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Clinical Governance

You are required to choose a nursing issue that is related to one of the key safety and quality in health care areas from the list below* and then research the issue.

PLEASE NOTE: STUDENTS ARE NOT PERMITTED TO CHOOSE MEDICATION SAFETY BECAUSE WE ARE USING THIS ISSUE AS AN EXAMPLE THROUGHOUT YOUR TUTORIALS. ASSIGNMENTS RELATED TO MEDICATIONS WILL NOT BE MARKED.

You need to locate THREE (3) primary and/or secondary peer reviewed articles/studies related to the issue you have chosen and summarise, analyse and critique the literature related to this issue.

1) Quantitative study

2) Qualitative study

3) Secondary resource (literature review, systematic review)

In order to pass this assignment, you must successfully address each of the criteria outlined in the Assignment 2 marking rubric.

Click on the topics below for more information about each category

Clinical Communications
Falls Prevention
Healthcare Associated Infection
Medication Safety (students are not permitted to focus on medications for their assignment).
Mental Health
Patient Identification

SUMMARY TABLE MEDICATION ERRORS Author/s, (year) Country Aims Sample/setting Design/methods Main findings Strengths and limitations of the study I Coombes et al 200s Australia Assessment of nurses’ awareness of identi$,ing medication etrors, to enable prevention of medication errors by implementing prevention strategies. 591 recently employed Registered Nurses (RN’s) in a simulated setting, within a teaching hospiøl. Quantitative: Prospective study during 2003 -2004, observing RN’s administering medication during scenario setting. Outcome measured knowledge: detection and action; detection, no action; no knowledge. Approximately l/3 detected errors and acted appropriately. ll-30% aware of error did not act. 2-7 %o unaw are of errors, reporting lack of knowledge. Skengths: clinical and statistical significance; anonymous self repofing reduced bias; multiple observers’ minimised bias; generalisable to wider nursing population due to RN’s diverse experience and training. Limitations: credibility limited by simulation setting; no ethical approval. 2 Smith & Lesar 20tt NewYork To increase knowledge of characteristics associated with analgesic medication errors to enable prevention strategies. 714,290 analgesic orders audited in a 631 bedtertiarycare hospiøl for inpatients. Quantiøtive study during 2003 – 2007. Pharmacists audited data from medication charts using global classification for medication erors. lz errors miscalculation; l/3 errors ignored patient information; % nadequate medication knowledge. Paediatric errors doubled adult errors. Strengths: highlighted frequency and common elements, also the need for comparable studies. Limitations: Single hospital may not be generalisable to wider nursing population; computerised prescribing unavailable; staff cducation variable; data on pharmacist intervention prior to adminiskation not included; no ethics approval. J O’Shea et al (200e) Australia Assess the impact ofeducating nurses regarding omission medication errors Audits for omission n a 174 bed hospital: pre-education 20,154 records for 99 patients; posteducation 24,337 lor 109 patients Quantitative: Prospective study. Baseline data gathered one month prior to education.3 month intervention, followed by one month audit. Nursing education reduced omission medication errors ftom 4.2%o to 2.9o/o Strengths: clinical and statistical significance; generalisable to wider nursing population. Limitations : medication administered with unendorsed documentation not studied; no ethics approval; outdated reference (199 6).

This format can be used when all of your literature sources are a mixture of primary, secondary and tertiary sources.

 

Author/s (year)Country Aimsor

Purpose

Sample/ settingor

Key stake-holders and their roles

Design/ methodsor

Type of paper

Main findingsor

Primary argument

Strengths and limitations of the paper
Article 1 Authors surnames as you would write them on your reference list.You need to provide the full citation on your reference list, i.e. Smith et al 2009

Australia.

Write the main aims or purpose of the paper here Sample = ParticipantsWho was in the study

Setting =

Where the study took place

OR

Key stakeholders including those people directly involved in the issue

Design =Quantitative

Qualitative

Mixed Methods

Methods = how the date was collected

OR

Type of paper = i.e. lit review, government report etc

Only present the main findings/ argument that relate to your questionOnly include relevant findings

Be succinct

Be concise

You may also like to call this column ‘Rigour’.It is important to talk about both the strengths and weaknesses.

Don’t just repeat what the authors identified—come up with some of your own too.

Article 2
Article 3
Article 4
Article 5

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