the work environment for nursing staff, is highlighted in examinations by Elgin and Poston (2019), Hagell and Rejno (2020), and O’Rourke et al. (2020). Elgin and Poston (2019) and O’Rourke et al. (2020) stress the meaning of working with communication processes, standardized conventions, and staff organizing in BSR implementation to expand patient consideration quality.

Essentially, Hagell and Rejno (2020) and Choi, K. H., and Lee, H. (2020) give proof of the impact of BSR conventions on lessening unpalatable occasions and near misses, particularly in planning falls through more critical identification and tending to likely risks during shift handovers. The adoption of BSR lines up with the undertaking’s attention on reducing fall rates and working on patient safety. O’Rourke et al. (2020), Berg et al. (2021), and Dorvil (2019) demonstrate a decrease in falls post-implementation of BSR conventions, underlining the value of BSR in additional making patient safety results.

Outlines figured out a viable approach to nursing staff in this manner and uncovered expanded satisfaction levels, demonstrating a positive impact on the work area. In addition, Rosenberg (2019), Bressan et al. (2019), and Berg et al. (2021) offer fundamental strategies for strong BSR implementation, like setting clear communication expectations, shifting responsibility among healthcare providers, and using inventive contraptions.

Fall Prevention Strategies

Falls prevention is essential in healthcare, and a few examinations have highlighted the significance of seeing and planning environmental risks that can induce falls. For instance, Stoeckle et al. (2019) and Montalvo (2019) have included the requirement for measures like non-slip flooring and good lighting to thwart slips and falls. Healthcare providers are endorsed to embrace a conscious method for managing frame patients’ bet factors for falls and completing appropriate interventions, as required, which can lessen falls and thwart related injuries.

Information from the National Informational Record of Nursing Quality Pointers (NDNQI) can be utilized to get insights into the assurance and focal reasons for falls. Oliver et al. (2019), Montalvo (2019), and Stoeckle et al. (2019) have enhanced the use of such information.

The information can be instrumental in making changes to interventions for high-risk regions like emergency divisions, achieving diminished fall rates. In addition, patient-unambiguous interventions, such as presenting grab bars and propelling medications, can be expected to address individual patient necessities and reduce their risk of falling.The National Foundation for Patient Safety (2022) and Oliver et al. (2019) include standardized conventions and work with communication processes during nursing handoffs.

The conventions ensure that all members of the healthcare group recognize the patient’s fall risk factors and can take measures to prevent falls. By facilitating the exchange of basic fall risk information among healthcare accomplices, standardized conventions and communication cycles can confine the risk of falls and related injuries.

Impact on Patient Safety and Satisfaction

The investigations conducted by Wang et al. (2022), Bressan et al. (2019), Peterson et al. (2019), and Smith et al. (2021) give essential encounters into down-to-earth communication strategies for managing patient safety and satisfaction inside healthcare settings, particularly in emergency office (ED) settings. The examinations highlight two communication strategies that have proven particularly convincing in chipping away patient outcomes – ISBARR (Introduction, Situation, Foundation, Evaluation, Recommendation, and Readback) and bedside shift reporting (BSR).

ISBARR provides an arrangement for communication during patient handoffs among healthcare providers, which ensures clear and concise communication. The ISBARR and BSR decline the bet of goofs and misunderstandings, inducing better patient safety results. Wang et al. (2022) and Peterson et al. (2019) concentrate on the impact of ISBARR on interprofessional communication limits among nursing students and discover that its implementation updates communication limits, actuating positive patient safety results, as discussed in the NURS FPX 9902 Assessment 3 Literature Synthesis.

Worked with bedside shift handover conventions, such as BSR, have additionally been found to impact patient outcomes firmly. Bressan et al. (2019), Elgin, K. W., and Poston, R. D. (2019) demonstrate that implementing made BSR conventions in EDs impelled a decrease in unpalatable occasions and an expansion in patient satisfaction scores. Peterson et al. (2019) and Smith et al. (2021) further assist these openings through quality improvement with a widening focus on doing BSR conventions.

• Enhancing Patient Safety Measures

The endeavor actuated improvements in patient safety markers and clinical guard satisfaction. The examinations highlight the role of applicable BSR practices in managing patient responsibility and satisfaction during shift handovers, highlighting the significance of fitting conventions to meet patients’ momentous needs. The examinations give massive, evidence-based interventions to watch out for the PICOT question.

The examinations reveal the significance of convincing communication interventions, such as ISBARR and BSR, in driving patient safety and satisfaction in ED settings at the endeavor site. The examinations recommend that the endeavor site in the ED zero in on implementing these communication strategies to manage patient safety and satisfaction.

Healthcare Quality and Improvement

In healthcare, proof-based practices and decided quality improvement drives are imperative components for conveying good and strong patient consideration. Driving organizations in the field, like the Foundation for Healthcare Improvement (IHI) and the National Foundation for Progress and Care Significance (Captivating), see the advantage of using information-driven strategies to enlighten decision-production and advance consideration conveyance processes (IHI, 2020; Extraordinary, 2021).

