How can we critique the theory of Self-Efficacy using the internal and external criticism evaluation process in nursing practice?
Excess weight causes imbalances that result in medical conditions that impact both the respiratory and digestive systems. Bariatric surgical procedures can promote weight loss through a combination of restricting the amount of food the stomach can hold and malabsorption. Furthermore, surgery can improve obesity-related comorbidities.
Must have at least 3 credible sources
Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.
Include the following:
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Change Model
Student’s Name
Institutional Affiliation
Date
The Global 8-steps Change Model
The Global 8 steps change model was developed after a survey of several change models that have been put in place by different organizations.
The model focuses on how people are to experience change and in cooperate it to facilitate the desired change in the organization.
The 8-steps articulated in change will facilitate the implementation of the strategic process.
This will helps the organization to integrate and respond to the forces that will hinder the change.
The Global 8-steps Change Model
The model consists of the following 8 steps
Creating the urgency
Build awareness
Form the vision
Get everyone to desire for change
Facilitate knowledge
Removing barriers
Boosts people ability
Reinforce the change
The Global 8-steps Change Model
The steps of the ‘The Global 8-steps Change Model’ should follow one another in the order provided in the infographic.
When the steps have reached the end and the change has not been successful incorporated to the organization, the steps are to be repeated.
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Create urgency
Build awareness
Form vision
Get everyone to desire for change
Facilitate knowledge
Remove barriers
Boost peoples ability
Reinforce change
1. Creating the urgency
A sense of urgency for the change in the organization is created.
This helps in motivating the employees and getting them engaged to the various processes for articulating the change.
Having a convincing dialog about what is happening and what the change will do makes the urgency to build and feed itself.
Communication for creating the urgency is created to the employees through various communication techniques. They include meetings, posters, and emails among others.
Here, the potential threats and scenario of what could happen in the future are developed.
Opportunities to be exploited are well examined and honest discussions for convincing the people communicated.
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2. Build awareness
After creating the urgency for change, it is important to communicate it in order to create awareness.
It is more than just announcing the change but providing a concrete explanation of how the change come about and it is of what benefit.
When creating the awareness for change, focus more on the benefits and allow the employees to contribute to the change.
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3. Form the vision
With the ideas and solutions from the change are linked together to form an overall vision that will be easy for people to grasp and remember.
Having a clear vision helps is essential as it facilitates understanding as it gives a summary of what is required.
This is accompanied with the strategies that will be used to execute to the vision.
Vision is developed through forming a short summary of about two sentences that captures the whole change.
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4. Get everyone to desire for change
Leaders are among the core people in the organizations that will aid in fostering for change.
Leaders are the ones who connect with the people that will be affected by the change.
Appropriate leaders are to be selected to ensure they provide proper guidance and support to the people that are to be affected by change.
The desires for change should be greater that the desires for the organization to stay the same
Since employees have understand that their need to be a change does not imply that they want the change. For the change to be executed, they have to desire for it.
When coming up with these desires, it should be at the back of the mind that resistance to change are the major obstacles and they should be dealt with accordingly.
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5. Facilitate knowledge
Knowledge is mainly about training and educating the people involved to the change to prepare them for transition.
Before change is executed, it is important for the organization and the people involved to understand the way in which their responsibilities, processes, skills, and tools will change.
Knowledge building has to be specific since people will be affected individually directly to their responsibilities.
Enough time should be taken to evaluate the skills, duties, and skills that will be changed as a result of change.
This is important as it helps in planning and scheduling for the necessary skills and knowledge development.
Some of the ways to pass knowledge includes mentoring, blog series, meetings, training, and videos.
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6. Removing barriers
Examples of the barriers to be removed is the resistance to changed.
Before change has been made in an organization, barriers are continually checked and removed as people are empowered.
Changed is mirrored to the organization structure, culture, and performance to ensure they are inline with organization’s vision.
For proper removing of the barriers, change leaders are hired or identified in the organization that will play a major role of change delivery.
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7. Boosts people ability
Boosting their ability to change is promoted with ones confidence in the capabilities of making change.
Hands on training is one of the essential aspects that helps in boosting peoples ability as members have a chance of interacting with the change before it has been put in place.
Besides, it helps in identification of the issues that are projected to affect the change and works on them at the early stages.
The ability of the employees can also be boosted through the creating of the short term wins and celebrating each achievement.
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8. Reinforce the change
After the change has been implemented and the people ability boosted, it is important to reinforce it.
This should be backed up with motivations to maintain and build enthusiasm.
