Research in nursing

Research in nursing

Introduction

Research in nursing is aimed at developing knowledge on health and health promotion over the full lifespan, nursing actions, and care for persons with disabilities and health problems to enhance the effective response by the individuals to actual or potential health problems. The advancement in research has helped establish the ground for a longer life for people with lifelong health problems in getting the care. Most of the nursing researches involve studies to establish interventions in solving nursing care needs.

The article “Improving quality and safety of care in nursing homes by team support for strengths use: A survey study” was set in the Netherlands. The study was to establish the relationship in workload, quality of care, team support for the strengths use, and the safety of patients in nursing homes. Balzac-Samardžić and van Woerkom takes a dig at the nursing homes to evaluate the patients’ safety from the nursing homes. The study had control of the team size, tenure, organizational tenure, age, nursing homes, and multilevel regression analyses. There was support from the respondents, and the research was ethical.

Is this quantitative research report a case study, case-control study, cohort study, randomized control trial, or systematic review?

The study involves a review of past studies and compares the study to the present. The researchers pose predetermined questions to the whole sample. The researchers did into explaining the concept of a larger group. The research is based on the previous research but bases the research on measuring the research data at one point. The research has the cross-sectional studies. The research defines the frequency of nursing quality and patients’ safety in a defined population. From the research analysis and the collection of data, the research is a cohort study.

Where does the study fall in the hierarchy of evidence in terms of reliability and risk of bias?

The research is in level five of the hierarchy of evidence in reliability and risk of the bias. The researchers sent a request for data from individuals who, at one point, have had the exposure to the intervention. The research used the prospective cohort, which formed the selective sampling of the nurses in various homes. As stated by Ingham-Broomfield (2016) that the study categorizes the participants in the exposure level to risk factors followed over some time to observe the possible outcome.

Why was the study done?

With the growing evidence of the workload affecting the care quality and the safety of the patient in the nursing homes, team support is the resource that could be useful in alleviating the adverse effects of workload on the quality of care and patient safety in a nursing home. The process involves the belief of team members on the extent of help they have to offer for the support actively helps them in their strengths at work. The research aims to investigate the relationship existing between the team support for strengths use, the workload, quality of care, and the safety of the employees in nursing homes.

Were the steps of the study identified?

The research illustrated clearly the steps used for the study. The research identifies the problem that was the workload in the provision of quality of care and the patients’ safety. The research further stated the literature review of the works and the evidence from the earlier researches. There is a clarification of the problem where the researchers take the reader through a comparison of cases of workload and occupancy of patients. The next step involved the defining terms and conditions and defining the population. The terms of data collection as from the nurses that worked and had a specific qualification. The population was the patients in the Netherlands nursing home. The instrumentation plan was in place, and the data collected through the cross-section method and then analysis done by spss.

What was the sample size?

The research used the data of 1116 employees in 84 teams providing direct care to clients. The respondents were issued with the questionnaires having the cover letter. The researcher received a total of 497 respondents, which entailed 74 teams within the seven nursing homes, which constituted of 44.5% response rate. The team size was from 5 to 40 members, with a mean of 16.96 members and a standard deviation of 8.79.

Are the measurements of significant variables reliable and valid? Explain.

The research sought to have accurate data and used the tools that have been used and tested before. The perceived workload was measured with an eight-item scale developed by De Jonge et al. The scale has been of use and validated before with the Cronbach’s alpha’s varying between .86 and .89, however, in this study the reading was .87. Team support for strength used the seven-item scale with the Cronbach’s alpha was .84. The perceived team-based quality of care was measured using a self-developed scale. The perceived quality of care Cronbach’s alpha was .75.

How were the data analyzed?

Data analysis for the research was through the use of SPSS 15.0. Multilevel regression analysis tested the hypothesis of the research through the linear mixed-effects model procedure in SPSS. The result was that the effects of the individual-level variables were pitted against the non-independence observations within the groups. The deviance score was computed in comparing different models and testing their significance. The deviance score computed using the chi-square distribution table solved the measured model fit for all the models.

Were there any untoward events during the conduct of the study?

The research received no incidence of untoward behavior or character. The study flowed smoothly except for the unreturned questionnaires. The planning and the organization in the acquisition of the data from the very well-known places make reliable data.

How do the results fit with previous research in the area?

The study contradicts previous studies. It finds no significant relationship between perceived workload and the perceived team-based quality of care and the safety of the patients. The

What does this research mean to clinical practice?

The research finds out that besides providing skills to caregivers stimulating quality and safety of care, leveraging unique strengths of the individual caregivers in nursing home teams affects the perceived team-based care quality and patient safety positively. The research further indicates that though personal strengths are a trait-like characteristic energizing to the user, individuals may not be aware they exist or that the strength is self-evident. The various reasons listed as the barrier to the exploration of full use of strengths at work include perception of normative demands at work, strength use appropriateness, and the focus in fitting than authenticity. Managers have the duty, therefore, to find the strengths in people, which is possible through strengthsfinder or values in action inventory of strengths (VIA-IS). The other alternatives would be through feed forwards interviews, taking to the employee on their experience on their energized days at work or the conversation among the colleagues, and after that giving the feedback.