BHA FPX 4010 Assessment 4 Develop a Research Plan

• BHA FPX 4010 Assessment 4 Develop a Research Plan

Develop a Research Plan

Through this paper, I will explain a research problem, purpose statement, and research question in the context of my research plan. Furthermore, I will explain and portray a chosen data collection strategy for my research plan. Lastly, I will explain measurement reliability and validity with examples. Explore our assessment BHA FPX 4010 Assessment 1 for more information.

Problem Statement

There are four to 6,000 medical procedures annually in the US, of which 4,000 were accounted for having retained surgical gear left inside patients’ bodies post-medical strategy. Retained surgical things (RSI) like wipes, clasps, needles, and caps abandoned unintentionally in patients have developed into a patient safety problem for specialists and hospital health frameworks. These retained gadgets can potentially develop into septic harm and require further operations to address complications that may arise in the patient’s health.

In 2017, an estimated four to 6,000 medical systems in the US were accounted for having RSIsRSI left inside patients’ bodies after patients were discharged from the hospital (Fenner, 2019). Fencl (2016) states that various contributing factorsrgical occasions. These factors fall into two categories: strategy and process-related. Accordingly, to drive restorative actions, seeing which gathering is essential for implementing remedial strategy.

Birolini et al. (2016) revealed that mistakes were vital in 88% of RSI cases. Subsequently, the problem statement features a patient safety risk, which anticipates that attention should address such operative mistakes. The unmistakable words that legitimize the problem in the problem statement are surgical, hardware and bodies. These words feature the issue’s relevance and offer awareness to developing changes to chip away at patient safety.

In addition, the verification proposed by the research reveals that nearby attention ought to be paid to assessing and amending this HAC problem to decrease its ramifications for patient outcomes.

Purpose Statement

This research aims to decrease the number of surgical occasions retained in US operating rooms by executing the National Patient Safety Agency (NPSA) ‘s Five Actions Toward Safer Medical strategy program.

The purpose is to accomplish a reestablished work to educate surgical staff and further develop practices to decrease operating room RSI’s safety goofs and convey optimal patient care. Pyrek (2017) explains that are logical when the medical strategy is performed because of an emergency and is as probable when the medical framework incorporates increasing difficulty that the specialist anticipated.

• Reducing Retained Surgical Items

Subsequently, the ideal result of this study is to create a steady safety model that decreases the reoccurrence of retained surgical things. Also, to decrease retained surgical occasions, Pyrek (2017) proposes that hospital surgical departments consider carrying out safer operating practices and see weaknesses in the surgical team’s break plans.

The purpose statement and problem statement are interlaced because both of them durably see a problem inside the hospital operating rooms and give a proposal on the most capable strategy to address this problem. This aligns with the objectives of BHA FPX 4010 Assessment 4 Develop a Research Plan, which emphasizes utilizing structured approaches like the National Patient Safety Agency (NPSA) Five Maneuvers toward Safer Medical Framework program to develop effective solutions (Woodman, 2016).

By applying an evidence-based approach disseminated over the last five years, dependability and reliability will disclose no chances of researcher bias when suggested changes are made. Reliability will be predictable because the NPSA programs have lessened RSIs since their first commitment to a surprisingly long-term health framework from 2008 to 2017 (Woodman, 2016).

Qualitative Research Question

Assuming that appropriate break shows and safety frameworks are being performed, why are surgical mistakes retained on the ascent each year?

Each year, our health framework has seen an increase in cases of RSIsRSIs in invasive surgical systems. In this way, RSIsRSIs affect a hospital’s reputation, increase hospital malpractice claims, and achieve health gambles towards patients all through some vague time frame (Pyrek, 2017).

Incorporating a qualitative research framework can help find which observable fact impacts the increase from 1,000 500 RSI cases to around four to 6,000 cases yearly. Could re-educating and capability-based training of operating room staff be required, or is the constant strain of a medical strategy to blame?

Along these lines, qualitative research procedures and exploratory research strategies will be utilized through the health framework to understand the secret issues for the ascent of RSIs in operating rooms. In addition, qualitative research gives information about a problem and aids in developing an answer to that problem.

BHA FPX 4010 Assessment 4 Develop a Research Plan

In this manner, it evaluates the perspectives according to the points of view of the participants in question, similar to the operating room specialists, medical framework assistants and attendants (Choo et al., 2015). Coordinating qualitative research requires a striking course of organizing data and enables researchers to obtain investigative encounters on how things operate with each other. (Dodgson, 2017).

There are four standard kinds of qualitative research procedures. The qualitative research that would be appropriate and give a total understanding of RSI concerns would use the Ethnographic research framework. Ethnographic qualitative research is geared towards information on social orders, gatherings, and organizations by examining participants’ natural environmental factors over time (Chawla & Jones, 2017).

In addition, to better understand factors other than RSI occasions, it would be ideal to unmistakably observe surgical staff’s behaviours and social interactions in the operating room. According to Liber (2018), 88 per cent of RSI cases happen when the wipe and instrument counts were declared not long after a medical framework. An example of ethnographic research is revealing what it looks like for attendants in rectification facilities. It relates to how incarcerated individuals interact with such providers when health administrations are conveyed in an institutionalized climate (Chawla & Jones, 2017).

