NURS FPX 8030 Assessment 2 Evidenced-Based Literature Search and Organization

NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

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Evidenced-Based Literature Search and Organization

Staffing shortages have been a persistent issue in the healthcare sector, raising concerns about patient safety. The repercussions of inadequate staffing extend to various patient safety issues, including increased rates of patient falls, catheter-associated urinary tract infections (CAUTIs), hospital-acquired pressure injuries (HAPIs), and reduced patient satisfaction scores. Inadequate staffing not only impacts patient care but may also lead nursing staff to forgo certain tasks due to time constraints. Addressing staffing challenges is crucial for healthcare, especially in its impact on nurses. This paper aims to gather evidence on the effectiveness of maintaining adequate staffing ratios and explores whether it results in improved patient satisfaction scores within a one-year timeframe. The formulated PICOT question is as follows:

In hospital patients, how do safe staffing ratios of 1:6, compared to unsafe staffing ratios of less than 1:6, affect patient safety?

P (Population): Nurses
I (Intervention): Safe staffing ratios 1:6
C (Comparison): Unsafe staffing ratios less than 1:6
O (Outcome): Patient satisfaction scores and reduction of patient safety issues
T (Time): 6 months

Search for Literature

The initial step in the literature search process involves identifying a problem affecting nurses. In this case, the focus is on staffing ratios and their daily impact on nurses and patients. A PICOT question was formulated, and relevant keywords were identified to create a strategic search plan. The chosen keywords, including nurses, nursing ratios, patient satisfaction, patient safety, and six months, were utilized in a database search. Two key search engines, CINAHL Complete and Nursing & Allied Health, were employed, using an advanced search with truncation and Boolean connectors.

Inclusion/Exclusion Criteria

The inclusion criteria stipulated that selected articles must be peer-reviewed and not older than five years, with most articles within a three-year timeframe (2019 onwards). Full-text availability online ensured ease of access. Exclusion criteria encompassed articles older than five years, non-peer-reviewed articles, and those not set in a hospital setting. Patients with mental health problems, cognitive delay, or dementia were excluded due to challenges in obtaining accurate data and feedback from these populations.

Research Articles

Five relevant articles were selected based on the inclusion criteria:

1. Van Den Oetelaar, W. F. J. M., Roelen, C. A. M., Grolman, W., Stellato, R. K., & Willem, v. R. (2021). Exploring the relation between modelled and perceived workload of nurses and related job demands, job resources, and personal resources; a longitudinal study. PLoS One, 16(2). https://doi.org/10.1371/journal.pone.0246658
2. Fildes, C., Munt, R., & Chamberlain, D. (2022). Impact of dual intensive care unit and rapid response team nursing roles on service delivery in the intensive care unit. Critical Care Nurse, 42(5), 23-31. https://doi.org/10.4037/ccn2022540
3. Disch, J., & Finis, N. (2022). Rethinking nursing productivity: A review of the literature and interviews with thought leaders. Nursing Economics, 40(2), 59-71.
4. Kowalski, M. O., Basile, C., Bersick, E., Cole, D. A., McClure, D. E., & Weaver, S. H. (2020). What do nurses need to practice effectively in the hospital environment? An integrative review with implications for nurse leaders. Worldviews on Evidence-Based Nursing, 17(1), 60-70. https://doi.org/10.1111/wvn.12401
5. Al Muharaaq, E. H., Alallah, S. M., Alkhayrat, S. A., & Jahlan, A. G. (2022). An overview of missed nursing care and its predictors in Saudi Arabia: A cross-sectional study. Nursing Research and Practice, 2022. https://doi.org/10.1155/2022/4971890

These articles, meeting the inclusion criteria, provide recent, reliable, and peer-reviewed information relevant to nursing staffing ratios and patient satisfaction.

A PRISMA diagram (see Appendix 1) was utilized to organize and present the results of the literature search, reflecting the identification and selecti