FIU Role of Nurses in Ensuring Efficiency Poster Presentation Create a poster presentation based on your journal critique. The poster presentation is necessary for research to facilitate readers and audiences a review of all the important information about the research without them to read the entire paper. I uploaded a poster template and an example for you to see it. Just fill the information on the template based on the article evaluation that you did on week 5.
Journal Critique:
When writing a critique paper, one must first understand the authors main points, the basis of the argument, and the credibility of the supporting resources. One has to ask himself some questions such as Does the topic relate to the body of the research? Has the author provided facts for their main points? Has the author used quality resources to support his points? Has the author presented a reasonable argument for his ideas? (Best Essay Tips, n.d). The article written by Needleman & Hassmiller (2009) examines the nurses roles in improving quality and efficiency in a hospital. The researchers argue that there is a significant link between nurses and patient outcomes; the way nurses care for patients affects their health and can be a determinant of surviving or dying.
Adequate nurses can monitor patient’s conditions, harmonize care, and educate patient and family on the potential risks that could cause complications or readmission. The nurses can help to improve the efficiency of hospitals by cutting down on costs. This involves nurses ability to carry out their duties on time and in an efficient manner. Also, the researchers point out that high qualified nurses are likely to make minimum or no errors (Needleman & Hassmiller, 2009).
This article is credible, as the authors present realistic arguments and facts. Since nurses spend the most time with patients, they determine the patient’s outcome through the care they give. The authors also use credible resources, which are peer-reviewed. Moreover, the researchers use real-world results as they examine a model, the Transforming Care at the Bedside (TCAB), which was adopted by hospitals, and it brought significant results in terms of high quality and reduced costs (Needleman& Hassmiller, 2009).
References
Best Essay Tips. (n.d). What’s an article critique and how to write it. Retrieved from https://www.bestessaytips.com/writing_article_crit…
Needleman, J. & Hassmiller, S. (2009). The role of nurses in improving hospital quality and efficiency: Real-world results. Health Affairs. Vol. 28(3). Title of Project
Presenter Name
University name
Introduction and Problem
Several studies have shown the benefits of the use of
electronic health records (EHR) for patients safety, as well as
their ability to improve efficiency in primary care settings
(Porterfield, Engelbert, & Coustasse, 2014). Regardless of
the positive effects of the implementation of EHR, health care
providers have moved slowly to adopt this technology (King,
Patel, Jamoom, & Furukawa, 2014). Practitioners who do not
want to adopt EHR, especially electronic prescription, can
endanger patient safety.
Medication errors, in turn, are a serious issue that causes
numerous safety incidents in primary care. Studies have
shown that the use of EHR significantly reduces the number
of prescription errors that can harm patients (Liao et al.,
2017). Palabindala, Pamarthy, and Jonnalagadda (2016)
showed that the use of EHR could reduce medication error
while also resulting in improved communications between
patients and healthcare teams
Purpose of the Project
The purpose of this quantitative quasi-experimental project
was to determine if there was a relationship between the
application of an educational program and the improvement
of practitioners perception of EHR usability, as well as the
reduction of the number of prescription medication errors,
at a medical group practice in the Southeastern of the
United States (US).
Clinical Questions/PICOT
The PICOT question created for the project was as follows:
(P) Among healthcare practitioners, (I) how does the
implementation of an educational program in a primary care
medical center in the Southeast of the US (C) compared to
the pre-intervention measurements in the prior four weeks
(O) influences primary care practitioners perceptions of the
usability of EHR and the incidence of prescription
medication errors (T) within four weeks of participating in
the program?
The following clinical questions guide this quantitative
project:
Q1: How does the implementation of an educational
program influence the perceptions of primary care
practitioners regarding EHR usability?
Q2: How does the implementation
Variablesof an educational
program influence prescription medication error incidence?
Variable 1: Quality improvement educational program
(independent)
Variable 2: Primary care practitioners perception of EHR
usability (dependent)
Variable3: Number of prescription medication errors
(dependent).
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Results (cont.)
Data Analysis
The data analysis was in line with the needs of the project:
statistical tests, including t-test and Wilcoxon signed ranks,
were employed to determine if there were statistically
significant differences between pre- and post-test
measurements. This way, the relationships between the
independent and dependent variables were reliably inferred
(Polit & Beck, 2017)
Data types:
Survey: quantitative, ordinal (Likert scale).
