Structure is measured by the staff: amount, skill-level, and education or certification. Process indicators measure the facets of nursing care, such as assessment and intervention. Outcome indicators refer to patient outcomes that are affected by nursing care and are considered nursing-sensitive if directly affected by the quantity or quality of the nursing care (ANA, 2013). Through understanding of nursing-sensitive indicators and integration into daily practice, the staff caring for Mr. J could have been more aware of potential issues that interfere with patient care. Knowledge of the increased risk for pressure ulcers and the need for frequent turning and off-loading of pressure points could have allowed the staff to prevent the one forming along Mr. J’s spine.
The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses. The process indicators are those that measure the interactions of health care personnel and the patient such as nursing assessments and interventions. Moreover, RN job satisfaction falls under the process. Nursing Sensitive patient outcomes are the desired or undesired changes that are impacted the most by nursing care such as patient falls and pressure ulcers. Nursing-sensitive indicators are important to use to achieve optimal nursing care.
Marie is directing patient centered care, but culturally, Carla prefers her family around her to support her and her help make decisions while Carla is recovering. One of the visitors in Carla’s room may be a partera who is helped Carla with the delivery and is helping with recovery. Carla may even have a trusted family member that will make decisions for her (Potter, Perry, Stockert & Hall, 2013). Delivering care to a patient in a way that is respectful to the patient and their family is crucial for several reasons. Culturally congruent care means taking in to account the beliefs and traditions of the patient and working them into the care plan.
Personal Perceptions Caring for terminally ill patients can be a daunting task for all involved, whether it is for the patient, friends or family, or the nurse or other clinicians. It is important to analyze one’s own feelings about disease, its progression, and death when caring for others because a patient’s quality of life and functioning can potentially be affected by the nurse’s personal attitudes. Exhibiting judgments can cause discomfort, feelings of helplessness and/or sadness, which can impede quality of life for patients. The role of the nurse is to help the patient as he or she progresses through the stages of illness, acting as a patient advocate, meanwhile providing additional support for the patient and his or her loved ones. The role of the nurse is to attempt to alleviate discomfort, restore health, and to not cause any additional undue harm.
It’s important to observe mental status changes and functional status changes, this can determine how well the patient can take care of themselves and deal with their health promotion on their own. Altered cognition is not a normal part of aging and the nurse may need to pay close attention to the possibilities of the onset of dementia. Activities of daily living include everything we do during our normal day to properly take care of ourselves and as we get older these tasks may become more difficult. Nurses need to assess how well a patient can see or hear, vision and hearing loss can be quite debilitating to performing ADL’s and it’s the nurses job to make sure our patient is in a safe environment and that they have proper vision/hearing care with proper strength prescriptions for their glasses or hearing assessments. It is very important to remember that hearing and vision loss is normal with aging and that when we perform our assessments we should talk slowly and annunciate clearly so the patient can understand any direction or education that is given (GCU, 2012).
There are some patients or employees with strong accents that can make it difficult for one to understand and may cause a misunderstanding between both parties. Not only do healthcare professionals use communication to provide service but also for financial planning of service, it is used to build a solid relationship between the patient, patients’ family, and the healthcare professionals. Working in such a diverse health facility all employees, volunteers, patients and family need to take time and educate themselves on other cultures because what you might do to others as a joke or just cause might offend or hurt others. All employees should respect the patients’ culture and try to work and communicate as thoroughly as possible to avoid offending their culture, moral, religion, and beliefs. Many individuals think that is immoral to not administer any type of pharmaceutical medication to a dying patient, but out of respect we healthcare professional respect their culture and provide as comfortable as possible according to their
It is important for the nurse to be familiar with end-of-life care options and opportunities in order to educate the patient and support them with whatever decision they choose. Many elderly patients wish to receive their end-of-life care in their own homes. Palliative care and hospice programs were created in order to help the elderly patients achieve their desires; however, there are numerous limitations that can make end-of-life care at home difficult to achieve. It is believed that end-of-life care at home isn’t as evident as individuals thought it would be due to the fact there are difficulties with having the appropriate technology needed to provide care and the inability of the medical staff to appropriately deal with and educate families (Silva, Poles, & Baliza, 2013). As stated in the research, “it appears that this is a stressful experience for professionals, mainly due to their inability to deal with the families and the lack of availability of technological resources” (Silva, Poles, & Baliza, 2013).
Communication Theory Paper Your name Axia College of University of Phoenix Communication Theory Paper Hospice is an organization that one must use effective communication as a crucial facet in connection with patients and their care. In the role of health care surroundings, an organization selected to hospice care could meet some opposition when dealing with communication due to gender dissimilarities, cultural differentiations, and in some cases, the failure to communicate successfully with those acquiring assistance. State of affairs such as these can impinge on how particular duties are accomplished within the organization, whether one will want to keep on utilizing the services of hospice, and if staff, patients, and relatives
| If the patient has to take more than one type of medication at the same time; they will get confused if the Doctor hasn’t clearly explained how they should take it. | This can be related to Argyle’s Stages of Communication because the patient needs to trust the doctor to know what he or she wants them to do. | Improves level of care for everyone | More than one nurse taking care of a patient at a hospital or in an elderly people’s home. | If they don’t communicate with each other than they may end up repeating things or the patient won’t trust the nurses. | This can be related to Tuckman’s theory of Group Interaction because the Nurses have to work together so that they can provide the best care for that patient
Nurses intermingle with people from diverse branch of the world with a mixture of civilizing practices, so cultural alertness seems essential in creating a patient-nurse relationship during the interview phase of the health assessment, initial step of the nursing process. Every culture perceives wellbeing and sickness differently; as a result, cultural traditions have power over nurses’ decision making process which represents a baseline to begin action for healing and provides high quality of care that nurses have to give. “Cultural ability means the aptitude of nurses to value and admit the cultural backgrounds of persons and give care that best meets the persons’ requests—not the nurses’ requests” (Edelman & Mandle, 2010, p.