law paper

PATIENT ENGAGEMENT

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ABSTRACT

In the healthcare sector, a nurse needs to engage a patient, and at the same time, a patient needs to engage the nurse. One of the best ways of considering patients in the delivery of care is by engaging them. There is a need for improvement in engagements between patients and adult nurses. Improvements will help to promote a smooth process of delivering healthcare services to patients. Communication is the major ingredient of engagement. Through communication, engagements are made easier and faster.

Improvements should be made to the time that a patient and a nurse spend together. In some hospitals, nurses are always in a rush, which means that patients cannot share as much as they want. Reduced conflicts between the patient and the nurse are expected after the implementation of improvement. Smooth delivery of healthcare services is another goal that the implementation of improvement will bring forth. A systematic review will be used to collect and analyze data. In a systematic review, the researcher focuses on data that has been presented by other sources.

Documents and records from reliable sources will be assessed and used for the study. The issue at hand touches on the patient and the nurse. In a hospital, there might be an issue of fairness. Patients are free to act and behave as they wish. Advising some of them to engage the nurses might be intruding into their privacy. Patient-centered care states that the rights and beliefs of patients should be respected. In this case, it means that the patients should be allowed to do as they wish. Presenting information in a conference through a presentation might be one of the oldest ways of presenting projects. However, it is still one of the most effective methods of passing across an important message. The information that will be shared will be essential for all stakeholders in the healthcare sector.

Engagement is the act of two or more people coming together to take part in a conversation that is of benefit to all parties involved. Engagement is not a new term in the healthcare sector, and this is because many hospitals all over the world have been promoting engagements between stakeholders. Engagement is essential because of the benefits that it presents to the parties involved. In the healthcare sector, engagements have been associated with the modern strategies of delivering care. Modern methods have been paying attention to enhanced quality of services as opposed to traditional methods of delivering care. The research will be paying much attention to engagements between patients and adult nurses.

In the healthcare sector, the relationship between the patient and the nurse is important. The nurse depends on the patient to know how the patient feels, and the patient depends on the nurse to improve. Communication between the two is essential. Considering that the diagnosis process depends on the two, engagements help the two come up with the best solution for the problem. In nursing practice, it is important to make sure that there is an easy flow of operation. It is important to note that a nurse is an important stakeholder in the healthcare sector because he or she ensures that patients get the help they need. However, the engagements that take place between the nurse and the patient have an impact on the delivery of care. When there are healthy engagements, the delivery of care is smooth, and this increases the chances of the patient getting better faster.

Even though nurses are important stakeholders in the healthcare sector, some issues affect their delivery. The major issue is the level of engagement. It would be important for nurses and patients to have more engagements, and this is because of the impacts the engagements have on the delivery of care. Improvements are important because they help to increase the quality of services that are provided. With this in mind, it will be important to improve the engagements between patients and adult nurses. The improvements will help nurses and patients. Engagements create an environment where nurses and patients can exchange important information. A nurse delivers care based on the information that has been provided. Engagements create an environment where the nurse can ask many questions. In the healthcare sector, the process of question is one of the most important processes because it helps the party collect important information.

The engagement between a nurse and patient is paramount. In the healthcare sector, a nurse needs to engage a patient, and at the same time, a patient needs to engage the nurse (Farrington, Burt, Boiko, Campbell, & Roland, 2017). Based on research, increasing engagement has proven to have positive outcomes. One of the major outcomes is satisfaction. Satisfaction has not only affected the patient, but it has also affected the nurse.

The importance of engagements between a patient and a nurse goes beyond the two parties. A nurse is a representative of an organization at the lowest level (Soffer, 2015). When the nurse is on good terms with the patient, the benefits extend to the entire organization. From a business perspective, a nurse is a service provider, and a patient is a customer. An organization might have the best manager, but the manager's best character cannot be seen or known by the patient. The reason behind it is that the patient does not spend time with the manager, but he or she spends time with the nurse. When the nurse engages the patient, the patient is likely to return to the hospital or refer to other customers (Soffer, 2015). This means that the hospital will soon expand and start serving a bigger capacity. When a hospital serves a bigger capacity, it is likely to make more profits.

Engagement between a nurse and a patient affects the reputation of a hospital. The reputation of an organization or institution is important because it affects the business. When a hospital has a good reputation, it can attract more customers. The level of confidence among patients increases and that affects the operations (Soffer, 2015). When the number of customers starts increasing, nurse's and patients benefit and other stakeholders (Soffer, 2015). For example, when the number of customers increases, the hospital will need to hire more employees in other fields (Soffer, 2015). Therefore, it is evident that engagements are important not only for the nurse and the patient but for all stakeholders.

At the workplace, employee satisfaction and customer satisfaction are paramount (Delaney, Shattell, & Johnson, 2017). When the employee is satisfied, he or she delivers services that are of good quality. As a result, it affects the satisfaction rates of the customer (Farrington et al. 2017). In the healthcare sector, the customer is the patient, and when the nurse delivers better services because he or she is satisfied, the major beneficiary becomes the patient. Even though engagements have proven to be a big deal, many organizations have much work to do as far as the topic is concerned (Soffer, 2015).

Patient satisfaction is an aspect that is paramount in the healthcare sector. When the levels of satisfaction among patients increase, the patient's healing process becomes faster (Soffer, 2015). It is important to note that there are factors that affect the healing process of a patient. The study is looking for an area of improvement because the improvements are expected to foster a faster and smooth healing process. Patients need to communicate what is affecting them. When there is no platform to air their concerns, they keep their concerns to themselves. At times, the thoughts might turn into stress (Soffer, 2015). Stress affects the healing process of a person by slowing it down.

