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http://www.academia.edu/1347255/Hospital_safety_perceptual_paradox ^ link to stu

ID: 3849861 • Letter: H

Question

http://www.academia.edu/1347255/Hospital_safety_perceptual_paradox

^ link to study / journal article.

1. What are the research questions in this study and are the research question(s) clearly stated?

2. What type of research method was used? What design was used?: is the methodology clearly and fully explained? Are the research methods correctly used and appropriate for this topic? [[SOME RESEARCH METHODS ARE QUALITATIVE STUDY, EXPERIMENTAL STUDY, COHORT STUDY, just to name a few.]]

3.Discussion & Implications (linking findings to larger contexts -policy and practical implications): Are the study conclusions supported by the data? Does the analysis adequately address the questions/issues raised?

Explanation / Answer

1. What are the research questions in this study and are the research question(s) clearly stated?

ANSWER:

yes, the research questions are clearly stated in Apendix A anb B.

But it it not clear out of 24 questions which 21 questions were asked to each 45 patients.

The research questions asked to the patients are:

1. What is the highest grade you have completed?

2. Do you have someone who stays with you in the hospital? Why? How much of the time (%)?

3. Do the members of the health care team appear familiar with your condition and treatment?

4. Are you familiar with what medications you are receiving?

5. Are you receiving your medications on schedule?

6. Before you have a procedure (such as having blood drawn, going for an X-ray, receiving medications) do the staff use some ways to validate (identify) who you are?

7. Do the staff wash their hands before they work with you?

8. Have you experienced an error or a near mistake? Was it resolved? How?

9. Do you believe that your concerns are being heard and understood?

10. Has your physician explained your course of treatment?

11. Does all of the equipment in your room seem to work properly?

12. Would you recommend this hospital to your family and friends?

13. How long does it usually take for someone to respond to your call light?

14. What have you been told or heard about safety in this or other hospitals?

15. What do you do if you suspect a problem?

16. Who on your team would you be most comfortable reporting a problem to?

17. What measures do you believe are in place to help avoid errors in the hospital?

18. How do you participate in your or loved one’s care to ensure safety during this hospital stay?

19. If you are susceptible to falling, what precautions have been taken by the hospital?

20. Do you know what treatment you will receive today and when?

21. How much control do you believe you have over your care in the hospital? (1–10)

22. How safe have you (or you as a care giver) felt during this hospital stay? (1–10)

23. How comfortable are you reporting a problems to someone on the health care team? (1–10)

24. What are three words that describe your hospital stay?

10 nurses were asked the following questions.

The research questions asked to the nurses are:

8. What are the top three things that you routinely do to make the patient’s stay safer?

9. What aspects of patient safety concern you the most?

10. How do you report a risky situation or actual error? Can you give me an example of what you thought was a “risky situation”?

11. What are the benefits and downsides of reporting errors or risky situations?

12. If a patient or family member questions what you are doing, how do you respond?

13. During the last 5 years what changes have you seen that you think have made the hospital safer?

14. How long does it take for you to respond to a call light?

15. In your opinion, how safe is the medication administration system? How are medication errors reported?

16. How are orders verified?

17. What is the most important thing the patient or family can do to make the hospital safer?

18. What do you do with malfunctioning equipment?

19. In your opinion, how safe are the facilities and equipment for patients? (1–10)

2. What type of research method was used? What design was used?: is the methodology clearly and fully explained? Are the research methods correctly used and appropriate for this topic?

ANSWER:

The research method used was a quality study as the main goal of the survey with the patients and the nurse was to find the areas the hospital should improve upon to increase their quality of service to the patients.

Later they would take action on the weakest areas so that they can improve their quality of service.

  The research design with respect to the patients was a verbal 21 open-ended questions, to address certain parts of patient safety goals as mentioned below.

Also along with it a scale of 10 (0-10) giving rating on the following points:

The research design with respect to the nurses was a verbal 11 open-ended questions to 10 nurses, to address certain parts of patient safety goals as mentioned below.

Also along with it a scale of 10 (0-10) giving rating on the following points:

Yes, the methodology is clearly and fully explained as all the questions asked to the patients and nurses are clearly defined. The averaged out ratings that the patient and the nurses gave is also mentioned, with the general concerns or view on each of the points.

The research methodology is correct as verbal communication addressing the concerned points would dig out the actual views of the nurses via a short chat with the nurses and the patients which would not be possible if the survey was a computerized survey or a paper survey.

3. Discussion & Implications (linking findings to larger contexts -policy and practical implications): Are the study conclusions supported by the data? Does the analysis adequately address the questions/issues raised?

ANSWER:

Yes, the survey is supported by a scalable data from (0-10) making nurses and patients rate the points of concern from 0 worse to 10 excellent.

Yes the analysis adequately addresses the questions/issues raised as by verbal communication researchers can get a clear idea as to what exact concerns are there with respect to each question theme, the issues are pin points the by a direct question to them and what they feel about the issue. Also as it is a verbal servey patients are free to add detailed points on each question theme, due to which it would be easier to resolve the issues from the root.

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