Academic Integrity: tutoring, explanations, and feedback — we don’t complete graded work or submit on a student’s behalf.

I need help writing my Literaute review and citing please. Capstone I COURSE Pro

ID: 165690 • Letter: I

Question

I need help writing my Literaute review and citing please. Capstone I COURSE

Proposed Research Method

How transforming communications effectively will improve patient safety according to The Joint Commission, poor healthcare communication is the number one error in healthcare, and it is the leading cause of reported sentinel incidents. AIG research cited poor communication as one of the top three barriers to ensuring a safe environment for patients. A survey carried out by the Agency for Healthcare Quality, and Research found physicians and nurses agreed wholeheartedly on patient priorities only 17 percent of the time and not at all 30 percent of the time because of poor communication (Joint Commission confronts deadly miscommunications 2012). Patient safety rests on proper communication, and the best possible outcomes from the best possible care and adequate collaboration depend on a secure communications platform.

Chapter 2: Literature Review

Improving Communication and Teamwork between disciplines: Utilization of a Daily Goals sheet During Daily Multidisciplinary Rounds in the long -term Care Setting. Communication and collaboration between disciplines in the critical care setting are crucial to providing safety for veterans who are hospitalized and ensuring positive outcomes. There are many methods of communication and teamwork the critical care setting, with multidisciplinary rounds as the primary method. A study conducted by Vazirani, Hays, Shapiro, and Cowan (2005) evaluated the effect of multidisciplinary rounds on communication and collaboration between physicians and nursing staff and found improvement in both related to the use of rounds. According to a study conducted by Centofanti et al. (2014), the use of a rounding tool during multidisciplinary rounds significantly improves communication. Any gap in communication or collaboration in the critical care setting may have significant adverse effects on patient care and their environment. There is an importance of effective teamwork and communication in providing safe care. Communication failures are an extremely common cause of inadvertent patient harm (Leonard, Graham, & Bonacum 2004).

Research evidence, states that there are documents in the literature that advocate, by another method of building teamwork, and communication, including recognizing corporate culture, quality improvement, continuous assessment and regular communication, and reducing conflict. Other statements detail the experience of one institution in improving communication or teamwork using strategies such as the Comprehensive Unit-Based Safety Program. (Seago JA. Professional, Communication).

The primary objective of any shift handoff is the accurate transfer of information about a patient’s state and care plan. In shift change updates, other goals, including increasing team cohesion, training, socialization, and emotional catharsis have also been identified (Patterson, Roth, Woods, Chow, & Orlando Gomes 2004).

One of the greatest benefits of SBT is that it affords opportunities for practice and observation of performance in situations that faithfully replicate important features of the real world environment. That is, SBT brings the complexity of the actual task to a safe and error-tolerant training environment. However, this means that the performance in the simulation must be as complicated as it is in the real world. This complexity is a challenge for team performance measurement. Event-based training (EBAT) and measurement are generalizable methods for managing this complexity (Rosen, et al).

This evidence-based project (EBP) was conducted to answer the following questions: Do multidisciplinary rounds and a rounding tool help improve inter-professional communication and collaboration, and does the rounding tool enhance understanding of the daily goals of patient care in the critical care setting? This study discusses the problem statement and, the related foundational theory, the systematic review of the literature related to the identified practice issue, the market and risk analysis, and the overall research objectives. It also delineates the specific plans for research, including the methodology and the evaluation scheme, as well as the research findings, analysis of conclusions, recommendations, limitations, and implications for change in practice.

Chapter 3: Method

Statement of Purpose

The purpose of the evidence-based project, which was a quality improvement initiative, was to explore ways to improve inter-professional communication and collaboration in the critical care setting. Specifically, it assessed whether multidisciplinary rounds, supplemented with the use of a rounding too and a communication report sheet, will enhance communication and teamwork between advanced care providers and nursing staff, as well as improve the understanding of the daily goals of patient care, in the critical care setting.

Problem Recognition and Definition

The training issue chose because, in the researcher’s current workplace, VA Hospital, there are many concerns related to communicating information appropriately, as well as collaborating, between advanced care providers and nursing staff. These issues include missed labs and diagnostic tests, consultations, and medications, in addition to incident reports for patient care errors, increased the length of stay (LOS), and a lack of understanding of the care plan and the rationale behind it. As observed in practice, and through personal statements from providers and nursing staff, miscommunication and poor collaboration causes missed patient care goals, missed opportunities for improved patient outcomes, and increased LOS.

Multidisciplinary rounds were originally in place and done once daily; however, there was still a gap in communication between different shifts and disciplines, and communication lost, regarding patient care and collaboration. According to Halm (2008), through utilization of daily goals, sheet or checklist in the critical care setting, teamwork, and effective communication are enhanced, thereby improving outcomes. In theory, by adding a rounding tool to daily multidisciplinary rounds, communication and collaboration between advanced care providers and nursing staff in the critical care setting would improve, as well as the understanding of the common goals of patient care and individual patient outcomes.

