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NHS FPX 4000 Assessment 2 Applying Research Skills

NHS FPX 4000 Assessment 2 Applying Research Skills

Sample Answer 

NHS FPX 4000 Assessment 2 Applying Research Skills

Create a 3-5 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research, which will be a current health care problem or issue faced by a health care organization that is of interest to you.

NHS FPX 4000 Assessment 2 Applying Research Skills

NHS FPX 4000 Assessment 2 Applying Research Skills

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.

  1. View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:
    • Summarize the health care problem or issue.
    • Describe your interest in the topic.
    • Describe any professional experience you have with this topic.
  2. Identify peer-reviewed articles relevant to health care issue or problem.
    • Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
    • Use keywords related to the health care problem or issue you are researching to select relevant articles.
  3. Assess the credibility and explain relevance of the information sources you find.
    • Determine if the source is from an academic peer-reviewed journal.
    • Determine if the publication is current.
    • Determine if information in the academic peer-reviewed journal article is still relevant.
  4. Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
    • Identify the purpose of the article.
    • Summarize the information.
    • Provide rationale for inclusion of each article.
    • Include the conclusions and findings of the article.
    • Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
    • List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
    • Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
  5. Summarize what you have learned from developing an annotated bibliography.
    • Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
    • List the main points you learned from your research.
    • Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.

Completed Example – NHS FPX 4000 Assessment 2 Applying Research Skills

Utilizing Research Skills

Patient safety is of utmost concern when providing care in any capacity. This is especially important when it comes to medication administration, as it is an error that is preventable. Nurses that administer medications are the last link between the medication and the patient, making it crucial to complete the five patient safety checks, including right patient, accurate medication, precise dose, correct route, and administration at the proper time.

While I was administering medications previously, the wrong patient was accidentally administered the wrong medications. At that time, there were multiple factors that contributed, including time constraint stress, absence of barcode medication administration programs, and due to the patient being deaf, and confused. Since this incident occurred, I have been more cautious and observant when administering medications and became interested in best practice to prevent these types of errors.

According to the Socratic approach, in order for one to improve problem solving strategies, it is important to be able to first identify the problem at hand (Socratic Problem- Solving Approach, 2018). With my personal experience, the issue was clear; a medication error occurred and stunted my ability to provide the safest care. In order to delve further into the issue at hand, it was important analyze the situation (Socratic Problem-Solving Approach, 2018). I identified my personal beliefs and was receptive to the idea of this being a very complex issue without one easy quick fix solution. I was able to analyze my personal experience and determine what my end goal was: to improve patient safety with medication administration.

Investigating Academic Peer-Reviewed Journal Articles

The first step I took to compile scholarly articles related to patient safety and the administration of medications was to utilize the library resources available through Capella University. Once I accessed the library system, I utilized the search engine, Summon, to search through multiple databases using the keywords of medication administration, medication administration errors, and medication administration safety. I also refined my search to include articles that had their full text online available for reviewing to ensure I would have full access to the entire article. I found multiple databases with relatable resources, including Ovid, ProQuest, and DOAJ, The Directory of Open Access Journals.

Evaluating Integrity and Applicability of Materials

In order to ensure reliable resources were found, I used the search options to limit my results to show peer reviewed articles published between 2013 and 2018. I confirmed validity by evaluating if the authors had medical degrees or worked within the medical field.

In order to ensure relevant resources were found, I took time to read each article and gain understanding of the objective of each. For example, in order to get an understanding about medication administration errors, I was sure to include resources that looked into the subject with different points of view. Articles included reviewed medication administration errors, evaluated the most common causes and type of errors noted, and potential ways to reduce patient safety risks. Each article was also determined to have a clearly identified a goal or intention of improving patient safety and care and directly addressed problems within medication administration.

Annotated Bibliography

Booth, R., Clark, C., Kalia, K., Reisdorfer, E., Strudwick, G., Sulkers, H., & Warnock, C. (2018). Factors Associated with Barcode Medication Administration Technology That Contribute to Patient Safety: An Integrated Review. Journal of Nursing Care Quality,33(1), 79-85. doi:10.1097/NCQ.0000000000000270

This particular journal article contained a review of eleven studies that focused on the occurrence of medication errors (ME) in relation to implementation of barcode medication administration (BCMA) systems. The authors obtained sources from Medline/PubMed, the Cumulative Index for Nursing and Allied Health Literature, and the Cochrane Library. It was determined that the effectiveness of the BCMA technology contained multiple facets and contributions to improve safe medication administration.

The BCMA was noted to be of best help when combined with the use of accessible/portable workstations, specialized infusion pumps, and automated medication dispensing machines as well. However, the use of these specialized technological advances alone cannot entirely eradicate the presence of MEs. Effectiveness is also contingent upon staff compliance, education and training, monitoring of scanning rates, and adaptability to the workflow environment. With a combination of these components, BCMA technology may be effective at decreasing the occurrence of MEs, ultimately improving patient safety. I found this article relevant to my topic as it directly addresses ways in which one can reduce the occurrence of MEs, and thus improve patient safety and security. It also interested me due to the fact that the absence of the BCMA technology was one of the reasons a ME occurred in my personal experience.

