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.
NMC, (2009), states that, ‘ good record keeping helps to improve accountability and shows how decisions related to patient care were made’ and the courts of law approach to record keeping tends to be that, “if it is not recorded, it has not been done”. Accountability will be explored in this assignment referring to Eddie’s scenario, introduced during facilitators’ group discussions. It was discovered that record keeping was root cause that lead to Eddie’s death. It is one of the important elements in preparation for future role as an accountable Practitioner. Caulfield, (2005), states that, accountability is a concept often associated with nursing.
Scope The proposed plan includes a detailed assessment of methods, personnel requirements, training (including costs), feasibility, and expected results. Proposed Plan This plan takes into account the needs and complaints of our patients, as well as the suggestions made by our phlebotomy and nursing staff members. Phases Excessive needlesticks can be reduced in three phases: (1) Training phlebotomy staff to draw from heparin locks safely and efficiently (2) Changing any protocol that might inadvertently cause more needlesticks to be preformed than intended (3) Shifting responsibility for blood draws out of heparin locks to phlebotomists from the nursing
Managing Chronic Disease using Bloom's Taxonomy of Education Sandra Nicole Jurries 427 October 29, 2012 Marc Verlasky Managing Chronic Disease using Bloom's Taxonomy of Education Due to advances in health care managing chronic disease in the elderly is a growing area for nursing. Nursing must adapt and find effective ways to educate this population of people about their disease and how to manage it. There are several areas that can impact the way health care education is perceived; the illness itself, cultural background, economic status, and educational background. Studies have been conducted that show that Bloom’s Taxonomy can give a base outline to measure the progress of teaching and how to know that the patient is effectively applying the education. Bloom’s Taxonomy outlines these areas as cognitive, affective, and psychomotor.
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. The ANA has defined a number of nursing-sensitive indicators in the National Database of Nursing Quality Indicators (NDNQI). The national database program collects these designated indicators and analyzes their prevalence in an effort to prevent these negative patient outcomes and make recommendations about how they may be avoided (ANA, 2009). There were a number of errors made in the patient’s care, and closer adherence and understanding of these guidelines would have proven useful in guiding these personnel in his care. Without paying attention to these quality indicators, some care may have fallen through the cracks, some may have not been identified in a time-frame that was meaningful or useful, and much of the care the patient received may have been detrimental to his condition.
Evidence-based practice (EBP) provides the research and information of how to deliver the best patient care, and can be integrated into the delivery of nursing care. Prevention of ventilator-acquired pneumonia (VAP) in ventilated patients in the intensive care unit is just one example of how evidence-based practice is being implemented in nursing care. Evidence-Based Practice Dr. David Sackett, a pioneer of evidence-based practice, best describes it as “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of the individual patient” (Troseth, 2009). This involves the integration of clinical experience, the values of the individual patient, and the best evidence-based research (Schardt, 2010). Implementing EBP in nursing care establishes who they are, what they do, and what effect they have on patient outcomes (Overholt, 2004).
Evaluation Plan Beauty Sama Grand Canyon University NRS-441v Instructor: Dr. Joyce Morrison (Drj) Evaluation Plan The writer’s PICO question will change the policies and procedures in the hospitals in ultimate goal to reduce CAUTI in patients. This change will affect the outcome of patient care, with that in mind there is great need to evaluate the plan, making sure that although it is an administrative interventions all areas of this change is examine for patient safety. In the proposed solution, there are independent variables (see Appendix A) in the research are; materials used for catheterization, policies and procedures for catheter insertion and removal, and nursing and professional staff. The dependent variables,
Theory Based Exemplary Article: Implementing Pender's Health Promotion Theory into the Post Partum Setting Kim Freitas Liberty University NURS 502 Dr. Kim Little October 7, 2012 Abstract As a medical professional it is important to impact the patient population in such a way as to treat the condition in which they are seeking attention for, educate the patient on how to care for the condition, along with treatment options and curing factors. In an effort to prevent disease processes or conditions it is important to teach the community at large health promoting behaviors. This is exactly what Nora Pender sought out to do. She realized that the patients she encountered were being treated after a diagnosis, but nothing was being done
Current Health Promotion Pamphlet Paper Mary Penny-Johnson Developing and Evaluating Educational Programs/ Nur 588 Jennie Pattison Current Health Promotion Pamphlet Health promotion and disease prevention are an important role of nurses, physicians, and health organizations. Patients that are active participants in their own health care understand their responsibility in managing their care. Additionally, health promotion decreases hospital stays and may prevent disease related complications. In 2006 health care related spending exceed two-trillion dollars in the United States (Jadelhack, 2012). A huge amount of money is saved by promoting health and educating the public on preventable health problems (Goetzel, 2009).
Patients health condition will be discussed as needed to assure maintenance level of knowledge. Patient will be monitored for adverse side effects and therapeutic benefit of medication. Evaluation Nurse will monitor patient for side effects. Patient will verbalize sighns and symptoms to report to MD/Nurse Patient will take medication as prescribed Patient will manage social and workplace goals with optimal