PHASE 4

Running head: TRANSITIONAL NURSING

TRANSITIONAL NURSING

Value of Relationship Management in Transitional Nursing: Phase Two

Yusleiby Castillo

Florida National University

Nursing Research and Evidence-Based

Professor, Nora Hernandez-Pupo

Date: June 7, 2022

Value of Relationship Management in Transitional Nursing

Literature review

The topic of transitional nursing has been undergoing research over the past decade. However, the topic of relationship management in transitional nursing has not received enough attention from researchers; yet, it must be thoroughly covered. There is a need for more research into the topic since relationship management in transitional nursing is critical in assisting patients during their road to recovery and regaining a certain level of independence. According to Centeno and Kahveci (2017), there are various transitional care models that transitional nurse practitioners can utilize when providing care for patients. These include the adult physician model, switch models, and comfort and resource, models. The authors also note that relationship management during transitional periods is critical to achieving a seamless transition because patients are typically at their most vulnerable during these times.

In transitional nursing, relationship management is essential. According to Ortiz (2018), individuals who experience good relationships with their caregivers in their transition care have improved results. Leading healthcare institutions are actively working to establish strategic measures to enhance this process. In light of this development, the significance of healthcare providers cultivating meaningful relationships with their clients cannot be overstated. It is certainly not enough to merely work on increasing patient satisfaction, which is the primary approach that many healthcare organizations have taken up to this point to deal with this issue. Lee (2017) suggests that concentrating solely on the level of contentment experienced by patients can actually be counterproductive in efforts to provide high-quality care at a low cost. For instance, in order to maintain high levels of patient satisfaction, some medical professionals have been known to unnecessarily administering narcotic pain medications and antibiotics to their patients.

In order for transitional nurses to be successful in an environment driven by value-based reimbursement, they will need to adopt an orientation that is genuine towards patients and families to achieve excellent relationship management with their clients. Better health outcomes, enhanced patient decision-making, and more incredible therapeutic bonds between physicians and patients are all possible results of this approach (Boling, 2022). Value can be increased by forming deeper ties between transitional nurses and their patients; yet, these connections cannot be made by programs that are solely focused on patient satisfaction.

In the same way that businesses operating outside of the healthcare industry have developed methods, applications, and workflows revolving around client relationship management (CRM), organizations operating within the healthcare industry should construct the same discipline revolving around the idea of patient relationship management (PRM) (Chou & Lin, 2019). There has been some forward movement to improve relationship management in transitional nursing. However, there is still a need for additional research to understand better the value of these connections to boost the acceptance of these relationships by transitional nurses.

Methodology and Design of the Study

The problem in this study will be evaluated using descriptive, quantitative, and empirical studies. Random sampling will be used to select the study participants (eighty nursing staff and patients) from several local health care facilities. First, patients and caregivers from various health care facilities are less likely to communicate with one another. Hence the results generated from the various facilities will be less skewed. Second, various healthcare institutions have varying perspectives on how transitional methods should be applied.

A questionnaire method will not be appropriate for the study since questionnaires are prone to low response rates. Instead, a qualitative study interviewing (in-person conversations with people willing to share their thoughts and feelings) will be used. This is because interviews provide more comprehensive information than survey questions (Bloomfield & Fisher, 2019). Such interviews also enable researchers to work very closely with respondents and ensure that respondents are not influenced by other parties during their responses.

Participants will be contacted when the medical institutions' administrations have consented to provide the researcher access to these individuals. The prospective volunteers will be sent a letter that will contain a description of the study and some data about the investigator and their background. The participants who will be included in the sample will each receive contact details (email address or mobile number). Before the interviews take place, a written agreement from all the study participants will be required. Participants below eighteen years will have their parents contacted, and their parents will be required to give their written consent. The investigator will make an effort to conduct a one-on-one interview with each participant within the sample size. Those individuals who decline to participate in the research will be approached to understand better the participants' decision to decline participation.

Unstructured and casual interviews will be used as the data collection method for this project. The participants will be given time throughout these interviews to think about the questions and clarify their thoughts and responses to the person conducting the interview. As a result, the researcher will be able to gain a better understanding of the participants' perspectives on the topic at hand (Value of Relationship Management in Transitional Nursing), as well as whether or not they believe these relationships are crucial and the kinds of modifications that they recommend for enhancing relationship management in transitional nursing.

Sampling Methodology

Simple random sampling will be used to generate the sample size. The advantage of taking this strategy is that it results in a selection that is not biased in any way, and it gives each individual unit in the sample population an equal opportunity to be chosen. In addition, statistical software applications can be utilized to generate a random sample selection. Nevertheless, it is essential to keep in mind that the representativeness of a sample increases in direct proportion to the size of the population that it is drawn from. In this research, data will be collected from two samples: nursing staff who work with patients who are transitioning and patients who have recently undergone such a transition from one department to another or from a health center to their dwelling units. A total of eighty participants, consisting of twenty nurses and sixty patients selected randomly, will participate in the study.

Necessary Tools

To successfully carry out personal interviews, several different tools will be required. First, the person conducting the interview must have the appropriate credentials and should be familiar with the questions and problems under investigation. Second, an outline of the interview, even if it is just a rough draft, is necessary to determine which subjects and questions need to be covered. When conducting research, it is best to steer clear of contentious topics if at all possible. After the interviewer has finished creating an overview or a roadmap for the interview, equipment such as an audio recorder will be required to transcribe the interview. If interviews are to be audio recorded, the equipment needs to be tested to ensure that it is functioning correctly. Any observations that were made during the interview will also be documented.

Interview Flow Map

Interview outline

Interview preparation

Preparation of necessary tools

Data gathering

Results interpretation

References

Bloomfield, J., & Fisher, M. (2019). Quantitative research design. Journal Of The Australasian Rehabilitation Nurses' Association, 22(2), 27-30. https://doi.org/10.33235/jarna.22.2.27-30

Boling, P. (2022). Improving Transitional Care and Reducing Hospitalization for Nursing Facility Residents. JAMA Network Open, 5(5), e2210200. https://doi.org/10.1001/jamanetworkopen.2022.10200’

Centeno, M., & Kahveci, K. (2017). Transitional Care Models. Critical Care Nursing Clinics Of North America, 26(4), 589-597. https://doi.org/10.1017/j.ccell.2017.08.009

Chou, P., & Lin, P. (2019). THE EFFECTIVENESS OF THE PATIENT-PROVIDER RELATIONSHIP ON CANCER PAIN MANAGEMENT IN THE ELDERLY. Journal Of Geriatric Oncology, 10(6), S96. https://doi.org/10.1016/s1879-4068(19)31278-0

Lee, J. (2017). Transitional care intervention. Nursing Management, 48(3), 32-39. https://doi.org/10.1097/01.numa.0000512507.39701.16

Ortiz, M. (2018). Transitional Care: Nursing Knowledge and Policy Implications. Nursing Science Quarterly, 32(1), 73-77. https://doi.org/10.1177/0894318418807938