CRITICAL REFLECTION ON FACTORS INFLUENCING A CLINCAL DECISION. The purpose of this assignment is to critically reflect on factors influencing a clinical decision based on one of the experiences I have witnessed during my clinical placement. The clinical decision will be focusing on the care of a client and involves a nursing input. The episode of care I will be examining what happened in a recovery theatre following orthopaedic surgery for the removal of screws to the left ankle. The clinical decision which I witnessed involves bringing pain under control by administration of 1mg of midazolam intravenously to a 12year old patient who said she was in crucial pain after administration of 10mg Morphine.
Compassion fatigue was a term first applied in 1992; it is described as a syndrome that occurs in nurses when caring for a patient facing life-altering or life-threatening changes resulting from an illness. Compassion fatigue is prevalent among nurses today, due to increasing patient loads, as a result of nurse shortages and hospital cut backs. Compassion fatigue in nursing should not be ignored. There are classic warning signs that someone might be experiencing compassion fatigue. Recognizing the signs of compassion fatigue and following the necessary steps to prevent and treat it can provide one with the tools needed to make their nursing career rewarding.
Clinical Audit Report Assignment 1 Introduction Since the 1970s, the term evidence based practice has become increasingly used. Healthcare workers seek for solutions, choices and outcomes for patients and represent the best available knowledge internationally by using evidence based practice (Hamer & Collinson, 2005). The most widely quote definition for evidence based practice comes from Sackett et al (1997): “Evidence bases practice is the conscientious, explicit, and judicious use of current best evidence in making decisions about the healthcare of patients.” It enables us to deliver the best possible patient care rather than out of date practice (Aveyard & Sharp, 2009). In 2000, patient values and clinical expertise components were added on to the definition: “…… integrates clinical expertise and patient values with the best available research evidence” (Sackett et al, 2000). The add on definition emphasizes the decision making with the patient rather than purely with the health care professional and it also recongnises the explicit knowledge that developed by clinical expertise with available resources.
• Provide rationale for each nursing diagnosis, and explain how PES, NANDA, NOC, and NIC apply to each diagnosis. Use a minimum of three peer-reviewed resources, and create an APA formatted reference page. Nursing Diagnosis 1: Acute pain related to post-operative surgery as evidenced by patient self-report of pain. | |Desired Outcome 1 |Desired Outcome 2 | |Nursing Intervention 1: Monitor |Patient self-report satisfactory pain control from 3-4 on scale of 0-10 pain |Patient will use pharmacological and non-pharmacological pain relief as needed | |pain on scale of 0-10 every shift.|scale. |by the time hospital discharge.
Evolving Practice of Nursing and Patient Care Delivery Models Grand Canyon University: NRS 440V May 10, 2013 Nurses, The health care system is currently experiencing a comprehensive renovation to benefit patients by delivering affordable, high-quality care. The transformation is a direct outcome of the Patient Protection and Affordable Care Act of 2010 (PPACA). This act contains numerous specifications to interconnect cost-effective care with high-quality care. The current arrangement of health care is disintegrated, deficient of specific accountability for the management and superiority of patient care. The law is trying to repair the resource allocation of health care, while compensating quality of care over quantity of care.
The intent of EBP is to improve the quality of the care that is delivered to the client. This increased knowledge, whether it is correct or incorrect, is a motivating factor for nursing professionals to have current and correct information available when working with clients in making healthcare decisions. Healthcare professionals, especially nurses, are the touch point of health care and are the key to cost effective quality care. To ensure that decisions are based on sound information nurses must utilize EBR. As technology and research in health care expands, EBP is becoming essential in delivering high quality patient care.
Nearly every nurse in my unit can tell exactly how they felt after an event in which a patient fell. With this research, my purpose is to increase my knowledge, learn how to promote prevention interventions in my unit, and put them into practice. How Can We Prevent Falls in Hospitals? Statistics show that accidental falls in hospitals may lead to injury and even death in patients. The evidence shows that nearly 50% of hospitalized patients are at risk for falls and half of those who fall suffer an injury.
Transformational leadership hinges on a high level of engagement between leaders and followers. In other words, it depends on followership. In 2003, the Institute of Medicine published a report that called for increased preparation for health care professionals in general. The nursing profession offered its response: a clinical doctorate degree, the doctorate of nursing practice (DNP). DNP graduates will be prepared for a variety of nursing practice roles because the DNP Essentials addressed the foundational competencies that are core to all advanced nursing practice roles.
The impact of sleep deprivation and fatigue among nurses has been widely studied. This study is developed to determine if fatigue from twelve hour shifts impedes nurses’ abilities to think critically and make safe decisions regarding patient care. Keywords: cognitive capacity, inter-shift recovery, fatigue management, decision regret, critical thinking, situational awareness, continuity of care Patient Safety - Twelve Hour Shifts and Nursing Fatigue Nurses faces many challenges in their profession. They are responsible for not only carrying out physicians’ orders, but are expected to make rapid decisions that are critical to the well-being and sometimes the survival of their patients. These decisions are based on training, education, information available in the moment, i.e., vital signs, lab results and patient symptoms, as well as the nurse’s physical and psychological state.
Nursing Intervention 1 | Desired Outcome 1 | Desired Outcome 2 | Evaluation Method | Rationale | Provide opportunities for the patient to express feelings, fear, or concerns (Nanda, 2012). | Patient will reduce anxiety through verbalization of feelings X 30 days (Nanda, 2012). | Patient will attend a support group X 7 days. | Nurse will use therapeutic communication to understand the patients feelings. | Expressed feelings of abilities to cope reduce stress.