Creation of a Conceptual Framework to Investigate Hospital Nurse Fatigue and Adverse Patient Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/243182
Category:
Abstract
Type:
Presentation
Title:
Creation of a Conceptual Framework to Investigate Hospital Nurse Fatigue and Adverse Patient Outcomes
Author(s):
Drake, Diane A.; Luna, Michele
Author Details:
Drake, Diane A., PhD, RN, diane.drake@stjoe.org; Luna, Michele, ;
Abstract:
Purpose: The purpose of this presentation is to describe methods used to create a conceptual framework to guide the investigation of hospital nursing practice and adverse patient outcomes. 

Methods: A professional collaboration between the hospital nurse quality manager and nurse research scientist allowed for discussion of experiential knowledge and inception of the idea to investigate nurse fatigue and adverse patient outcomes. Clarification of concepts was necessary to describe “what is really going on” related to nurse fatigue and adverse patient outcomes. Review of related literature, identification of fatigue types, and further discussions to refine definitions of fatigue, hospital nursing, and adverse patient outcomes was accomplished over many months. Interview of nurses who had published and researchers who had investigated nurse fatigue supported the need to create a diagram of nurse fatigue concepts and relationships. A study team of hospital nurses reviewed selected articles related to fatigue and adverse patient outcomes and agreed upon major concepts for investigation.

Results: Four study concepts were selected by the study team: hospital nurse, hospital unit, fatigue types (mental, physical and emotional), and adverse patient outcomes.  The conceptual framework was used to create the necessary strategy to apply empirical methods over three phases of research to: 1) design and administration of a survey, Hospital Nurse Force and Fatigue Study, to test the prevalence and types of hospital nurse fatigue, 2) test the effect of interrelated hospital and nurse variables on fatigue and adverse patient outcomes, 3) test interventions to mitigate or prevent hospital nurse fatigue and related adverse patient outcomes.

Conclusion: The process of creating a conceptual framework can help clarify that adequate and correct assumptions are made to enable meaningful results of investigations. Experiential knowledge and discussion of methods used to create conceptual frameworks for nursing research are critical to advance nursing science in the hospital.

Keywords:
Adverse Events; Practice Outcomes; Conceptual Framework
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleCreation of a Conceptual Framework to Investigate Hospital Nurse Fatigue and Adverse Patient Outcomesen_GB
dc.contributor.authorDrake, Diane A.en_GB
dc.contributor.authorLuna, Micheleen_GB
dc.author.detailsDrake, Diane A., PhD, RN, diane.drake@stjoe.org; Luna, Michele, ;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243182-
dc.description.abstract<b>Purpose: </b>The purpose of this presentation is to describe methods used to create a conceptual framework to guide the investigation of hospital nursing practice and adverse patient outcomes.&nbsp; <p><b>Methods: </b> A professional collaboration between the hospital nurse quality manager and nurse research scientist allowed for discussion of experiential knowledge and&nbsp;inception of the idea to investigate nurse fatigue and adverse patient outcomes.&nbsp;Clarification of concepts was necessary to describe &ldquo;what is really going on&rdquo; related to nurse fatigue and adverse patient outcomes.&nbsp;Review of related literature, identification of fatigue types, and further&nbsp;discussions to refine definitions of fatigue, hospital nursing, and adverse patient outcomes was accomplished over many months. Interview of nurses who had published and researchers who had investigated nurse fatigue supported the need to create a diagram of nurse fatigue concepts and relationships. A study team of hospital nurses reviewed selected articles related to fatigue and adverse patient outcomes and agreed upon major concepts for investigation. <p><b>Results: </b> Four study concepts were selected by the study team: hospital nurse, hospital unit, fatigue types (mental, physical and emotional), and adverse patient outcomes. &nbsp;The conceptual framework was used to create the necessary strategy to apply empirical methods over three phases of research to: 1) design and administration of a survey, Hospital Nurse Force and Fatigue Study, to test the prevalence and types of hospital nurse fatigue, 2) test the effect of interrelated hospital and nurse variables on fatigue and adverse patient outcomes, 3) test interventions to mitigate or prevent hospital nurse fatigue and related adverse patient outcomes. <p><b>Conclusion: </b> The process of creating a conceptual framework can help clarify that adequate and correct assumptions are made to enable meaningful results of investigations. Experiential knowledge and discussion of methods used to create conceptual frameworks for nursing research are critical to advance nursing science in the hospital.en_GB
dc.subjectAdverse Eventsen_GB
dc.subjectPractice Outcomesen_GB
dc.subjectConceptual Frameworken_GB
dc.date.available2012-09-12T09:18:40Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:18:40Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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