J., Nemergut, M. E., Stans, A. A., Haile, D. T., Feigal, S. A., Heinrich, A. L., ... & Tripathi, S. (2015). Lean Six Sigma handoff process between operating room and pediatric ICU: improvement in patient safety, efficiency and effectiveness. Critical Care, 19(1), P523. Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., & Taylor, R. (2005).
She analyzes the benefits of identifying and diagnosing delirium, the short term and long term effects of delirium on a patient, and nursing interventions to prevent and manage delirium (Volland, 2015). At Johns Hopkins, using the acronym DELIRIUM allows ICU nurses to identify risk factors including, “dementia; electrolyte disorders; lung, liver, heart, kidney, brain; infection; rx (prescription) drugs; injury, pain, stress; unfamiliar environment; metabolic” (Volland, 2015). With ICU nurses better trained in identifying these risks, they can alert the medical team and interventions can be implemented to decrease the effects and length of psychosis. Effective interventions studied were: addressing any underlying medical issues; creating a more relaxed environment that is conducive to sleep and decreased anxiety; distinguishing between night and day by adjusting the lights and announcing the day and time to the patient; and conversing with the patient (Volland,
The Penn Center Guide to Bioethics, 159-169. Makenzius, M., Tyden, T., Darj, E., & Larsson, M. (2013, September). Autonomy and Dependence - Experiences of Home Abortion Contraception and Prevention. Scandinavian Journal of Caring Sciences, 27, 569-579. Moffic, S. H. (2004).
Retrieved from http:// www.tndisability.org/benefits-work Werner, C., & Engelhard, K. (2007). Pathophysiology of traumatic brain injuries. British Journal of Anesthesia, 99 (1): 4-9. doi:10.1093/bja/aem131 West, T., Bergman, K., Biggins, M.S., French, B., Gallantly, J., Hinkle, J., & Morris, J. (2011). Care of the patient with mild traumatic brain injury: AANN and ARN Clinical Practice Guideline Series.
Reducing the Fear of Falling Through a Community Evidenced-Based Intervention. Retrieved from Home Healthcare Nurse website: http://www.homehealthcarenurseonline.com Bradley, S., Segal, P., & Finely, E. (2012). Impact of Implementation of Evidence-Based Best Practices on Nursing Home Infections. Retrieved from Pennsylvania Patient Safety Advisory website: http://www.patientsafetyauthority.org Centers for Medicare and Medicaid Services website. http://www.cms.gov Gillis, K., Tency, I., Roelant, E., Laureys, S., Deviendt, H., & Lips, D. (2016).
Patients and their family members should be preferably educated by the community mental health nurse about the illness, its course, and prognosis as well as the efﬁcacy, the potential side effects and costs of various drugs. Other family interventions should include support, problem-solving training and crisis intervention. There was robust and consistent evidence that there was a decrease in the risk of relapse at the end of treatment and up to 12 months following treatment. Moreover, it also reduced hospital admission during treatment and the severity of symptoms both during and up to 24 months following the intervention. (NICE, 2014) The ﬁrst known controlled trial study on the efﬁcacy of systemic family therapy at the Milan State University.
Qualitative Critique Discussion I will be comparing and contrasting two qualitative studies: (1) an ethnographic study that examined the care and management of women experiencing early miscarriage in a hospital (Murphy & Philpin, 2010); and (2) a phenomenological study focused on the emotional needs of dying patients (Law, 2009). Ethnographers describe and interpret cultural behavior. They collect, describe, categorize, and analyze data. Their goal is to identify patterns in the behavior and thoughts of participants. The study should have more than one source of information, for instance interviewing and observation.
Irritable bowel syndrome Author(s): Alexander C Ford and Nicholas J Talley Source: BMJ: British Medical Journal, Vol. 345, No. 7873 (8 September 2012). Irritable Bowel Syndrome from New Harvard Guide to Women's Health. The epidemiology of irritable bowel syndrome by Caroline Canavan, Joe West, and Timothy Card.
(2010). Psychosocial predictors of the short-term course and outcome of major depression: A longitudinal study of a nonclinical sample with recent-onset episodes. Journal of Abnormal Psychology, 109(4), 644-650. Kravits, K., McAllister-Black, R., Grant, M., & Kirk, C. (2010). Self-care strategies for nurses: A psycho-educational intervention for stress reduction and the prevention of burnout.
PICOT question- In an adult inpatient psychiatric unit with patients with one or more active DSM-V diagnoses (P), how does staff engagement following TIC and the tidal model guidelines (I) compared to our current standard of care of maintaining therapeutic milieu and de-escalation as needed (C) affect incidences seclusion, restraints and harm of other patients and staff (O) over 12 month period (T)? A systematic review is usually conducted by experts to answer a clear clinical question by reviewing studies (Melnyk & Fineout-Overholt, 2015). The parachute articles states its design was systematic review of random control trials (Smith, 2003). After reading my peers comments and rereading the article, I see the satirical nature of the article.