Nursing homes plays important role in patient care and management. The quality of patient care in nursing home depends on measures that are implemented to help improve the performance of nurses and the entire nursing profession. Recently nursing profession has been involved with the implementation of various programs that are aimed at improving the quality of nursing at various nursing homes. The articles included in this annotated bibliography highlight various studies that have been conducted on the implementation of nursing programs to help improve the quality of nursing professions and practice. The studies involves implementations of six main programs that include fall management, night-shift clinical nurse specialist, bedside handover, nursing language in long-term care and nursing education, evidence based clinical research and person-centered care.
Rask,K., Parmelee, P.A., Taylor, J.A., Green,D., Brown, H., Hawley, J., Schild, L., Strothers, H.S., and Ouslander, J.G.,(2007). Implementation and Evaluation of a Nursing Home Fall Management Program, The American Geriatrics Society, 55(3):342–349
The main theme of the article is to evaluate the effectiveness of implementing a falls management program in nursing homes. This was occasioned by a huge number of approximately 800 million residents of United States nursing homes who fall each year resulting to various health consequences such as injuries, pains, fears and death leading to high expenses in nursing homes (Rask et al, 2007). In the implementation of a falls management program, the author considers training of the falls management team, development of the fall management facilities and support of APN in the process of the program implementation.
The work of Vanderbilt University School of Medicine has been used by the author as evidence to support falls mismanagement program. The falls management program was implemented in 19 nursing homes with two different stages that involved the initial project comprising of 9 nursing homes and the delayed project with 10 nursing homes. The project was implemented in duration of 4 months. The project implementation was conducted in three phases that comprises of development of organization support that was achieved through organizing fall management conferences and workshop, intensive training of falls management teams and APN support during the implementation.
The implementation of the project is logical and contains detailed information that enables readers to understand the entire implementation process of a falls management program. The article is valuable to nursing homes since it helps address one of the fundamental problems faced by nursing home providers hence create change in nursing homes. Due to the given high number of the nursing homes residents who fall each year, it is appropriate for the nursing home providers to come up with appropriate falls management program that will reduce falls in the nursing homes hence mitigate costs that are associated with falls in NH.
The article uses a sample of 19 nursing homes which is an adequate number to reflect the whole population of the nursing homes with accuracy. The article is also clear and detailed since its outlines all the key areas such as introduction, methodology, findings and conclusions. This makes it appropriate in the evaluation of the effectiveness of a falls management program hence contributes to improvement of quality of care in NH.
Becker,D.M.(2013). Implementing a Night-Shift Clinical Nurse Specialist, Clinical N, Feature Article, 26-30
The article articles has two major themes that include bridging the gap that exists between day and night shift nursing and to introduce night shift clinical nurse specialists so as to help improve quality of patient care, improve communication, provide nursing and ensure cost effectiveness.
The author support the program with evidence from research studies that shows that night shift nurses face more challenges than their day shift counterparts hence frequently experiences stress, increased errors and retention and turnover challenges (Becker, 2013). This is attributed to the fact that most of activities such as education, meetings and administrative interactions occur during the day specifically between 8 AM and 5PM making night shift nurses unable to participate in such activities. This lowers their morale and productivity as they feel neglected by the hospital management. The creation of the position of night shift clinical nurse specialist ensures the responsibility of bridging the gap between the day and night shift nursing. The author makes it clear that improving the quality and satisfaction of night shift nurses is important towards increasing the effectiveness of health institutions.
This article is valuable to hospitals since it helps illustrate effective way through which the quality of night shift nursing can be improved in hospitals by boosting the morals of night shift nurses and providing them with adequate support. It shows that such programs help the management of hospitals to determine the positive impacts of night shift CNS position in nursing homes and patient care. The article however is not properly designed since it does not give clear details of the methodology used in the implementation of the program. The use of one community hospital in the article as a sample is also inadequate to reflect the entire population of hospitals.
McMurray, A., Chaboyer, W., Wallis, M. and Fetherston, C (2009).Implementing bedside handover: strategies for change management, Professional Issues In Nursing, Journal of Clinical Nursing, 19, 2580–2589
The theme of the article is to find out the effectiveness of the implementation of bedside handover and identify the factors that influence bedside handover. The article also determines the appropriate procedure that should be followed for an effective bedside handover. The authors also stresses on the significant of change in the handover process from the verbal handover to the bedside handover.
