Evaluation Table
Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research
Full APA formatted citation of selected article. Article #1 Article #2 Article #3 Article #4
Forde, M. F., Coffey, A., & Hegarty, J. (2020). Bedside handover at the change of nursing shift: a mixed methods study. Journal of Clinical Nursing, 29(19-20). https://doi.org/10.1111/jocn.15403
Rhudy, L. M., Johnson, M. R., Krecke, C. A., Keigley, D. S., Schnell, S. J., Maxson, P. M., McGill, S. M., & Warfield, K. T. (2019). Change‐of‐Shift Nursing Handoff Interruptions: Implications for Evidence‐Based Practice. Worldviews on Evidence-Based Nursing, 16(5), 362–370. https://doi.org/10.1111/wvn.12390
Thomson, H., Tourangeau, A., Jeffs, L., & Puts, M. (2017). Factors affecting quality of nurse shift handover in the emergency department. Journal of Advanced Nursing, 74(4), 876–886. https://doi.org/10.1111/jan.13499
Roberts, J. C., Johnston-Walker, L., Parker, K., Townend, K., & Bickley, J. (2018). Improving communication of patient issues on transfer out of intensive care. BMJ Open Quality, 7(4), e000385. https://doi.org/10.1136/bmjoq-2018-000385
Evidence Level *
(I, II, or III)
Evidence Level II Evidence Level II Evidence Level II Evidence Level III
Conceptual Framework
Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**
There is no mention of any theoretical underpinnings for the study.
There is no mention of any theoretical underpinnings for the study.
There is no mention of any theoretical underpinnings for the study.
There is no mention of any theoretical underpinnings for the study.
Design/Method
Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).
The study employed a convergent triangulation approach incorporating both qualitative and quantitative data. It involved six different clinical areas in a private acute-care hospital where bedside handover had been previously introduced. A sample size of thirty episodes of the handover was observed and audio recorded. In addition, a bedside Handover tool (HoW4) was used to collect quantitative data from the study participants. The inclusion criteria included registered general nurses who regularly participated in bedside handover.
The study used a descriptive research design where data was collected through observation of change-of-shift handoffs and focus groups in four critical care units at a large medical center. One hundred nurse shift handoffs were observed, focusing on the reasons and types of interruptions during shift handoff. The inclusion criteria were nurses who had completed unit orientation on the units and were responsible for caring for patients independently.
The study used a cross-sectional survey design to analyze a hypothesized model of factors affecting the quality of handover communication between incoming and outgoing nurses in the ED. The inclusion criteria included registered nurses who provide direct patient care in the ED, participated in a handoff at least with the past ten days, worked in ED for at least six months, were fluent in English, and provided informed consent. Of the 650 selected nurses in Ontario who worked in hospital ED, only 316 nurses returned their survey responses. The final eligible sample was 231, and so the overall response rate was 40 percent. Data was collected using self-administered questionnaires scored on Likert-type scales.
The study conducted a literature review and process mapping of both nursing and medical transfer documentation to improve understanding of current handover processes as well as patient issues that demand continuous reflection, management, and follow-up. There were no inclusion criteria. Fifty summaries of identified current were graphed on a control chart for statistical control.
Sample/Setting
The number and characteristics of
patients, attrition rate, etc.
The purposeful sampling method was used to facilitate the collection of rich data on bedside handover practices. A sample size of thirty episodes was deemed adequate to sufficiently describe bedside handover’s structure, content, and process.
The random sampling method was used to select nurses from a list of units working on the unit who met the inclusion criteria. A sample size of one hundred episodes of handoffs was used. In addition to observations, focus groups of thirty-four participants were used.
The random sampling method was used to select participants from a group of nurses who agreed to participate in the study. Thus, a sample size of 650 nurses was invited to take part in the survey.
There were no selection criteria for the 50 clinical records used in the study
Major Variables Studied
List and define dependent and independent variables
The dependent variable was bedside handover, while the independent variables were handoff structures, content, and processes.
The dependent variable was shift handoff, while the independent variables were number, source, and types of interruptions during nursing change-of-shift.
The dependent variable was nurse-to-nurse shift handover communication. In contrast, the independent variables were the smooth flow of patients through triage, positive nurse intrusions, positive safety climate, and positive interactions between incoming and outgoing nurses.
The dependent variable was the length of intensive care stay, while independent variables included various patient issues during discharge.
Measurement
Identify primary statistics used to answer clinical questions (You need to list the actual tests done).
The study used the quantitative content analysis method, where both the mean and standard deviation of survey responses were calculated.
Descriptive and quantitative content analysis was used to classify interruption sources and types into connected items. In addition, focus group data were analyzed using content analysis, where responses were coded to come up with key themes related to the observations.
The study used the SPSS 22.0 software to conduct quantitative analysis, and descriptive statistics and regression analysis were performed.
The study used a control chart to analyze baseline data where upper and lower control limits were determined as three SDs above the average. In addition, a scatter graph was used to identify correlations between length of ICU stay and number of patient issues.
Data Analysis Statistical or
Qualitative findings
(You need to enter the actual numbers determined by the statistical tests or qualitative data).
The most frequently evident processes were: staff were attentive and focused (mean 4.97, SD 0.183), evidence of a caring connection between nurse and patient (mean 4.73, SD 0.691), staff questioned or clarified information (mean 2.13, SD 1...