HCA 699 Lack of support from the stakeholders such as leaders and nurses, which could enhance the implementation of the project is a major barrier
HCA 699 Lack of support from the stakeholders such as leaders and nurses, which could enhance the implementation of the project is a major barrier
HCA 699 Topic 4 DQ 2
Evidence-based practice is important in improving the overall quality of patient care. Hourly nursing rounds is an EBP used to reduce patient falls at a medical-surgical unit (Flowers et al., 2016). However, implementing the evidence-based practice (EBP) is associated with many challenges acting as barriers (Patel, 2019). Lack of support from the stakeholders such as leaders and nurses, which could enhance the implementation of the project is a major barrier. Nurses have not taken hourly rounds with the seriousness it deserves. Sometimes staff perceives hourly rounds as an option or extra work imposed on them rather than as a daily care activity (Flowers et al., 2016). Staff should change their perception and beliefs regarding hourly rounds to ensure its effectiveness in preventing falls.
In addition, hospital leadership lack support for the hourly rounds. For instance, some leaders view hourly rounds as luxury and encourage it only when the staff has time and not short-staffed (Toole, Meluskey, & Hall, 2016). Furthermore, leaders do not recognize staff members who excel with hourly rounding. Also, leaders in most cases are not involved in the rounding. They should change their perception and hold the mirror for themselves. It is unfair for leaders to expect staff to round every hour when they themselves do not. Nurse participation in organizational activities and quality improvement measures is very important. According to Toole, Meluskey and Hall (2016), nurses are the most significant agents of change in a healthcare setting. However, they cannot succeed without leadership support. These two groups of stakeholders need to work in collaboration to support hourly rounds to reduce falls in the surgical unit.
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References
Flowers, K., Wright, K., Langdon, R., McIlwrath, M., Wainwright, C., & Johnson, M. (2016). Intentional rounding: Facilitators, benefits and barriers. Journal of clinical nursing, 25(9-10), 1346-1355. doi: 10.1111/jocn.13217
Patel, N. (2019). Breaking barriers: Implementing evidence‐based practice. Oral Surgery, 12(4), 286-292. https://doi.org/10.1111/ors.12435
Toole, N., Meluskey, T., & Hall, N. (2016). A systematic review: Barriers to hourly rounding. Journal of nursing management, 24(3), 283-290. doi: 10.1111/jonm.12332.
Hello,
This is a great discussion; methodology is an essential part of the research paper that indicates how a study can be conducted as well as the approaches that can be taken to ensure a successful outcome. Quantitative research approach is ideal as it involves the use of raw facts collected from the identified study participants (Hackett, 2018). You have clearly stated how the research problem can be studied and the techniques that need to be applied in an attempt to achieve or obtain an elaborate outcome. Your research problem is valid at it relate to the study methodology that have been described. Overall, the methodology seems to be a guide to what kind of research is needed and understanding the different kinds is probably a good first step once the research question is determined. Finally, quantitative approaches are important for the original studies that attempt to answer a given research question.
References
Hackett, P. (Ed.). (2018). Quantitative Research Methods in Consumer Psychology: Contemporary and Data Driven Approaches. Taylor & Francis.
