Synthesis Table Activity Directions - Ohio State University



Synthesis Table Activity Directions- Share this document with your table by sharing your screen in your table breakout room. - In your group, chose one of the four topics below (Caring for the Caregiver, Workplace Violence, Nurse Residency, Mobility)-Read through the four synopses provided for the chosen topic- Walk through and create synthesis tables for the chosen topic in the templates provided using symbols and colors. -Here are some examples you may use: ? ? X X -Develop an evidence-based recommendation based on the synthesis of the evidence (one sentence)Synthesis Table Activity Topics:Workplace violenceThompson et al., 2014Overview: The organization was having an average of 8 safety events a month that were the result of violent outbursts or incidents. The organization implemented a standardized response team to respond to organization-wide prospective or present escalating events. The organization saw a drop in interpersonal safety events by an average of 60% and an increase in staff satisfaction.Davis et al., 2019Overview: A teaching hospital in the Midwest saw an increase in the number of safety events that were a result of interpersonal violence. The hospital developed a rapid response team that would respond to current or potential safety incidents. They also educated staff on de-escalation techniques. The organization saw a 20% drop in interpersonal safety events that has been sustained for two years and an increase is staff retention rates. King & Martin, 2016Overview: An increase in interpersonal violence lead the organization to implement a workplace violence response teams, hospital rounds of safety officers, and a staff education program. The results of the integration of these programs was an increase in the number of incidents reported in the reporting system, but a drop in the number of events that ended in violence, and an increase in staff satisfaction. Freeman, Gibbons, & Brooks, 2013Overview: The staff survey at an organization highlighted the dissatisfaction with the presence of workplace violence. The organization developed a workplace violence response team to respond to escalating events in order to prevent a violent outbursts or incident. The organization also educated staff on the response team and de-escalation interventions. An organization-wide campaign was done to educate staff and visitors and to build a zero-tolerance for workplace violence culture. The organization saw an increase in staff satisfaction and a decrease number of violent incidents. Synthesis of the Evidence: Outcomes of Workplace Violence InterventionsLegend: 1 = Thompson et al., 2014, 2 = Davis et al., 2019, 3 = King & Martin, 2016, 4 = Freeman, Gibbons, & Brooks, 2013Synthesis of the Evidence: Effective Interventions to Prevent Workplace Violence Incidents Legend: 1 = Thompson et al., 2014, 2 = Davis et al., 2019, 3 = King & Martin, 2016, 4 = Freeman, Gibbons, & Brooks, 2013Care of the caregiverJohnson & King, 2015Overview: A pediatric medical center saw an increase in the number of readmissions of patients with chronic medical conditions. A large percentage of the caregivers expressed feelings of exhaustion and overburdened which contributed to the readmissions. The organization implemented the use of a distress screening tool for caregivers and developed support groups for caregivers. A survey demonstrated increase caregiver satisfaction and the hospital also saw a decrease in hospital readmissions in the chronically ill population.Eiding & Davis, 2017Overview: The goal of an oncology healthcare institution was to increase the support and care that they provide the patients’ caregivers. The institution implemented a distress screening tool, a social work referral process, and made caregiver resources more visible on the website. The organization saw in increase in patient and caregiver satisfaction, and a decrease in no-show appointments. Hoffman et al., 2018Overview: A healthcare organization wanted to decrease caregiver burden. The organization implemented a caring for the caregiver program, which included screening for caregiver’s distress level and needs, access to specific resources like a counselor and financial support, and support groups. The organization saw an increase in caregiver engagement and an increase in patient adherence to the medical plan, but no change in caregiver satisfaction.Jones, Lewis, & Norton, 2017Overview: A healthcare organization recognized the impact of caring for a loved one with a chronic medical condition on the caregiver. The organization created a portal for the caregivers which included a tab of resources for financial support, emotional support, and physical support. It also included a method for the individual to have direct contact with medical professionals and the ability to register themselves as a patient in order to receive healthcare services such as counseling. The organization saw an increase in caregiver and patient satisfaction, a decrease in safety events across the organization, and an increase use of available resources, however, the