Reports: quantitative, ratio (number of mistakes).
Data analysis approaches:
Software: SPSS.
Survey: Wilcoxon signed ranks test.
Reports: paired t-test.
Descriptive Data
Figure 3.
Gender of
the
participant
s.
Figure 1. The
occupations
of the
participants.
Figure 2.
Age of the participants.
The project employed four Advanced Practice
Registered Nurses, three Medical Doctors, and one
Physician Assistant who exhibited significant resistance
to the use of EHR.
Results
.
As had been
planned, the data
were collected
before and after the
intervention using
an already
established survey
tool and the clinics
pharmacy call
reports regarding
medication errors.
Table 1
Survey Summary
Item
Pre-Test
Post-Test
Mean
St. Deviation
Mean
St. Deviation
Q1
2.25
0.707
4.75
0.463
Q2
2.13
0.991
4.38
0.744
Q3
1.75
0.707
4.38
0.744
.
Total Errors Analysis Results: Paired Samples Test
Sig. (2-tailed)
Figure 4. Example changes in survey results before and after the
intervention.
Example changes in pre- and
post-test scores can be
found in Figure 4. Table 2
summarizes the results of
analyzing the survey items
with the Wilcoxon signed
ranks test. Items 1, 3, 4, 5, 6,
7, 8, 9, and 10 demonstrate
statistically significant results
(p0.05). Thus, the findings do not suggest that the
program had an impact on medication error rates; a
relationship between the independent variable and
medication errors was not found.
Q2
Number
31
.846
0.04
Error Data Summary
Total
.587
Pair 2
Q1
Table 3
Error Type
Pair 1
Table 2
Incorrect Drug
The survey contained 11 individual items and used a
Likert scale in which 1 stood for an extremely
negative assessment of an aspect of usability or
usefulness and 5 referred to an extremely positive
one. The summary of the mean and standard
deviation for each of the items before and after the
intervention is presented in Table 1.
Discussion
Table 4
32
2. The data collection process was limited by the short
time allocated to observing the results (4 weeks)
3. The project employed a quasi-experimental design.
Since its sample was so small, trying to split it further
was not feasible.
. The raw
data indicate
that the most
common
errors for the
clinic include
incorrect
dosage,
incorrect
drug, and
drug-drug
interaction,
as well as
incorrect
frequency
and drug
omission.
Some of the research recommendations include the proposal
to increase the sample size, have a greater timeframe for
future projects, and consider randomizing the sample into
two groups.
The project can also be used to recommend educational
EHR efforts for the reduction of EHR resistance and the
References
specific program that has been tested for the same purpose.
King, J., Patel, V., Jamoom, E. W., & Furukawa, M. F. (2014). Clinical benefits of electronic
health record use: National findings. Health Services Research, 49(1pt2), 392404. doi:
10.1111/1475-6773.12135
Liao, T. V., Rabinovich, M., Abraham, P., Perez, S., DiPlotti, C., Han, J., … Honig, E. (2017).
Evaluation of medication errors with implementation of electronic health record technology in
the medical intensive care unit. Open Access Journal of Clinical Trials, 9, 31-40. doi:
10.2147/OAJCT.S131211
Porterfield, A., Engelbert, K., & Coustasse, A. (2014). Electronic prescribing: Improving the
efficiency and accuracy of prescribing in the ambulatory care setting. Perspectives in Health
Information Management, 2014, 1-13
Palabindala, V., Pamarthy, A., & Jonnalagadda, N. R. (2016). Adoption of electronic health
records and barriers. Journal of Community Hospital Internal Medicine Perspectives, 6(5), 13. doi: 10.3402/jchimp.v6.32643
Polit, D.F., & Beck, C.T. (2017). Nursing research: Generating and assessing evidence for
nursing practice (10th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Title of Project
Presenter Name
University name
Introduction and Problem
Results (cont.)
Data Analysis
Discussion
.
Descriptive Data
Project Limitations
Purpose of the Project
.
Conclusion and Recommendations
Clinical Questions/PICOT
Results
.
References
.
Variables
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