Topic 1 assignment to complete this assignment.
Literature Evaluation Table
Student Name:
Summary of Clinical Issue (200-250 words):Longer working hours have been associated with adverse nurse outcomes such as burnout. With nurses working longer shifts, patients are less satisfied with their service provision especially during their last hours of the shift. Based on hospital consumer assessment, most patients prefer a higher proportion of nurses working for eleven or even fewer hours. Additionally, the patients reported that they could not recommend to their friends and family hospitals that have nurses working longer shifts of 13 hours or more.
After long hours in their shifts, patients admitted that attending nurses did not communicate well and other medical interventions were poorly carried out. Specifically, pain management was poorly controlled. Also, patients' dissatisfaction increased with an increasing number of working hours. In summary, reports emphasize that patients perceive worse clinical care or outcomes in hospitals in which a higher proportion of nurses work for more than 12 hours.
Such research findings are critical given that changes are being recommended to reduce the number of working hours in a bid to promote quality clinical care among nursing professionals. Shifts lasting 12 hours or less are more preferred by nurses and can be adopted to ensure nurses retention as well as boosting patient satisfaction.
PICOT Question: what are the effects of nurses working long hours have on the patient outcome and nurses’ productivity?
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Criteria |
Article 1 |
Article 2 |
Article 3 |
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APA-Formatted Article Citation with Permalink
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Nantsupawat, A., Nantsupawat, R., Kunaviktikul, W., Turale, S., & Poghosyan, L. (2015). Nurse Burnout, Nurse-Reported Quality of Care, and Patient Outcomes in Thai Hospitals. Journal of Nursing Scholarship, 48(1), 83–90. https://doi.org/10.1111/jnu.12187 Permalink: https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/jnu.12187 |
Permalink: https://pubmed.ncbi.nlm.nih.gov/31838021/ |
Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., & Aiken, L. H. (2015). Association of 12 h shifts and nurses' job satisfaction, burnout, and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9), e008331. https://doi.org/10.1136/bmjopen-2015-008331 Permalink: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4577950/ |
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How Does the Article Relate to the PICOT Question?
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The article investigates how nurse burn out affects their delivery of clinical care and potential adverse events and outcomes among attended patients |
This article describes how sleep duration and work characteristics of registered nurses affect patient safety. |
Examines the effects of extended working hours on patient, nurse, and organization. |
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Quantitative, Qualitative(How do you know?) |
Quantitative-questionnaires filled/used logistic regression models. |
Quantitative-included large no. of subjects. |
Quantitative-subjects filled questionnaires. |
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Purpose Statement |
To investigate the effect of nurse burnout on care quality and patient outcomes and adverse events. |
Determine the association between RN sleep length and patient care quality and safety. |
To assess the relationship between nurses’ extended work hours to nurse, patient, and organization. |
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Research Question |
Do nurse burnouts affect care quality and patient outcomes? |
Do RN sleep hours affect the patient's care safety and quality? |
Do working long hours affect patient, nurse, and organization’s outcome? |
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Outcome |
Nurse burnout correlates with negative patient outcomes such as patient falls and medication errors. |
Correlation between short sleep hours and low care quality. |
A positive correlation between nurses' work hours with patient outcomes. A negative correlation between extended work hours nurse and the organization's productivity. |
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Setting (Where did the study take place?) |
Thailand. |
Healthcare and Community settings across the USA. |
Thailand |
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Sample |
2084-RN. |
1568-RN |
1524-RN. |
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Method |
Cross-sectional analysis. |
Observational retrospective. |
Quantitative |
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Key Findings |
More than 30% of nurses reported emotional exhaustion and low personal accomplishment. More than 15% rated their work as poor. Poor patient outcomes were also reported with 11% of nurses admitting medication errors and 14% reporting cases of infection |
A short sleep duration of fewer than 7 hours was reported by registered nurses. This was associated with lower ratings in terms of the quality of care delivered. |
Nurses working in shifts longer than 12 hours were likely to experience burnout and emotional exhaustion compared to their counterparts who had shorter shift duration lasting 8 hours. Moreover, they reported job dissatisfaction and the likelihood of leaving the job. |
