When report is given away from the bedside, this opens a door for misinformation and does not give the patient or their family a venue to exchange information that may be important to the oncoming shift (Radtke, 2013). Review of the Literature Chaboyer (2009) evaluated the patient and nurse perceptions of bedside reporting. A qualitative study was conducted by surveying inpatients on three different units and 74 nurses. The report’s findings indicated improved patient involvement in their own care along with positive perceptions regarding bedside reporting from both the patients and the nurses. Also among the results, were
They also expected that number of patient fall rate on same type of nursing unit would be different according to staffing of nurses and registered nurses composition (i.e., education, qualifications, and employment status). By the use of five thousand three hundred and eighty eight unit in six hundred and thirty six hospitals, the relationships is investigated between nurse staffing (i.e., Registered Nurses, Licensed Practical Nurses, Nursing Assistants), Registered nursing personnel composition, patient falls , and Magnet status of hospitals for developing proof about how the nursing resources’ and the process of successful delivery of nursing excellence add to the wellbeing of patients. The key findings put forward that patients’ falls were not affected by level of staffing, that the number of falls in intensive care units are negatively related to the hours of registered nurses, Nursing Assistants, and hours of Licensed Practical Nurses are linked remarkably positive with falls primarily in units other than intensive care units. The other key finding was the decrease in the number of falls in hospitals with Magnet Status. “The reported fall rate of 3.3 falls per thousand patient days was similar to 3.73 rates from the 2002 NDNQI database’s analysis” (Dunton et al., 2004).
There are good nursing homes, and there are some elderly that need them. Another thing that the article mentions is how some senior citizens need regular monitoring due to their conditions that assisted living can not provide. The writer states that “those whose use of blood thinners involves regular testing to adjust the dosage. Assisted living doesn’t provide much health care, so residents risk becoming ‘frequent fliers’ — they’re going in and out of hospitals for conditions that could perhaps be treated in a nursing home.” The main purpose of assisted living is to reduce clients from going in and out of hospitals. If professionals that are involved in assisting the elderly cannot fulfill that need of providing health care, then the best thing for the senior citizens is to place them in a nursing home.
Nurses are given assignments based on the number of staff present and not on the acuity of the patient therefore affecting the patient’s outcome. A co-worker of mine was given an assignment with seven patient including a fresh post op. Sorry to say that patient was found dead from internal bleeding because the nurse was overwhelmed with her assignment did not do a proper assessment. She was taken off the floor and given other duties while the case is being reviewed. And after a year she took early retirement.
Working on the Telemetry floor I do not encounter death very often. I have taken care of patients with end stage diseases several times and have seen people go through the process of death. Each situation was unique and each patient had to be treated in a unique way. I believe that there is a way of making death a “good death.” I am very comfortable with death and with patients and their families being able to voice their own opinions. I am fortunate to work with two wonderful palliative nurses in our hospital that help to guide the nurses, physicians, patients and families through the process.
Triple-X Females-an orientation. Retrieved November 27, 2007, from The Turner Center Web site: http://www.aaa.dk/TURNER/ENGELSK/TRIPLEX.HTM (Nielsen, 1998) (2003, August18). Trisomy X. Retrieved December 15, 2007, from Madisons Foundation Web site: http://www.madisonsfoundation.org/index.php/component/option,com_mpower/diseaseID,280/ (2006, January). Triple X syndrome. Retrieved November 27, 2007, from Genetics Home Reference Web site: http://ghr.nlm.nih.gov/condition=triplexsyndrome/show/print
This survey discusses the average salary and hourly pay for both CMAs and non-CMAs. It breaks down wages per geographic region, work setting, practice specialty, and practice location Quallich, S.A. (2005) Medical Assistants: The Future Nurses? Urologic Nursing. 25(5), 389-391 The Author of this article mainly focuses on the difficulties in distinguishing the role between Medical Assistants and Nurses. Tasks that were once assigned to nurses are now the responsibility of Medical Assistants due to the shortage in nursing.
The purpose of this paper is to provide a concept analysis of loss including its significance to nursing, its many uses and definitions, defining criteria which are used in an exemplar case, and cases describing what the concept is not. Significance Nurses care for patients daily who experience loss. Many of these patients have had strokes. In Mumma’s (2012) study of perceived losses by patients and their spouses following a stroke, independence and mobility were two of the most reported losses. In addition to independence and mobility, stroke patients may also experience loss of memory, speech, or thought processes.
The obstacles to effective delegation can be summarized as belonging to one of three general groups: communication, interpersonal relationships, and knowledge. Ineffective communication impedes effective delegation since delegation relies on sharing findings and knowledge (Finkelman, 2012, p. 412). Weak interpersonal relationships foster a lack of trust and confidence, fear of disapproval or of losing control, or feeling that that no one can perform a task as well as you (Finkelman, 2012, p. 412-413). I witnessed a nursing tech who has been employed by my hospital for 30 years, telling a young new nurse “the
Research has shown that this can result in a decrease in quality of care and patient safety and increase adverse patient events (Tevington, 2011). However, some criticize this research because it does not show a direct link between nurse staffing levels and individual patient outcomes (Needleman, Buerhaus, Pankratz, Leibson, & Stevens, 2011). This paper will investigate if inadequate nurse staffing levels have a negative impact on patient outcomes on adult inpatient acute care hospital units? Adequate Versus Inadequate Nurse Staffing The American Nurses Association (ANA) defines adequate nurse staffing as an appropriate match between the nurse’s skill level and the needs of the patient ( American Nurses Association, 2012). To achieve adequate nurse staffing, it is known that balance must be achieved by properly staffing the unit with the appropriate number and correct mix of nurses to adequately care for the unit’s patient population (Sanford, 2010).