Written Implementation Plan: Review of the Research Literature
In nursing practice, accurate identification and application of research are essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student's ability to further develop and synthesize the assignments that constitute the components of the capstone project.
The assignment will be used to develop a written implementation plan.
For this assignment, provide a synopsis of the review of the research literature. Using the "Literature Evaluation Table," determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Student Name:
Change Topic (2-3 sentences): Perioperative nurses have very small checklists to capture patient information and facilitate nurse-to-nurse handoff communication. This literature evaluation table provides an analysis of pieces of literature to answer the PICOT question: in the perioperative setting (P), what is the impact of a standardized handoff protocol (I) among perioperative nurses compared to the current handoff (C) on nurse communication and patient safety (O) within six weeks (T)?
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Rickel, Gisick, Griggs, Simonson, Keebler, & Lazzara, The Journal of the Human Factors and Ergonomics Society, https://journals.sagepub.com/doi/pdf/10.1177/2327857919081069
Caruso, Marquez, Gipp, Kelleher, and Sharek
International Journal of Health Care Quality Assurance
https://doi.org/10.1108/IJHCQA-02-2016-0015
Reine, Rustoen, Raeder, and Aase , Journal of Clincal Nursing,
https://pubmed.ncbi.nlm.nih.gov/30183113/
Mukhopadhyay, et al., The American Journal of Surgery,
https://pubmed.ncbi.nlm.nih.gov/28823594/
Article Title and Year Published
Descriptive analysis of the design, implementation, and evaluation of structured anesthesia handoff protocols in current literature (2019)
Standardized ICU to OR handoff increases communication without delaying surgery (2017)
Postoperative patient handovers- variability in perceptions of quality. A qualitative focus group study (2018)
Implementation of a standardized handoff protocol for postoperative admissions to the surgical intensive care unit (2018)
Research Questions (Qualitative)/Hypothesis (Quantitative)
What is the best practice for developing and implementing handoff protocols?
Does the standardized ICU to OR handoff process increase face-to-face handoffs?
What factors influence the quality of handovers in postoperative care?
Does the implementation of a standardized handoff protocol improve communication among the postoperative care teams?
Purposes/Aim of Study
To investigate the best practice for developing and implementing handoff protocols.
To establish whether s standardized ICU to OR handoff protocol would improve the handoff process and patient care.
To examine the perception of clinicians on the factors affecting postoperative handover quality.
To establish whether implementing a standardized handoff protocol improves communication among postoperative care teams during patient care transition from OR to SICU.
Design (Type of Quantitative, or Type of Qualitative)
Descriptive analysis
Longitudinal design-Prospective cohort
Exploratory design- Focus group
Prospective interventional design
Setting/Sample
Handoff protocol intervention studies
Pediatric hospital, Sample-26
Clinicians at a University Hospital, sample-37
Surgical and trauma intensive care unit of an academic medical center
Methods: Intervention/Instruments
Synthesis
I-PASS mnemonic handoff protocol
Semi-structured interviews
Standardized handoff protocol
Analysis
Descriptive analysis
SAS 9.4 was used to analyze pre-and post-intervention data
Thematic analysis of transcribed data
GraphPad Prism Software was used in the analysis
Key Findings
The most commonly used standoff protocol is the SBAR, IPUT PATIENT FIRST, and HAST. Evaluation includes surveys and direct observations.
The use of a standardized handoff increases face-to-face handoff communication and improves patient readiness for transportation from the ICU to OR.
Conflict, timing, patient condition, handoff structures, and individual and team characteristics affect the quality of handoffs.
A standardized handoff protocol significantly improved team handoff communication and involvement in the SICU
Recommendations
Healthcare professionals should use insights from the research to create structured handoff protocols.
Healthcare professionals should use standardized handoff protocols in the perioperative care.
Healthcare workers should consider the above factors when designing and implementing handoffs structures.
Healthcare professionals should utilize handoff standardization for improved communication and involvement.
Explanation of How the Article Supports EBP/Capstone Project
The article provides insights into how handoff protocols are evaluated
The article provides insight into the effectiveness of standardized handoff protocols
The article provides insight into factors I should consider while implementing the proposed change.
The study helps establish the effectiveness of a standardized handoff protocol, thus supporting my proposed change.
Criteria
Article 5
Article 6