Engagements do not only affect patient satisfaction but also affect employee satisfaction. The working environment of an organization affects the satisfaction of the employee. When the nurse is working in an environment that is peaceful, satisfaction levels increase. However, when the nurse is working in a chaotic environment, the satisfaction levels decrease. When there are engagements, the two communicate, which makes it easier for the nurse to understand the patient's needs. As a result, the working environment is motivating and less stressful.

Some healthcare sector organizations have failed to embrace healthy engagements between patients and nurses (Chan, Hong, Tan & Chua, 2019). As a result, they have failed to meet their customers' needs and increase the productivity of their organizations (Delaney et al. 2017). Patients are delicate customers because their case is that of life and death. If they do not get the quality of care they deserve, they might lose their lives. The satisfaction rates of patients in organizations that do not promote engagements are low. The reason behind it is that they feel like they are limited. Patient-centered care is a practice in the healthcare sector that impacts the way nurses and practitioners treat their patients (Chan et al. 2019). The practice emphasizes the need for practitioners to prioritize patients in the delivery of care.

Research has helped to reveal that not all hospitals promote engagements. There are different reasons why they do not embrace this effective strategy (Delaney et al. 2017). The first reason is the lack of concern and consideration for the well-being of the patient. The establishment of hospitals across the world is the norm in the modern world. However, different factors motivate investors to establish hospitals. Some of the investors are motivated by the desire to change patients' lives (Van Bogaert et al. 2017). Others are motivated by money. In most organizations that have been motivated by money, they do not care about the delivered services. When a hospital does not care about the quality of services that are provided, it does not employ or implement strategies that are supposed to help in the delivery of quality services(Van Bogaert et al. 2017).

The issue of lack of engagement is also associated with the lack of knowledge by the management of a hospital. In some cases, investors tend to establish hospitals with no knowledge of how to manage those (Delaney et al. 2017). When an organization has employees who do not know what is expected of them, it becomes a challenge for them to implement strategies that will help to best serve customers' interests (Van Bogaert et al. 2017). In a traditional setup, engagements are not important because the patient was not seen as a person with the right to make independent decisions about the types of treatments that will be provided. Some of the investors enter the healthcare sector with the traditional mentality (Delaney et al. 2017). The management or leaders of an organization hire employees based on their knowledge of the healthcare sector. An owner of a hospital selects employees and managers based on his or her ideologies. When the owner does not have the knowledge and skills that are required in the healthcare sector, he or she ends up selecting managers who lack the skills and knowledge to manage the hospital.

Even though this is an area that many researchers have failed to focus on, patients are also some of the barriers to implementing engagements in the healthcare sector(Van Bogaert et al. 2017). The attitude that a patient gives to the management affects the strategies that the management implements. Patients are different, and whereas some patients are cooperative, some are not. Some patients like it when they seek services from a hospital without a lot of engagements(Delaney et al. 2017). When a hospital realizes that it is dealing with such patients, the hospital makes the choice of doing away with engagements.

The lack of enough human resources is also a factor affecting hospitals' engagements (Carthon et al. 2019). Time is of the essence in the healthcare sector, and it limits many organizations from doing as they would wish. Engagements need time. From a psychological point of view, it is important to note that people do not open up as soon as the nurse initiates an engagement. It is essential to establish trust before reaching the peak or confidential level of engagements. In some hospitals, there are a few employees and a lot of patients. Therefore, it means that nurses do not have time to foster engagement (Van Bogaert et al., 2017). A nurse is expected to perform by the employer. A nurse pays attention to treating patients as to spending time with them and having constructive engagements.

Lack of an organizational culture that fosters engagements is also part of the barriers that affect a patient and a nurse (Delaney et al. 2017). Engagement is a soft skill that should be possessed by nurses in the healthcare sector. When nurses lack the skill, it becomes a challenge for them to foster engagements at workplace (Carthon et al. 2019). An organizational culture dictates the events that will take place in the company. In some organizations, employees are expected to spend their time making money for the company and not interacting with the patient(Delaney et al. 2017). Nurses might be important persons in the healthcare sector, but it is important to remember that they are employees under rules and regulations. They are not likely to do what the organization objects to, which frustrates them from engaging the patients.

One of the best ways of considering patients in the delivery of care is by engaging them. Different barriers have been affecting engagements between patients and nurses. Some of the barriers are associated with the beliefs of the patients, while others are associated with the policies of an organization (Chan et al. 2019). Every organization has policies that become the culture of the organization. When the organization's culture does not motivate the employees to engage patients, the engagement between the two might be adversely affected(Delaney et al. 2017).

The healthcare sector is in place to promote health in society. The major stakeholder in maintaining a healthy community is the patient(Carthon et al. 2019). Fostering engagements in a hospital is one of the ways of considering the patient. When there are engagements, there are certain things that take place(Delaney et al. 2017). One of them is the creation of an avenue where the patient presents his or her problems. In line with patient-centred practice, a patient is an important person, and everything should revolve around the patient when it comes to delivering healthcare services(Carthon et al. 2019). It is important to listen to the patient to know the issues that the patient might be going through. Such cannot take place when there are no constructive engagements(Delaney et al. 2017). Even though engagements are beneficial to all stakeholders in a hospital, they were invented with the main aim of looking after the well-being of the patient.

There is a need for improvement in engagements between patients and adult nurses. Improved engagements will positively impact the delivery of care(Delaney et al., 2017). Whereas the blame can be placed both on the patient and the practitioner, it is no doubt that there is so much to be done (Farrington et al. 2017). The lack of engagement breaks communication between the nurse and the patient(Delaney et al. 2017). Communication is essential in different stages of delivering services in the healthcare sector(Delaney et al. 2017).

Through communication, the patient gets to know what the nurse is expecting from him or her. On the other hand, communication makes it easy for the patient to communicate with the nurse. Exchange of information is the major aspect of the delivery of care (Farrington et al. 2017). Engagement comes in place because it fosters the process of sharing and exchanging information(Delaney et al. 2017).

The need for engagements is not only associated with the patient and the nurse alone, but it goes beyond the two stakeholders. There are different stakeholders in the healthcare sector, and they hold different levels (Carthon et al. 2019). The nurse and the patient are stakeholders in the lower levels. The lack of a nurse means that the delivery of services would be a challenge. The same case applies to the patient. The absence of the patient means that the hospital would not have any person to attend to. In this regard, it is important to view a hospital from a business's perspective (Carthon et al. 2019).

The patient is the customer. The customer is the main reason why an organization operates. When the customer does not show up, it means that the organization will not make profits (Delaney et al. 2017). Engagements end up affecting the entire organization. With this in mind, it is no doubt that engagements are good not only for the nurse and the patient but for the whole of the healthcare sector. When the two are not in a good term, the patient seeks help from another hospital, and the nurse is left with no people to attend to.

Improvements will help to promote a smooth process of delivering healthcare services to patients. A patient has the right to know the type of treatment they are getting from the nurse (Farrington et al. 2017). Patient learning is one of the most important aspects of the delivery of care. In hospitals that engagements are high, the smooth transaction of hospital activities takes place. Smooth operations occur when all people know what is expected of them (Chan et al., 2019). For example, when the patient gets to know what is expected of him or her, they go ahead to ensure that they do so. On the other hand, when the nurse gets information from the patient, they get to know what the patient wants(Delaney et al. 2017). When the patient and the nurse read from the same script, conflicts are avoided.

In the healthcare sector, it is important to know and appreciate the contribution of every stakeholder. A patient is a recipient, but this does not mean that the patient is inferior(Carthon et al. 2019). The implementation of engagement strategies in a hospital affects the patient in different ways. Some of the ways are direct, while others are indirect. Apart from the smooth delivery of services, there is value (Delaney et al. 2017). A patient might be the one in need, but it is important to note that they would like to feel like a person with value in the healthcare sector(Carthon et al. 2019). When the patient is engaged, they feel like a person of value, which increases satisfaction. From a psychological point of view, people tend to respect those who value them. The same strategy or concept applies to the healthcare sector(Van Bogaert et al., 2017).

Deeper connections and understanding in the healthcare sector are important. They foster an atmosphere of disclosure and transparency(Delaney et al., 2017). Disclosure is important in the healthcare sector. Disclosure helps both the nurse and the patient. In the nurse's case, he or she can share information that helps the nurse identify the best intervention (Van Bogaert et al. 2017). In the case of the patient, he or she can provide information that helps the nurse provide the best services. The healing process of a patient is essential, which is one reason why disclosure is important (Delaney et al. 2017). A nurse needs to have all the information that is needed to attend to the patient.

In the healthcare sector, transparency is important. Some of the issues that affect a person might be shameful. It is for this reason why the patient needs to trust the nurse. When the patient trusts the nurse, the patient is transparent(Carthon et al. 2019). For example, when a patient is suffering from a sexually transmitted disease, they might feel embarrassed. When there is an engagement, the shame is eroded, and the patient becomes transparent (Delaney et al. 2017). When the patient becomes transparent, the nurse gets to know what is affecting the patient, which presents the best opportunity for the nurse to offer high-quality services (Carthon et al. 2019). For many years, the effects of engagements have been known in the healthcare sector, and this is one of the reasons why most of the hospitals across the world are coming up with strategies that will help foster healthy engagements between the nurse and patient (Delaney et al. 2017). The nurse and patient need each other, and it is important to make sure that they have a point of meeting or convergence.

The lack of engagement between the patient and nurse is a problem that is affecting the healthcare sector in many ways. The problem has affected many areas of service delivery. The lack of engagement has decreased the satisfaction rates among patients. Patients approach hospitals and doctors when they need help. How the help is administered affects the patient's satisfaction rate (Delaney et al. 2017). The lack of engagement puts the patient in a challenging position.

The main reason why the healthcare sector is in place is to meet the needs of patients. When the sector fails to meet patients' needs, it fails to attain the goals it was designed to attain (Carthon et al. 2019). Given that the sector needs to meet its goals, it is important to ensure that the issues affecting the sector are resolved. All stakeholders need to work together to attain the healthcare sector's major goals (Delaney et al., 2017). The problem of engagement is worth consolidating support and constituting strategies. It can affect the healthcare sector for a long time. Given the seriousness of the problem, it is no doubt that it is an issue that demands nothing less than attention(Delaney et al. 2017).

The study is important in two different ways. First, it affects the healthcare sector, and if nothing is done, it will continue affecting stakeholders in the healthcare sector(Carthon et al. 2019). A study is conducted to highlight problems that are in place. If the problem can halt a sector's activities, it deserves the attention of researchers and students. The study will help to know more about the problem (Delaney et al. 2017). Knowing more about the problem is the best way of making sure that the right solution has been found.

Second, the study is presenting a solution to the problem at hand. A study's importance is seen in the goals that it can achieve (Delaney et al. 2017). The study will help to achieve the goals at the same time. The first goal is informing the researcher and audience of the issue at hand, and the second goal is to provide a solution to the issue. The two goals justify the study (Carthon et al. 2019). With this in mind, it will be appropriate and suitable to conduct the study because it will come with benefits that will transform and change the healthcare sector for the best (Delaney et al. 2017).

The study will be paying attention to different issues that pertain to engagements. With this in mind, it will be advisable to have several research questions. The following are research questions that will be used for the study;

a. What are the impacts of engagements between patients and adult nurses?

b. What are the common barriers that affect engagements between patients and adult nurses?

c. What are the benefits of engagements between patients and adult nurses?