When people go back to the old behaviors, correct them in private immediately they have been identified.
Continually, collect all the feedbacks and listen to the employees for the adjustments.
A time frame for the reinforcement has to set to establish if the change is successful or not.
If the change is too slow, the change leaders can accelerate it basing on the resources in the organization.
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Methods to evaluate the need for change
Key Performance Indicators (KPI) (Hristov & Chirico, 2019)
Technical indicator – these includes the high-technological tools that helps in achieving more in terms of the products and services (Meyer, 2020).
Social indicators – this is the working climate that gives a very strong indicator immediately there is the need for change (Meyer, 2020).
Hristov, I., & Chirico, A. (2019). The role of sustainability key performance indicators (KPIs) in implementing sustainable strategies. Sustainability, 11(20), 5742.
The KPI provides clear indication to the need for change as it tracks productivity, efficiency, and growth. A fluctuation in either of the three factors indicates that there is a need for change.
The technical indicators includes improvement in the technological equipment that are used to increase productivity in a certain organization for it to be in the competitive level as other companies.
The social indicators includes the things like demotivation, frustrations, and lack of energy from the employees to perform their normal duties.
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Approaches and criteria for choosing individuals necessary for change initiative and strategies for stakeholder support to overcome resistance
The approaches and criteria for choosing individuals necessary for change initiative are:
Diversity of the knowledge
Responsibility and ownership
Flexibility
Be black and white thinker
The strategies for overcoming resistance to change includes:
Communicating the change in advance
Educating people on the importance of change and how it will be executed.
Setting clear goals
Recognizing change
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Communication, implementation, and sustainability strategies
The communication strategies that will be used are:
Focusing on the change
Listening to all the participants
Training
Using the right tone (Perryer, 2018)
The implementation strategies to be used are:
Planning careful
Create an appropriate roadmap
Being transparent
Communicating in advance
Sustainability Strategies
Establishing the appropriate mindset to the employees and all the people to be involved in the change process
Accepting the failures and recovering from them as fast as possible
Being consistent always.
Celebrating the small bits of achievements.
Sustainability enables us to remain in the change and overcome the barriers. It is to ensure there is sustainability, it is very essential to have a proper mindset and celebrate the wins accomplished.
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Relevance of The Global 8-steps Change Model and How it Will Work With the Organization Culture
The steps in the model skillful turns the members of the organization that are resistance to change to accept the change through transparency, trust, and teamwork.
Employing the goals together, creating a vision, and education the participant on how to deal with the change makes the model to be outstanding among other models for change.
Facilitates change both in individual and organization level.
Conclusion
The Global 8-steps Change Model will led to sustainable change because it tends to identity the barriers for change before the whole process has been implemented.
This helps in providing solutions to the challenges at an early stage.
Besides, it articulate the knowledge to the people for change and motivating them which are among the core aspects for change.
Lastly, it is a combination of more than two models put in one which has increased its effectiveness and efficiencies.
References
Perryer, S. (2018). 20 effective communication strategies for the workplace. Retrieved from: https://www.perkbox.com/uk/resources/blog/20-effective-communication-strategies-for-the-workplace
Meyer, J. (2020). Indicators for the need for change. https://www.nordantech.com/en/blog/transformation/indicators-for-the-need-for-change
You will utilize your change model for this assignment. Review the feedback submitted by your instructor on your previous change model assignment. Make any changes or modifications necessary for the submission of this assignment.Evaluate the performance of your organization or department. Identify an area that would significantly benefit from initiating a change. Write a paper (1,500-1,750 words) in which you describe the particular area you propose to address through a change initiative. Include the following for your company:
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Hi Class,
For this assignment, you HAVE to follow APA 7th Edition Style. If you do not have the book, I suggest getting the APA 7th Edition manual. Additionally, please follow attention-to-detail to the assignment instructions. Many students get deducted points on their paper because of not following instructions. Common mistakes include forming paper in the first-person versus third person (No “you” “I” “Me” “Our”) should be “the author of this paper,” The paper’s author,” etc. etc. Also, make sure you follow the example paper as closely as possible.
Also, remember, this has to be a NEW PAPER. You are not modifying or copy/pasting any previous work. This will result in a failing grade.
1. What is the value of having ethics review committees such as an institutional ethics committee (IEC), internal review board (IRB), or an infant care review committee (IREC)?
Must be at least 250 words
should be supported by at least two references.
