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Running head: EBP PROJECT 1

EBP PROJECT 10

EBP Project

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EBP Project

Reducing patient suffering while providing medical care is a perennial concern for nurses. Although relieving patients' physical and mental pain is undoubtedly a top priority for nurses, existing models of practice fail to account for the necessary precautions that must be taken to avoid causing more suffering to patients and their loved ones throughout the provision of care. The shortage of nurses, especially with a high ratio of a single nurse attending five patients at a time, makes it unbearable for patients needing immediate attention to relieve their pain. Increasing the number of nursing staff is a significant intervention that ensures that patients receive immediate attention in relieving their pain without much waiting. Assessing and treating pain are two areas where nurses frequently struggle. The research found that nurses' inability to answer questions about pain treatment correctly was independent of their level of education, and more education and exposure makes them more competent in service delivery (Stalpers et al., 2015). Improving emergency room pain evaluation and management practices raises the bar for eradicating actual pain felt by patients. Having enough nurses in the hospital facility reduces the ratio and makes it possible for the nurses to cooperate in assisting the patients in patient management for quality care.

Article 1: Dechawatanapaisal, D. (2018). Nurses' turnover intention: The impact of leader-member exchange, organizational identification and job embeddedness. Journal of Advanced Nursing, 74(6), 1380-1391. Nurses' turnover intention: The impact of leader‐member exchange, organizational identification, and job embeddedness

The article discusses about the challenge of turnover rate among the nurses in the healthcare setting. Three factors are highlighted as the main contributors to the turnover: lead-exchange quality, organization identification, and job embeddedness. The study adopts the cross-sectional survey method that facilitates the participants to engage in self-reporting through questionnaires to get to understand the impact that the three factors highlighted causes. The participants of the study are 1966 nurses that are drawn from private hospitals. Self-reporting questionnaire is the instrument used in sourcing the data and is practical in achieving the exercise. The instrument is reliable and valid because the questions are well designed in the questionnaire.

Article 2: Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover—a 10-element onboarding program intervention. SAGE Open Nursing, 3, 2377960817697712.

The article targets reducing the annual nurse turnover rate recorded in hospitals by adopting the 10 element onboarding program intervention that targets strengthening and standardizing the way new employees are welcomed and accommodated. The evidence-based turnover analysis approach is the method used in sourcing data for the source in finding the impact of the 10 element onboarding intervention on the nurse staff. The participants in the reviewed sources and records are nurses, and the instrument used is the existing standardized survey and the review of records that gives detailed data that is reliable and valid to develop a conclusion.

Article 3: Stalpers, D., de Brouwer, B., Kaljouw, M., & Schuurmans, M. (2015). Associations between characteristics of the nurse work environment and five nurse-sensitive patient outcomes in hospitals: A systematic review of the literature. International Journal of Nursing Studies, 52(4), 817-835. https://doi.org/10.1016/j.ijnurstu.2015.01.005

The article explains about the role that the nurse environment plays in offering quality healthcare services to the patients for a quality outcome. The article's findings confirmed that there is an association between the work environment for the nurses and patient outcome sensitivity. A systematic literature review is adopted to get information and insight into the relations between the working conditions and patient outcomes. The participants in the study are nurses, and the instrument used is the reviewing of literature to get insight. The method and instruments used are reliable and valid in giving significant results.

Conclusion

The evidence has shown that the nurses' treatment in the workplace matters in the services that they offer to the patients and also their retention and turnover rates (Stalpers et al., 2015). Employees that enjoy their workplaces remain there for a long and offer quality services to patients. Unfavorable work environment results in an increased turnover rate.

References

Dechawatanapaisal, D. (2018). Nurses' turnover intention: The impact of leader-member exchange, organizational identification and job embeddedness. Journal of Advanced Nursing, 74(6), 1380-1391. Nurses' turnover intention: The impact of leader‐member exchange, organizational identification, and job embeddedness

Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover—a 10-element onboarding program intervention. SAGE Open Nursing, 3, 2377960817697712.

Stalpers, D., de Brouwer, B., Kaljouw, M., & Schuurmans, M. (2015). Associations between characteristics of the nurse work environment and five nurse-sensitive patient outcomes in hospitals: A systematic review of the literature. International Journal of Nursing Studies, 52(4), 817-835. https://doi.org/10.1016/j.ijnurstu.2015.01.005

Appendix

Article/Reference (in APA format)	Purpose of the Article/Study Question	Variables (i.e.; Independent vs. Dependent)	Study Design	Sampling	Methods	Instrument	Findings/Results
Dechawatanapaisal, D. (2018). Nurses' turnover intention: The impact of leader-member exchange, organizational identification and job embeddedness. Journal of Advanced Nursing, 74(6), 1380-1391. Nurses' turnover intention: The impact of leader‐member exchange, organizational identification, and job embeddedness	The purpose of this research was to look into the ways in which leader-member interchange quality, organizational identity, and job embeddedness all affect people's propensity to leave an organization. The available literature does not provide enough information about this topic.	Dependent variable- Nurses' turnover intention Independent variable: leader-member exchange, organizational identification, and job embeddedness.	Cross-sectional survey	Convenience sampling	Cross-sectional survey method	Self-report questionnaire	The quality of exchanges between leaders and followers and job embedding were found to be directly related. The impact of leader-member interchange quality on work embeddedness was partially mediated by individuals' levels of identification with their respective organizations. The analysis also backed the idea that job embeddedness acted as a mediator between organizational identity and turnover intent.
Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover—a 10-element onboarding program intervention. SAGE Open Nursing, 3, 2377960817697712.	What are the relevant ways of reducing the nurse staff turnover rate in the hospital setting annually?	Dependent variable- nurse staff turnover. Independent variable- 10 elements onboarding program intervention.	Evidence-based turnover analysis approach	Sources strategically sampled	Standardized exit survey and review of records.	Standardized exit survey.	The study findings showed an abnormally high turnover rate among new hires, that we needed a new onboarding program to better support new hires, and that we needed to work more closely with hospital/unit directors and supervisors to enhance the experience of new hires. To lower yearly hospital and RN staff turnover, we designed and implemented a 10-element program intervention with a heavy emphasis on supporting newly-hired employees. The outcome was a reduction of staff turnover by 14 percent overall and 20 percent among new hires, both of which are statistically significant accomplishments.
Stalpers, D., de Brouwer, B., Kaljouw, M., & Schuurmans, M. (2015). Associations between characteristics of the nurse work environment and five nurse-sensitive patient outcomes in hospitals: A systematic review of the literature. International Journal of Nursing Studies, 52(4), 817-835. https://doi.org/10.1016/j.ijnurstu.2015.01.005	The purpose of this study was to conduct a systematic literature review on the associations between the working conditions of nurses and five patient outcomes that are particularly important to nurses.	Dependent variable- patient sensitive outcome. Independent variable- nurse work environment characteristics.	Systematic review design.	Targeted sampling.	Systematic review of literature.	Dutch version of Cochrane's critical appraisal instrument.	There is an association between the work environment and the nurse sensitive-patient outcomes.