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Call Bells

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To gather the relevant primary data for the project, the research will adopt a progressive observational study that will involve collection of data on the frequency of call bells in the selected unit. The researcher will approach the pulmonary medical surgical unit charge as express the desire to undertake the project in the unit with the involvement of the nurses and nursing assistants. According to Stetler et al. (2014), involving the authority or gatekeeper’s open room for better understanding the major challenges that could be expected. In addition, a project supported by the major stakeholders is more likely to succeed unlike one intended to be implemented (Dalheim et al. 2012). Once permission is granted for assessing the project feasibility, …show more content…
In this regard, given that the study has no associated risks to the patients, the patients will not be told on any study. The blind study will also ensure that patient bias does not surface, thus, the findings will more likely be what is expected in natural setting once the proposed project is adopted. The nurses and nursing assistants will be expected to make rounds every hour for the assigned primary patients. The round will involve addressing the major issues as identified by the nurse or as communicated by the patient. A few key behaviors and tasks that should be used when conducting rounds is to introduce self, address the 3 P’s which is positioning, pain and potty, address additional needs such as giving the patient water, conduct environmental assessments and use closing key words or actions such as “Is there anything else I can do before I leave your room? I have the time”. After every round, the nurse will be expected to inform the patient the time for the next round and ensure that the patient is left comfortable. The nurses and nursing assistants will be required to mark charts on the number of rounds made for every patient during their routine even when the patient is sleeping, the challenges face or associated with the hourly rounding, the number of call bells made by each patient under their care, and record comments from patient’s feedback. These data will be used in analyzing the feasibility, challenges, perception, and impact on call bells by the proposed change. It is this data with that assembled from the existing literature that will be used to determine whether to adopt the proposed change and the new unit

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