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Recommendations of the Researcher Every research article has recommendations. |
Not given. |
Not given. |
Not given. |
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Criteria |
Article 4 |
Article 5 |
Article 6 |
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APA-Formatted Article Citation with Permalink |
Giorgi, F., Mattei, A., Notarnicola, I., Petrucci, C., & Lancia, L. (2017). Can sleep quality and burnout affect the job performance of shift-work nurses? A hospital cross-sectional study. Journal of Advanced Nursing, 74(3), 698–708. https://doi.org/10.1111/jan.13484 Permalink: https://onlinelibrary.wiley.com/doi/full/10.1111/jan.13484 |
Kieft, R. A. M. M., de Brouwer, B. B. J. M., Francke, A. L., & Delnoij, D. M. J. (2014). How nurses and their work environment affect patient experiences of the quality of care: a qualitative study. BMC Health Services Research, 14(1), 1. https://doi.org/10.1186/1472-6963-14-249 Permalink: https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-14-249#citeas |
Park, E., Lee, H. Y., & Park, C. S.-Y. (2018). Association between sleep quality and nurse productivity among Korean clinical nurses. Journal of Nursing Management, 26(8), 1051–1058. https://doi.org/10.1111/jonm.12634 Permalink: https://onlinelibrary.wiley.com/doi/full/10.1111/jonm.12634 |
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How Does the Article Relate to the PICOT Question? |
The article analyses the possible relationship between sleep disorders among nurses and their job performance |
The article focuses on the effect of nurses’ working environment on patient experiences |
The article addresses the relationship between sleep quality and nurse productivity |
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Quantitative, Qualitative(How do you know?) |
Quantitative-logistics regression used. |
Descriptive qualitative research design |
Quantitative-examining relationship between several variables. |
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Purpose Statement |
Examine the relationship between less sleep, burnout, and RN-productivity. |
To understand the views of Dutch nurses on their work environment and patient experiences |
To determine the relationship between sleep quality and nurse productivity. |
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Research Question |
Do sleep issues relate to RN burnout and productivity? |
What positive effect does nurses’ work environment have on patient experiences? |
Do sleep quality related to nurse productivity? |
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Outcome |
Shift work characteristics can affect nurses' sleep quality and eventually influence their job performance. |
Cost-efficiency and accountability coupled with nursing care that is based on patient needs and preferences promote positive patient experiences. |
The study found a higher sleep prevalence of more than 79%. Also, poor sleep quality was proportional to nurse productivity. |
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Setting (Where did the study take place?) |
Central Italian Hospitals. |
Not given. |
South Korea. |
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Sample |
315-RN |
Ten literature. |
188-RN. |
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Method |
Cross-sectional approach |
Observational retrospective |
Cross-sectional survey. |
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Key Findings of the Study |
Impaired sleep quality-dysfunction/burnout. |
The work environment affects patient outcomes. |
Poor sleep quality-low nurse productivity. |
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Recommendations of the Researcher |
Not provided. |
Not provided. |
Not given. |
References
Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., & Aiken, L. H. (2015). Association of 12 h shifts and nurses' job satisfaction, burnout, and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9), e008331. https://doi.org/10.1136/bmjopen-2015-008331
Giorgi, F., Mattei, A., Notarnicola, I., Petrucci, C., & Lancia, L. (2017). Can sleep quality and burnout affect the job performance of shift-work nurses? A hospital cross-sectional study. Journal of Advanced Nursing, 74(3), 698–708. https://doi.org/10.1111/jan.13484
Kieft, R. A. M. M., de Brouwer, B. B. J. M., Francke, A. L., & Delnoij, D. M. J. (2014). How nurses and their work environment affect patient experiences of the quality of care: a qualitative study. BMC Health Services Research, 14(1), 1. https://doi.org/10.1186/1472-6963-14-249
Nantsupawat, A., Nantsupawat, R., Kunaviktikul, W., Turale, S., & Poghosyan, L. (2015). Nurse Burnout, Nurse-Reported Quality of Care, and Patient Outcomes in Thai Hospitals. Journal of Nursing Scholarship, 48(1), 83–90. https://doi.org/10.1111/jnu.12187
Park, E., Lee, H. Y., & Park, C. S.-Y. (2018). Association between sleep quality and nurse productivity among Korean clinical nurses. Journal of Nursing Management, 26(8), 1051–1058. https://doi.org/10.1111/jonm.12634
Stimpfel, A. W., Fatehi, F., & Kovner, C. (2020). Nurses’ sleep, work hours, and patient care quality, and safety. Sleep Health, 6(3), 314–320. https://doi.org/10.1016/j.sleh.2019.11.001
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