Table of contentsIntroductionResearch problemLiterature reviewQuantitative Nursing Research Study CritiqueIntroductionThe Nursing article “Longitudinal Association of Registered Nurse National Nursing Specialty Certification and Patient Falls in Acute Care Hospitals” Research Journal, Volume 64, 2015, addresses quality of care and patient safety at different levels of care units. Quality of care and patient safety is and will always be a crucial aspect in the healthcare sector as it requires great attention to ensure that it is fully addressed and improved to improve patient care outcomes. patients. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get the original essay Research Problem Patient falls are becoming a major concern for all healthcare providers as well as shareholders in the healthcare industry. Thus, the article seeks to address the research problem which is "the relationship over time between changes in NNSC nursing rates and changes in total falls rates at the nursing unit level (Boyle , 2015). » Concerning patient falls in nursing, several research articles address the problem of patient falls with respect to several characteristics of care providers while primarily focusing on the number of hours of care provided by nurses as well than on staffing levels. However, limited attention has been paid to the experience of automotive service providers such as nurses and other characteristics such as “national nursing specialty certification” (NNSC) of the registered nurse. This quantitative research study examines 7,583 units that reported patient fall rates compared to national RN specialty certification rates from 2004 to 2010. Patient falls are expected to decrease due to increasing proportions of NNSC in intensive care settings. Indeed, NNSC is assumed to improve the quality of care as well as patient safety in a healthcare setting. Therefore, the research question for the research is: What is the longitudinal relationship between RNSC RN and patient falls in critical care settings? Literature ReviewQuantitative research conducted a review of existing research that examines the association between patient falls and specialty certification in cross-sectional studies. There is a number of research that addresses the research problem which is "the relationship over time between changes in NNSC nursing rates and changes in total falls rates at the nursing unit level ( Boyle, 2015). » Qualitative and quantitative research was reviewed. where most literature reviews were carried out by well-trained staff to minimize bias. For example, Kendall-Gallagher and Blegen (2009) explore the relationship between the proportion of certified nurses on a unit and the risk of patient harm. It reports that “regardless of nurse education and experience, higher unit-level RN certification rates were associated with lower frequency of patient falls (Boyle, 2015). » Kendall-Gallagher (2015) clearly supports the findings and conclusions of the article. Therefore, the article reviews recent and valid literature that clearly provides reliable content information that can beused in practice to solve problems such as the research problem of the study. Despite the fact that there is some research in this area, the literature reviewed offers significant information that is adequate to answer the research question. NNSC RN rates and total patient fall rates. The article used a framework that processes and structure of care would influence outcomes of care, with the primary focus being on the structure and outcomes of the study. It was clear from the study that this framework was “a modification of Donabedian's (1988) framework” where structure is considered the attributes of the environment where patient care is provided, such as characteristics of the provider. Additionally, the outcome of care is the outcomes associated with care that include patient safety measures. . Research proves the hypothesis; The study controlled for structure such as nursing certification and nursing hours, bed size, magnet status and location. Therefore, it is evident that the theoretical framework of this study was reliable and effective in proving the hypothesis which is as follows: "Over time (2004-2010), units with greater increases in nursing rates NNSC would experience greater decreases in the total rate of patient falls (Boyle, 2015). » Design Critique The article used a quantitative research design to conduct the study in which it conducted a secondary examination of the longitudinal information obtained from the NDNQI. This is clear in that the article examines pre-existing information to test the hypothesis. Additionally, hospital and year 2004 characteristics were summarized through generations of descriptive statistics using SAS version 9.2. The association in the conceptual model study was examined through the use of two-level multivariate modeling. Additionally, the study hypothesis was tested using two-level multivariate modeling. From 903 NDNQI hospitals, the study was able to survey all 7,583 units in these hospitals, ensuring that the research design provided sufficient information for analysis. However, the research looked at care units rather than individual patients, making research findings on fall rates more general. Critique of Sampling The article used a population sample in which the unit of analysis was the health care units of a hospital, but not an individual nurse. patient. The research sample size would have been 7,583 and 903 NDNQI units and hospitals, respectively. This sample population was used to report total patient fall rates and NNSC RN rates, as well as RN education and nursing hours control variables between 2004 and 2010. The sample population consisted mainly of adults and provided detailed information since it covers many departments of hospital units such as surgery, intensive care, medical care, rehabilitation and combination care medical and surgical. However, using the NDNQI as a sample omits other units since it is under-representative of small establishments. Critique of Measurement and Rigor Many measures are taken in the research, such as the fraction of unit RNs with specialty certification in nursing practice that has been approved by a nationally accredited nursing certification program. national scale. All.