cost was significant. Synthesis of the Evidence: Outcomes of Caring for the Caregiver Legend: 1 = Johnson & King, 2015, 2 = Eiding & Davis, 2017, 3 = Hoffman et al., 2018, 4 = Jones, Lewis, & Norton, 2017Synthesis of the Evidence: Effective Strategies to Care for the CaregiverLegend: 1 = Johnson & King, 2015, 2 = Eiding & Davis, 2017, 3 = Hoffman et al., 2018, 4 = Jones, Lewis, & Norton, 2017Nurse Residency ProgramsReeves & Starkey, 2019Overview: An organization was seeing a high rate of turnover in new graduate nurses. The organization implemented a nurse residency program for new nurses to help them transition into the role. The program was bought from an education company and was a yearlong. The organization saw an increase in new graduate nurse retention rates and satisfaction and also an increase in the number of EBP projects implemented.Colton et al., 2017Overview: An organization was receiving feedback from new graduate nurses that they were dissatisfied with their role. The organization implemented a nurse residency program for new graduate nurses. The program was developed by the organization’s education department and was a yearlong. The outcomes of the residency program were decreased turnover rates, increased nurse competency, and an increased in new nurse engagement in unit councils. Swanson, Coffey, & Brault, 2020Overview: A healthcare organization was experiencing high rates of burnout and turnover in new graduate nurses. The organization implemented a yearlong nurse residency program for new graduate nurses that was developed by an outside education company. The organization saw decrease levels of burnout, increased retention rates, and increased nurse engagement.Hicks et al., 2018Overview: A healthcare system was experiencing low retention rates in new nurses. The healthcare system started a nurse residency program for any new nurse to the organization that was 6 months long and created by an outside educational company. The outcome of the program lead to increased retention rates, and increased engagement, however, it did add to the cost of orientation. Synthesis of the Evidence: Outcomes of Nurse Residency ProgramsLegend: 1 = Reeves & Starkey, 2019, 2 = Colton et al., 2017, 3 = Swanson, Coffey, & Brault, 2020, 4 = Hicks et al., 2018Synthesis of the Evidence: Effective Components of a Nurse Residency ProgramLegend: 1 = Reeves & Starkey, 2019, 2 = Colton et al., 2017, 3 = Swanson, Coffey, & Brault, 2020, 4 = Hicks et al., 2018MobilityTakamoto et al., 2019Overview: A hospital survey demonstrated that hospitalized patients were spending a majority of their hospital admission in bed. In order to encourage mobility, the hospital educated the staff on the impact of mobility on health outcomes as well as created walking lanes for patients on the units and uploaded different exercise videos on the patient televisions. The organization saw a decrease in falls, length of stay, and an increase in patient activity according to the electronic medical record documentation.Ianone & Fitzgerald, 2017Overview: The falls rate at a healthcare organization was increasing. A route cause analysis demonstrated that a large percentage of the falls were experienced by individuals that were previously mobile at home, but had lost strength since being admitted. The organization developed a mobility program, which included a physical therapy consult, staff education, and different types of exercise videos on hospital network, to maintain and enhance the mobility of the admitted patients. The outcome of the program was decreased falls and length of stay.Acord & Smith, 2018Overview: A patient functional assessment tool demonstrated that 80% of the patients’ at a hospital had a decreased functional level at discharge. One of the interventions the hospital developed to prevent a drop in functional status is a mobility program. The mobility program included a physical therapy consult, the inclusion of exercise into the patient’s daily schedule, and a fitness tracker. Although the program required additional physical therapist, the hospital saw an increase or maintained level of functional status in 60% of the admitted patients.Davis, Branic, & Weig, 2018Overview: The hospital survey distributed to the patients identified that hospitalized patients do not frequently ambulate. The hospital implemented a program to increase mobility and ambulation which included a variety of mobility videos on the hospital network, a patient walking lane on the units, and staff and patient education about the importance of mobility in the hospital setting. The outcome of the program was increased staff satisfaction, and decreased length of stay. Synthesis of the Evidence: Effective Mobility Interventions Legend: 1 = Takamoto et al., 2019, 2 = Ianone & Fitzgerald, 2017, 3 = Acord & Smith, 2018, 4 = Davis, Branic & Weig, 2018Synthesis of the Evidence: Outcomes of Mobility Interventions Legend: 1 = Takamoto et al., 2019, 2 = Ianone & Fitzgerald, 2017, 3 = Acord & Smith, 2018, 4 = Davis, Branic & Weig, 2018 ................
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