The scope of the study is limited to two stakeholders and one problem. The two stakeholders who will be focused on are a patient and an adult nurse(Delaney et al. 2017). These are the only people of interest because the topic of research has only mentioned the two. When it comes to the problem that will be focused on, the scope is limited to engagement(Delaney et al. 2017). The study will not be investigating any other problem other than the problem of engagement.

H1: Engagements between a patient and nurses improve the quality of services delivered by nurses.

H2: Fostering engagements is an initiative that should be supported by healthcare practitioners and patients.

As far as engagements between patients and nurses are concerned, there are different assumptions that people hold. The first assumption pertains to the importance of engagements (Carthon et al. 2019). Human beings are social beings, and interacting is one of the social activities they embrace. It is assumed that when people engage, they understand each other better (Delaney et al. 2017). When people have a better understanding of the other, they do not engage in conflicts, fostering a better working environment. The second assumption focuses on trust and confidence. Trust is built, and sometimes it might take too long to build (Delaney et al. 2017). One of the best ways of building trust is by bringing people together. Engagements bring people together, and after spending some time together, they get to trust each other.

The third assumption is associated with the transparency of the patient. A patient is the source of information that helps the nurse identify the patient's best interventions (Carthon et al. 2019). When a patient is transparent to the nurse, he or she can share as much information as possible. Some of the conditions that affect patients can be associated with personal issues(Delaney et al. 2017). It takes time before a person can talk about personal issues with a stranger. It is assumed that when a nurse engages the patient, the patient later softens and outpours what they might be suffering from.

The third assumption is associated with the benefits of a good relationship between the nurse and the patient(Delaney et al. 2017). A good relationship is assumed to have a positive impact on both the nurse and the patient. Relationships take time to build, and different factors foster them. Engagement is one of the factors that affect good relationships. It becomes important to establish engagements between the patient and the nurse(Delaney et al. 2017). When the two have a good relationship, communicating and consulting become easier, thus affecting their satisfaction rates.

The general objective is to understand engagements in the healthcare sector from an informed point of view. The study will be investigating the levels of engagements, the effects they have on stakeholders in the healthcare sector, and the best ways to enhance engagements.

The specific objective of the study is to investigate the engagements between patients and adult nurses. In this case, the research will not be touching on other stakeholders apart from nurses and patients(Carthon et al. 2019). The first specific objective will be to know the levels of engagements between the patient and the nurse. The second specific objective will be to investigate the effects of engagements between the patient and the nurse(Delaney et al. 2017). In this case, the effects will be assessed from the perspective of the nurse and patient separately. The third specific objective will be investigating the barriers to patient and nurse engagement(Delaney et al. 2017). In any business, the stakeholders desire to implement effective and helpful strategies. However, there are certain barriers (Carthon et al., 2019). The barriers might originate from the patient or from the nurse. The research will be looking into barriers from all sides to enhance balance and fairness(Van Bogaert et al. 2017).

The fourth specific objective will be focusing on the process of stating the improvements that need to be done to enhance engagements between patients and nurses. Outlining a solution to a given problem is one of the most important processes(Van Bogaert et al. 2017). It is the healthcare sector's desire and will to promote engagements that will be beneficial to all team players. With this in mind, it becomes important to state the exact steps that need to be taken to solve the problem at hand(Delaney et al. 2017). After identifying the most appropriate strategies, the last objective will be the implementation of the strategies that will be outlined (Dempsey & Assi, 2018). It is important to remember that the dissertation's main aim is to solve a problem affecting the healthcare sector (Van Bogaert et al. 2017).

The implementation process will involve different stages and strategies, and each of them will be monitored. The main reason for monitoring is to ensure that everything goes as planned(Carthon et al. 2019). The question for finding a solution does not end when an idea is generated. It goes to the extent of testing if the solution is effective or not. If the solution is effective, it is adopted and made part and parcel of its culture. However, if the solution is ineffective, there is no other choice than to do away with it and embark on a fresh mission to look for the most suitable and appropriate strategy.

In any improvement, there are expectations and the reason why the improvement has to take place. In the given case, the outcomes are positive (Farrington et al. 2017). The main reason why the issue has been raised is that it is one of the issues that are affecting the healthcare sector(Carthon et al. 2019). The following section is going to pay attention to the improvements that need to be made, the outcomes that are expected from each of the areas of improvement, and how the improvements will be implemented (Soffer, 2015).

i. Communication between a patient and an adult nurse will be improved.

Communication is the major ingredient of engagement. Through communication, engagements are made easier and faster. Communication between the patient and the nurse can be improved in different ways. First, the practitioners need to be educated on the best tone and rules to maintain when communicating (Farrington et al. 2017). For example, the tone and language used during communication dictate whether the communication will be effective. The use of the wrong tone might frustrate the patient from communicating. When the patient is frustrated, communication will not occur (Farrington et al. 2017). Without communication, engagements cannot take place.

ii. The time that a nurse spends with a nurse will be increased.

Improvements should be made to the time that a patient and a nurse spend together. In some hospitals, nurses are always in a rush, which means that patients cannot share as much as they want. It is important to allocate enough time for a patient and their nurse (Chan et al., 2019). When two people spend a lot of time together, they end up sharing a lot of information. As a result, they get to know each other in a better way.

iii. The association of the patient and the nurse will be enhanced.

The association of the patient and the nurse affects the engagement process. When the two are not on good terms, they avoid each other, which affects their level of engagement (Farrington et al. 2017). The hospital will have to look for ways to enhance the association. In this case, the nurses are expected to take the upper hand and lead the associations(Delaney et al. 2017). Patients might hold back not because they have an issue with the nurse, but because they feel that the nurse is too busy to offer the support they need. Nurses should be advised to develop a friendly attitude toward patients(Carthon et al., 2019). Developing an attitude will motivate patients to share as much as they have.

