Research Summary and Ethical Considerations: Complexity in Practice Environments Grand Canyon University: NRS 433V 1/12/2014 Title Needed This article discusses the complexity in nursing practice environments that affect patient outcomes. There are many different aspects of the relationship between nursing care and patient outcomes. Nurses struggle to provide quality care in a high-demand practice environment, all the while dealing with stressors. Through research of the nurse work environment three key stressors that influence the quality of care given by nurses were identified. This new phenomenon has been labeled complexity compression.
Organizational Systems and Quality Leadership Nursing sensitive indicators are designed to demonstrate the organization, procedures, and results of quality nursing care. Each of these areas can be broken down into key aspects that reflect the areas evaluated for quality. Organization indicators include the number of nurses available within a healthcare facility, the degree to which the nursing staff is trained (including the education and certification levels of the staff), and the ability of the nursing staff to execute their training (American Nurses Association, 2014). Procedure indicators are comprised of the aspects of actual care and include assessment and intervention measures, job satisfaction measures, and patient reflections on care. Results indicators evaluate measure the quantity or quality of patient care.
Post-operatively, whether post-operative day 1 or day 10, orthopedic patients are very dependent on nurses and other healthcare professionals to meet and provide their daily needs. This patient population has many self-care deficits of varying degrees. To meet the demands of the orthopedic patients, Dorothea E. Orem’s theory is a good guide for my and other nurses’ professional practice. Self-care competence has an impact in the quality and quantity of life. Nurses educate and assist patients to achieve their competency in caring for themselves.
The core concept of nursing is the diversity in healthcare settings dealt with the disparity between theorist of Florence Nothingale and Jean Watson. Florence Nothingale environment theory and metaparadigms will help establish the criteria which identify where and when nurse apply the core concept of nursing practice on a daily basis. Jean Watson theory is the philosophy and science of caring which is interrelated theories of Florence nightingale concepts. To understand these theory we have to understand the core concept of knowledge that will establish the path of explanations and give the meaning of a phenomena of nursing practice. These nursing practices must base on nursing theories we are using in the clinical setting of practice.
The five phase nursing process is a cyclical process which allows nurses to recognise the patient’s nursing diagnosis in order to plot appropriate care. These phases involve assessment, diagnosis, planning, implementation and evaluation (ADPIE). The assessment phase forms the foundation for appropriate diagnosis, planning and intervention (Ackley & Ladwig, 2014 p. 3). Evaluation of nursing care allows for reassessments, restructuring of priorities and continuing review of care plan if the needs of the patient are not met (Davies and Janosik, 1991 p99; Brooker and Waugh, 2013 p304). Nurses need to be able to document a complete, systematic, and precise
Once in employment many IRNs experience difficulties due to differences in language and culture in their new country of practice. Barriers to effective communication have implications for all nurses but particularly those functioning in a second language and culture. This article suggests strategies for IRNs, UK-educated nurses, managers and policy makers to improve the experience of IRNs and to ensure patients receive the best possible care. Full Text * TranslateFull text * Turn off search term navigation * Jump to first hit Headnote Summary Internationally recruited nurses (IRNs) provide valuable resources to address existing and predicted nurse shortages. Once in employment many IRNs experience difficulties due to differences in language and culture in their new country of practice.
This only reflects back on ineffective nurse staffing with poor outcomes. The current shortage, heavy workloads and increasing reports of burnout have significant effect on the working registered nurse. Studying the critical care nurses staffing concerns gives valuable insight between the nurses work condition and shortage. This could reveal information about daily stress levels in nursing that make patient care more complex and add to the nursing turnover. This proposal is to validate current working conditions in critical care units and the fact that nurses do have input on turn over.
nRunning head: NURSING THEORY 1 Nursing Theory Akwasi Agyemang Chamberlain College of Nursing NR501: Theoretical Basis For Advanced Nursing Practice May 2015 NURSING THEORY Nurses can use nursing theory as tool to help guide their practice. I personally define nursing theory as the mechanism that guide nurses and provide explanation to nursing interventions. It is defined by Croyle (2012) as an organized and systematic articulation of a set of statements related to questions in the discipline of nursing. The theories guide nursing practice and provide a foundation for clinical decision making. In the past, nurses were seen as assistive personnels and were often described as handmaiden to physician (Croyle, 2012).
The glue that holds the hospitals together is the first line manager. Nurse managers are caught in the crossfire between multiple needs of patients, staff and administration, ethical issues, and the issues of shortages of nurses. A nurse manager is responsible for multiple units and challenged to maintain the needed blend and balance of both clinical and business management, which is essential to staff nurse retention. Hospital administrators, including nurse executives, must be proactive in seeking ways to preserve professional staff employed in the hospital setting. The executive team needs to finds ways to make hospital work more appealing to registered nurses (RN), and with a shortage of nurse managers
Nursing assessment skills are essential in prevention, early diagnosis and treatment. Regardless of how one defines nursing, it is certain that nursing encompasses a vast body of knowledge and requires a great deal of competency and skill. It is also a demanding profession that involves cultural competency and a high level of interactions with patients. According to Sweet, “Nurses serving in primary care roles could expand access to care, educate people about health risks, promote healthy lifestyles and behaviors to prevent disease, manage chronic, diseases, and coordinate care” (2010, p. 28). It is important to educate public about nursing profession and move away from the stereotypes that nurse’s job is to follow doctor’s orders.