Running head: IDENTIFYING A RESEARCHABLE PROBLEM 1
IDENTIFYING A RESEARCHABLE PROBLEM 2
Part 1:
The Agency for Healthcare and Quality has described the bedside shift reporting as a strategy that helps in ensuring the safe handoff of care between nurses in a health facility by involving the patient and the members of the family (Sand-Jecklin, & Sherman, 2013). In every health facility, communication is an important factor since it significantly affects the delivery and the outcome of care. In this strategy, the patient defines the individuals that are part of the family and those that can take part in the bedside shift report. The bedside shift reporting strategy is a critical approach in nursing as it seeks to provide the care that patients deserve and it also influences nursing as a profession in a positive manner (Wakefield, Ragan, Brandt, & Tregnago, 2012). The purpose therefore of this part one of the course project is to identify and apply relevant research to a specific nursing problem by going through the task of formulating answerable questions through research.
Identification of problem selected
The principal aim of this study is to identify the challenges that nurses face while implementing the bedside shift reporting strategy in health facilities in the country, explain the significance of the strategy in nursing, come up with research questions related to the problem under study, analyze the viability of the issues, formulate a PICOT question and determine ten key words that would be used in literature review.
Background Questions and Analyzing Viability
In research, once a researcher determines the topic to research on, the researcher must come up with background questions, and these are the questions that lead him or her to a researchable problem (Wakefield, Ragan, Brandt, & Tregnago, 2012). The questions that the researcher develops should be related to the problem under study, and they should also be practicable. Here, practicability mainly focuses on various areas, for instance, the availability of the participants in the study, the cooperation of other researchers, the facilities and equipment, the ethical considerations in the study, and finally the skills of the researcher (Cairns, Dudjak, Hoffmann, & Lorenz, 2013).
The background questions in this study include: What are the elements of an effective bedside shift reporting strategy? How do corporations receive support from the members of staff? What are the barriers to the implementation of a bedside reporting strategy? How do patients and their families get involved in this strategy? How can nurses complete this strategy in a timely manner?
This whole study on bedside shift reporting will be carried out in six months however the researcher will look into the background questions in three weeks. While conducting the study, nurses would first be educated on the bedside shift reporting strategy so that they would know how it works and its participants. Secondly, nurses would be asked to volunteer for the program, and those that volunteer would be required to attend a three hour class on how to actually implement the strategy (Sand-Jecklin, & Sherman, 2013). Nurses would then be divided into two groups, where one group would use the traditional method of reporting as the other uses the bedside shift reporting strategy. The nurses and patients would be required to fill forms on a weekly basis after which the researcher would determine what hinders the nurses from effectively implementing the strategy in nursing practice (Cairns et al. 2013).
In this study, ethical considerations would be taken into account, for instance, those patients that are not comfortable with some of their family members being part of the bedside shift report or family members that do not need to be informed about the patient’s medical history or progress. In carrying out this study, no facilities or equipment would be required. I would also incorporate the efforts of my colleagues (nurses) to ensure proper protocols are followed and documented. There will be no monetary use involved for participants.
The PICOT Question
As stated by Davies, (2011), one of the most challenging aspects of Evidence Based Practice is to actually identify the answerable question. PICOT is a mnemonic that is used to help address, formulate and summarize research questions (Jeffs, Acott, Simpson, Campbell, Irwin, Lo, & Cardoso, 2013). In the acronym, P stands for the population sample that I would use in my research. I stands for interventions that I would utilize, C would represent in my case study the comparisons used, O would stand for the outcomes of my study, and this also includes the results that I as the researcher would measure to examine the effectiveness of my plan (Jeffs et al. 2013). T stands for time, and this describes the period in which the study would be carried out. In the study, the PICOT question is: In a hospital (P), does bedside shift reporting (I) as compared to traditional methods of reporting (C) lead to an improved communication (O) over a six month period (T)?.
The Key Words to Be Used In Literature Search
When one selects key words that would be used in literature research, one must choose those words that would make one access databases with the information required in the study. In this study, ten key words would be needed to guide my research in obtaining information related to the topic under study. The key words include shift report, handover, communication, patient care, bedside shift report, hand off communication, nursing practice, SBAR report, shift, and traditional shift reporting strategies. In searching for information, I would type the keywords when I want to yield fewer results but would also type the key words in unfiltered method when I want to generate more results, although most of these results would not be related to the topic under my study.
References
Cairns, L. L., Dudjak, L. A., Hoffmann, R. L., & Lorenz, H. L. (2013). Utilizing Bedside Shift Report To Improve The Effectiveness Of Shift Handoff. Journal Of Nursing Administration, 43(3), 160-165.
Jeffs, L., Acott, A., Simpson, E., Campbell, H., Irwin, T., Lo, J. & Cardoso, R. (2013). The Value Of Bedside Shift Reporting Enhancing Nurse Surveillance, Accountability, And Patient Safety. Journal Of Nursing Care Quality, 28(3), 226-232.
Sand-Jecklin, K., & Sherman, J. (2013). Incorporating Bedside Report Into Nursing Handoff: Evaluation Of Change In Practice. Journal Of Nursing Care Quality, 28(2), 186-194.
Wakefield, D. S., Ragan, R., Brandt, J., & Tregnago, M. (2012). Making The Transition To Nursing Bedside Shift Reports. The Joint Commission Journal On Quality And Patient Safety, 38(6), 243-AP1. Davies, K., (2011). Formulating the Evidence Based Practice Question: A review of the Frameworks. Evidence Based Library and Information Practice, 6(2) 75-80. Retrieved
from ualberta.ca/index.php/EBLIP/article/view/File/9741/8144
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.