Researchers and healthcare professionals see that quality improvement endeavors are essential for achieving positive patient outcomes and overhauling the overall quality of care across various settings, including the emergency division (ED). In like manner, the Organization for Healthcare Research and Quality (AHRQ) and The Joint Commission highlight the meaning of continuous quality improvement drives to drive possible improvements in healthcare conveyance processes (AHRQ, 2021; The Joint Commission, 2022). Through proof-based practices and information-driven strategies, healthcare organizations can smooth outpatient outcomes, decline costs, and finally, work on the overall quality of care they give.

Teamwork and Communication

The National Organization for Patient Safety (2022), Campbell et al. (2020), and Lukas and Anhalt (2021) have conducted examinations that highlight the significance of convincing communication, such as BSR and standardized conventions, in driving patient safety and teamwork inside healthcare settings. The investigations aggregately incorporated executing standardized conventions and worked with communication cycles to help healthcare join people to share vast amounts of information, decrease the likelihood of falls, and further energize patient safety results.

Specifically, these interventions include, for instance, BSR plans to standardize shift handover processes, develop information exchange, and encourage teamwork among nursing staff. The examinations prescribe that consenting to conclude that assisting the helpful implementation of bedside with shifting reporting practices can contribute to reducing fall rates in the ED unit north of 12 weeks.

In general, Campbell et al. (2020) and Lukas and Anhalt (2021) highlight the critical occupation of assertive communication in driving teamwork among selected chaperons and nursing accomplices. The investigations recommend that reasonable and concise communication channels, for instance, the BSR and standardized processes, are essential to ensuring continuity of care Campbell et al. (2020) Lukas and Anhalt (2021).

• Improving ED Shift Transitions

To achieve the goal of beating any issues by executing BSR in the ED, the examinations recommend doing work with conventions, conducting instructional courses for nursing staff, and doing mechanical devices to help communication during shift transitions Campbell et al. (2020) and Lukas and Anhalt (2021). The intervention of BSR can help with additional information exchange and work with the adoption of bedside shift reporting, in the long run, further making communication in the endeavor site of the emergency division, The National Foundation for Patient Safety (2022), Campbell et al. (2020), and Lukas and Anhalt (2021).

In conclusion, as a rule, examinations highlight the strong communication of BSR and standardized conventions in moving patient safety and teamwork inside the ED setting of the endeavor site. Executing BSR can diminish the likelihood of falls, further develop patient safety results, and further cultivate teamwork among nursing staff, long term inducing better patient consideration and results, The National Foundation for Patient Safety (2022); Campbell et al. (2020) and Lukas and Anhalt (2021).

Falls TIPS Card

Forestalling falls is a significant piece of healthcare, especially at the endeavor site in the ED. The patient-centered fall prevention contraption stash made highlights patient participation in fall prevention, including the utilization of visual consultants to help patients understand the meaning of fall prevention (Dykes, 2021; Guirguis-Blake et al., 2018; Walsh, 2020). A few interventions have been demonstrated helpful in thwarting falls in additional seasoned adults, for instance, practice programs that further develop balance and strength, home safety evaluations, and medication reviews to see those that could make the bet of falls (Dykes, 2021; Guirguis-Blake et al., 2018; Walsh, 2020).

The makers stress the significance of individualizing interventions considering a patient’s extraordinary bet factors; Fall-tips-instruction-sheet-for-clinical gatekeepers gives reasonable exhortation that can be involved by healthcare providers in the ED to hinder falls, for instance, ensuring patients have confirmed footwear, seeing staggering risks in the home and connecting with patients to demand help when required (Dykes, 2021; Guirguis-Blake et al., 2018; Walsh, 2020).

Preventing falls, in general, requires a great strategy that reviews patient participation and individualized interventions for perspective on express bet factors. Healthcare providers in the ED using contraptions, for instance, the fall prevention device stash and functional direction like the fall tips instruction sheet, can thwart falls and work on patient outcomes, as explored in the NURS FPX 9902 Assessment 2 Literature Search (Dykes, 2021; Guirguis-Blake et al., 2018; Walsh, 2020).

Integration into clinical practice

Integrating proof-based interventions into routine clinical practice is essential for reasonable improvements in patient safety (Greenberg & Pokorny, 2020; Meisel et al., 2019). This consensus among researchers integrates the first occupation of education, coordination, and ongoing evaluation, which are needed to work with the adoption of best practices in healthcare settings (McDaniel & Stahl, 2019; Mistry & Stewart, 2020). Especially in fall prevention inside the crisis division (ED), there is a common perspective on the meaning of proof-based strategies and conventions to work with fall chances and update patient results (Halm, 2018; Fair, 2021).