1) Minimum 6 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)
Part 1: Complete the file 1
Part 2: minimum 1 page
Part 3: minimum 4 pages
Part 4: minimum 3 pages
Submit 1 document per part
2)¨******APA norms, please use headers
All paragraphs must be narrative and cited in the text- each paragraphs
Bulleted responses are not accepted
Dont write in the first person
Dont copy and pase the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3) It will be verified by Turnitin and SafeAssign
4) Minimum 3 references per part not older than 5 years
5) Identify your answer with the numbers, according to the question.
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
__________________________________________________________________________________
Part 1:
See example (File 2)
Issue: Infection Control and Prevention
Topics: Cleaning and disinfection; Standards precaution and Cross-contamination
1. Search for articles related to the problem and topics mentioned above, from the articles found, select only 2 to complete the 8 articles that this question requires (within the last 5 years).
The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.
2. Provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table.
a. Determine the level and strength of the evidence for each of the eight research articles you have selected.
Articles:
Cohen, C. C., Choi, Y. J. & Stone, P. W. (2016). Costs of infection prevention practices in long-term care settings: A systematic review. Nursing Economics, 34(1), 16-24,45. Retrieved from https://search.proquest.com/docview/1765381619?accountid=10378
Gammon, J., Hunt, J., Williams, S., Daniel, S., Rees, S., & Matthewson, S. (2019). Infection prevention control and organizational patient safety culture within the context of isolation: Study protocol. BMC Health Services Research, 19 doi:http://dx.doi.org/10.1186/s12913-019-4126-x
Gertrude, S. A., & Nabyonga-Orem, J. (2019). The Global call for action on infection prevention and control. International Journal of Health Care Quality Assurance, 32(6), 927-940. http://dx.doi.org/10.1108/IJHCQA-03-2018-0063
Peng, M.-T. (2020). [Nurses: A Voice to Lead, Nursing the World to Health-Viewing COVID-19 Epidemic Prevention Efforts in Light of Nightingale’s Perspective on Infection Control]. Hu Li Za Zhi The Journal of Nursing, 67(3), 102–110. https://doi.org/10.6224/JN.202006_67(3).14
Qi, Z.-Y., Zhao, P.-Y., Geng, S.-H., Yi, H.-M., & Yang, L.-P. (2020). COVID-19 Epidemic: Possibility of Artificial Intelligence in Infection Control and Prevention. Journal of Epidemiology, 30(8), 371. https://doi.org/10.2188/jea.JE20200203
Trusov, A., Ismoilova, J., Tonkel, T., & Aleksandrin, A. (2016). Infection prevention and control in TB programs. Health Affairs, 35(3), 556. doi:http://dx.doi.org/10.1377/hlthaff.2016.0050
Part 2:
Issue: Infection Control and Prevention
Topics: Cleaning and disinfection; Standards precaution and Cross-contamination
1. Write a list of five outcomes for your proposed intervention.
a. Below each outcome, provide a one or two sentence rationale.
Part 3:
Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another state. She has an appointment with the prenatal care provider next week, however her respiratory symptoms brought her to your office today.
History – Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No other acute or chronic problems. She advises you that she is up to date on all immunizations except she has not had a flu shot (it is October).
Social – Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive domestic situation. She has no support network in this area and has not yet found employment. She has no medical insurance.
HPA – Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other complaints.
PE/ROS – Pt appears disheveled but clean. Wheezing in all lung fields. T 98, P 82 regular, R 28 no stridor. FH 130 regular. The remainder of the exam is WNL.
Directions:
1. Construct a narrative document
2. Diagnose the patient based on the above findings and provide your rationale for how you arrived at the diagnosis.
3. Develop a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
4. Describe community resources (using your own community) currently available in your state/city to support this patient.
5. Provide a communication plan that you will use to ensure the patient is an active participant in the treatment plan. Refer to therapeutic communication concepts.
6. Utilize national standards, your pharm and/or patho book, and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts.
Part 4:
Research topic: Nursing professional care in the prevention of infections associated with health care in intensive care units.
Problem question: What is the nursing professional’s care in preventing infections associated with health care in an adult Intensive Care Unit, according to the scientific literature review?
