On another hand studies clarified which factors impact the quality of nursing care from the Patient’s opinion , e.g. environment factors, patient awareness, nurse–patient relationship and personality/behavior . ( Williams 2004 ). also , wasted nursing care had important impact on nurse-reported counter events such as hospital acquired infections, patients taking error medications or dosage , and more accident of patient falls causing injury. The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings .
Likewise in healthcare, oncoming staff generally does initiate not patient care delivery until a hand off process occurs. “Communication failures are increasingly being implicated as important latent factors influencing patient safety in hospitals.”(Sutcliffe, 2004, p. 187) Parker (1996) reports, “the nurses handing over had direct knowledge of the patient and were able to convey idiosyncratic and personal knowledge of the patient. This is a crucial element in professional nursing practice. The nurse can report on clinical judgments and can be held accountable for the judgments made” (Parker, 1996, p. 25) Critical evaluation of nursing actions can be evaluated and considered to be either continued or discontinued based on the rationales for the action and the patient outcome. In 2005, the Australian Council for Safety and Quality in Healthcare published a literature review of clinical handover and patient safety.
Theoretical knowledge was good when compared to poor awareness (<33%). 864 Staphylococcus Aureus samples were collected from patients of Jinnah Hospital, Lahore. A cross sectional study and non probability purposive sampling was done between June 2007 and November 2008. 27.7% of isolates were found to be MRSA and was much lower than findings in other hospitals of Punjab. Maximum isolates (57.69%) were from endotracheal secretions and CV Catheters mainly in ICUs
The result shows that 69.3% were very satisfied to the nurse care as a caring person and a skilled and experience nurse. A rating of 17.2% was given with a highly satisfaction from some of the respondents about the information provided from the nurse. The patient satisfaction may affect some factors that demand to examine for the increase of satisfaction and quality of nurse care. The study of Bruster et al. (2012) highlighted the monitoring of patient satisfaction by using a specific question in order to learn the patient’s experience in the health care.
Compassionate Care Through Intentional Rounding Andrew S. Eberhart, Lorretta Gail Hutchings, Mary Al-Khazraji, Katie Ellingson, & Jocelyn Nitzkorski University of Mary Compassionate Care Through Intentional Rounding Every day, individuals are admitted to hospitals experiencing uncertainty, fear, and anxiety. At its very core, the profession of nursing is centered around compassion, and providing meaningful care for patients. Intentional rounding is a variable system that has been created in order for nurses to assess and address the care needs of a patient. In fact, recent evidence shows that effective, intentional rounding can lead to decreased patient falls, decreased hospital acquired conditions (HAC), and increased patient
Ad hoc and weekly audit were conducted to measure compliance and the effectiveness of health education of fall prevention by registered nurses to patients. During the audit, one or two patients were interviewed to check whether the registered nurses has orientate them regarding fall prevention. Registered nurses also were interviewed and observed on how they perform orientation for patient. The final audit is on the documentation. For example, how the registered nurses do the scoring for high risk patient and how do they fill up the fall assessment form.
As indicated by Chambers et al, (2005) a therapeutic relationship is said to be at the focal point of nursing work as the relationship that exists amongst nurses and patients can regularly provide the vitality to rouse the nurse to proceed with the patient’s treatment. It additionally enables nurses to comprehend and establish how the patients are coping with their treatments. Moreover, a great therapeutic relationship assembles trust, and additionally it ensures that the patients’ autonomy is respected. For instance, guaranteeing a patient’s privacy is kept up by shutting the curtains when giving the patients personal care which is in accordance with the Nursing and Midwifery Council in 2008 (Essays UK,
There will be perceived barriers to change, such as the lack of EBP knowledge, nurses’ attitudes towards EBP, and the administration’s support (Melnyk & Fineout-Overholt, 2014). One of the nursing home long stay quality measures is the percent of high-risk residents with pressure ulcers (CMS, 2017). Residents in the nursing home are at risk for pressure ulcers due to their mobility, nutritional status, and comorbidities, thus nursing staff should be alert in assessing the residents. Assessment skills and quick attention to wounds can help prevent nursing home acquired pressure
These are two potential of nurses one is misconduct when guidelines are not adhered to and second is the factors that might promote or inhibit guideline adherence among nurses. (Davies, Edwards, Ploeg, & Virani, 2008) According to Ismaile Samantha (2014), there are similar and different promoter and barriers to adherence with clinical Practice guidelines. The two main factors that impact to adherence with clinical practice guidelines among nurses, one is environmental factors that are patient, organization, standard guidelines, and second is personal factors which included knowledge, attitude, and skills, intention. The primary promoters for adherence to clinical practice guidelines among clinicians ( Nurses) that can be helpful to utilizing the evidence base clinical practice guideline are focused on standardized patient care, optimize outcomes of patient care, clinicians are familiar with guidelines according to habit and routine, and guidelines are readily accessible and easy to utilize. (Keiffer,
Literature may determine the contributing factors of medication errors (Al-Syara’, 2012). A review of the literature by Johari, Shamsuddin, Idris & Hussin, 2013 described heavy workload, complicated orders, new staff, personal neglect and unfamiliarity with medication as factors contributing to medication error among nurses in one government hospital. Nurses’ proper and appropriate function of reporting on medication errors will prevent