Phase V .Apa Seven
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Phase 3
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Phase 3: Implementation
The section will discuss the steps of implementation and how the project will be completed.
The steps include data sampling, participant selection, data gathering, and analysis. The thesis of
study will be focused throughout the research project, and issues in the transition from hospital to
home and re-admissions will be kept in mind. The details of the implementation process are as
follows.
Steps
Choosing Participants
The sampling process is an important step in the implementation because it demonstrates
the researcher's knowledge of how much he has a grasp on his knowledge and how he will
continue the further research. The success of research depends on the sampling process because it
is seen that inappropriate sampling gives inappropriate outcomes.
The researcher needs to be careful in this process, and it helps him make sound decisions
regarding the researcher. The sampling technique will help the researcher to make a careful
decision despite stratified sampling. The sampling techniques and methods depend on the subjects
under investigation because the researcher knows what subjects are aligned with the research or
what are not (Chen, 2021).
The first step will focus on the participants who have been through the re-admissions in the
hospitals. The nurses will also be involved in the research, and the data will be collected from
those who have suffered from severe issues and got re-admission. The patients who never faced the
issues of re-admission or who do not have such concepts will not be considered for the study.
Moreover, it will be seen that the participants should understand the English language, and they
should provide honest reviews.
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The research will be carried out with 50 participants, and some of them will be nurses.
Others will be the patients who have the experience of re-admissions in the hospital. Moreover, the
situation of COVID-19 will be kept in mind because it may affect the sampling.
Nurses working with the re-admissions of patients will be preferred because the
participants should have sound knowledge about the reasons and issues in this context. There are
different patients, and at the same time, there are nurses in different specialized areas, so it will be
important for the researcher to choose the nurses specialized in the context under study.
They should have vast experience working with patients who suffer from the issues of re-
admissions. The participants will be contacted in their free time because the nurses are usually
exhausted because of their busy routine, and their duties are long hours. Moreover, the patients are
also exhausted because of their illness, so all these factors will be considered (Maki, 2021).
The research is usually done physically because it is easy for the researcher and the
participants to interact. The situation at present is not suitable for physical interaction so that the
research will be conducted in alternative ways.
If physical interaction is not possible, the online exchange will be managed. The research is
difficult to conduct in the coronavirus so that the planning will be done accordingly, and the
participants will be informed of the protocols.
The hospital administration will be contacted, and they will be informed of the research.
They will be told all the research protocols, including the nurses and the patients in the research.
There will be 50 participants, and they will be contacted in their free time, and interviews will be
taken by telephone (Wong, 2021).
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Ethical Standards
The researcher needs to follow the ethical standards and protocols, and they are discussed
as follows.
Consent
There are certain protocols in the research, and it is the first rule that they should be
informed of the research details. They should know the purpose of the research, and their volunteer
response and consent are necessary. The researcher must make the participants understand why
they are contacted and the expected outcomes of the researcher. Their roles and responsibility in
the research will be defined, and they will be informed about how and when they will be contacted
(Valliant, 2018).
They are given a choice to decide to participate in the research. They should be told all the
possible risks of the study. The researcher is responsible for disclosing the information to the
participants because if they are not informed of the procedures, their consent will not be ethical.
Moreover, they are told there will be no harm, and their private information will not be disclosed.
It is important to remember that the participants should be respected, their dignity should be
maintained, and there should be no threats. The current study will follow all the protocols and
ethical standards of the research.
Confidentiality
The privacy and confidentiality of participants and institutions are the important concerns
of the study. The research will ensure that the research will be conducted with complete privacy
and no information will be disclosed. In the context of confidentiality, the researcher will assure
that the personal details of participants will be kept private and will not be used for publishing
purposes. Once the information is collected, all the details will be hidden, and the unknown codes
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will be given for identification. Due to coronavirus, the data will be collected through telephonic
interviews. The telephone recordings will not be accessible to anyone, and the dignity of
participants will be maintained. After completing the study, all the records will be discarded
carefully so no one can access them.