1. Include a minimum of six scholarly sources- Organize in logical sections
2. Include an overview of the literature. Be unbiased in your presentation of information. Include sources and content relevant to your research questions and hypothesis
3. state the relevance in your literature review. Include a critical assessment of the sources. Do not simply include a summary of what you have read
4. A strong introduction and conclusion, including further questions for research
Literature Evaluation Table
| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
| Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
| Source: Pakistan Armed Forces Medical Journal. June 30, 2019, Issue 3, 560 Publisher: Knowledge Bylanes Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.592910827&site=eds-live&scope=site | Author: Health & Medicine Week, Nov 17, 2017. P. 5504 Publisher: NewsRX LLC Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgit&AN=edsgit.A514226775&site=eds-live&scope=site | Author: Hommes, Rachel E.; Borash, Amy I.; Hartwig, Kari; Degracia, Donna Publisher: Journal of Community Health Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131532927&site=eds-live&scope=site | Author: Granhagen Jungner, Johanna Tiselius, Elisabet Wenemark, Marika Blomgren, Klas Lützén, Kim Pergert, Pernilla Publisher: Elsevier Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S0738399118301861&site=eds-live&scope=site |
| Article Title and Year Published
| Title: Communication Barriers Between Doctors, Nurses, and Patients in Medical Consultations at Hospitals of Lahore Pakistan Year Published: 2019 | Title: Study Findings from School Nursing and Midwifery Broaden Understanding of Quality of Care (Barriers to effective, safe communication and workflow between nurses and non-consultant hospital doctors during out-of-hours). Year Published: 2017 | Title: American Sign Language Interpreters Perceptions of Barriers to Healthcare Communication in Deaf and Hard of Hearing Patients Year Published: 2018
| Title: Development and Evaluation of the Communication over Language Barriers Questionnaire in Pediatric Healthcare Year Published: 2018 |
| Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
| The current study focuses on the perceptions of doctors, nurses and patients about barriers in communication to achieve a holistic understanding of and to give recommendations on how to improve communication between them in order to avoid preventable communication and medical errors. | This study aimed to evaluate the nature and type of communication and workflow arrangements between nurses and doctors out-of-hours (OOH). Effective communication and workflow arrangements between nurses and doctors are essential to minimize risk in hospital settings, particularly in the out-of-hour’s period. | This research aimed to identify American Sign Language (ASL) interpreters’ perceptions of barriers to effective communication between deaf and HOH patients and healthcare providers. | To develop a valid and reliable questionnaire addressing the experiences of healthcare personnel of communicating over language barriers and using interpreters in paediatric healthcare. |
| Design (Type of Quantitative, or Type of Qualitative)
| Qualitative | Qualitative | Qualitative | Qualitative |
| Setting/Sample
| Six participants were recruited to participate in the study using snowball sampling techniques. The first participant recommended associated colleagues, who had almost an experience of twenty years from CMH (army hospital) and Jinnah hospital Lahore, Pakistan (public hospital) as well as patients. The six participants were three males and three females (from each category i.e. a male doctor and a female doctor, a male nurse and a female nurse and a male patient and a female patient). The doctors and nurses were experienced staff. The female patient was middle aged and illiterate, while the male patient was educated, middle aged and belonged to middle class. The study design was descriptive and exploratory in nature. It was conducted for a period of three weeks in August 2018. | A 500 bed tertiary referral acute hospital in Ireland. Junior and senior Non-Consultant Hospital Doctors, staff nurses and nurse managers. | Both an online and paper survey option were distributed to the 146 conference participants. The survey consisted of ten questions. The inclusion criteria consisted of certification as an ASL interpreter and at least two years of experience. The research was conducted with Institutional Review Board approval from St. Catherine University. | Three focus group interviews were performed on a convenient sample of healthcare personnel with various academic, clinical and subject expertise. The total number of participants was 11, with three or four members per group, all female. T |
| Methods: Intervention/Instruments
| The data was collected by using semi-structured interviews in the national language, Urdu. The interviews of doctors, nurses and patients were conducted separately in English. | Qualitative descriptive design and data collection methods included focus groups and individual interviews | Survey with question formats included Likert rating scales, multiple choice and open-ended. | A multiple- methods approach to develop and evaluate the questionnaire, including focus groups, cognitive interviews, a pilot test and test-retest. The methods were chosen in accordance with questionnaire development methodology to ensure validity and reliability. |
| Analysis
