NR W 13 PHASE 5

Running head: PHASE 4: RESULTS

PHASE 4: RESULTS

Phase 4: Results

Yusleiby Castillo

Florida National University

Class: Nursing Research and Evidence Based

Professor’s Name: Nora Hernandez-Pupo

July 13, 2022

Phase 4: Results

The study conducted by interviewing 80 nursing staff and patients was successful 90% (72) of the participants were available for the interview, which was a good number to provide the necessary data for the research. 37 patients and 35 nursing participated in the study and responded to the 10 interview questions that were subjected to them. The response to the interview indicated that 80% of the nurses accepted that there is a value in developing relations with the patients and their families when offering care, especially in transitional nursing. However, 100% of the patients agreed that relationship management is the best intervention needed for successful transitional nursing where they felt that an improved recovery rate is experienced in the scenario where the nurses are much more friendly and accommodative in handling their nursing case (Toles et al., 2021). The nurses were given time to express themselves beyond the limits of the interview questions. That is where they argued that they needed good nursing leadership to assist them in achieving effective transitional nursing.

The 20% of the nursing staff that were not in agreement about the value of relationship management concerning transition nursing argued that leadership in the clinical setting or organization matters most in determining their performance. The interview questions were about the value of relationship management and the leadership that would change the nursing role in the clinical setting. Transactional and transformational leadership emerged as the best leadership styles that would be of value for nurses to perform their duties because having their leadership will assist in shaping the profession to gain recognition and respect that result in value in the facility (Toles et al., 2021). Nurses have been shown as a profession that handles much of the work in the healthcare facility and deserves respect from the physicians and other healthcare providers. The nurses have argued that transactional and transformational leadership are dear to their hearts because it focuses on improving their professionalism and career development.

In addition, the nursing staff stated that the leadership styles relate much and influence the relationship in the healthcare facility where teamwork and collaboration are promoted, making it possible for different professionals to work together to achieve success. The patients stated that nurses who have managed a strong relationship work with passion and resilience in ensuring their independence is achieved before leaving them to the family support for other professional responsibilities (Joly, 2016). The patients argued that transitional nurses that have mastered the skills of relationship management have the best way of addressing issues of chronic illnesses, especially when highlighting red flags in their health status where they are expected to address them in the best way possible to avoid hurting the patients. Based on the results, highlighted concepts include the issue of teamwork and collaboration between professionals, nurses, and patients.

Teamwork is a powerful design option that nurses mentioned in the interview when it comes to meeting the ever-increasing demands on nursing professionals' knowledge, increasing the quality of their work, and meeting their patients' social requirements. Communication is critical to the success or failure of any team, and this was supported by the patients claiming that the collaboration between nurses and physicians improves their recovery rate and independence in transitional nursing (Joly, 2016). HR professionals must change their preconceptions about motivation, organization, and accountability to communicate effectively. Context-sensitive thinking requires flexible assumptions that encourage cross-functional cooperation and reciprocal accountability while maintaining a clear focus on the overall process. Teamwork in nursing is most effective when there is a high degree of task interdependence or a high degree of coordination and collaboration among team members. With complex and well-designed activities, it's best to have a team of people working on them. Nurse leaders are responsible for urging their junior staff to accept some responsibility for changing the current social pattern to offer the best healthcare services to the patients.

Transitions nursing appears to be quite useful for patients who have difficulty altering the dynamics of their families to better their health and the health of their loved ones, which the participants supported. 100% of the participants agreed that transitional nursing was the change that has assisted the nursing sector in ensuring that the issue of shortage of nurses is addressed and patient independence, especially for chronic and terminally ill patients. Promoting the patients' independence in managing their condition reduces the need for nurses in the care section, making it possible to have nurses in the emergency and critical care departments in the clinical setting (Toles et al., 2021). For example, the framework mentioned above can address various health challenges, such as managing patients' requirements in a hostile social setting. Transitional nursing offers guidance, and those familiar with the environment take over since the patients will enjoy independence after the education offered.

In particular, for vulnerable groups, such as persons with HIV/AIDS and those with sexually transmitted infections (STIs), the identified strategy is crucial because some feel they need to be independent and continue with their lives and family (Rosenberg et al., 2016). Transitions nursing applies to any situation where there is a conflict between a patient and a specific group of people because it provides a framework for an in-depth analysis of external factors affecting patients and the subsequent opportunities for the latter to either change or adapts to these conditions. As a result, transitional nursing should be considered essential to successful healthcare practice by using an innovative typology of factors that affect health and the best means to implement the transition. Transitional nursing should be made a vital framework for global health. It is critical to discuss leadership in nursing with professionals who operate at different organizational levels and have a wide range of patient care responsibilities. During the interview with the registered nurses, especially those in the surgical unit, they claimed that the recovery of the patients requires educating and creating awareness among patients and their families for independence (Pullen, 2016). The nurses stated that the transitional nursing model works in the patients' best interests, who value being allowed to recover in home-based care. This applies most to elderly patients and those with chronic illnesses.

It was agreed upon that professionalism, as defined by the RN interviewed on the topic of leadership, as practicing within the scope of practice, being accountable for one's responsibilities that do not go "above and beyond," and maintaining professional relationships with everyone involved in the care process, as well as completing work on time and collaboratively (Pullen, 2016). During the interview, the participants supported transitional nurses that they manage diverse processes to accomplish the intended patient outcomes and are also trustworthy where they look forward to improving health in the community. Nurse leaders in healthcare in the healthcare setting are expected to be open-minded and content with their work to support the transitional nurses perform their work to the satisfaction of the patient.

Future Research

The research effectively showcased how the transitional nurses should have good relationship management in addressing the patient's needs. The research proved that transitional nursing addresses patient demand for independence, especially for those vulnerable like HIV/AIDS patients and those with chronic illnesses. The gap involves the other healthcare professionals in the clinical setting, including the physicians and mental health therapists, about how they perceive transitional nursing and how it affects their relationship with nursing and performance (Joly, 2016). Future research is important because the nurses are positive about it since it favors their productivity, but the other professionals need to share their experience because it will assist in assessing the effectiveness of transitional nursing.

Conclusion

As patients migrate from one healthcare facility to another and from one doctor to another, the Transitional Care Model is a nurse-led intervention to prevent negative outcomes. Nurse staffing is a challenge addressed by transitional nursing, and the research has demonstrated that it gives a positive outcome based on the responses from nurses and patients. Over the past few years, staffing has shown to be a cost-effective strategy and collaboration between nurses and patients develops a good relationship that promotes quality care and quick recovery (Joly, 2016). The healthcare system can be improved and its expenses reduced if the correct workforce is in place and transitional nursing is well implemented and executed.

References

Joly, E. (2016). Integrating transition theory and bioecological theory: A theoretical perspective for nurses supporting the transition to adulthood for young people with medical complexity. Journal of Advanced Nursing, 72(6), 1251-1262. Web.

Pullen, R. (2016). Leadership in nursing practice. Nursing Made Incredibly Easy, 14(3), 26-31.

Rosenberg, N. E., Stanley, C., Rutstein, S. E., Bonongwe, N., Kamanga, G., Pettifor, A., Miller, W. C. (2016). Recruiting the social contacts of STI patients for HIV screening in Lilongwe, Malawi: Process evaluation and assessment of acceptability. Sexually Transmitted Infections, 92(8): 587–592. Web.

Toles, M., Frerichs, A. and Leeman, J., 2021. Implementing transitional care in skilled nursing facilities: Evaluation of a learning collaborative. Geriatric Nursing, 42(4), pp.863-868.