Literature Evaluation Table
In nursing practice, accurate identification and application of research is 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.
You are not required to submit this assignment to LopesWrite.
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Literature Evaluation Table
Student Name:
Change Topic: Shift schedules to reduce long working hours among nurse and improve on patient care. Shift scheduling is a significant intervention since it focuses on the scheduling of the nursing workforce to reduce long working hours that lead to fatigue and medical errors that impact the quality of patient care.
| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Dall’Ora and Dahlgren,
|
Stimpfel, Fatehi and Kovner
|
Stimpfel, Sloane and Aiken
|
Smith-Miller, Shaw-Kokot, Curro and Jones
|
| Article Title and Year Published
|
Shift work in nursing: closing the knowledge gaps and advancing innovation in practice (2020) | Nurses’ sleep, work hours, patient care quality, and safety. (2020)
|
The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. (2012) | An integrative review: fatigue among nurses in acute care settings. (2014) |
| Research Questions (Qualitative)/Hypothesis (Quantitative)
|
The absence or presence of shift work is not merely damaging to the well-being and health of nurses but also how the shifts are organized in terms of overtime, shift length, permanent and rotational schedules. | What is the relationship between sleep duration among registered nurse and the patient safety and quality of care? | What is the link between the shift length of nurses and nurse outcomes: job discontent, burnout and intent to leave job. | How do long shifts and work related fatigue affect the patient safety and nurses’ well-being? |
| Purposes/Aim of Study | The aim of the study was to close the knowledge gaps in shift work and innovation in practices for nursing shifts. | To describe the work characteristics and sleep duration among nurses and how they are linked to the patient safety and quality of care. | To examine the association between nurses’ shift length, patient outcomes, intention to leave the job, job dissatisfaction and burnout. | To study the current research linked to nurse fatigue and effective prevention approaches. |
| Design (Type of Quantitative, or Type of Qualitative)
|
Qualitative | Quantitative | Quantitative | Qualitative |
| Setting/Sample
|
Nursing studies (journals) focusing on shift work in nursing | Community and healthcare settings across the U.S | Hospitals in New Jersey, California, Florida and Pennsylvania. | Acute care settings |
| Methods: Intervention/Instruments
|
Systematic review | Observation | Survey | Systematic Review |
| Analysis
|
A broad review of shift operational nurses settled that factors that involve control over shift arrangements are vital factors in realizing recovery from fatigue. | The study measured the sleep duration of nurses before work and non-work days and the overall patient safety | The study offered new and valuable insights into the relationship between the patient outcomes and nurses’ shift length. | The review targeted original research between 2002 and 2013 evaluating fatigue among nurses in acute care settings. |
| Key Findings
|
Long working hours, sleep problems, overtime work and fatigue pose health and safety risks. | Nurses are sleeping less than the required time before work which impacts their performance and health. | Longer shifts have a greater possibility of adverse nurse outcomes such as burnout. | Nurses encounter high fatigue rates with shifts longer than 12 hours leading to errors and work related fatigue. |
| Recommendations
|
Future research needs to focus on the effectiveness of working rime solutions taking into account the extreme work setting. | There is need to consider interventions that will support sleep duration for nurses to boost patient care. | Nursing leadership needs to focus on a workplace culture that facilitates manageable work hours for the nursing workforce. | Organizational policies should focus on short shifts to reduce fatigue and errors among nurses. |
| Explanation of How the Article Supports EBP/Capstone Project
|
The article supports the project since it focuses on the various approaches for organizing shift work to improve the lives of nursing workforce and the patients. | The article supports the change project since it shows the need for interventions that will support nurses’ sleep to boost the quality of care and nurses’ performance. | The findings of the article are essential given the need for changes in nurses’ shifts of more than thirteen hours. | The article supports the need to prevent work related fatigue which links to the change project that focuses on effective interventions for long hour shifts. |
| Criteria | Article 5 | Article 6 | Article 7 | Article 8 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Son, Y. J., Lee, E. K., & Ko |
Abd-El-Aziz, N. A., & Wahab | Alsharari, A. F., Abuadas, F. H., Hakami, M. N., Darraj, A. A., & Hakami | Dall’Ora, C., Griffiths, P., Emmanuel, T., Rafferty, A. M., Ewings, S., RN4CAST Consortium, … & Schoonhoven |
| Article Title and Year Published
|
Association of working hours and patient safety competencies with adverse nurse outcomes: a cross-sectional study. (2019) | The relationship between staff nurses’ satisfaction with their schedule and patients’ satisfaction with quality of care.(2019) | Impact of night shift rotations on nursing performance and patient safety. (2021) | 12‐hr shifts in nursing: Do they remove unproductive time and information loss or do they reduce education and discussion opportunities for nurses? (2020) |
| Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What is the relationship between working hours and patient safety among hospital nurses? | How does the work schedule affect the nurse satisfaction and patient safety? | What is the effect of night shiftwork rotations on work performance, physiological status and patient safety issues among nurses? | How do the long hour shifts affect the quality of care? |
| Purposes/Aim of Study | To determine the association between the working hours and patient safety outcomes. | To examine the association between staff nurses’ satisfaction with the schedules and patient gratification with quality of care. | To explore the effect of night shiftwork rotations on nurses’ work performance, physiological status and patient safety concerns. | To determine the association between shifts of 12hr and more and the ability to foster continuity of care. |
| Design (Type of Quantitative, or Type of Qualitative)
|
Quantitative | Quantitative | Quantitative | Quantitative |
| Setting/Sample
|
Three tertiary care hospitals in South Korea | 1-Day Surgeries Hospital, Nasr City, Cairo | Public hospitals | Hospitals in 12 European countries |
| Methods: Intervention/Instruments
|
Cross-sectional descriptive study | Cross-sectional study | Survey | Cross-sectional study |
| Analysis
|
Working hours are strongly linked to the patient safety and adverse nurse outcomes. | The study shown a moderate satisfaction of nurses with their schedule. | The survey questionnaires among the nurses working in different units demonstrated patient safety issues in night shiftwork. | When nurses worked in shifts of more than 12 hours they had less time to discuss about patient care. |
| Key Findings
|
Nurses working for few hours have high patient safety competencies as compared to those that work for long hours. | The findings revealed that nurses are not satisfied with their schedule. | Nurses in night shiftwork are encountering patient safety issues and psychological consequences. | Nurses work shifts of more than 12 hours affect the continuity of care. |
| Recommendations
|
There is need for more specific measures and policies to protect the patients and the nurses from the adverse outcomes of the long working hours. | Nurses should participate in scheduling their work in order to improve moral and satisfaction. | The nursing management needs to focus on workforce planning to eliminate patient safety issues and physiological effects to support nurses. | Nurse working shifts should be lowered to boost patient care. |
| Explanation of How the Article Supports EBP/Capstone
|
The article supports the capstone project through providing evidence on the adverse outcomes of long working hours on patient safety. | The article supports reduced working hours and high time autonomy which are linked to capstone project outcomes. | The article supports the needs for change in order to promote patient safety in the nurses’ shiftwork. | The article supports the capstone project since it focuses on the need for shift schedules to promote continuity of care. |