Foundational speculations in proof-based practice, for example, the Information-to-action Structure and the Translational Research Model, offer plans for understanding and executing interventions featuring sorting out proof into clinical practice (Greenberg & Pokorny, 2020; Meisel et al., 2019). These speculations stress translating research proof into actionable practices and identifying and addressing cutoff centers for implementation inside healthcare settings. Understanding these speculative plans is tremendous for organizing the outline and implementation of interventions zeroed in on administering patient safety and quality of care.

• Frameworks for Clinical Implementation

Researchers utilize frameworks to integrate evidence-based interventions into clinical practice, including emotional, quantitative, and blended strategies that move closely (Halm, 2018; Meisel et al., 2019). Emotional strategies, such as gatherings and center get-togethers, give snippets of information into accomplices’ perceptions and encounters with implementation tries. In the meantime, quantitative strategies are used to evaluate intervention effectiveness and results.

Blended strategies offer an all-out understanding by sorting out emotional and quantitative information and uncovering information about the perplexing cycles pulled by coordinating proof into practice. Researchers gain enormous details on the difficulties and doorways of coordinating proof through this strategy—based intervention in routine clinical practice, improving patient safety and quality of care in healthcare settings.

Patient Education and Empowerment

Bhattad and Pacifico (2022) and Oliver et al. (2019) advocate for giving expansive information to patients about their sicknesses, therapy options, and strategies for dealing with their thriving, without a doubt. The intervention means connecting with patients to pursue showed decisions and take possession of their flourishing, in this way moving patient empowerment in crisis office settings. These investigations suggest that giving patients clear information about their sicknesses and therapy plans can foster their flourishing outcomes.

In addition, the examinations discuss different interventions featuring teaching and attracting patients to block falls, Bhattad and Pacifico (2022) Oliver et al. (2019). These interventions consolidate giving educational materials, conducting one-on-one discussions, sorting out bundle education sessions, using visual associates, and doing common exercises, Bhattad and Pacifico (2022) Oliver et al. (2019). By really entrancing patients in their consideration and furnishing them with information and mechanical congregations for fall prevention, the two examinations propose that crisis divisions can, for the most part, decrease fall rates and update patient safety results Bhattad and Pacifico (2022), Oliver et al. (2019).

The literature synthesis researches the implementation of nursing-conducted bedside shift reports (BSR) as a strategy to ease fall rates in the crisis division (ED) Dorvil,
B. (2019) and Bhattad and Pacifico (2022). The strategy looks out for inconveniences, such as preventable falls, and is crucial for imaginative interventions like fall pointers for the patient (Dorvil, B. (2019) Bhattad and Pacifico (2022).

• BSR Enhances Patient Safety

In conclusion, an all-out search for articles on BSR and fall prevention strategies yielded 40 fundamental examinations. The outcomes propose that executing BSR in crisis offices can restlessly impact patient safety results, teamwork, and patient satisfaction. In particular, the examinations showed that BSR implementation is connected with diminished fall rates and improved patient safety.

Additionally, implementing communication processes, standardized conventions, and patient education can assist with achieving patient safety results and reduce preventable falls. Patient education connects with patients to play a functioning position in their consideration and upset falls in the ED. By executing BSR in conjunction with a fall pointer, for example, the Falls TIPS card during shift reports, the result can be improved to lessen fall rates at the endeavor site in the ED.

The prioritization of patient safety is a fundamental aspect of undertaking a site in the crisis division (ED) setting. Implementing convincing strategies to support patient results is one component that guarantees that patients get ideal consideration. The ED environment is portrayed by its speedy and high-pressure nature, which can make it endeavor to convey good and proficient consideration, as explored in the NURS FPX 9902 Assessment 3 Literature Synthesis.

Considering those difficulties, we want to fan out proof-set-up strategies that concentrate on patient safety while redesigning clinical results. By taking such an approach, for example, the BSR and Falls TIPS card, the ED can give remarkable consideration to settling patients’ issues while moderately diminishing the risk of falls.

References

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Bhattad, P., & Pacifico, L. (2022). Empowering patients: Promoting patient education and health literacy. Cureus.

https://doi.org/10.7759/cureus.27336

Bressan, V., Cadorin, L., Pellegrinet, D., Bulfone, G., Stevanin, S., & Palese, A. (2019). Bedside shift handover implementation quantitative evidence: Findings from a scoping review.

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Choi, K. H., & Lee, H. (2020). The effectiveness of multifactorial interventions for preventing falls in older adults living in the community: A systematic review and meta-analysis.

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Emergency Nurses Association. (2021). “Guidelines for Effective Bedside Shift Reports in the Emergency Department.”

www.ena.org/guidelines/bedside-shift-reports

Elgin, K. W., & Poston, R. D. (2019). Optimizing registered nurse bedside shift reports. Journal for Nurses in Professional Development, 35(2), E6–E14.

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