Theories help us like a tool for reasoning, thinking and decision making. In practice, theories and frameworks help nurses describe, explain, and predict everyday experiences. They also assist in organizing assessment data, making diagnoses, choosing interventions, and evaluating nursing care. BSN vs ADN BSN is Bachelors of Science in Nursing and ADN is Associates Degree in Nursing. In principal, the two degrees can earn you a Registered Nurse Mark (RN) but they just differ in some aspects as follows * ADN is a two year program where BSN is four year program.
Critique to Evidence-Based Practice in Nursing Name of Student Institution of Affiliation Critique to Evidence-Based Practice in Nursing Evidence-based Practice (EBP) is a study aimed at finding the effectiveness of the design-models put in place through the incorporation of information obtained from patients and clinicians (Levin, Fineout-Overholt, Melnyk, Barness & Vetter, 2011, p.22). EBP is important because it offers an insight into the effectiveness of the models put in place in the healthcare system, their effectiveness while at the same time reducing the costs. EBP can be thought of as a practice aimed at empowering the medical practitioners while at the same time ensuring that patients get the best health care at a reduced cost (Levin at al., 2011, p.21). EBP is a systematic research review whose impact will continue to benefit both the patients and nurses in the medical healthcare setting. According to Levin et al.
In 1998, the ANA created a repository for implementing, developing, and storing nursing-sensitive indicators, under the name of the National Database of Nursing Quality Indicators, or NDNQI. This database provides access to quality reports for various facilities, and provides examples of how these reports have been used to improve patient care; healthcare centers can then utilize this information to make informed staffing decisions and improve patient outcomes within their own setting (American Nurses Association, 2014). Nursing-sensitive indicators are broken down into three distinct categories: structure, process, and outcomes. The structure of nursing care consists of the organizational pieces of nursing, which include staffing levels, staffing mix, and education and experience levels of the nurses in a given health care setting. Process is simply policies and procedure; this category looks as methods of assessments and care provided, types of interventions performed, and staff satisfaction levels.
Nursing sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care. ("Nursing world," 2013) Knowledge of these indicators could have assisted the nurses in several ways involving this case.
This means that the agencies identify needs and improvement areas pertaining to the care of the patient to ensure standards throughout all hospitals and health care facilities. The professional nursing organizations (PNO), such as the American Nurses Association have the care of the nurses and patients for the agenda and according to Cherry & Jacob these “organizations monitor public policy and offer avenues for their members to learn about health policy, they serve as an invaluable resources for reliable information related to policy issues and policymakers.” (2011)(p. 489). These professional organizations support the efforts of the nurses in all states and reflect guidelines for all nurses to adhere to provide the best possible care for the patients. As an example, the ANA notifies members of upcoming legislation that will impact the nurses at hospitals, nursing homes and clinics. Through this interaction the nurses are better informed as to what is happening in the political arena, such as patient ratios and shift lengths, this may impact the ability to care for patients or allow the care to improve.
Implementing EBP in nursing care establishes who they are, what they do, and what effect they have on patient outcomes (Overholt, 2004). All nurses have the responsibility to delivering the best care that will deliver the best outcomes to the patient. Evidence-based practice serves as a framework of how to prevent or treat common issues seen in clinical practice. The process of implementing EBP into clinical practice is accomplished by a series of steps or
Quality Improvement Report HCS/588 May 26. 2013 Quality Improvement Report Quality improvement is the cornerstone of many health care organizations. Quality improvement is the combination of all the patients, health care providers, researchers, etc. so to ensure that there will be change in patient outcomes. Cindy Janowski, a local health care organization leader, who notices that other organizations had successfully implemented Quality Improvement (QI) plans had hired me to research the industry’s quality standards and provide directions on how to implement or to improve quality in Janowski organization.
A Critical Appraisal of a Qualitative Study Grand Canyon University Introduction to Nursing Research NRS-433V September 17, 2014 A Critical Appraisal of a Qualitative Study Problem Statement The clinical problem and research problem that led to the study is identifying the effectiveness of rapid response teams (RRTs) functionality. It was noted, “most of the research on response teams has focused on tracking and reporting the hospital outcomes” (Leach & Mayo, 2013, p. 199). The researchers of this study believe that assessment of the actual functionality of the RRTs performance can lead to a better understanding of RRTs that can lead to fine tuning the education required to improve their performance when responding to a critical
In the clinical setting, staff nurses at both local hospitals seem to be equally competent. Patients in the clinical setting have expressed their preference for the nursing care received at the non-Magnet hospital. Nurse patient interactions observed in the clinical setting have been more frequent in the non-magnet hospital. “Comparison of Patient Outcomes in Magnet and Non-Magnet Hospitals” compared patient outcomes and staffing in Magnet and non-Magnet hospitals. One hospital’s advertising campaign used their Magnet status to
Zangaro &ump; Soeken (2007) meta-analysis used a quantitative approach, in which descriptive research was used to collected data to answer questions regarding nursing job satisfaction. Also correlational research was used to attempt to determine whether and to what degree, the relationship between job satisfaction and autonomy, job stress, and nurse–physician collaboration among staff registered nurses existed. Downe, Simpson, &ump; Trafford (2007) meta-synthesis used a qualitative approach, to collect extensive narrative data to gain insights into the accounts of intrapartum midwifery skills, beliefs, philosophies by expert practitioners working in the field of intrapartum maternity.The data was then analyzed and the researchers produced a synthesis. Zangaro &ump; Soeken (2007) evidence appraisal noted the quality was rigorous preappraised evidence, and the results are clinically significant, and reliable . The researchers noted that having autonomy and good collaboration between nurses and physicians in an organization, in conjuction with decrease job stress, is consistent with better job satisfaction.