Reduced conflicts between the patient and the nurse are expected after the implementation of improvement. One of the factors that promote conflicts is the lack of engagements between professionals and patients (Chan et al. 2019). When people engage, they explain things better so that it becomes a challenge for them to conflict. In this case, it is also important to remember that engagements lead to relationships(Delaney et al. 2017). Good relationships between patients and nurses will have a positive impact on the delivery of services. The goal of any organization in the healthcare sector is to improve the quality of services (Kutney-Lee et al. 2016).

Improving the quality of services brings more customers, thus increasing profits(Delaney et al. 2017). Also, it is the mission of every nurse to provide services that are of high quality. A nurse is a professional who is different from other professionals (Delaney et al. 2017). The reason behind it is that a nurse has the role or responsibility of providing quality services. A nurse becomes motivated when he or she delivers services that help to deal with the patient's problem (Delaney et al. 2017). With this in mind, it is no doubt that the intended outcomes are positive and important for all stakeholders.

Smooth delivery of healthcare services is another goal that the implementation of improvement will bring forth (Arkorful et al., 2020). Engagements between people receiving services and people offering them will make it easier to promote smooth delivery of services(Delaney et al. 2017). One of the reasons why engagements are advocated for is that they help the patient and nurse have good communication (Chan et al. 2019).

When people communicate, and they are on good terms, engaging becomes easier. Smooth service delivery impacts many areas in a hospital (Delaney et al. 2017). It does not only increase the levels of satisfaction among patients and nurses, but it also saves the organization time (Delaney et al. 2017). When things run the way they are planned to run, no time is wasted. Time is of the essence in the healthcare sector because a minute can cost a life (Farrington, Burt, Boiko, Campbell, & Roland, 2017). This is one of the expected outcomes because it has a lot of effects on different areas of operations in a hospital.

Communication will be made to nurses, and they will be advised to follow the improvements that have been outlined. The problem of the lack of engagement affects the patients and nurses (Farrington et al. 2017). Between nurses and patients, nurses are the closest stakeholders to the hospital because they execute the plans of the hospitals. The nurses can be used to implement the hospital's strategy because they are in a good position to do so (Soffer, 2015). The reason for stating so is that patients come and go as soon as they get well. However, nurses will always be working in the hospital (Carthon et al. 2019).

Different types of communication are at the disposal of people who might be interested in communicating. In the study, enough time and communication will be needed(Dempsey & Assi, 2018). In this case, it is important to know that communication is supposed and expected to enlighten the nurses. An organization can use different strategies in this case. The use of technology can be fostered. The nurses can be informed of the strategy, and it can be sent to the hospital's website where all employees can access and download it.

When the management of an organization wants to communicate a change that is expected to occur in an organization, it must use strategies favorable to the desired goals (Dempsey & Assi, 2018). The best strategy to communicate in this case is to conduct a seminar. After conducting the seminar, professionals will teach nurses more about the strategy. Teaching employees how to implement a strategy is an important activity because it helps them know what is required (Dempsey & Assi, 2018). After knowing what is required of them, confusion in the implementation of the strategy is avoided.

A follow up will be done to ensure that the improvements have been made. If the improvement works, the hospital will adopt the improvement strategy (Farrington et al. 2017). In the case the plan does not work, it will be assessed and evaluated to know the reason why it is not working. If it proves to be a challenge, it will be revised or done away with where more effective strategies will be drafted and implemented(Carthon et al. 2019).

The process of planning stands out as one of the most important processes in the research sector and in other areas of operations. The planning process focuses on two areas as far as this study is concerned(Carthon et al. 2019). The first plan pertains to the process of conducting the study. Planning helps to know what is needed and what is required. The study has a timeframe, and it should be met. The plan will help to ensure that the study is completed on time.

Areas of planning that will be included are days of collecting data, data collection methods, the tools used to store data, materials needed for the study, and the days that the analysis will be conducted(Dempsey & Assi, 2018). In the case of the implementation of the improvement, planning will also be included, and it will help identify the procedures that will be essential (Dempsey & Assi, 2018). Planning will include the time that the findings with be shared with the stakeholders, the methods of presentation, and the strategies that will be used to implement the improvement(Dempsey & Assi, 2018).

After the planning process has taken place, it will be important to move to the next stage, and this is putting to action what has been planned(Carthon et al. 2019). After selecting materials, the date that is available will be extracted to furnish the study with information that will help answer the research questions(Dempsey & Assi, 2018). In the planning stage, the materials that will be needed have been outlined. The materials will be bought to make sure that the study is smooth.

Keeping time is essential in any study. The planning process has looked into the aspect of the timeframe(Dempsey & Assi, 2018). It will be important to arrange for the best time to start the study with this in mind. The exact day and time should be outlined to ensure that nobody gets confused about when the study is starting. A contingency plan will be viable in this case because it will help to deal with any issue that might emerge in the whole process. However, when it comes to the implementation of the improvement, there are different areas to look into.

After the findings have been filed, the strategies of engaging the patient and the nurse will be implemented. The study was looking at an issue, and now that there is a solution, it is high time for the solution to implemented(Carthon et al. 2019). The implementation process will involve all employees in a hospital. The management will need to establish a culture that supports a patient and an adult nurse's engagement. The nurses are the most involved and touched by the problem(Dempsey & Assi, 2018). It, therefore, means that they will be involved in the implementation process. The best way to know if a strategy is working is by putting it to work and see if it has what it takes to change the problem that is facing the specific sector.

The aspect of the study touches on both the researching process and the implementation process. In the case of the research process, the section of study focuses on the activity of researching the topic of research(Van Bogaert et al. 2017). In this stage, all researching processes will be conducted. The first process will be the selection of data, and the last stage will be the outlining of the findings.

When it comes to the implementation process, the narrative changes because the improvement has already been implemented. In this stage, the strategy will be studied or monitored(Carthon et al. 2019). The strategy that will be identified is expected to help deal with the issue of the lack of engagements between the nurse and the patient. It is important to monitor the strategy to know if it has worked or not(Van Bogaert et al. 2017). When the strategy proves to work, the hospital can retain it, but the hospital should consider other interventions when the strategy proves not to work (Van Bogaert et al. 2017).

Acting is important in any study or implementation process. In the case of research, acting will entail taking action after the data has been collected and filed. The study's findings will dictate the most appropriate action (Carthon et al. 2019). In the case that the findings will present answers to the research questions that have been posted, the findings will be recommended for implementation (De Simone, Planta, & Cicotto, 2018). In the case that the findings do not answer the questions, a consideration of whether to revise the data or conduct a fresh study will be done(Van Bogaert et al. 2017).

The methods that are used to collect data are important. In this case, the methods that will be used to collect data must be in conformity with the criterion of collecting secondary data. The two following methods will come in handy to collect data for the study.

The method that has been selected for the study is the qualitative research method. A qualitative research method is most appropriate for the study because of several reasons. One of the reasons is associated with the research questions. The research questions dictate the type of research method that will be used (Carthon et al., 2019). When the research question asks for statistical answers and proof, the best research method is quantitative research. However, if the research question asks for descriptions and explanations, qualitative research methods are most appropriate (Carthon et al. 2019). In the case of the research questions that have been designed for the study, the answers needed are descriptive, and that is proof that a qualitative research method will come in handy.

The second reason why a qualitative research method is the most appropriate method for the study is associated with the results of a research question. Qualitative research methods foster diverse data collection as opposed to quantitative research methods (Carthon et al. 2019). Qualitative research methods are not limited. The study will strictly be dealing with secondary data. With this in mind, it is important to select a method that will not limit data collection (Dempsey & Assi, 2018).

The third reason why it is important to use the qualitative method is associated with flexibility. Flexibility in research is paramount because it helps the researchers to explore as much as possible(Dempsey & Assi, 2018). The problem at hand needs explanations in depth. Details should be provided to help understand the problem in a better way. The qualitative research method comes in place to make it easier for the researcher to dig as deep as possible. In research, digging deeper helps to collect as much data as possible.

A systematic review will be used to collect and analyze data. In a systematic review, the researcher focuses on data that has been presented by other sources. Articles and books qualify to be sources of information (Chan et al., 2019). However, they must be credible and reliable to be used in the study. The case will not be any different in this study. The reason why the method for collecting data in this study has been selected is associated with the fact that the method is aligned to the requirements of the study (Farrington et al. 2017). Diverse data is needed in this case, and the best way to promote diversity is by looking at a method that will promote the selection of data that comes from different sources. In a systematic review, books and articles are used (Soffer, 2015). Books and articles have a lot of information that can help to know more about the issue at hand.

Documents and records from reliable sources will be assessed and used for the study. The research topic is not new, which means that other researchers have focused on it (Chan et al. 2019). The issue is affecting other hospitals, and that presents a chance to borrow from such hospitals. Borrowing other hospitals' records will help to know if the issue can be resolved with the interventions that have been identified and selected(Dempsey & Assi, 2018).

The method that has been selected is the most suitable for the given study because it will help to attain the goals of the study. The study is aimed at knowing more about engagements in the healthcare sector. A lot of explanations are needed to increase the knowledge of the issue at hand (Carthon et al. 2019). The use of documents and other credible sources is the best way to know more about the problem. The study is strictly limited to secondary sources(Dempsey & Assi, 2018). The methods that have been selected promote the collection of data from secondary sources, and that makes the methods most appropriate.

One of the most important activities in a study is the collection of data. The methods and strategies that are used to collect data dictate if the data is credible or not(Carthon et al. 2019). Different steps should be followed when collecting data. The steps are as follows;

a. Identify Sources of Data

The fields of nursing and research have been advancing at a high rate. The nursing field has attracted a lot of researchers. Therefore, it means that there is a lot of information shared about nursing(Dempsey & Assi, 2018). Even though there is a lot of information, it is imperative to note that not every piece of shared information is credible. Identifying the credible sources of information is important(Carthon et al. 2019). The findings of the study are supposed to present a real-world solution to the problem. Therefore, they must be realistic.

Researchers have been sharing their studies with interested parties in different ways. Technology is one of the tools they have been using(Dempsey & Assi, 2018). Due to the expansion of the research field, researchers and publications' classification has been taking place. Some of the sources of information have been classified as the most important and helpful. Researchers who have been providing lasting solutions continue to dominate the research field(Carthon et al. 2019). The study is looking for credible information, which means that it will be specifically focusing on information that has been certified.

Different factors will be considered in the process of selecting data. The factors are associated with the intention of the study to present nothing less than quality findings. The first factor is the publication year of the materials(Dempsey & Assi, 2018). Materials that are older than ten years might not be helpful, and that means that they will not be accommodated in the research(Dempsey & Assi, 2018). The aspect of the year of publication comes to play because the nursing field is changing at a fast rate. When a field is changing, research findings that might have been collected many years ago might not be relevant. The improvement identified for this study is modern, which means that it needs modern approaches (Carthon et al. 2019). Findings filed ten years ago might not help answer the research questions that have been put in place to guide the improvement process.

The second factor of consideration will be the authority of the author or researcher of the materials that will be used(Dempsey & Assi, 2018). The study will be utilizing secondary materials, and that comes along with some challenges. One of the challenges is that it is not easy to prove the credibility of a source that has been produced by another author or researcher(Dempsey & Assi, 2018). In the process of researching, a researcher might compromise the findings to fit his or her assumptions. It becomes a challenge for a person reading the research to state if the researcher compromised with the findings or not. The study focuses on an improvement that is vital in the healthcare sector (Carthon et al. 2019). Taking a chance with the data is not something that would be advised in this case.

The best way to make sure that the authority of the materials used is commanding is by only using information that has been published by authors who are credible. In every field, some famous researchers have presented a lot of work that has helped to deal with real issues. Such researchers will be targeted in this study(Dempsey & Assi, 2018). The credibility of the dissertation is important because it will help to present data that can be used to deal with real-life issues. The study will not be paying attention to materials that have been produced by individual researchers only(Carthon et al. 2019). The study will also be using documents from institutions, administrations, and organizations.

The author or publisher is an aspect that will be taken seriously in the study. Only reputable organizations will be allowed to present information for the study (Dempsey & Assi, 2018). Different organizations in the field of nursing have come out to conduct studies that are helping many hospitals across the world. Such organizations will be helpful. Information from government bodies will also be important(Dempsey & Assi, 2018). The government is involved in matters of healthcare. When there is an issue, the government brings in experts who investigate the problem and present findings. Materials posted by the government are credible, which makes them very important for the research.

b. Sample the Materials Available

A researcher should only use information that is relevant and useful to the study. The process of sampling information is important because not all sources qualify to be used in a study. The sampling method that will be used will be random sampling(Dempsey & Assi, 2018). The sources that will be sampled will be used for the study. They are the only sources that will be analyzed. The reason why the step of sampling is important is that it maintains a certain order in the arrangement of data(Carthon et al. 2019). A researcher must narrow down the sources that he or she has identified for the study. In the sampling process, some considerations will be made. The considerations will be made to make sure that the materials collected will be of great help to the researcher and research in general.

c. Classify Data Thematically

Classification of data is important. In a study, some themes emerge after collecting data. The data classification will be based on the themes identified(Carthon et al. 2019). The first advantage of classifying data in themes is that it helps the research know the information to refer to when analyzing data. The study will be utilizing a lot of articles and records(Dempsey & Assi, 2018). It is a challenge to identify every piece of information without having a pattern in place. The second advantage of classifying data in themes is that one gets to know the data that answers specific research questions(Carthon et al. 2019). For example, when a study has three research questions, each research question is likely to have a theme. Locating the information that has been classified under a certain theme helps to easily know if the information is able to answer the research question that falls under a specific theme or not.

d. Record Data

The step of recording data is the last when it comes to data collection, and it paves way data analysis. Research questions guide the study. The questions guide the researchers on the specific type of data they need to answer them (Dempsey & Assi, 2018). Data will be recorded electronically, and a set of data that will be analyzed will be formulated.

The issue at hand touches on the patient and the nurse. In a hospital, there might be an issue of fairness. The hospital might focus more on the patient as the person who is blocking engagement. It is important to note that the patient and nurse play an essential role (Farrington et al. 2017). Looking down on the patient as the person who is frustrating engagements might affect the whole process. In the process of implementing the improvement, it is important to look at the patient and the nurse as two parties that are equally responsible for maintaining an environment that fosters engagements (Farrington et al. 2017).

Ethical considerations are paramount not only during the implementation of a strategy but also when conducting research. The research is looking for balanced solutions (Carthon et al., 2019). It will be important to avoid relying on one source of data or one set of data. The first ethical issue that is likely to affect the study is focusing on documents that are presented by a specific organization. When a researcher starts including biases in the process of collecting data, he or she affects the credibility of the study adversely.

The best ethical way to deal with this ethical issue is by making sure that data is collected from different sources. The research will not only focus on documents from a certain organization, but it will focus on all organizations that have credible and helpful information. The reason why this is important is that the study is expected to present facts concerning the problem. The best way to present facts is by making sure that all parties take part.

The second ethical consideration is the selection of materials that only hold one position of the argument. In some cases, a researcher might conduct a study holding a certain position(Carthon et al. 2019). When a researcher does not approach a study with an open mind, he or she ends up doing things that impress him or her, forgetting that a study is about presenting facts. The best way to deal with this is an issue is by employing a sampling method that is not biased(Dempsey & Assi, 2018). The selection process is one of the processes that foster biases. At this point, the researcher is tempted to only select materials that impress him or her. Random sampling technique will be used in this study (Dempsey & Assi, 2018). In random sampling, all materials that have relevant information are collected and randomly selected. A person cannot make a decision on the material that will be used before the study (Dempsey & Assi, 2018). Using the technique will ensure that the researcher only brings in helpful and diverse materials.

The issue of balance and fairness also touches on the materials that will be selected in this study. The research will be using many types of secondary materials. Books, articles, reports, and documents will be very helpful(Carthon et al., 2019). A researcher might decide to use books alone when conducting the study. It would be important to make sure that all materials are included(Dempsey & Assi, 2018). The reason why this is important is associated with the type of information that materials provide. A book provides more detailed information when compared to an article. However, it presents theoretical information most of the time.

An article might present lesser information than the book, but most articles are based on research. On the other hand, a document presents lesser information when compared to an article or a book. However, a document presents information about real events in an organization. It presents the findings that an organization has filed after implementing a strategy(Dempsey & Assi, 2018). Therefore, it presents information that can be the most accurate and helpful. The three types of sources bring on board information that can be assessed from different points of view(Carthon et al. 2019). Therefore, the combination of the three is important to promote fairness and balance in the data that will be collected and analyzed.

