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.
("Nursing world," 2013) Knowledge of these indicators could have assisted the nurses in several ways involving this case. Knowledge of pressure ulcer prevalence could have helped the nurse prevent one in this patient. The nurse and CNA would have known to reposition the patient to prevent them, and would have recognized the red area as the first stage of a pressure ulcer. The CNA would not have put the patient back on his back when he got back to bed. Restraint prevalence could also have assisted the nurse’s understanding of when restraints should be applied, and the proper way of managing a patient on restraints.
2) They identify structures of care and care processes, which influence patient care outcomes. (Montalvo, 2007, para. 3) Structural indicators are comprised of the supply, skill, education and certification of the nursing staff. Process indicators measure nursing assessment, intervention and job satisfaction. Outcome indicators reflect patient outcomes that are most influenced by nursing care.
Recognizing at restraint use is a nursing specific indicator can help the staff in this situation develop an appropriate care plan. Having a set care plan makes it possible to easily identify when care is beginning to deviate from the care plan, resulting in lower quality patient care as well as risking patient safety. Quality indicators should be used to standardize all care for patients in restraints, making it less likely for the staff in this situation to experience issues. Another important indicator that can be used in this scenario is the prevention and management of pressure ulcers (Montalvo 2007). Nurses play an important role in the prevention of pressure ulcers.
RTT Task 1 Shawna Setzer Western Governors University Nursing-Sensitive Indicators In the given scenario involving Mr. J’s hospital stay it is important to integrate nursing- sensitive indicators in delivering quality patient care. Every patient has the right to receive the appropriate care without causing harm. Mr. J was starting to develop pressure sores related to being in restraints, and when his daughter pointed out the areas to the CNA she didn’t realize the severity of the problem and report them to another care giver to assess the red areas. The CNA also did not reposition Mr. J onto his side to relieve pressure to that area of the body. Nursing indicators such as education on unnecessary use of restraints and not repositioning the patient every two hours, are failures to deliver quality care.
The inpatient coder ensures that the data entered is relevant, indicating the reason that the patient was admitted, which involves the kind of illness and a breakdown of the treatment that was given (Henderson.) The inpatient coder uses the current version of ICD-CM classification for the most appropriate DRG assignment for assigning codes to diagnoses and procedures. They have to be able to determine the correct diagnosis and secondary diagnosis, identifying and assigning co-morbidities and complications and principle procedure codes. The inpatient coder is also responsible for selecting the proper DRG and Discharge Disposition Code. The impatient coder sends the documentation to HIM Operations for follow-up when Physicians documentation is not clear or straight forward.
This article main purpose is to provide evidence of the importance and application of standardized terminologies in the Nursing practice. A patient care scenario will be used to identify how NANDA, NOC, and NIC elements are applicable. Data, information, knowledge, and wisdom (DIKW) framework will be used to create the patient care scenario. Standardized Nursing terminologies are used by most of healthcare settings as part of Electronic Health Records, and represent nursing data, information, and knowledge that can be stored in the electronic systems to be used as a reference by health care professionals. Scenario A female is referred to home health services for skilled nursing evaluation, and observation.
Although this could be interpretated as one end of the sexuality spectrum, the physical act of sexual intercourse could be interpretated as the other. Therefore, nurses have a responsibility to help and advise people to achieve as high a level of sexual well being at both ends of the spectrum (Rafferty 1995). As a urethral catheterisation procedure involves the genitalia, it is reasonable to assume that issues of sexuality are potentially raised for the patient as part of holistic patient care. However, there is possibility that this might be passed over (Webb
Although the first years of a baccalaureate program are similar to that of an associate degree program, additional in-depth coursework such as social sciences, nursing research, public and community health, nursing management, leadership and critical thinking are required, thus enhancing a BSN’s professional development, knowledge base and scope of practice. A BSN program focuses on treating patients as individuals by incorporating the metaparadigm theories of nursing, allowing for a higher level of preparation to care for more complex patients. A BSN is trained and prepared to treat each patient holistically; assessing, evaluating and analyzing all needs (physical, emotional, environmental) of the patient. Although an associate-level degree nurse has some limited knowledge of theory and conceptual models, their training primarily focuses on technical skill and task orientation. The ADN has a disadvantage when it comes to the concepts of health, environment, person and nursing as well as evidenced based practice.
Genevieve Gayler Communication theories in Health and Social Care settings Theories of Communication Effective communication has an important role in a Health and Social Care setting, because the patient and health care professional need to be able to understand each other clearly so that the patient can receive the best possible care; which would be almost impossible if the patient’s needs can’t be clearly stated to the health care professional. Having communication eases the patient’s anxiety, removes the possibilities for mistakes to be made and lets each person know what is wanted from them. There are many ways to communicate, both verbally and non – verbal, for example interpersonal communication which is the method of which