Henderson’s Theory
November 19, 2019
Provide citation and reference to the material(s) you discuss. Describe what you found interesting regarding this topic, and why.
November 19, 2019

LEVEL 2 SYNTHESIS TABLE

ARTICLE

Spector, et al. (2015)

Brook, et al (2019)

LEVEL OF EVIDENCE

2

2

1. Are the results of the study valid?

Yes

1a. Were subjects randomly assigned to the experimental and control groups?

Yes

1b. Was random assignment concealed from the individuals who were first enrolling subjects into the study?

Uncertain

1c. Were the subjects and providers kept blind to study group?

No

1d.Were reasons given to explain why subjects did not complete the study?

No

1e.Were the follow-up assessments conducted long enough to fully study the effects of the intervention?

Yes

1f. Were the subjects analyzed in the group to which they were randomly assigned?

Yes

1g.Was the control group appropriate?

Yes

1h.Were the instruments used to measure the outcomes valid and reliable?

Yes

1i.Were the subjects in each of the groups similar on demographic and baseline clinical variables?

No

2.What are the results?

The evidence from this study shows strong, evidence-based transition programs do improve outcomes for new nurses in their first year of practice and increase their retention.

2a. How large is the intervention or treatment effect?

The treatment effect in far reaching. If each hospital established a strong evidenced based transition program for their nurses in the first year of practice improved safety outcomes, decreased work related stress, increased job satisfaction and retention would ensue.

2b. How precise is the intervention or treatment effect?

While much research has been done, more rigorous research is needed.

LEVEL 4 SYNTHESIS TABLE

ARTICLE

Madhuvu, Plummer, & Morphet (2018)

Morphet, Kent, Plummer, & Considine (2016)

Level of Evidence

4

4

Are the results of the study valid?

Yes

Yes

Was there a representative and a well-defined sample of patients at similar of patients at a similar point in the course of the disease?

No

No

Was follow-up sufficiently long and complete?

Yes

No

Were objective and unbiased outcome criteria used?

Yes

Yes

Did the analysis adjust for important prognostic risk factors and confounding variables?

Yes

No

What are the results?

Most of the participants had either medical or surgical nursing experience. More than half the nurses continued to work in the ICU more than two years after the program was completed, an increase in retention.

This Transition to Specialty Practice Program was started to prepare emergency room nurses for work in that specific specialty. There were different durations of the program from 5-12months, clinical prep time of 7-22 days, study days of 2-6, programs of 6-12 months. It was noted that the results varied. Longer programs did not show advantages with professional development.

Will the results help increase new graduate nurse retention?

Yes

No

Were the study subjects similar to new graduate nurses locally?

Yes

Yes

Will the results lead directly to implementing nurse residency/TPP programs?

Yes

Possibly

LEVEL 5 EVIDENCE SYNTHESIS TABLE

SYSTEMATIC REVIEW

ARTICLE

Chant & Westendorf (2019)

Eckerson (2018)

Morphet, et al (2016)

Perron, et al (2019)

Rush, et al (2017)

Van Camp & Chappy (2016)

LEVEL OF EVIDENCE

LEVEL V

LEVEL V

LEVEL V

LEVEL V

LEVEL V

LEVEL V

ARE STUDIES CONTAINED IN REVIEW RCTS?

NONE

NONE

NONE

NONE

NONE

NONE

DOES REVIEW CONTAIN DETAILED SEARCH STRATEGY DESCRIPTION?

YES

YES

YES

YES

YES

YES

DOES REVIEW DESCRIBE HOW VALIDITY OF INDIVIDUAL STUDIES WAS ASSESSED?

NO

YES

YES

YES

YES

YES

ARE RESULTS CONSISTENT ACROSS STUDIES?

NO

YES

YES

YES

YES

YES

IS INDIVIDUAL HOSPITAL OR AGGREGATE DATA USED?

AGGREGATE

AGGREGATE

INDIVIDUAL AND AGGREGATE

INDIVIDUAL

INDIVIDUAL AND AGGREGATE

INDIVIDUAL AND AGGREGATE

HOW LARGE IS THE RESIDENCY/TPP EFFECT (% OF RETENTION)?

NO SPECIFIC RETENTION DATA PROVIDED: RECOMMENDATION BY INSTITUTE OF MEDICINE IS NRPS TO SUPPORT EVERY NEW NURSE IN TRANSITION TO PRACTICE

OVER 90% RETENTION RATE IN THE FIRST YEAR OF EMPLOYMENT AND 85% RETENTION RATE ONE YEAR POST EMPLOYMENT

18 Emergency departments and 13 surveys. No advantages for longer programs

36% reduction in turnover rate

88% AVERAGE

VARIABLE- 78-90% RETENTION AFTER ONE YEAR – MOSTLY MEASURED IN POST-IMPLEMENTATION RETENTION

ARE THE STUDIED HOSPITALS AND NURSES SIMILAR TO AREA HOSPITALS AND NURSES?

YES

YES

YES

YES

YES

YES

IS IT FEASIBLE TO IMPLEMENT TPP/RESIDENCY PROGRAMS IN AREA HOSPITALS?

YES

YES

YES

YES

YES

YES

WERE COSTS/BENEFITS CONSIDERED?

YES

YES

YES

YES

YES

YES

ARE THERE CIRCUMSTANCES PREVENTING IMPLEMENTATION OF TPP/RESIDENCY PROGRAMS?

UNLIKELY

UNLIKELY

UNLIKELY

UNLIKELY but article suggests more research.

UNLIKELY

UNLIKELY

DO NEW GRADUATE NURSES PREFER TPP/NURSE RESIDENCY PROGRAMS OVER TRADITIONAL ORIENTATIONS?

UNCERTAIN

YES

YES

YES

 

“Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!”

The post LEVEL 2 SYNTHESIS TABLE appeared first on Custom Nursing Help.


LEVEL 2 SYNTHESIS TABLE was first posted on November 19, 2019 at 11:16 am.
©2019 "nursingassignmenttutor". Use of this feed is for personal non-commercial use only. If you are not reading this article in your feed reader, then the site is guilty of copyright infringement. Please contact me at administrator@nursingwriters.org

 
"Is this question part of your assignment? We will write the assignment for you. click order now and get up to 40% Discount"