| Lack of communication skills, linguistic diversity, lack of knowledge and status of doctors and patients lead to differences in communication styles and attitudes of medical professionals and patients, different disease explanation patterns, difference in disease understanding and decision making attitudes. | Both nurses and doctors acknowledged the importance of good interdisciplinary communication and collaborative working, in sustaining effective workflow and enabling a supportive working environment and patient safety. | In all areas of communication, there was a significant difference (p<0.001) between ASL interpreters’ perceptions of what deaf and HOH patients identified as adequate communication compared to what they perceived as providers’ definition of adequate communication. | The development procedure showed that the issues identified were highly relevant to paediatric healthcare personnel and resulted in a valid and reliable Communication over Language Barriers questionnaire (CoLB-q) with 27 questions. |
| Key Findings
| Deterioration of medical professional’s communication skills, linguistic barriers, cultural barriers, attitudinal barriers and lack of effective team management. | Indeed, issues of safety and missed care OOH were found to be primarily due to difficulties of communication and workflow | This study explored the quality of provider communication with deaf and HOH patients from the perspective of ASL interpreters. Interpreters have a unique role in the healthcare system, as their primary role is to listen, observe and transfer information. We had hypothesized that overall communication between providers and deaf/HOH patients would be generally good. We heard from ASL interpreters that patients and providers largely agree that ASL interpreters are the first preferred line of communication for deaf and HOH patients. | The CoLB-q is perceived as relevant, important and easy to respond to by respondents and has satisfactory validity and reliability. |
| Recommendations
| The medical professionals must take responsibility of their diction, volume and sound quality, to communicate clearly with their patients. The importance of teamwork and effective communication has not been translated into practice, especially in Pakistan, where cultural norms of communication may mitigate against team-work | Medical workflow OOH is often dependent on cues and communication to/from nursing. However, communication systems and, in particular the bleep system, considered central to the process of communication between doctors and nurses OOH, can contribute to workflow challenges and increased staff stress. It was reported as commonplace for routine work, that should be completed during normal hours, to fall into OOH when resources were most limited, further compounding risk to patient safety. | A focus on improving health care and health promotion efforts in the deaf/HOH community depends on improving communication, health literacy, and patient empowerment and involves holding health care organizations accountable for assuring adequate staffing of ASL interpreters and communication resources in order to reduce health disparities in this population. | The CoLB-q can be used to map how healthcare personnel overcome language barriers through communication tools and to identify problems encountered in paediatric healthcare. Furthermore, the transparently described process could be used as a guide for developing similar questionnaires. |
| Explanation of How the Article Supports EBP/Capstone Project
| This article supports my EBP project because it shows the direct effect that language and communication barriers have on patients. | This article supports my EBP project from a different aspect as it talks about communication barriers during “out of hours” or OOH timing, however, it still gives good support that communication barriers directly affect patient care. | This article supports my EBP project in an excellent way because it supports my theory that communication and language barriers not only exist, but patients suffer from their existence and feel much better about their healthcare when interpreters are used in THEIR language. | This is yet another article that supports my EBP project because it gives perspective on another patient population that suffers from language barriers. |
| Criteria | Article 5 | Article 6 | Article 7 | Article 8 |
| Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
| Source: International Journal of Nursing Education (INT J NURS EDUC), Oct-Dec2017; 9(4): 30-35. (6p) Authors: Sethi, Deepak; Rani, Maj Kirti Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127723871&site=eds-live&scope=site | Source: BMC Health Services Research. August 19, 2019, Vol. 19 Issue 1 Publisher: BioMed Central Ltd Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.597052800&site=eds-live&scope=site | Source: North American Journal of Medicine and Science. July 2017, Vol. 10 Issue 3, p103, 7 p. Publisher: Exeley Inc Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.544248272&site=eds-live&scope=site | Source: CLINICAL SIMULATION IN NURSING. 6(5):e193-e198 Publisher: Netherlands: ELSEVIER SCIENCE B.V. AMSTERDAM Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN277267250&site=eds-live&scope=site |
| Article Title and Year Published
| Article Title: Communication Barrier in Health Care Setting as Perceived by Nurses and Patient Year Published: 2018 | Article Title: Health care professional’s communication through an interpreter where language barriers exist in neonatal care: a national study Year Published: 2019 | Article Title: Overcoming Communication Barriers to Healthcare for Culturally and Linguistically Diverse Patients Year Published: 2017 | Article Title: Using Simulation to Bridge Communication and Cultural Barriers in Health Care Encounters: Report of an International Workshop Year Published: 2014 |
| Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