The implementation of bedside handover in hospitals is supported by evidence from research studies that indicates that verbal handover is associated with negative effects such as low quality of care, inaccuracy of information, concern on safety of patients and miscommunication between staff members and patients. This evidence suggests that verbal handover is ineffective in patient care as compared to bedside handover which increases the quality of patient care in hospitals. The two hospitals used in the study include one that has implemented bedside handover and the other which was beginning to implement bedside handover.
The implementation process of bedside handover uses Lewins (1951) force field model of change comprising of three stages that include unfreezing, moving and refreezing(McMurray et al, 2009). The implementation of the program also involved the participation of the staff and patient. This ensures accuracy of information and communication between the people involved in the handover process. In the unfreezing stage, there is a review of strategies that are used to improve the process of handover in hospitals based on the information collected from nurses involved in handover process. The moving stage is concerned with the implementation process where appropriate strategies are put in place during the implementation of bedside handover. This is then followed by the refreezing stage where bedside handover is made as a regular routine in hospitals.
Implementation of bedside handover according to the authors improves the quality of patient care as opposed to verbal handover. This is because in bedside handover all the participants such as patients and nurses are allowed to make contribution during the handover process making it more satisfactory. It also ensures transparency, accountability, accuracy and appropriateness of communication process.
The article is valuable since it gives important information that can ensure improvement of patient care as a result of adopting bedside handover in hospitals. It also gives important factors that facilitate a change from verbal handover to bedside handover in hospitals. It supports the topic and gives adequate evidence that shows that the implementation of bedside handover in hospitals improve the quality of patient care in hospitals. However the sample used in the study is too small to give an accurate result that reflects the entire population. The authors also did not provide adequate information on the implementation process. This makes it difficult for nurses to develop appropriate strategies that can lead to effective bedside handover.
Aizenstein, S.(2009). Perspective: Implementation of Nursing Language in Long-Term Care and Nursing Education, International Journal of Nursing Terminologies and Classifications 20(3)
The main theme of the article is to describe the experiences nurses face in the nursing education and career. The experience that nurses face in the education and careers expose them to various nusrsing languages at different stage of their career and education. The article is aimed at educating all the nursing professionals to be able to embrace nusrsing language in their education and career. From the author’s perspective, nursing language contributes positively to the development of the nursing profession and education (Aizenstein, 2009). It prepares individuals interested in pursuing nursing career to be prepared to meet and embrace different nursing terminologies and languages used at different stages of nursing education and career.
The article is ideal in educating students and nursing professionals who are interested in pursuing further nursing education or career development in nursing. Giving of personal experience stories is accurate since it gives the reality on the ground hence its findings can be accurate in any given settings. This article is therefore ideal for preparing nurses for furher education and career development hence improve the quality of patient care. The article is also able to cover experiences at various stages of nursing profession and education hence it is reliable in giving of the real experiences at various career development and education stages of a nursing profession. The article however have some limitations since it only considers the experience of a single nursing professional. This can not be used as an overall judgment for the experiences of other nursing professionals.
Corpa, E.A., Hito, P.D., García, C.J., Liza, M.J., Riscal, C.l., Alcaraz, C.A., Corbalán, T.J.and Hernández, C.A. (2013). Implementing evidence in an onco-haematology nursing unit: a process of change using participatory action research, International Journal of Evidence-Based Healthcare, 11: 46–55
The authors of the article are supporting the use of evidence based clinical profession in the provision of nursing care through the use of a participatory action research. The aim is to bridge the gap between research and nursing practice. The article compares and gives various literatures that support the use of evidence based clinical practice in nursing profession. The argument of the authors is supported by various literatures on the implementation of evidence based clinical practice in healthcare institutions (Corpa et al, 2013). The main aim of using evidence based clinical practice in the nursing profession is to bridge the gap between nursing practice and research.
The author uses participatory action research guided by Checkland’s soft system in the implementation of evidence based clinical practice in hemo-oncology unit clinical practice (Corpa et al, 2013). The major strength of Checkland’s system is its ability to adapt to the context. In the study, the methodology was ensured through seven main stages that include detection and explanation of the problematic situation, the delimitation of the implied methods, appropriate modeling of the system, comparison between the problematic situation and desirable model, conceptualization of what is feasible and desirable, putting in place of proposed strategies and observation and finally reflection of about the change. The study opted for investigation which is practical where the researcher initiates the PAR, facilitates and organize the process. The article used 40 participants for the study and all of them were nursing professionals. The evidence from the study shows that the use of evidence based clinical research in nursing helps improve the quality patient care.
