Without superb time management, a nurse’s job will never get done. When implementing a new electronic health record (EHR), this disrupts the routine that nurses have worked hard to develop. According to the American Recovery and Reinvestment Act (ARRA), U.S. hospitals are to become meaningful users of EHR (Kelley, Brandon, & Docherty, 2011). How can the disruption be minimized while implementing a new EHR as directed by the ARRA? Relative Advantage Relative advantage is when “the individual adopting the new innovation must see how it will be an improvement over the old way of doing things (Rogers, 2003).
Competency Differences between Associate Degree Nurses and Baccalaureate Degree Nurses Tracey Carpen Grand Canyon University Professional Dynamics NRS 430v Professor Pamela Williams November 20, 2011 Competency Differences Between Associate Degree Nurses and Baccalaureate Degree Nurses When there are government officials or people in various offices that want to make a change they are going to put information out to the public to back their agenda whether it’s right or wrong. There are too many factors that would need to be considered when comparing the differences in the skills of the associate-degree RN (ADN) and the bachelor-degree RN (BSN). To say patients lives are at risk because of the difference in degrees is too much for me to accept at this point. I have been an ADN for twenty three years. I had excellent nursing instructors.
She was concerned about the accuracy of the work due to the way these readings compared to previous readings. Instead of discussing this with Brigite, she decided to do it all herself and retest everyone. The nurse in this scenario becomes part of the problem; obviously she does not trust Brigite’s ability to do the job right. Passiveness, nonassertive, and avoidance is the form of communication the nurse is using in this scenario. The nurse is avoiding asking Brigite about the readings of the vision tests (Hansten, & Jackson, 2009).
Johns (1995) describes an aesthetic action as concerned with the practitioners response to a particular clinical situation. In this handover the nurse was trying to remember too much information and became confused until she took the time out this could be because she was tired or rushing. The only knowledge I had from a handover was observing this event. I recognised there was a lot of knowledge to be gained from this and so I decided to reflect on the event. In 1998 the NHS Executive claimed that pre-registration nursing programs are not equipping nurses with the knowledge and skills to deliver high quality care.
Supposedly, the switch was to create operational diagnostic criteria’s, which is seen as more consistent than ones based on clinicians descriptions. The shift in the DSM paradigm was not based on scientific information or the recognition of disorders by their biological causes. It was due in part to politics and discord in the psychiatric field the government’s involvement with research and policy making in mental health. Insurance companies demanding proof of diagnosis and that treatment are necessary and pharmaceutical companies needing an avenue to push their products. The DSM has been unreliable in helping clinicians consistently diagnose patients, 2e children remain victims of the diagnostic system which can lead to misdiagnosis thereby children are prescribed dangerous
According to Black (2011), “nursing research enhances the status of nursing as a profession by expanding nursing’s scientific knowledge base.” (pg. 268). "The information revolution that is transforming the present and shaping the future has made reading, understanding, and using nursing research as fundamental to professional practice as are knowledge of asepsis, application of the nursing process, and communication skills"(Blais, 2011). EBP is one of the many reasons that magnet hospitals are so successful. Magnet hospitals have brought improved patient care, patient satisfaction along with nursing satisfaction to the forefront by using systems that foster evidence based practice (Saver, 2006).
It is useful for many things in the healthcare setting. These uses include clinical documentation, communication, integration of data, effective research, productivity measurement, competency evaluation, reimbursement, and curricular design. These classifications of interventions include all that are done by the nurses for the patients, including direct and indirect patient care as well interventions that are both independent and collaborative. NIC is used by nurses in every setting and specialty. Although NIC is meant to describe the domain of nursing, other care givers can use these to describe their treatments, as long as
Influence of Evidence-Based Practice Evidence-based practice developed to facilitate a higher quality of care and the best patient outcomes. The nursing practice no longer relies on traditions of the past, or trial and error methods, but based on direct responses to the individual needs of the patient (Black, 2011). An evidence- based practice relies on using the best available research discoveries to guide the decision- making process to specific clinical situations. Applying an evidence-based practice for some nurses will be a challenge; it is a new way of thinking and practicing nursing. As the health care system struggles to provide access to care for all people in a cost-effective manner, calls for a much needed change.
Money can become a big issue with compliance, but money is not the only reason why elderly are non-compliant with their medications. Family support, understanding their diagnosis or diagnoses, unaware of resources, and no discharge plan can all add to the stress causing noncompliance. Fear for the elderly is not uncommon, so without family support this fear can be even greater. Family involvement as well as understanding is critical in compliance for the patient. Nurses and doctors need to involve the patients and family members in their care from day one.
Negligence and malpractice are increasing within nursing fields even though nurses and students who will become nurses are educated about their legal and professional responsibilities and limitations. Negligence is a failure of fulfilling the responsibilities that the nurse has which results in malpractice. A nurse can be sued for malpractice when she fails to take care of the patient; it results in patient’s injury, however we should keep in mind that not every case ends with the injury, but still it is a malpractice. Many nurses are not fully committed to perform the skills they should, and they enter the profession only because of benefits. Malpractice can be increasing because of a severe shortage of trained nurses, and it happened because of a few factors: nurses are required to work longer shifts; they can lead to fatigue and increase the risk for an error; also short Nursing courses providing degrees with no sufficient time to train nurses results in malpractice.