| To assess the barriers in communication between nurses and patients. To find out the association between barriers related factors with the sociodemographical variables of health care professionals. | The aim of this study was to examine health care professionals’ use of interpreters and awareness of local guidelines for interpreted communication in neonatal care. | The growing diversity in the United States brings with it multiple cultures, languages, and communication styles. Effective communication between healthcare providers and patients is essential for quality healthcare. Barriers to communication contribute to health disparities among racial/cultural minority groups. | The workshop began with openings, greetings, introductions, and an overview of the presenters’ motivations for presenting on this topic, including the specific goals, objectives, and teaching strategies. The following background information served as the overarching themes for participants’ discussions and workshop interactions. |
| Design (Type of Quantitative, or Type of Qualitative)
| Qualitative/Quantitative | Qualitative | Qualitative/Quantitative | Qualitative |
| Setting/Sample
| This study was conducted on nurses and patients of two private hospitals affiliated to NABH in Pune, Maharashtra. These patients and nurses were selected using simple random sampling method. | A survey was distributed to all 2109 employees at all 38 neonatal units in Sweden, thus to all physicians, registered nurses and nurse assistants in active service. | The growing diversity brings with it a rich variety of cultures, languages, and communication styles, as well as challenges in cross-cultural communication. Communication between healthcare providers and patients is essential for delivery of operative healthcare services. Health promotion, accurate diagnosis, and patient safety and compliance are all contingent on effective communication between medical personnel and multicultural patients. | Simulation rooms |
| Methods: Intervention/Instruments
| Questionnaires were given to the patients and nurses, after completion, the questionnaires were collected by the researchers. The nurses from medical, surgical, ICU/CCU and emergency wards were selected by random sampling for the data collection. The sample size was calculated by power analysis. The questionnaire was given to the patient after explaining the objectives of the study and after obtaining an informed consent. The patient sample was randomly selected from medical, surgical, and emergency wards. | Data were analysed with descriptive statistics and dichotomized so the professionals were compared in groups of two using the Mantel-Haenszel Chi Square test and Fisher’s Non-Parametric Permutation test. | This article views data from the 2015 United States Census Bureau to analyze it’s theories. | This research was all done through the use of simulations in a workshop and focused on teaching nursing students. |
| Analysis
| According to the results, the mean age of the nurses was 30.2 yrs, and the mean working experience was 7.0 yrs. The mean age of the patients was 28.30 yrs and the mean of hospitalization days was 2.3 days. The results of this study showed that the nurse related factors and common factors between nurses and patients are the most and the least important barriers in health care settings. | The results of the study show insufficient awareness of guidelines in all neonatal units in Sweden. Clinical implications might be to provide healthcare professionals with guidelines and training clinical skills in using interpreters and increasing the availability of interpreters by having interpreters employed by the hospital. | It was analyzed that both verbal and nonverbal barriers to effective communication with Limited English Proficiency (LEP) patients, including issues with using interpreters. Following the analysis, strategies were explored to overcome the barriers at systemic and individual levels. There were six different levels that were found. | The need for culturally competent teaching strategies continues to grow as both the U.S. patient population and schools of nursing become more diverse and as opportunities grow for students to study abroad. Understanding the impact of patient and family cultural diversity on care is a main goal of providing culturally sensitive and appropriate care. |
| Key Findings
| An effective knowledge of nurses regarding patients’ culture, language, customs, and beliefs can help them communicate with patients without having any prejudgments or prejudice. | The results suggest that it is more common to use authorized interpreters for medical communications, while communications about nursing care are more often communicated via unauthorized interpreters. | Effective communication between healthcare providers and patients is essential for quality healthcare. Barriers to communication contribute to health disparities among racial/cultural minority groups. | Effective nurse-patient communication has been shown to improve patient compliance, outcomes, and ultimately satisfaction. |
| Recommendations
| The purpose of the healthcare system is to provide quality services and communication is the best way to gain patients’ satisfaction. Thus, according to the results of this study and previous studies, the following measures will be considerably helpful in establishing an effective nurse-patient communication: allocation of work to nurses with regard to the language and culture of the region, motivating nurses to maintain good IPR with patient, encourage on communication skills workshops, upgrading medical clinics and facilities, holding nursing quality assurance committees, and most importantly, changing attitudes of nursing managers and administrators. | There needs to be movement toward developing innovative solutions that facilitate communication in all types of health care. | Strategies to overcome the barriers at systemic and individual levels must be done. | Faculty must develop assignments and teaching strategies that expose students to a variety of cultures. |
