LEVEL 2 SYNTHESIS TABLE – Savvy Essay Writers | savvyessaywriters.net
LEVEL 2 SYNTHESIS TABLE – Savvy Essay Writers | savvyessaywriters.net
LEVEL 2 SYNTHESIS TABLE
ARTICLE
Spector, et al. (2015)
Brook, et al (2019)
LEVEL OF EVIDENCE
2
2
1. Are the results of the study valid?
Yes
1a. Were subjects randomly assigned to the experimental and control groups?
Yes
1b. Was random assignment concealed from the individuals who were first enrolling subjects into the study?
Uncertain
1c. Were the subjects and providers kept blind to study group?
No
1d.Were reasons given to explain why subjects did not complete the study?
No
1e.Were the follow-up assessments conducted long enough to fully study the effects of the intervention?
Yes
1f. Were the subjects analyzed in the group to which they were randomly assigned?
Yes
1g.Was the control group appropriate?
Yes
1h.Were the instruments used to measure the outcomes valid and reliable?
Yes
1i.Were the subjects in each of the groups similar on demographic and baseline clinical variables?
No
2.What are the results?
The evidence from this study shows strong, evidence-based transition programs do improve outcomes for new nurses in their first year of practice and increase their retention.
2a. How large is the intervention or treatment effect?
The treatment effect in far reaching. If each hospital established a strong evidenced based transition program for their nurses in the first year of practice improved safety outcomes, decreased work related stress, increased job satisfaction and retention would ensue.
2b. How precise is the intervention or treatment effect?
While much research has been done, more rigorous research is needed.
LEVEL 4 SYNTHESIS TABLE
ARTICLE
Madhuvu, Plummer, & Morphet (2018)
Morphet, Kent, Plummer, & Considine (2016)
Level of Evidence
4
4
Are the results of the study valid?
Yes
Yes
Was there a representative and a well-defined sample of patients at similar of patients at a similar point in the course of the disease?
No
No
Was follow-up sufficiently long and complete?
Yes
No
Were objective and unbiased outcome criteria used?
Yes
Yes
Did the analysis adjust for important prognostic risk factors and confounding variables?
Yes
No
What are the results?
Most of the participants had either medical or surgical nursing experience. More than half the nurses continued to work in the ICU more than two years after the program was completed, an increase in retention.
This Transition to Specialty Practice Program was started to prepare emergency room nurses for work in that specific specialty. There were different durations of the program from 5-12months, clinical prep time of 7-22 days, study days of 2-6, programs of 6-12 months. It was noted that the results varied. Longer programs did not show advantages with professional development.
Will the results help increase new graduate nurse retention?
Yes
No
Were the study subjects similar to new graduate nurses locally?
Yes
Yes
Will the results lead directly to implementing nurse residency/TPP programs?
Yes
Possibly
LEVEL 5 EVIDENCE SYNTHESIS TABLE
SYSTEMATIC REVIEW
ARTICLE
Chant & Westendorf (2019)
Eckerson (2018)
Morphet, et al (2016)
Perron, et al (2019)
Rush, et al (2017)
Van Camp & Chappy (2016)
LEVEL OF EVIDENCE
LEVEL V
LEVEL V
LEVEL V
LEVEL V
LEVEL V
LEVEL V
ARE STUDIES CONTAINED IN REVIEW RCTS?
NONE
NONE
NONE
NONE
NONE
NONE
DOES REVIEW CONTAIN DETAILED SEARCH STRATEGY DESCRIPTION?
YES
YES
YES
YES
YES
YES
DOES REVIEW DESCRIBE HOW VALIDITY OF INDIVIDUAL STUDIES WAS ASSESSED?
NO
YES
YES
YES
YES
YES
ARE RESULTS CONSISTENT ACROSS STUDIES?
NO
YES
YES
YES
YES
YES
IS INDIVIDUAL HOSPITAL OR AGGREGATE DATA USED?
AGGREGATE
AGGREGATE
INDIVIDUAL AND AGGREGATE
INDIVIDUAL
INDIVIDUAL AND AGGREGATE
INDIVIDUAL AND AGGREGATE
HOW LARGE IS THE RESIDENCY/TPP EFFECT (% OF RETENTION)?
NO SPECIFIC RETENTION DATA PROVIDED: RECOMMENDATION BY INSTITUTE OF MEDICINE IS NRPS TO SUPPORT EVERY NEW NURSE IN TRANSITION TO PRACTICE
OVER 90% RETENTION RATE IN THE FIRST YEAR OF EMPLOYMENT AND 85% RETENTION RATE ONE YEAR POST EMPLOYMENT
18 Emergency departments and 13 surveys. No advantages for longer programs
36% reduction in turnover rate
88% AVERAGE
VARIABLE- 78-90% RETENTION AFTER ONE YEAR – MOSTLY MEASURED IN POST-IMPLEMENTATION RETENTION
ARE THE STUDIED HOSPITALS AND NURSES SIMILAR TO AREA HOSPITALS AND NURSES?
YES
YES
YES
YES
YES
YES
IS IT FEASIBLE TO IMPLEMENT TPP/RESIDENCY PROGRAMS IN AREA HOSPITALS?
YES
YES
YES
YES
YES
YES
WERE COSTS/BENEFITS CONSIDERED?
YES
YES
YES
YES
YES
YES
ARE THERE CIRCUMSTANCES PREVENTING IMPLEMENTATION OF TPP/RESIDENCY PROGRAMS?
UNLIKELY
UNLIKELY
UNLIKELY
UNLIKELY but article suggests more research.
UNLIKELY
UNLIKELY
DO NEW GRADUATE NURSES PREFER TPP/NURSE RESIDENCY PROGRAMS OVER TRADITIONAL ORIENTATIONS?
UNCERTAIN
YES
YES
YES
YES
YES
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