District nursing teams provide services to patients who are housebound and unable to visit their GP or local health centre. The service provides individualised patient-centred care that takes into account patient choice and appropriate care given by highly skilled staff (QNI, 2010).The Queens Nursing Institute launched a campaign called 'Right Nurse, Right Skills' which aims to ensure that patients get the right care in their own homes. The QNI provides a wide range of support for community nurses at all stages in their careers and influences policies which affect community nursing and patients (QNI, 2011). Health policy developments in recent years, have developed around the reduction in cost and making resources more effective (DOH, 2009). A clear example of this was highlighted in the transforming community services program.
Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan. How do I know the nursing intervention to perform on stroke patients? It’s through empirical knowing. Empirical knowing is the ‘science’ of nursing, it can be systematically organized into general laws and theories that are used to describe, explain, and predict (Carper, 1978).Empirical knowing is knowledge obtained from school lectures, text books and journals. Empirical knowing focuses on evidenced based practice which leads to effective nursing practice.
Organizational Systems and Quality Leadership Task 1 Western Governors University A. Embedded in the founding principles of nursing is the responsibility of nurses to measure, evaluate and improve practice. Hospitals use data and clinical tools to compare themselves to other healthcare organizations in an effort to achieve quality patient outcomes. Having an understanding of the principles of nurse-sensitive indicators, organizational leaders can advance patient care throughout the hospital. A. Nursing-Sensitive Indicators Healthcare organizations and regulatory agencies recognized a relationship between nursing interventions and overall quality of patient care in the mid 1990’s (Erickson, 2011). This is when nursing-sensitive indicators (NSIs) were introduced as a means to measure patient outcomes.
Geriatric Assessment Paper Braden Scale The Braden Scale is used to predict a patient’s pressure sore risk. The Braden Scale is typically used for older adults who are medically or cognitively impaired (New York University, 2012). It is very important for nurses and other staff members to be aware of this score and things they can do to prevent pressure sores on patients. Nurses are one of the people that patients see the most on a daily basis while staying in the hospital. Florence Nightingale once said, “If he has a bedsore, it's generally not the fault of the disease, but of the nursing” (Lyder & Ayello, 2013, p.1).
However, when speaking to a client, using jargon and medical terms can be considered as inappropriate and confusing for the people involved. When Patients come into a hospital, they are concerned with their health and they would want to know as much information as a nurse can give them. By using the correct language, and knowing how much information to divulge, a nurse can positively contribute to the care of their client. (Wright, Lorraine M.; Leahey, Maureen. 2009).
as an enquiry that allows practitioners to constantly refine practice and continue their professional development using the evidence based outcomes. Lewin’s force field analysis, the stages of unfreezing, moving and refreezing, relevant change management and change strategies theories will also be considered to implement and develop the changes. After assessing privacy and dignity on 3 other wards in the hospital, Sister Jones has concerns about personal boundaries and space on Vauxhall ward and believes at present patients personal space is not actively being promoted by all staff with regards to the wards mixed sex status. The DOH (2007) identifies that full gender segregation is not always possible and recommends actions to be taken to ensure patients still have maximum privacy and dignity. Sister Jones will use Lewin’s force field analysis to assess the transition from the current situation to the desired one.
When providing patient care in the healthcare field, as professionals, nurses need to be prepared for the challenges that might arise on the hospital setting. Being prepared can make challenges or situations in the nursing field less difficult or provide less resistance for decisions to make in delivering the best quality of care. Whether it is caring for a minor in labor or a same sex couple in the hospital being evaluated, special protocols must be implemented to provide the highest quality of care. As in the case of Rachel who is a minor unwed and in the early stages of labor admitted to the hospital, accompanied by her parents who has not been given meds or been seeing by the physician on duty who happens to be attending another emergency. Where clearly has brought a difficult situation to the healthcare team of the hospital raising ethical and legal issues in all aspects due to the fact that the parents of the pregnant teen have refused any assistance and the nurse assigned has complied silently.
By deciding to compare communication skills within the adult field to the child field this essay will be looking at similarities and differences between the two. During treatment, patients interact more with nurses than any other health care professional in the health care setting. (Cacolice-Hildebrand, 2008). Nurses communicate using a whole range of communication skills, this is vital because nursing/patient care and patient safety are what comes first when looking after a patient. Simple things such as answering questions and reassuring the patient can
Also there has been an increase in same day surgery where the patient goes back home following surgery. Patients need follow through visits which may only be done by Visiting Nurses. This aspect of nursing helps to reduce the cost of medical bills. The Visiting Nurse helps ensure that the patient’s condition is improving and coordinates with other healthcare team members to bring the patient back to a healthy stable condition. Visiting Nurse also provide services to patients with such ailments as heart conditions and high blood pressure by helping to monitor their blood pressure and also by teaching them the activities and nutrition practices that would help to keep their blood pressure under control.
These could include the need for the constant availability of two different gendered nurses for patients who wish to be treated by certain people. The stress of always ensuring that there are two nursing staff from each gender could cause problems for the nursing staff and their families as well as the actual hospital rotations and usual shift timetables. Also, introducing culturally safe nursing into the nursing practice may cause nurses to concentrate and place more emphasis on the way they are treating a patient in regards to their cultural safety rather