| Explanation of How the Article Supports EBP/Capstone
| This article supports by EBP project because it gives both qualitative and quantitative data that supports my argument for inclusive healthcare. This is the only of my 8 articles that has a lot of quantitative data. | The article supports my EBP project because it shows how healthcare is affected more positively when proper interpreter utilization is done versus when nurses just “wing it”. | This article supports by EBP because it has a ton of different statistics that support the need for action to be done to fix communication and language barriers. | This article and research supports my EBP because it shows and states explicitly that effective communication improves patient compliance, outcomes, and ultimately satisfaction |
References:
1. Communication Barriers between Doctors, Nurses and Patients in Medical Consultations at Hospitals of Lahore Pakistan. Pakistan Armed Forces Medical Journal, [s. l.], n. 3, 2019. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgao&AN=edsgcl.592910827&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
2. Study Findings from School of Nursing and Midwifery Broaden Understanding of Quality of Care (Barriers to effective, safe communication and workflow between nurses and non-consultant hospital doctors during out-of-hours). Health & Medicine Week, [s. l.], p. 5504, 2017. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgit&AN=edsgit.A514226775&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
3. HOMMES, R. E. et al. American Sign Language Interpreters Perceptions of Barriers to Healthcare Communication in Deaf and Hard of Hearing Patients. Journal of Community Health, [s. l.], v. 43, n. 5, p. 956–961, 2018. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=131532927&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
4. GRANHAGEN JUNGNER, J. et al. Development and evaluation of the Communication over Language Barriers questionnaire (CoLB-q) in paediatric healthcare. Patient Education and Counseling, [s. l.], v. 101, n. 9, p. 1661–1668, 2018. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edselp&AN=S0738399118301861&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
5. PATRIKSSON, K. et al. Health care professional’s communication through an interpreter where language barriers exist in neonatal care: a national study. BMC Health Services Research, [s. l.], n. 1, 2019. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgao&AN=edsgcl.597052800&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
6. SETHI, D.; RANI, M. K. Communication Barrier in Health Care Setting as Perceived by Nurses and Patient. International Journal of Nursing Education, [s. l.], v. 9, n. 4, p. 30–35, 2017. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=127723871&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
7. LI, C. et al. Overcoming Communication Barriers to Healthcare for Culturally and Linguistically Diverse Patients. North American Journal of Medicine and Science, [s. l.], n. 3, p. 103, 2017. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgao&AN=edsgcl.544248272&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
8. MITCHELL, A. M. et al. Using Simulation to Bridge Communication and Cultural Barriers in Health Care Encounters: Report of an International Workshop. CLINICAL SIMULATION IN NURSING, [s. l.], n. 5, p. e193, 2010. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsbl&AN=RN277267250&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
Literature Evalu
ation Table
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal
(Peer
–
Reviewed),
and Permalink or
Working Link to
Access Article
Source: Pakistan Armed
Forces Medical Journal.
June 30, 2019, Issue 3, 560
Publisher: Knowledge
Bylanes
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edsgao&AN=ed
sgcl.592910827&site=eds
–
live&scope=site
Author: Health & Medicine
Week, Nov 17, 2017. P. 5504
Publisher: NewsRX LLC
Permalink:
https://lopes.idm.oclc.or
g/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edsgit&AN=eds
git.A514226775&site=eds
–
live&scope=site
Author: Hommes, Rachel E.;
Borash, Amy I.; Hartwig,
Kari; Degracia, Donna
Publisher: Journal of
Community Health
Permalink:
https://lope
s.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=ccm&AN=13153
2927&site=eds
–
live&scope=site
Author: Granhagen Jungner,
Johanna
Tiselius, Elisabet
Wenemark, Marika
Blomgren, Klas
Lützén, Kim
Pergert, Pernilla
Publisher: Elsevi
er
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edselp&AN=S0
738399118301861&site=ed
s
–
live&scope=site
Article Title and
Year Published
Title: Communication
Barriers Between Doctors,
Nurses, and
Patients in
Medical Consultations at
Hospitals of Lahore Pakistan
Year Published: 2019
Title: Study Findings from
School Nursing and
Midwifery Broaden
Understanding of Quality of
Care (Barriers to
effective,
safe communication and
workflow between nurses
and non
–
consultant hospital
doctors during out
–
of
–
hours).
Year Published: 2017
Title: American Sign
Language Interpreters
Perceptions of Barriers to
Healthcare Communication
in Deaf and Hard of He
aring
Patients
Year Published: 2018
Title: Development and
Evaluation of the
Communication over
Language Barriers
Questionnaire in Pediatric
Healthcare
Year Published: 2018
Research
Questions
(Qualitative)/Hy
pothesis
(Quantitative),
and
Purposes/Aim of
Study
The current study focuses
on the perceptions of
doctors, nurses and patients
about barriers in
communication to achieve a
holistic understanding of
and to give
recommendations on how
to improve communication
between them in order to
avoid preventable
communication and medical
errors.
