The theorist’s background and perspectives will be explained and lastly the theory will be discussed as to how it can serve as an underpinning and improve nursing practice. Concepts for the Grand Theory When comparing a grand theory to a middle range theory, a grand theory is much more abstract that uses a wide scope to explain and define broad issues. A middle range theory is more specific, focused and concrete (Eldridge, 2014). Watsons’s theory of human caring is a good example of a grand theory. Watson’s theory takes on a holistic approach to providing care for the patients all around wellbeing.
Running head: Alarm Fatigue Improving Patient Outcomes: What is the best practice to combat alarm fatigue? TCC NUR273 Abstract With the advent of new technologies, comes a time to take a look at and revamp our current practices. Are we doing these interventions and protocols because that is the way that it has always been done since the beginning of time? Are our practices backed up by legitimate evidence? By using nursing research, best practices can be implemented in order to improve patient outcomes.
One the other hand if an individual was to be scored at 10 they would be described as, “persistent danger of severely hurting self or others (e.g. recurrent violence) OR persistent inability to maintain minimal personal hygiene OR serious suicidal act with clear expectation of death”. The failure to function adequately view of abnormality does have implications. If an individual’s behaviour seems to be strange or abnormal to others, then providing they are not harming themselves or others, and provided behaviour is not dysfunctional. Meaning
Some of the specific indicators identified in this scenario that impede patient care include: 1) complications such as pressure ulcers, 2) restraint use leading to neglect and patient injury, 3) Patient falls related to or resulting from use of sedatives or narcotic administration, 4) safe patient transfer 5) use of urinal instead of ambulating, and 6) creating a situation for a negative patient/family member experience by not being culturally sensitive to the patient’s needs. The example in this
You can promote health and safety within the social care setting by giving regular training on it, which will constantly refresh it in everyone's mind. Having leaflets on the subject around the place can also help as they are alway there to be picked up and read. Regular staff meeting can provide extremely useful aswell and people can address their concerns and work out ways to deal with it. Also making sure risk assessments are carried out everyday, will encourage people to adapt it into their everyday routine. Outcome 8 understanding how to promote environmental safety procedures in the social care setting 8.1 Explain procedures to be followed in the social care setting to
Nursing-sensitive indicators have taken the forefront of quality measures and the definition of how quality of nursing care is evaluated in hospitals and out-patient care settings. These indicators allow nurses and administrators to evaluate how the care they are providing is following evidence-based practices, and how they may improve their practices toward better patient outcomes. The American Nurses Association has made steps forward in promoting these indicators as the definitive standards for patient care and quality improvement. This paper will evaluate how nursing-sensitive indicators could have assisted the staff in taking care of a patient, Mr. J, how nursing-sensitive indicators can advance quality care practices, and evaluate the ethical considerations and solutions to the problems encountered in Mr. J’s care. In the care of the patient Mr. J, utilizing nursing-sensitive indicators could have greatly assisted the nurses and aids in identifying issues that may interfere with patient care and cause negative patient outcomes.
These steps of concept analysis by Walker and Avant, gives the researcher a foundation to process their concept in a formalized manner. Purpose of Self care concept In this paper the concept of Dorothy Orem’s self care theory will be reviewed and the importance of self-care in the prevention and self-management of acute and chronic illness. A concept analysis by using Watson & Avant model on concept analysis will be conducted about Dorothy Orem’s self care theory. The following will be identified in this paper. The Literature review of self-care to find the key attributes of self-care.
Some reported disadvantages are EHRs can be costly to implement. They can make a patient feel depersonalized. The time spent on the computers takes time away from the patients. There are too many types of EHRs and not all are able to communicate with each other. Medical records contain information about a patient's health and medical treatment history, leaving room for the possible violation of Health Insurance Portability and Accountability Act of 1996, (HIPAA) (Ellis-Christensen,
Section one deals with the moral foundations of decision making in nursing and includes portions devoted to exploring the role of the nurse as client advocate and the dynamics of the nurse-physician relationship. Section Two examines specific ethical issues across the life span. A valuable appendix cites several codes for nursing Practice as well as a sample living will. Ethical Dilemma Paper Grading and Instructions Please submit an 8-10 page typed paper on an ethical dilemma of interest to you. The case may be something you have encountered in your clinical practice or a nursing ethical dilemma that is of concern to you.
Autonomic Dysreflexia following Spinal Cord Injury Anne Gunn 1/24/12 Intensive Care Unit at the VA Medical Center Attending: Dr. Clement Singarajah ABSTRACT: Autonomic dysreflexia (AD) is a serious condition that can occur at any time following a spinal cord injury at or above the level of T6, the location of splanchnic sympathetic outflow (1). It results in the loss of coordination on autonomic regulation, leading to uncontrolled heart rate, blood pressure and vascular tone. Prompt recognition and treatment of this condition is important due to the detrimental effects uncontrolled blood pressure can have on the body. It is important that patients with spinal cord injuries and those that care for them are aware of this syndrome and the urgency of seeking immediate medical attention. The etiology of autonomic dysreflexia includes a range of noxious stimuli including bowel obstruction, gastric or bladder distension, sexual activity, labor, bone injury and any disruption to visceral structures (2).