Harrington, L., Johnson, C., Kelly, K., Matos, P., & Turner, B. (2016). Creating a Culture of Safety Around Bar-Code Medication Administration. JONA: The Journal of Nursing Administration,46(1), 30-37. doi:10.1097/ NNA.0000000000000290

This is an evidence-based journal article that focuses particularly on the compliance to protocols initiated to best utilize the BCMA technology. The authors of this article compiled an evidence-based flowchart to evaluate compliance, called the Harrington

BCMA Checklist, and determined where improvement and changes need to be made. A direct observation study was completed and any deviation from the protocol was analyzed. The authors utilized the root-cause analysis theory to evaluate the reasoning behind violating protocol. It was found that numerous factors contributed to noncompliance with BCMA technology, including barcode or wristband issues, interruptions during medication administrations, increased demand or change in workflow, the medication preparation time, patient specific factors, equipment malfunctions, or emergent situations. In conclusion, it was noted that institutions need to continue to evaluate and improve procedures and protocols in order to enforce patient safety while administering medications, even with the availability of the BCMA technology This article was relevant to my research due to the fact that it delves in deeper into the reasoning behind the continuance of MEs, despite the implementation of BCMA systems.

Al Tehewy, M., El Gafary, M., Fahim, H., Gad, N. I., & Rahman, S. A. (2016). Medication Administration Errors in a University Hospital. Journal of Patient Safety,12(1), 34-39. doi:10.1097/PTS.0000000000000196

This particular article contained a directly observed case study with the intent to monitor nurses during the medication administration process to determine exactly what were the incident rates of MEs, as well as the most common types of errors. In order to determine compliance and pinpoint errors, the authors utilized Potter and Perry’s specified checklist for dispensing medications. This enabled them to obtain a direct numerical score and percentage rate based on if the staff successfully met the steps or not. In the conclusion of the article, it was found that the overall medication error rate was 37.68%, with mistakes more prevalent at night (40.1%). They also determined that the most common route error were injections and intravenous medications at 39.58% and the most prevalent types of errors were incorrect documentation (90.96%) and inappropriate technique utilized (78.90%). I chose this article because these statistics are particularly important to consider when assessing the safety of the medication administration process. They give insight as to where improvement is needed.

McMahon, J. T. (2017). Improving Medication Administration Safety in the Clinical Environment. Medsurg Nursing,26(6), 374-377. Retrieved October 16, 2018, from https://www.proquest.com/openview/4c257024f8c4b0efc0d2e9a14f136398/1?pq-origsite=gscholar&cbl=30764 

This article contained an evidence-based study in which a project was launched to improve the quality of care provided to patients, particularly in regards to reducing interruptions during medication administration. The facility implemented the use of vests to indicate the nurses were not to be interrupted. Each nurse was instructed to wear it during the times they were administering medications. After staff education, observation of compliance was completed and staff surveys were used to determine if the new interventions were effective and if they were well received by staff. Upon the completion of the project, with the use of the vests there was a reduction of mistakes by 88%, utilization rates were 86%, and 82% of the nurses found that these new techniques had a positive effect. This evidence-based study thus concluded that the use of warning signage has the potential to improve patient safety in regards to receiving medications because these interventions helped to decrease the amount of interruptions, as well as lower the incidence of medical errors. This is significantly relevant to my chosen topic due to the fact that it proposes a potential intervention that can be utilized in the medical field to increase patient medication safety.

Knowledge and Understanding Obtained from the Research

Upon completing an in-depth research of peer-reviewed journal articles, I realized there are multiple components that hinder patient safety during medication administration that need to be considered. Staff compliance to protocols, proficient education regarding BCMAs and medication administration techniques, and ability to adapt to changes are essential. I gained particular knowledge regarding the continuance of MEs even with safeguards of BCMAs and automated medication dispensaries. Other factors are present as well, such as interruptions while a nurse is attempting to complete the medication administration process. After completing research of using safety vests while administering medications, I learned of its value due to the reduction in the percentage of errors. I did not realize that something as simple as wearing a vest could have such a high impact on patient safety.

I was also surprised to learn that injections, intravenous medications, and incorrect technique use were of the highest type of errors. These statistics noted in the peer-reviewed journal articles were indicative of a need to improve education with special attention to intravenous medication administration. I learned that nursing education is key to help improve patient safety with drug administrations. In all, there are many areas in which need continual improvement to best provide quality patient care in a safe manner in regards to medication administration.

References

  • Al Tehewy, M., El Gafary, M., Fahim, H., Gad, N. I., & Rahman, S. A. (2016). Medication Administration Errors in a University Hospital. Journal of Patient Safety,12(1), 34-39. doi:10.1097/PTS.0000000000000196
  • Booth, R., Clark, C., Kalia, K., Reisdorfer, E., Strudwick, G., Sulkers, H., & Warnock, C. (2018). Factors Associated with Barcode Medication Administration Technology That Contribute to Patient Safety: An Integrated Review. Journal of Nursing Care Quality,33(1), 79-85. doi:10.1097/NCQ.0000000000000270
  • Capella University (2018). NHS-FP4000 Socratic Problem-Solving Approach. Retrieved from Capella Website: https://campus.capella.edu/web/critical-thinking/building-skills-for critical-thinking/socratic-problem-solving-approach
  • Harrington, L., Johnson, C., Kelly, K., Matos, P., & Turner, B. (2016). Creating a Culture of Safety Around Bar-Code Medication Administration. JONA: The Journal of Nursing Administration,46(1), 30-37. doi:10.1097/ NNA.0000000000000290
  • McMahon, J. T. (2017). Improving Medication Administration Safety in the Clinical Environment. Medsurg Nursing,26(6), 374-377. Retrieved October 16, 2018, from https://searchproquestcom.library.capella.edu/docview/1989473824/fulltext/FD732D20A 59438PQ/1?accountid=27965.

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