Background: An interdisciplinary team was formed to look at job satisfaction and turnover among inpatient staff caring for bone marrow transplant (BMT) patients. It was recognized that only negative patient outcomes were shared among inpatient staff. The concept of providing "Survivor Updates" was suggested to communicate positive outcomes of BMT patients to staff. We developed the clinical question: Does providing "Survivor Updates" vs. not providing "Survivor Updates" improve job satisfaction and retention among staff caring for BMT patients? The Model for Evidence-Based Practice Change, (Larrabee, 2009), was used for this project. A literature search was conducted. Eight articles were critically appraised and a moderate grade was assigned. No one study answered our question. A review of the literature demonstrated that staff caring for BMT patients is exposed to many stressors. Stressors included: working with critically ill and dying patients, caring for complex patients and their families, dealing with conflicts, experiencing feelings of helplessness and fatigue. Stressors may lead to burnout which can contribute to decreased job satisfaction and higher rates of turnover. Implementation: Post-BMT patients and their families were approached about participating in the "Survivor Updates" project. After obtaining informed consent, post-BMT patients were photographed and completed a brief questionnaire regarding their current activities and quality of life. These "Survivor Updates" are emailed to staff that cares for BMT patients. The email introduces the project and invites the recipients to respond to the email with any feedback. Evaluation: At six months and twelve months post implementation, we will review the pre-implementation data regarding staff turnover rates, compare staff satisfaction results from staff surveys, and review feedback from recipients.
Abstract-In the past 30 years, information technology (IT) has become commonplace in the healthcare arena. IT provides beneficial attributes in easing the documentation processes in healthcare while creating a host of new documentation challenges. Usability is one problem of bedside computer charting that takes the nurse's attention away from direct patient care time. The problem addressed in this proposal is that IT documentation does not always provide precision upon reviewing the patient care information. For example, a system that is not specialty specific may not ask accurate questions to get targeted information to render optimal patient care. The purpose of this research study is to analyze IT connectivity and usability using qualitative meta-analysis summary by reviewing research that speaks to solving the challenges.
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