Patients are free to act and behave as they wish. Advising some of them to engage the nurses might be intruding their privacy (Farrington et al. 2017). People are different, and whereas some people like engagements, some people choose living a silent life. Such people might not be interested in the mission of the company. Convincing them might have a negative impact on them (Soffer, 2015). It is the desire of the management of the hospital to make the change without offending any of the patients (Van Bogaert et al. 2017).

Patient-centered care states that the rights and beliefs of patients should be respected. In this case, it means that the patients should be allowed to do as they wish (Farrington et al. 2017). Even though engagements are important, some of the patients might have a different personality (Chan et al. 2019). Trying to convince them might be intruding on their privacy and going against their beliefs. Based on patient-centered care, the nurse is expected to respect the patient's wish, even when the wish might not be the nurse's position.

The best way to deal with the ethical issue is by making sure that the patient has been consulted. In a hospital, there are different ways to know if the patients are comfortable with the hospital's action. One of the best ways is by conducting a survey. A survey can be conducted to get the opinion of the patients. Questionnaires can be used to collect information. The organization's management could ask patients if they would feel better if nurses engaged them in a better way than they are currently. Based on the answers that patients will present, the management will determine the best action to take.

Predictive Analysis is the method that will be used to analyze data. The method uses historical data to determine what might take place in the future. In research, historical data can be used to dictate if a given method will work or not (Farrington et al. 2017). The problem at hand is not new, and many organizations have tried to deal with it. Using the data that will be provided, it will be easy to know if the interventions that have been proposed work or there is a dire need to pay attention to different interventions (Soffer, 2015).

Presenting information in a conference through a presentation might be one of the oldest ways of presenting projects. However, it is still one of the most effective methods of passing across an important message. This method is appropriate because all people get to hear from the person who came up with the project (Soffer, 2015). Also, there is a platform to ask questions and get answers from the presenter. When a platform encourages asking and answering questions, it is beneficial in different ways. The first way is associated with clarity (Tanioka et al., 2019).

The information that will be shared will be very important for all stakeholders in the healthcare sector. It is important to make sure that the audience gets every point(Carthon et al., 2019). Considering that I will be the one presenting information, I will have all the details they need (Soffer, 2015). In research, the alteration of information is one factor that affects the credibility of many findings. Making sure that people hear the information from the person who compiled it helps to promote clarity and credibility.

The brain of a human being is designed in a way that is affected by the way information is presented. There are different factors that foster the understanding of a person, and they are embraced in a presentation (Carthon et al. 2019). The factors that influence the understanding of a person are present in a presentation. The project has paid attention to an issue that is affecting the healthcare sector. The audience needs to get every detail that has been highlighted (McAllister et al. 2019). The best person to pass every detail to the audience is the person who has filed the presentation (Van Bogaert et al. 2017).

A PowerPoint presentation will be used where it will be projected to make sure that all people in the location can read (Carthon et al., 2019). When the person presenting the findings of a study is in the same geographic location as the audience, there is no struggle for attention. When the audience does not struggle with the attention, it means getting every point that the speaker is presenting (Dempsey & Assi, 2018). The main reason why the presentation is presented is to make sure that people get to know about improvement areas (McAllister, Robert, Tsianakas, & McCrae, 2019). Therefore, attention is of the essence. It is disrespectful for a person to concentrate on different matters when a presentation occurs (Keyko, Cummings, Yonge, & Wong, 2016). With this in mind, there is no doubt that the use of a presentation will help get the attention of all members who will show up.

A presentation can change the understanding of a person, which is one reason why most organizations make sure to use presentations during projects and seminars (Dempsey & Assi, 2018). The use of graphics will come in handy to help foster a better understanding of the audience. The brain of a person works hand in hand with the eyes when it comes to storing information. The use of graphics helps people to connect the visuals with the message (Dempsey & Assi, 2018). The presentation will incorporate visuals that will help enhance the understanding of the audience.

Based on the benefits that come along with the use of a presentation, there are different reasons as to why this was the selected strategy to communicate with the stakeholders. A presentation will increase the focus of the audience. Two, a presentation is interesting both for the presenter and the audience (Carthon et al. 2019). Three, a presentation helps to create images that the audience connects with, thus enhancing the understanding of the audience (Dempsey & Assi, 2018). Four, the use of presentations will improve accuracy. Distortion of information affects the delivery of the message. When there are many parties involved in the process of delivering information, they affect the quality of information. In the case of a presentation, the speaker and that audience are in the same location (Dempsey & Assi, 2018). This means that the information is factual and accurate.

After the report has been presented, it will be distributed as a journal article for future reference. The information that the study will be presenting can be used for professional purposes (Soffer, 2015). Therefore, it is important to have a journal article. Scholars can use the journal article to conduct other studies and come up with solutions to future problems that might be ailing in the healthcare sector. In research, there is no end to looking for facts (Dempsey & Assi, 2018). Researchers continue to investigate issues that affect society. Most of the researchers build from the studies that have been completed by other researchers. Considering that the research has considered all guidelines put in place, it becomes a good point to start from (Soffer, 2015). The implementation process's presentation as a journal article will positively impact other researchers in the same field.

Apart from the aspect of presenting information to the interested parties, the use of article journals has been selected for the reason of durability. The durability of data is paramount, and it can be seen or viewed from two different points of view (Carthon et al. 2019). The first point of view is associated with storage. The materials that a person or organization uses to store information affects the durability of the information (Soffer, 2015). When the information is stored as an article, it can stay for many years and still be accessible to people who want it.

The second aspect of durability is associated with third-party access to the information. When the third party can access information at the most convenient time, it means that the information is durable. Article journals are not placed or stored for individual use, but they are shared among the interested parties. When the article is available for all parties, it means that the information will stay for longer. When a researcher uses information from another researcher, he or she references and quotes the information. This case means that the information will last for many years because it is still in use.

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