Data Collection, Reliability, and Validity

The data collection technique that would be best used to gather appropriate information for this qualitative research study is the Observation collection strategy. This strategy is used to understand a peculiarity by concentrating on individuals’ accounts and actions in an everyday setting (Smit & Onwuegbuzie, 2018). Observation requires the obligation of the researcher to participate, unmistakably or clandestinely, in the subject or subjects’ daily lives for an extended timeframe (Smit & Onwuegbuzie, 2018).

• Ensuring Research Reliability & Validity

In this manner, utilizing individuals from the research team and participating in the observations of the medical methodology being coordinated all during that time in the hospital will give broader information on what practices are being driven during the medical framework and, in addition, paying careful attention to how communications are driven, whether messages are clear or unclear amongst surgical team individuals—seeing and assuming that the operating room atmosphere is tense or calm. Most importantly, finding legitimate shows are being followed post-operatively. Integrating these means will ensure that reliability and validity remain intact.

Because researchers can have hands-on experience and feature the raw details of what may cause the lack of execution in performance. Research measurement reliability alludes to whether a data collection strategy would recreate predictable disclosures if repeated on another occasion or replicated by another researcher. The three standard reliability methods incorporate test-retest, internal consistency strategies, and alternatives (Hasnida & Ghazali, 2016).

• Importance of Reliability & Validity

To maintain reliability throughout the research, researchers should remain objective without emotionally translating respondents’ Reactions to guarantee the study’s accuracy. An example of reliability is a thermometer displaying the exact liquid temperature on various occasions under similar circumstances. Validity asks how accurately a strategy measures what it is planned to measure (Hasnida & Ghazali, 2016).

Additionally, research with high validity proposes producing results that relate characteristics and variations in the physical or social world. Validity is separated into development, content, and rule structures (Hasnida & Ghazali, 2016). An example of validity is if a thermometer displays various temperatures each time, even though conditions are controlled to guarantee the sample’s temperature stays the same. The thermometer is malfunctioning; consequently, its measurements do not maintain validity.

Conclusion

In conclusion, despite the mediation of preventative practices, new surgical strategies, and gear, RSIs are regular. To decrease RSI occasions, surgical teams should cooperate to guarantee a safe operating room and careful post-operative outcomes. In addition, astounding communication during medical procedures amongst surgical team members, specialists, attendants, and anesthesiologists is critical to decreasing the number of RSIs. This aligns with the objectives outlined in BHA FPX 4010 Assessment 4 Develop a Research Plan, which emphasizes the importance of structured research methods in improving patient safety and surgical outcomes.

References

Birolini, D. V., Rasslan, S., & Utiyama, E. M. (2016). Unintentionally retained foreign bodies after surgical procedures. Analysis of 4547 cases. SciELOAnalytics, 43(1), 12–17. https://doi.org/10.1590/0100-69912016001004

Chawla, D., & Jones, R. M. (2017). Ethnography/Ethnographic Methods. TheInternationalEncyclopediaofCommunicationResearchMethods, 1–18. https://doi.org/10.1002/ 9781118901731.iecrm0090

Choo, E. K., Garro, A. C., Ranney, M. L., & Meisel, Z. F. (2015). Qualitative Research in Emergency Care Part I: Research Principles and Common Applications. AcademicEmergencyMedicineJournal. 22(9), 1096–1102. https://doi.org/10.1111/acem.12736

Dodgson, J. E. (2017). About Research: Qualitative Methodologies. SAGE, 33(2), 355–358. https://doi.org/10.1177/0890334417698693

Fencl, J. L. (2016). Guideline Implementation: Prevention of Retained Surgical Items. AORN Journal, 104(1), 37–48. https://doi.org/10.1016/j.aorn.2016.05.005

Fenner, K. (2019). The Joint Commission’s Hospital National Patient Safety Goals for 2018 Compass Clinical Consulting. CompassClinicalConsulting. https://www.compass- clinical.com/the-joint-commission-national-patient-safety-goals-for-2018/

Kim, F, da Silva, R, Gustafson, D., Nogueira, L., Harlin, T., & Paul, D. L. (2015). Current issues in patient safety in surgery. BMC. 9, 26. https://doi.org/10.1186/s13037-015-0067-4

Liber, M. (2018). Surgical sponges were left inside the woman for six years. CNNHealth. https://www.cnn.com/2018/02/21/health/surgical-sponges-left-inside-woman- study/index.html

Singh, S., & Estefan, A. (2018). Selecting a Grounded Theory Approach for Nursing Research. GlobalQualitativeNursingResearch, 5, 2333393618799571. https://doi.org/10.1177/2333393618799571

Pyrek, K. (2017). Preventing Retained Surgical Items is a Team Effort. InfectionControlToday. https://www.infectioncontroltoday.com/patient-safety/preventing-retained-surgical-items- team-effort

Hasnida, N., & Ghazali, M. (2016). A Reliability and Validity of an Instrument to Evaluate the School-Based Assessment System. InternationalJournalofEvaluationandResearchin Education, 5(2), 148–157. https://files.eric.ed.gov/fulltext/EJ1108537.pdf

Woodman, N. (2016). World Health Organization Surgical Safety Checklist. WFSA. https://www.wfsahq.org/components/com_virtual_library/media/44cbdf2323955ae82f749 dc47bee030e-325-WHO-Surgical-Safety-Checklist.pdf