Grand Canyon University
NRS 433 Introduction to Nursing Research August 20, 2011 Elaine Coulter Instructor/Facilitator
Analyzing a Quantitative Research Report
Black, L. M. (2011). Tragedy into policy: A quantitative study of nurses’ attitudes towards patient advocacy activities; American Journal of Nursing, 111(6); 26-35.
115 southern Nevada individuals were diagnosed with hepatitis c during the years 2007-2008. These individuals were patients at two different endoscopy clinics in southern Nevada. Investigators linked the virus exposure through reuse of contaminated medication vials, syringe reuse, and the reuse of bite blocks. Evidence gathered, also pointed to reluctance of nursing personal in reporting unsafe patient care conditions. This fact prompted another study, examining nurses' attitudes toward patient advocacy activities (Black, 2011). Purpose of study Results of the Las Vegas investigation indicated that nurses were aware of unsafe practices which were not reported. In addition to infection control and record keeping protocol breaches, there was concern regarding quality of safety and reporting attitudes of nurses. Data was collected from registered nurses in Nevada regarding work settings, reporting unsafe patient care conditions, prior reporting activities, and attitudes regarding patient safety (Black, 2011). Background
In 2007 six southern Nevada patients were diagnosed with hepatitis c within a six month period. This prompted an investigation into two endoscopy clinics. Investigators found several infection control and record keeping breaches. The studies showed the failures were not due to the lack of knowledge about proper infection control, because two nurses reported the violations with no results. Subsequently, nurses were afraid of being fired, ostracized or snubbed (Black, 2011).
Literature review. The literature revealed several negative professional consequences of whistleblowing, including, being ignored, demotion, being fired, and or pressure to resign. A British study identified fear of repercussions, and labeling as reasons for not reporting patient safety concerns. Fears of punishment or revenge have been concerns of whistleblowers. In a recent Texas case, two nurses faced criminal prosecution after reporting unsafe practices of a physician. Whistleblowing severely damaged their reputations and employment opportunities. Another reason nurses are unsure when reporting unsafe patient care (Black,2011). Method
A questionnaire was utilized for this study. This questionnaire included sixteen questions about the nurses' experience with patient advocacy, thirteen questions regarding comprehension of reporting unsafe patient care. The last four questions were regarding employment in an acute care facility, worked under a labor union, worked in a magnet facility, and position requiring an registered nurse license (Black, 2011). Sample
The questionnaire was sent to 1725 RN's. This sample represented ten percent of all registered nurses with licenses which were active and current in Nevada. This study was tested with acute care registered nurses in Nevada. The survey questionnaires were mailed out on September 8, 2008 and were to be returned on October 31, 2008. The respondents could complete the survey online or fill out the paper version and return mail. (Black, 2011). Demographics. There were 564 responses or a thirty three percent response rate to the survey. The average age of the respondent was 49 years old and they had graduated...