For Essays Guru - Literature Review

Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Isono et al. (2014).

BMJ, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5717953/

Renolen et al. (2018), International journal of nursing studies,

https://www.ncbi.nlm.nih.gov/pubmed/29100200

Brady et a. (2017),

International Journal of Quality in Healthcare,

https://doi.org/10.1093/intqhc/mzx133

Singh et al. (2013). ,

Adv. Medical Education Practice.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826941/

Article Title and Year Published

Improving the workflow of nursing assistants at a general hospital in Japan,

2014

"Keeping on track"-Hospital nurses' struggles with maintaining workflow while seeking to integrate evidence-based practice into their daily work: A grounded theory study.

2018

Barriers to effective, safe communication and workflow between nurses and non-consultant hospital doctors during out-of-hours,

2017

Improvement of workflow and processes to ease and enrich meaningful use of health information technology,

2013

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

How can time be reduced for nursing assistants who spend time on the referral tasks?

Purpose: to optimize referral process and reduce time spent by nursing assistants

What are the challenges nurses encounter in integrating evidence-based practice into their work?

Purpose: to introduce a theory about the issues that nurses encounter when integrating evidence-based practices

Is timely patient flow a priority to all healthcare organizations?

Purpose: to evaluate the nature and type of communication and workflow arrangements between nurses and doctors out-of-hours (OOH).

Are the six competencies of Accreditation Council for Graduate Medical (ACGME) competency requirements. Effective in improving workflow?

Purpose: To improve workflow using the six ACGME requirements

Design (Type of Quantitative, or Type of Qualitative)

Quantitative method.

The qualitative design used TEAMS-BP CYCLE

Qualitative design was used.

Data gathered within 90 hours of observation

Qualitative design was used.

The qualitative design was descriptive in nature.

Qualitative design was used.

The qualitative design was descriptive in nature

Setting/Sample

Random stratified sampling was used.

29 nursing assistants were selected for the study

Study was undertaken in two different medical wards.

All the wards were in a Norwegian hospital

A tertiary bed referral hospital was selected as setting.

The hospital is located in Ireland.

Plot tests were conducted. The tests were undertaken in Colorado and Western New York.

Methods: Intervention/Instruments

Questionnaires were used to gather data

Interviews were also used

Data was gathered using two methods.

The first method was observation, while the second was focus groups

Focus Groups.

Individual Interviews

Interviews were used to gather data. Another method involved the use of focus groups.

Analysis

Analysis method was based on the length of time it took for each nursing assistant to complete their tasks.

39 measurements were taken over 10 days

Data was analysis and gathering was done concurrently.

Analysis was done using constant comparative method

Data was gathered through interviews and focus groups

Content analysis procedure was undertaken

An analysis of the oral presentations of the toolkits was undertaken.

Content analysis was mainly used.

Key Findings

Reducing time was efficient to help nurses complete their tasks.

Time reduction was also related to quality of care

“Keeping track” emerged as a theory to explain how nurses managed their work.

This is because nurses feared losing the flow.

Nurses and doctors acknowledged the importance of good interdisciplinary communication.

Collaboration was also key 8in improving workflow and quality of care

The toolkits were effective in improving quality of care.

AGME competencies improves quality of care and workflow

Recommendations

Systems should be brought to support nurses reduce time.

This can increase their productivity

Keeping track theory contributes to knowledge on how they work.

There is need to improve methods of tracking workflow

Communication strategies should be enhanced between nurses and physicians.

This removes barriers to effective decision-making.

Better management of health processes improves evidence-based practice in healthcare.

Explanation of How the Article Supports EBP/Capstone Project

This article evaluates how efficiency in workflow can improve quality of care.

Evidence-based practice should focus on minimizing workflow interruptions

Communication and collaboration improves implementation of evidence-based practice. This is particularly true to multidisciplinary teams.

Workflows and processes facilitate the flow of information among nurses.

User-friendly workflow tool is effective in improving nurses’ performance

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Holeman et al. (2016).

Journal of American Medical Informatics Association

https://doi.org/10.1093/jamia/ocv107

Joling et al. (2018).

Plos One,

https://doi.org/10.1371/journal.pone.0190298

Ferass, Pessôa and Ferla (2015).

Journal of community Medicine and Health Education.

https://www.omicsonline.org/open-access/improving-healthcare-quality-to-elderly-by-organizing-of-attention-networks-2161-0711-4-332.php?aid=40648

Fliss et al. (2018).

Intrnaitonal Journal for Quality in Healthcare

https://doi.org/10.1093/intqhc/mzx178

Article Title and Year Published

The myth of standardized workflow in primary care,

2016

Quality indicators for community care for older people: A systematic review,

2018

Improving Healthcare Quality to Elderly by Organizing of Attention Networks,

2015

Healthcare services utilization following admission for hip fracture in elderly patients.

2018

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

How does workflow in primary care settings influence quality of care?

Purpose: To evaluate workflow variation in terms of the sequence of tasks performed during patient visits

What are the indicators of quality of care among elderly patients?

Purpose: To identify specific quality of care indicators for elderly patients

What is the influence of attention networks on quality of care?

Purpose: to improve the quality of care of elderly patients

Does admission for fractures among elderly patients increase healthcare utilization?

Purpose: To investigate the impacts of hip fracture on healthcare utilization among elderly patients.

Design (Type of Quantitative, or Type of Qualitative)

Qualitative design was used.

The researcher sought to evaluate the qualitative feedbacks

Quantitative design was used.

A percentage score of each quality indicator was determined.

Quantitative design was used.

Data was extracted from IBGE

Setting/Sample

10 primary care settings.

The primary care settings were from 10 different Midwestern primary care settings.

Electronic reference databases were used.

Sources were evaluated to determine the number of quality indicators.

Secondary quantitative data were collected.

The data were from the ministry of health

.

Qualitative data were also used

8 General Hospitals In Israel.

The hospitals are owned by Clalit.

Methods: Intervention/Instruments

Direct observations.

Task-level recordings.

Relevant electronic database searches were done.

Publications that contained quality indicators were identified.

Interviews and focus groups were used to gather qualitative data.

Retrospective study.

The study was cohort in nature.

Analysis

Task analysis coding procedure was undertaken.

Coding was done using NVivo.

Analysis was done through percentage appraisal of indicators.

Analysis of the physical implantations of complex facing the spatial demands was conducted. The physical functioning architectures were also analyzed.

Quintile regression model was used for analysis.

An analysis sought to determine associations between patient characteristics and healthcare expenditures.

Key Findings

PCP workflows during patient visits vary significantly.

This happens even for individual physicians

Searches led to 25 included articles.

Almost two-thirds of quality indicators focused on specific disease groups.

Structuring of networks of attention is urgent for elderly patients.

Total mean monthly costs increased due to hip fracture admissions for elderly patients. The rate of increase was 96 percent.

Recommendations

PCP workflows during face-to-face patient visits should be improved

.

Reducing ‘dance’ between physician and patient improves workflow

Many quality indicators are available to evaluate quality of care

.

Generic quality indicators are scarce.

The consolidation of space meant for housing for elderly patients is important in improving healthcare quality.

There is need to integrate different views from multidisciplinary teams.

There is need to reduce costs that emerge from hip fracture admissions for elderly patients.

This is because Hip fracture admissions increase health utilization.

Explanation of How the Article Supports EBP/Capstone

Future health care research should promote brad varieties of patient sequences.

This can improve high-quality primary care.

There is need to develop generic quality indicators for quality of care among elderly patients

Policies meant to improve accommodation for elderly are needed.

Assessment of health utilization is important in developing efficient ways of using resources to improve healthcare quality outcomes.