Autonomy
Moving on, autonomy is another important parameter in the context of research. All the
institutions and participants will be asked to ensure their volunteer consent in written form. They
should ensure that they are part of the research with no pressure and with their will. They will
choose to stop responding and withdraw from the study with their will (Oh, 2021).
Beneficence
It has already been assured that the participants will be told of all the possible risks in the
research. Nursing is a sacred profession, ensuring that the research will not affect their duties and
profession. They will be contacted in their free time, and they will be given proper time to respond.
All the patients and their families will be respected, and their dignity will be maintained throughout
the research.
Data Analysis
Data analysis is an extremely important process, and whole research success is based on it.
If the researcher uses the appropriate research tools, the results will be analyzed accurately, and the
desired outcomes will be achieved. The basic statistical tools will be used in the research. The
charts and flowcharts will be used for the data analysis, and the results will be interrupted in detail
(McHugh, 2021).
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Training
The researcher will interrupt the results and inform the hospital management of the gaps
and the common reasons for the re-admissions of patients. So, the nurses will be given training
accordingly.
There are two important steps involved in the implementation: the timeline schedule and
budget planning.
Table 1
Gantt Chart
Week 1 2 3 4 5 6 7 8
Sample Collection
Ethical Standards Training
Data Collection
Data Analysis
Training for Data analysis
Report Finalization
Budget
The budget planning has been shown in the table below. The researcher has to decide the
budget as early as possible because he has to arrange the resources of funds. The major costs will
be the training of nurses after the declaration of results. The advertisement is also necessary for
participant selection. The details of the budget are shown as follows.
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Table 2
Budget
Item Cost ($)
Promotion and advertisement 400
Training 1500
Survey expenditure 1500
Analyzing results 2000
Training for research 8,000
Total 13,400
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References
Chen, J., Wijesundara, J. G., Patterson, A., Cutrona, S. L., Aiello, S., McManus, D. D., ... &
Houston, T. K. (2021). Facilitators and barriers to post-discharge pain assessment and
triage: a qualitative study of nurses’ and patients’ perspectives. BMC Health Services
Research, 21(1), 1-15. Doi:https://doi.org/10.1186/s12913-021-07031-w.
Maki, S., Nagai, K., Ando, S., & Tamakoshi, K. (2021). Structure and predictors of in-hospital
nursing care leading to a reduction in early readmission among patients with schizophrenia
in Japan: A cross-sectional study. PLoS One, 16(4), e0250771. Doi:
https://doi.org/10.1371/journal.pone.0250771.
McHugh, M. D., Aiken, L. H., Sloane, D. M., Windsor, C., Douglas, C., & Yates, P. (2021).
Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, re-
admissions, and length of stay: a prospective study in a panel of hospitals. The Lancet,
397(10288), 1905-1913. Doi: 10.1016/S0140-6736(21)00768-6.
Oh, E. G., Lee, H. J., Yang, Y. L., & Kim, Y. M. (2021). Effectiveness of discharge education with
the teach-back method on 30-day re-admission: a systematic review. Journal of patient
safety, 17(4), 305-310. Doi: 10.1097/PTS.0000000000000596.
Valliant, R., Dever, J. A., & Kreuter, F. (2018). Practical tools for designing and weighting survey
samples. Doi: 10.1007/978-1-4614-6449-5.
Wong, C. H., Cheung, W. K., Zhong, C. C., Yeoh, E. K., Hung, C. T., Yip, B. H., ... & Chung, V.
C. (2021). Effectiveness of nurse-led peri-discharge interventions for reducing 30-day
hospital re-admissions: A network meta-analysis. International Journal of Nursing Studies,
103904. Doi: 10.1016/j.ijnurstu.2021.103904.
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- Phase 3: Implementation
- Steps
- Budget