The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses. The process indicators are those that measure the interactions of health care personnel and the patient such as nursing assessments and interventions. Moreover, RN job satisfaction falls under the process. Nursing Sensitive patient outcomes are the desired or undesired changes that are impacted the most by nursing care such as patient falls and pressure ulcers. Nursing-sensitive indicators are important to use to achieve optimal nursing care.
At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011). The key objective of praxis is through reflection to incorporate theory, practice and art to aid in the recognition and valuing of diverse types of knowledge (Kilpatrick, 2008). Praxis plays an integral role for the APN and there should be a solid foundation of understanding. There are several benefits for APN’s use of nursing praxis; it influences the relationship the practitioner develops with patients, their families and colleagues. Moreover, it provides the opportunity for change, personal nursing theory and knowledge development through self-reflection.
Western Governors University RTT1, Task 1 The following essay will identify how nursing-sensitive indicators could improve the care of Mr. J. The paragraphs below will discuss how application and tracking of these indicators can be beneficial to the overall care provided at the hospital. In addition, there will be discussion of how the lead nursing supervisor can use the identified principles to resolve ethical issues in care. A. Nursing-Sensitive Indicators Nursing-sensitive indicators were developed by the American Nurses’ Association (ANA) to reflect the structure, process and outcome of nursing care. Structure is measured by the staff: amount, skill-level, and education or certification.
The risk factors associated with illnesses in the third trimester. The LVN is able to formulate a teaching plan based on the needs of the patient and evaluate the effectiveness of the plan. She would assess the patients understanding of the information given by asking her to repeat back to her the medication directions. If applicable, the nurse would also give Ms. R written directions detailing the instruction in terms the patient can understand. A “follow up” call would ensure the pt compliance as well as any additional questions or concerns she may have.
Most patients require gender specific nursing care during treatment (Stainton et al, 2011). Themost important three gender specific nursing care needs of Mrs.Green are to have theassistance of a female physiotherapist in performing exercises and also the help and assistanceof a female care giver in performing ADLs. 3. Describe two (2) priority needs to be considered in planning for Mrs. Green’s discharge? The major priority needs that has to be considered in planning for Mrs. Green`s discharge areeducating the patient and the family regarding the after-discharge care and medical treatmentby initiating patient specific – care plans, establish patient referrals with other teams likephysiotherapy and primary care providers (Lees, 2004).
More often a nursing assessment is based on the medical side of the patient rather than the holistic approach. In this assignment I will be discussing the importance of the nursing process, care planning, and looking at how these are used in practice. I will look at the tools used in the nursing process and show an understanding of how effective they are when used correctly. I will achieve this by describing a case study of a patient from my practice area, and discussing two specific areas that affect the patients care. Throughout this assignment I will be using a pseudonym to maintain patient confidentiality in order to conform to ‘The Nursing and Midwifery Code’ (NMC, 2008).
Caring for patients needs is the most important quality that any practical nurse should have. When a patient sees and feels that the nurse cares about him/her immediately the patient starts building a trust relationship with that nurse. By building this trust the patient most likely will discuss its health problems with the nurse. Since the objective part of treatment is held by patient telling its nurse about the symptoms he or she faces, the trust is a must for patient to be able to discuss it with its nurse. In addition a good practical nurse should also be a good listener.
Ethical Leadership: Creating an Ethical Environment That Promotes Positive Employee Behaviors, Quality Care, Safety, and Efficiency Sheilah Montoya RN, BSN Chamberlain College of Nursing In the healthcare setting, todays leaders face many challenges. One prominent and ongoing issue is the ability of healthcare staff to provide safe, quality care to patients, and to be able to provide this care efficiently. As healthcare professionals we understand that ethical issues along with cultural issues within an organization are very common. As healthcare professionals we work to improve access to healthcare, provide quality care, promote safety, and assure care is provided within a safe environment according to cultural beliefs. Things in the healthcare field are changing constantly and this in turn affects patient care, and employee
A Comparison of the Professional Roles of Nurses In this paper, the nurse’s unique role in providing inter-professional care, patient care quality and safety, cost effective healthcare, and care to diverse patient populations will be investigated. A Certified Registered Nurse Anesthetist (CRNA), J.W. and a Nurse Educator, M.,H., were interviewed, their roles as nurses were analyzed using provided protocol to discuss the difference between research and quality improvement, also how informatics affect the quality of patient care. The two specialties based on the individual interviews will be compared and a copy of both interviews will be incorporated into the paper. Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development.
A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff.