Change theory will be utilized to implement the plan. A failure mode and effects analysis (FMEA) will project the likelihood that the process improvement plan suggested will not fail. Additionally the role of the professional nurse in functioning as a leader in promoting quality care and influencing quality improvement activities will be discussed. A.Root Cause Analysis A root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The people involved in the RCA should be the people involved in the scenario: the RN (Nurse J), the LPN, the physician (Dr. T.), the emergency room manager, and a figure from administration (Chief Nursing Officer?).
Nursing-sensitive indicators are important to use to achieve optimal nursing care. Nursing-sensitive indicators are important to use to achieve optimal nursing care. Nursing-sensitive indicators can be utilized by nurses using them as reference to certain processes carried out that leads to safer and a higher quality of patient care. It is vital that nurses understand these indicators to prevent hospital acquired injuries and to decreases mortality and morbidity rates. In the scenario with Mr. J, the nursing-sensitive indicators was hospital acquired pressure ulcer, use of restraints that led to patient neglect and injury, safe patient transfer,
Central nervous system disturbances may be noted with decreased cardiac output. •Observe for chest pain or discomfort; note location, radiation, severity, quality, duration, associated manifestations such as nausea, and precipitating and relieving factors. Chest pain/discomfort is generally indicative of an inadequate blood supply to the heart, which can compromise cardiac output. Clients with heart failure can continue to have chest pain with angina or can re-infarct. •If chest pain is present, have client lie down, monitor cardiac rhythm, give oxygen, run a strip, medicate for pain, and notify the physician.
I believe that providing the best possible care for each patient should be the primary concern of nursing. In doing so, the environment is crucial in the meeting the needs of the patient. Central concepts of nursing are “person, environment, health, and nursing” ( Masters, 2014, p.48).Careful consideration must be given in educating the patient about the illness. In early years, the responsibility fell upon the physician. In recent years, the responsibility has been transferred to the nurse to manage the patient’s environment in order to promote the patient’s recovery.
Additionally, “The health belief model and social learning theory assist the nurse in formulating an action plan that meets the needs and capabilities of the individual making health behavior changes” (Edelman & Mandle, 2010, p. 248). This model states important points that serve as guidelines for nurses to help enable them to determine an individuals’’ willingness to change health behaviors and to understand the factors that contribute to their state of health (Edleman & Mandle, 2010). They are as follows: • Individual perceptions or readiness for change • The value of health to the individual compared with other aspects of living • Perceived susceptibility to a health problem, disease, or complications • Perceived seriousness of the disease level threatening the achievement of certain goals or aims • Risk factors to a disease attributed to heredity, race or culture, medical history, or other causes • Perceived benefits of health action • Perceived barriers to promotion action As nurses, we must always act on the opportunity to educate and recognize those opportunities as they arise. We must be able to evaluate the willingness of individuals to learn and to accept new ways that they can improve their health. We do have such a large amount of face-to-face contact with people that it is only in our benefit to take advantage of educational situations.
RTT 1 Task 1 Julie Villa Western Governors University RTT 1 Task 1 The nursing profession has an obligation to advocate for patients and provide safe, quality care. By providing evidenced-based practice, nurses can improve care and create better outcomes for patients. In reference to the case study provided, I will be discussing how an understanding of nursing-sensitive indicators can assist nurses in identifying issues that may interfere with patient care, how analyzing hospital data on these indicators can advance quality patient care in the hospital, and how specific system resources could be utilized in order to resolve the ethical issue in this scenario. Having an understanding of nursing-sensitive indicators is beneficial to nursing professionals in order to provide quality care and improve patient outcomes. Nursing-sensitive indicators were established by the American Nurses Association to identify structures of care and care processes, both of which in turn influence care outcomes (Montalvo, 2007, No.
Research has shown that chronic stress is related to an increased risk of the development of cardiovascular disease, hypertension, coronary heart disease, tension headaches, migraine headaches, backache, cancer, rheumatoid arthritis, and ulcers. “Given the negative impact of stress at intrapersonal and somatic level, it is important for healthcare professionals to master a repertoire of stress management techniques” (Varvogli, 2011, p. 75). Yoga Yoga is an old Indian practice that fosters mental and physical awareness creating a mind-body connection that allows one to engage in conscious breathing coupled with physical postures. Yoga is a meditative practice that allows one to overcome the perceived limitations of oneself (Choudhury, 2007; Iyengar, 2001). Commonly practiced in the Western world, Hatha yoga is one of the many branches of yoga that unites the body and mind through the use of physical postures and movements (asanas), breathing practices (pranayama), and meditation (Collins, 1998).
This paper will describe a core concept that can be found in two theories and describe their commonalities and how they can be applied to nursing practice. Dorothea Orem's theory used four related concepts: self care, self-care agency, therapeutic self-care demand and self-care deficit, and two nursing concepts: Nursing agency and nursing system. Her theory states that nursing has special concern for the person's need for self-care action and provision and maintenance of the action on a continual basis to sustain health, recover from disease, and cope with the effects of the disease. Orem's definition of nursing identifies the creativity and analysis of information that contributes to the development of nursing systems to assist the patient. The validation of the requirement of nursing is that the person cannot maintain health and be free from injury and disease, and have the quality of self-care (Green, 2011).
Devise a Health Promotion Strategy for an Identified Target group within Your Area of Specialist Community Practice. For the purpose of this assignment the Nurse has been asked to identify, plan, implement and evaluate a health promotion initiative in response to an identified need in the practice area. During this assignment the Nurse will evaluate evidence-based for the chosen initiative, including a critical exploration of local, national and international policy and initiatives. The Nurse will also explore and provide critical analysis of the theories and approaches to health promotion. In accordance with NMC Code of Professional Conduct (2008) confidentiality will be maintained.
In this context, sick leave due to back pain can sometimes be considered a medical solution to a work-related problem. 18 Recently, a negative orientation toward problems was found to be associated with higher levels of functional disability in employees with LBP. 19 In line with this, Shaw et al. 20 found low scores on positive problem-orientation and high scores on impulsiveness and avoidant style associated with functional loss in LBP patients. The authors suggest that the prolonged impact of LBP on daily functioning may be reduced by assisting workers to conceptualize LBP and its consequences as problems that can be overcome, and to use active strategies in reducing risks for LBP disability.