Problem Statement and Dr. Seuss simulation

The problem statement for the research study was as follows: Do daily multidisciplinary rounds in the critical care setting, utilizing the Daily Communication report sheet by the Green House. Quality and Safety Research Group (2009), increase communication and collaboration between advanced care providers and bedside nurses, as well as improve the understanding of the daily goals of patient care by advanced care vendors and bedside nurses, over traditional daily rounds without a particular rounding tool? The Dr. Seuss simulation and communication and collaboration were necessary to provide excellent patient care as a multidisciplinary team.

Aside from communication and collaboration, understanding of the daily goals of patient care is critical. Without these, there is a risk for issues in the critical care unit related to team processes, patient outcomes, and financial resources. Team operations include poor collaboration and adherence with EBP bundles of care, decreased the quality of work, lack of understanding and knowledge of the plan of attention among care providers, and reduced staff satisfaction and retention.

Evidence states that the human factor is a critical importance of effective teamwork and communication in providing safe care effective communication and collaboration are imperative for the delivery of patient center care with a secure patient safety. Communication breakdowns are an extremely common cause of inadvertent patient harm (Leonard, Graham, & Bonacum 2004). Research evidence, states that there is no deficit of documents in research that support, based on opinion, for or method of collaboration, communication and planning teamwork, (Seago JA. Professional Communication).

The primary objective of any patient handoff is the accurate transfer of information about a patient’s state and care plan. In nursing shift change updates, other goals, including increasing team cohesion, training, socialization, and emotional catharsis have also been identified (Patterson, Roth, Woods, Chow, & Orlando Gomes 2004).

One of the greatest benefits of SBT is that it affords opportunities for practice and observation of performance in situations that faithfully replicate important features of the real world environment. That is, SBT brings the complexity of the actual task to a safe and error-tolerant training environment. However, this means that the performance in the simulation must be as complicated as it is in the real world. This complexity is a challenge for team performance measurement. Event-based training (EBAT) and measurement are generalizable methods for managing this complexity (Rosen, et al).

Stress can sometimes affect a person's communication and behavior, and it plays a significant role in work performance. Employees experience stress differently and will have their own various coping and healing mechanisms, so treat each person as an individual. In a crisis, staff has to focus, supportive and calm, remembering what education and training have taught, that the effects of PTSD are normal reactions to an abnormal situation and positive communication empowers (Work).

References

Ababat, V., Asis, J., Bonus, M., DePonte, C., & Pham, D. (2014). Multidisciplinary rounds in various hospital settings. RN Journal. Retrieved from http://rnjournal.com/journal-of-nursing/multidisciplinary-rounds-in-varioushospital- settings

Leonard, M., Graham, S., & Bonacum, D. (2004). The human factor: the critical importance of effective. doi:Qual Saf Health Care 2004;13(Suppl 1):i85–i90. doi: 10.1136/qshc.2004.010033

Joint Commission confronts deadly miscommunications. (2012, May 04). Retrieved March 11, 2017, from http://www.healthcareitnews.com/news/joint-commission-confronts-deadly-miscommunications

Reader, T. W., Flin, R., & Cuthbertson, B. H. (2007). Communication skills and error in the intensive care unit. Current Opinion in Critical Care, 13, 732-736.

Rosen, M. A., Salas, E., Wilson, K. A., King, H. B., Salisbury, M., Augenstein, J. S., . . . Birnbach, D. J. (2008). Measuring Team Performance in Simulation-Based Training: Adopting Best Practices for Healthcare. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 3(1), 33-41. doi:10.1097/sih.0b013e3181626276

Seago JA. Professional Communication. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 32. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2679

Thomas, E. J., Sexton, J. B., & Helmreich, R. L. (2003). Discrepant attitudes about teamwork among critical care nurses and physicians. Critical Care Medicine, 31(3), 956-959.

Patterson, E. S., Roth, E. M., Woods, D. D., Chow, R., & Gomes, J. O. (2004). Handoff strategies in settings with high consequences for failure: lessons for health care operations. International Journal for Quality in Health Care, 16(2), 125-132.

Pronovost, P., Berenholtz, S., Dorman, T., Lipsett, P. A., Simmonds, T., & Haraden, C. (2003).Improving communication in the ICU using daily goals. Journal of Critical Care, 18(2), 71-75.

Work, A. H. (n.d.). BrainLine Military. Retrieved March 06, 2017, from http://www.brainlinemilitary.org/content/2012/05/tips-for-communicating-with-people-with-traumatic-brain-injury-and-post-traumatic-stress-disorder-.html

Explanation / Answer

To write Literature review we use following headings:

Abbreviations [if desired]

Abstract

Introduction

Review of literature- that has to include characteristics of every method and material chose.

Material and methods- tell about the procedure

Results-

Discussion, and

Reference

For citation, use APA citation maker like easybib from internet.