The article provides adequate details and clearly illustrates all the steps that were involved in the study. This makes it easier for readers to be able to get the information from the article. It also includes all the important process required in a research study. This makes the article to be valuable to researcher health manager interested in using PAR in the introduction of evidence in hospital settings. The sample population used was adequate to reflect the entire population. The article also provides useful information to nursing professionals that is aimed at improving the quality of patient care. The information provided in the article can be used to improve the quality of nursing in healthcare institutions. The findings of the article are also supported with various literatures on the evidenced based clinical practice hence it can be regarded as a credible research finding. The contribution to the topic was the success of the implementation of evidence based practice in hospitals using participatory action research.
Rosemond, A.C, Hanson, C.L, Ennett, T Susan, Schenck, A.P. and Weiner, B.J (2012). Implementing person-centered care in nursing homes, Health Care Manage Rev, 37(3), 257-266
The theme of the article is to nvestigate and highlights the importance and contributions that are associated with the implementation of person centered care in the nursing homes. In the article the authors stresses on the need and significance to implement person – centered care in nursing homes. The idea to implement person – centered care in nursing homes is to improve the quality of the patient care in nursing homes. This article also identifies the factors that hinder the effective implementation of person- centered care in nursing homes. Among the factors that were identified as hindering the implementation of person – centered care in nursing homes include the project scope, management communications and the implementation climate (McMurray et al, 2009)
The evidence that the authors of the article use to support the theme include the adoption of conceptual framework of Klein, Conn and Sorra 2001 (McMurray et al, 2009). This is due to the belief that the concept works as a guide to identification of organizational level of construct. The framework is also effective in application to complex organizations with workers of different responsibilities and values. The framework contains scope of practice, organizational stability, financial resources, management support and training programs,
The article uses a purposive sample that consisted of eight nursing care homes from various geographical regions and with different levels of the implementation of person – centered care program. The sample size variation makes the research study to reflect the real representation of nursing care homes. This makes the study to be accurate in the provision of the results that are useful in ensuring effective implementation of person- centered care in nursing homes. The strategies for implementation process are clear and have a logical flow making the study to be valuable in ensuring effective implementation of person-centered care in nursing homes. The article is relevant to the nursing homes since it can help in the identification and eradication of factors that hinder the implementation of person- centered care hence improve the quality of patient care in nursing homes.
From the results of the research studies, it has been found that the implementation of a fall management program, night-shift clinical nurse specialist, bedside handover, nursing language in long-term care and nursing education, evidence based clinical research and person-centered care in nursing homes are important towards improving the quality of patient care in nursing homes. It is therefore appropriate for the nursing homes to implement the above programs so as to be able to improve on the quality of their services to the satisfaction of both the patients and nurses.
Aizenstein, S.(2009). Perspective: Implementation of Nursing Language in Long-Term Care and
Nursing Education, International Journal of Nursing Terminologies and Classifications 20(3)
Becker,D.M.(2013). Implementing a Night-Shift Clinical Nurse Specialist, Clinical N, Feature
Corpa, E.A., Hito, P.D., García, C.J., Liza, M.J., Riscal, C.l., Alcaraz, C.A., Corbalán, T.J.and
Hernández, C.A. (2013). Implementing evidence in an onco-haematology nursing unit: a process of change using participatory action research, International Journal of Evidence-Based Healthcare, 11: 46–55
McMurray, A., Chaboyer, W., Wallis, M. and Fetherston, C (2009).Implementing bedside
handover: strategies for change management, Professional Issues In Nursing, Journal of Clinical Nursing, 19, 2580–2589
Rask,K., Parmelee, P.A., Taylor, J.A., Green,D., Brown, H., Hawley, J., Schild, L., Strothers,
H.S., and Ouslander, J.G.,(2007). Implementation and Evaluation of a Nursing Home Fall Management Program, The American Geriatrics Society, 55(3):342–349
Rosemond, A.C, Hanson, C.L, Ennett, T Susan, Schenck, A.P. and Weiner, B.J (2012).
Implementing person-centered care in nursing homes, Health Care Manage Rev, 37(3), 257-266
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