This study aimed to
evaluate the nature and
type of communication and
workflow arrangements
between nurses and doctors
out
–
of
–
hours (OOH).
Effective communication
and workflow arrangements
between nurs
es and doctors
are essential to minimize
risk in hospital settings,
particularly in the out
–
of
–
hour’s period.
This research aimed to
identify American Sign
Language (ASL) interpreters’
perceptions of barriers to
effective communication
between deaf and HO
H
patients and healthcare
providers.
To develop a valid and
reliable questionnaire
addressing the experiences
of healthcare personnel of
communicating over
language barriers and using
interpreters in paediatric
healthcare.
Literature Evaluation Table
Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal
(Peer-Reviewed),
and Permalink or
Working Link to
Access Article
Source: Pakistan Armed
Forces Medical Journal.
June 30, 2019, Issue 3, 560
Publisher: Knowledge
Bylanes
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edsgao&AN=ed
sgcl.592910827&site=eds-
live&scope=site
Author: Health & Medicine
Week, Nov 17, 2017. P. 5504
Publisher: NewsRX LLC
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edsgit&AN=eds
git.A514226775&site=eds-
live&scope=site
Author: Hommes, Rachel E.;
Borash, Amy I.; Hartwig,
Kari; Degracia, Donna
Publisher: Journal of
Community Health
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=ccm&AN=13153
2927&site=eds-
live&scope=site
Author: Granhagen Jungner,
Johanna
Tiselius, Elisabet
Wenemark, Marika
Blomgren, Klas
Lützén, Kim
Pergert, Pernilla
Publisher: Elsevier
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edselp&AN=S0
738399118301861&site=ed
s-live&scope=site
Article Title and
Year Published
Title: Communication
Barriers Between Doctors,
Nurses, and Patients in
Medical Consultations at
Hospitals of Lahore Pakistan
Year Published: 2019
Title: Study Findings from
School Nursing and
Midwifery Broaden
Understanding of Quality of
Care (Barriers to effective,
safe communication and
workflow between nurses
and non-consultant hospital
doctors during out-of-
hours).
Year Published: 2017
Title: American Sign
Language Interpreters
Perceptions of Barriers to
Healthcare Communication
in Deaf and Hard of Hearing
Patients
Year Published: 2018
Title: Development and
Evaluation of the
Communication over
Language Barriers
Questionnaire in Pediatric
Healthcare
Year Published: 2018
Research
Questions
(Qualitative)/Hy
pothesis
(Quantitative),
and
Purposes/Aim of
Study
The current study focuses
on the perceptions of
doctors, nurses and patients
about barriers in
communication to achieve a
holistic understanding of
and to give
recommendations on how
to improve communication
between them in order to
avoid preventable
communication and medical
errors.
This study aimed to
evaluate the nature and
type of communication and
workflow arrangements
between nurses and doctors
out-of-hours (OOH).
Effective communication
and workflow arrangements
between nurses and doctors
are essential to minimize
risk in hospital settings,
particularly in the out-of-
hour’s period.
This research aimed to
identify American Sign
Language (ASL) interpreters’
perceptions of barriers to
effective communication
between deaf and HOH
patients and healthcare
providers.
To develop a valid and
reliable questionnaire
addressing the experiences
of healthcare personnel of
communicating over
language barriers and using
interpreters in paediatric
healthcare.
By the due date assigned, write a 2 page addressing the sections below of the research proposal.
Weekly Objective 4 is addressed in this assignment.
Needed Document: Final Paper Template
This activity is intended for undergraduate nursing students. In this activity, you will observe, think critically about, and report health issues in diverse community environments.
Community health nursing can improve access to care for the most vulnerable and hard-to-reach groups in any country. The community health nurse should combine knowledge of major indicators of health, social factors that contribute to declining health status, and public programs designed to address problems of health care. Efforts should encompass all levels of prevention (primary, secondary, tertiary) and should address the needs of the individual, family, aggregate, and community.
You will submit a formal APA Paper (see instructions in the template and the rubric).
Utilizing the information gathered on your selected community in from eight Sentinel City subsystems you have been working on throughout this class, write your assessment, analysis, nursing diagnosis, plan, and evaluation method (per the rubric) in APA 7th edition format.
You do not need an abstract. The order of the paper is as follows: the title page, the body of the paper (5-10 pages), a reference page. See the sample template provided.
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