It shows that the strategy plan which has been implemented is success. To maintain the good quality of nursing care and to achieve the target the top management encourage he nurse educators to continue with the continuing nursing education session two time per month. Besides that, quality department works together with nurse manager to continue with the audit to make sure the patient’s education is maintained (Quigley and White,
Evidence Based Practice Proposal- Section D: Solution Description The Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT) to have higher sensitivity in assessing fall risk in the geri-psychiatric population (Edmonson et. al, 2011). This project of EPFRAT will let the progress of a fall risk prevention protocol to provide the safest environment and best quality of care possible for the geriatric psychiatric inpatient. Proposed Solution Based on the inferences significant from the critical review, strong evidence of recommendation relating to the use of EPFRAT in geri-psych was identified. The following commendations for proposed solution were documented: • Application of the EPFRAT of geri-behavioral
In addition, patient satisfaction surveys are another example of quality improvement. These surveys are sent to the patient’s place of residence after discharge in order to find out how the patient felt about their stay in the hospital. Over the past 20 years, these surveys have gained increasing attention as meaningful and essential sources of information for identifying haps and developing effective plans for quality improvement within organizations (Al-Abri & Al-Balushi,
This critical incident involved a first time mother who gave birth at pre temp- 35weeks. Baby stayed in hospital for two weeks before being discharged home. After about two days of being home, mother called her health visitor, the student‘s practice teacher to inform her that baby was having breathing difficulties. Health visitor advised Lilly take the baby to A&E straight away which she did. Baby stayed in hospital for a further 7days before being discharged.
Evidence based practice and how is it relative to nursing practice Nursing practice is often guided by tradition rather than evidence-based practices. Over the past two decades nursing has gone through vast changes. Patient care has shifted to evidence-based practice which uses current research and historical evidence to implement care and improve patient outcomes. EBP integrates clinical expertise, patient values and preferences, and critical appraisal of relevant evidence to clinical questions (Chrisman, Jordan, Davis, & Williams, 2014). Furthermore, evidence-based practice indicates when making decisions about patient care based on quality evidence reduces complications and lowers healthcare cost (Brewer, 2011).
For this assignment, Gibbs (1988) reflective framework will be used. Gibbs model reflects on six defined stages encouraging the nurse to think systematically, each stage provides structure and a methodical understanding of reflection throughout. Davies (2012) believes Gibbs reflective framework is an excellent example, one which is mainly used within health. Throughout this reflection my patient will be given anonymity using a false name to protect her identity and respect her confidentiality, she will be referred to as Mrs Glover (NMC Code, 2015). Mrs Glover is a young female of 26, who recently had bowel surgery, which has resulted in a stoma site being formed.
This article is a study conducted from 12 nurses of different backgrounds stating their experiences as RN-BSN nurses. These nurses saw and experienced the difference from working as RNs to RN-BSN nurses. Being RN-BSN nurses is not only a step up for getting a higher nursing degree, but it also made them think more critically, gained a leadership and management skills, became more tolerant of others and stronger patient advocates, expanded their nursing knowledge, improved communication skills, and changed their outlook of nursing into a bigger
The results of these studies strengthened the author’s belief that the community benefits from the implementation of this public health program. The author is currently a pediatric cardiothoracic operating room nurse and is knowledgeable on the complications and mortality due to the late detection and delayed surgical treatment of CCHD in newborns. The author believes that changes in normal newborn screening routine is beneficial and should be implemented in nationwide. The author will use her analytic philosophy to conduct more studies that will yield new recommendations to improve patient outcomes. Moreover, the author plans to evaluate multiple evidenced-based practices that are being implemented in her facility and publish articles in the
Specifically, 1) We explain and analyze how well Barbara Norris done in her first month as a nurse manager and describe her management control approach to performance improvement. 2) We more specifically, evaluate the adequacy of changes Barbara Norris is trying to make. 3) We recommend an action plan for Barbara Noriss to improve staff 's performance.
The limitation of current end of life care education The end of life care education course can shape nurses’ attitude toward caring of dying patients so as to reduce anxiety about death and consequently have a positive influence on nurses’ attitude towards caring of dying (Wass, 2004; Abu Hasheesh, AI- Sayed AboZeid, Goda EI-Zaid& Alhujaili, 2014; Adesina, DeBellis & Zannettino,2014; Wessel & Rutledge, 2005). However, somehow, there is still limitation of end of life care education to the newly graduated nurse in delivering end of life care. Nursing students and newly graduated registered nurses claimed that the training was inadequately prepared them to deal with death and dying (Cavaye & Watts, 2010). Also, 72% in 607 registered nurses reported that did not formally end of life care courses in
Medication reconciliation is a safe process that can benefit patients by providing accurate, up to date listing of current medications the patient is taking. Patients deserve high quality patient care that supports accurate medication list, eradicating potential medication errors, and providing superior safe patient care. Which then directs me to my clinical question, does accurate medication reconciliation (intervention) influence patient safety (outcome) in patent’s who have adverse drug events (problem) over a one year within ambulatory clinic settings (time)? My PICOT supportive research question has been further evaluated from the journal article, “Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center” written by Keogh et al. (2016).
The expected outcomes are standards against which nurse judges if goals have been met. Evaluation of client response to nursing care requires the use of evaluative measure simply as the reassessment of patient symptoms. Vital signs and auscultation of breath sounds. Observation of client skill performance and discussion of how they feel. Lab results such as chest x-ray to confirm whether pneumonia diagnosis is still present.