For this vSim assignment, I had to repeat the scenario three times before obtaining 100% on it, since I had forgotten about a few important steps when assessing my patient, and in my second try, I had forgotten to check the patient 's electronic health record even though I had already fixed my previous mistakes in the assessment. Three of the most important things I had to do differently in this scenario were to ask the patient about allergies to maintain patient safety before administering any drugs ordered, use the incentive spirometry to improve breathing and educate her about it since she had a hard time breathing due to pain, and educate the patient about wound care at the end before discharging her. Performing the procedures I missed in
Reflect upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem.
Some of the important stakeholders include: internal (executive and senior management, such as CFO, CEO, CNIO, CMIO, CIO, departmental directors), interphase (focus groups representing front line clinicians, pharmacists, nurses, other allied healthcare professionals) and external ( e.g. government regulatory bodies, patients, accreditation associations). As a stakeholder is any individual that can affect or be affected by the CIS deployment, it is important to identify and engaging them early on is critical to the latter success. The interphase stakeholders know best the workflows at the point of care and will help identify a system that is compatible with the needs and has functionality that is in line with the processes. The internal stakeholders
Once a patient and nurse agree on the diagnosis, a plan of action can be developed. If multiple diagnoses need to be addressed, the Head nurse will prioritize each assessment and devote attention to severe symptoms and high factors. Each problem is assigned a clear measurable goal for the expected beneficial outcome. For this phase, nurses generally refer to the evidence based nursing outcome classification, which is asset of standardized terms and measurements for tracking patients’ wellness. The nursing intervention classification may also be used as a resource for planning.
Personal philosophy differs for everyone, but generally guides a person in their professional practice in addition to their private lives. In my personal philosophy, I largely base my nursing pathways and private life on ethical values. Although I understand that there empirical beliefs that guide many nurses, and I am still a fresher nurse without years upon years of experience, I still hold ethics at the core.
There are many different aspects of Advance Practice Nursing (APN) make that make the nursing profession unique and valuable. The competencies that comprise each advanced practice nursing discipline are vital in creating a solid foundation for clinical nursing. They prepare you to conquer challenges in the clinical setting and cultivate innovation to establish processes for clinical practice.
A successful dissemination has three goals awareness, understanding, and action and specific strategies are used to reach targeted audience (Myers & Barnes, 2004). Awareness brings attention to the study or new practice to the maximum number of stakeholders. Understanding provides a rationale or purpose of the study or new practice and action demonstrates how the study was implemented and provides an evaluation report. Selecting one or more of these goals that are appropriate for the target audience will increase the likelihood that the new practice will be accepted by key stakeholders as well as influence and increase the motivation of other healthcare organizations to implement the practice (Agency for Healthcare Research and Quality [AHRQ], 2012). This paper provides a summary of strategies to disseminate the trial results of using alcohol disinfectant caps (ADCs) to prevent central line-associated bloodstream infections (CLABSIs) to key stakeholders over a 2-month period followed by dissemination to the greater nursing collective.
The neurocritical care intensive care unit (NICU) team has certainly undergone much change and transformation since the first neurocritical care physician and nurse practitioner (NP) took over the team and seven bed unit in 1999. Prior to this initial ‘team’ the NICU was managed by the neurosurgery attending and residents in between surgeries. The NICU team’s purpose was to improve and provide better care to the variety of complex neuro critical ill patient population at a 605 bed academic center in Metro Atlanta. Over the course of
The prevention of patient-to-patient assault in an inpatient psychiatric unit is essential for the safety of patients and staff (Perez, 2014). The aim of this quantitative pilot study is to decrease patient-on-patient assaults which, in the long run, may improve patient safety during hospitalization (Staggs, 2015). This chapter discusses the study design and population plan and describes procedures for implementing the project, data collection, data analysis, the institutional review board (IRB) process, and challenges that may occur with initiating the quality improvement project.
Response to Intervention, or also known as RtI, was created to help detect the presence of a learning disability. The intervention program is a scientific research-based, base on a student’s response. RtI can only help the regular education students that has academic problems or behavior problem. For academic problem there are three tiers to RtI, and of these tiers tier II and tier III each has a four week time period for evaluation. In the first tier the teacher will let the student continue in wholes group instruction, while documenting the action of that student. Base of what was documented doing tier I the intervention will move on to tier two.If a parent request special education testing for their child the teacher immediately start in tier II, no matter if the teacher was in the middle of tier I or have not even thought about doing a RtI for that student.
The researchers distributed the questionnaire to HCPs and stayed in the hospital to receive the completed questionnaire during the same shift, repeating this process three-four times in different shift each week for ten successful weeks. The researchers completed the observation checklist while waiting to receive completed questionnaires. This allowed the researcher to observe the HCP’s levels of compliance with the IPC protocol.
It is fundamental for the U.S Preventative Service Task Force (USPSTF) to increase recognition of evidence-based practices to improve population health care. According to Alcantara et al., (2015) screenings and behavioral counseling interventions in primary care to reduce alcohol misuse have shown to be effective. It was given grade B recommendations by the USPSTF (Alcantara et al., 2015). The Screening, Brief Intervention, and Referral to Treatment (SBIRT) is one of the screenings to use by medical staff to identify potential alcohol misuse by patients. As you mentioned, electronics indeed help medical staff to increase awareness and implement the SBIRT assessment. Implementation will need to increase by medical staff to decrease disadvantages
Evidence base practice (EBP) is a proactive methodology to improving patient care. Nurses are now called upon to research, identify and analyze practice problems so that questions can be answered on how to deliver care. Therefore, the translation of research into practice require strategies such as protocol and guideline to disseminate EBP within an organization (Yoder-Wise, 2015). By researching barriers to breastfeeding in the neonatal intensive care (NICU), policy changes are noted to be indicated. The objective of this Dissemination Plan is to identify and organize the activities to be performed in order to promote breastfeeding in the NICU to the key stakeholder and the greater community.
Dorothea Orem was an extravagant nursing theorist whose theories were first published in 1971 (Dorothea Orem 's Self-Care Theory, 2014). Orem established several fascinating theories of nursing which are still are current in today’s nursing. Orem proposed three nursing theories that are identified as: self-care theory, theory of Self-care deficit and theory of nursing system (Dorothea Orem 's Self-Care Theory, 2014). Orem’s nursing theories are defined as a grand theory (Nursing Theories: An Overview, 2014). Grand theory is defined as an abstract outline under which the key conceptions and values of the discipline can be acknowledged (Nursing Theories: An Overview, 2014). Orem’s theories mainly proposed that