Week 6 Assignment: EBP Change Process form. Coursework

Week 6 Assignment: EBP Change Process form
ACE Star Model of Knowledge Transformation
Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson. Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.
Name: _____________________
Star Point 1: Discovery (Identify topic and practice issue)
Topic: Risk Management for Healthcare Workers
Nursing Practice Issue: Psychological and Physical Challenges Faced by General Nurses Working on Rotting Night Shifts
Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
Nurses often experience stress in their work environment due to various reasons. Some of the work-related stress is a result of lack of sleep for those who work on night shifts, thus directly affecting their state of mind as well as their physical health. Therefore, healthcare managers need to identify and evaluate such risks in a bid to reduce the psychological and physical risks associated with nurses’ night shifts. An evidence-based change process can be useful in dealing with this problem, as it will help in understanding the issue and necessitating informed decisions and solutions. Accordingly, this document presents an evidence-based change process for managing psychological and physical issues affecting general nurses who work on shifts. Considerations are made for a public hospital setting, which is characterized by the admittance of all types of medical as well as surgical cases; while focusing on acute illnesses that require relatively short-term care.
Star Point 2: Summary (Evidence to support need for a change)
Describe the practice problem in your own words and formulate your PICOT question.
Many health issues directly linked to a lack of sleep. Failure to get enough rest is likely to cause challenges for victims such as slower reaction time, sudden drowsiness, reduced cognitive ability and flexibility, poor communication skills, and impaired ability to learn. Nurses on night shifts face the risks above on their psychological and physical health. In the foregoing, their ability to perform their duties accurately and correctly may be compromised if they do not have enough sleep or rest. For instance, nurses who are overwhelmed due to lack of sleep may inaccurately administer drugs, or make mistakes in the use of medical tools and equipment. Based on the topic issue under consideration, a systematic review of the Cochrane Database was conducted using a PICOT format containing the following:
P: General Nurses under rotation in a general healthcare facility setting
I: Develop strategies and interventions to manage psychological and physical difficulties met by healthcare workers on shifts in a general hospital setting
C: A comparison between nurses on rotating shifts and those on day shifts
O: Improved well-being of nurses
T: 4 months to check for any outcomes from the strategies and interventions put in place
List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected.
Dumont, M. A. R. I. E., Montplaiser, J., & Infante-Rivard, C. L. A. I. R. E. (1997). Sleep quality of former night-shift workers. International Journal of occupational and environmental health, 3, S10-S14.
Ferri, P., Guadi, M., Marcheselli, L., Balduzzi, S., Magnani, D., & Di Lorenzo, R. (2016). The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts. Risk management and healthcare policy, 9, 203.
Jahromi, M. F., Moattari, M., & Sharif, F. (2013). Novice nurses’ perception of working night shifts: a qualitative study. Journal of caring sciences, 2(3), 169.
Muecke, S. (2005). Effects of rotating night shifts: literature review. Journal of advanced nursing, 50(4), 433-439.
Ruggiero, J. S. (2005). Health, work variables, and job satisfaction among nurses. JONA: The Journal of Nursing Administration, 35(5), 254-263.
San Chang, Y., Wu, Y. H., Hsu, C. Y., Tang, S. H., Yang, L. L., & Su, S. F. (2011). Impairment of perceptual and motor abilities at the end of a night shift is greater in nurses working fast rotating shifts. Sleep medicine, 12(9), 866-869.
Shorter, D. G. (2016). Shift-work sleep disorders and Baby Boomer nurses: Will increased knowledge change self-care practices? Wilmington University (Delaware).
Trinkoff, A. M., Le, R., Geiger‐Brown, J., Lipscomb, J., & Lang, G. (2006). Longitudinal relationship of work hours, mandatory overtime, and on‐call to musculoskeletal problems in nurses. American journal of industrial medicine, 49(11), 964-971.
Zabielska, P., Bażydło, M., Karakiewicz, A., Grochans, E., Jurczak, A., & Rotter, I. (2014). Nurses’ Health in Shift Work. Journal of public health, nursing and medical rescue, 107(2014_3), 11-17.
List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format.
1. Centers for Disease Control and Prevention (CDC):
Caruso, C. C., & Condon, M. E. (2006). Night Shifts and Fatigue: Coping skills for the working nurse. AJN The American Journal of Nursing, 106(8), 88.
2. Sigma Repository
Hughes, R. V. (2016, March 21). Health Risks for Nurses Working Night Shift.
Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.
Many people prefer to work on night shifts since they get more work opportunities and experience with relatively lower competition. In particular, general nurses in the public hospital setting who work on night shifts have few disruptions and distractions from management or co-workers, lesser meetings, as well as shorter commutes because of traffic eases at night. However, psychological and physical challenges characterize the work environment of the rotating night shifts. Accordingly, the nurses working on rotating night shifts do not sleep well in their wor...