222) There are many types of violence in nursing that can occur from other nurses, patients, managers, visitors, and physicians Nurse to nurse violence is commonly referred to as horizontal violence. (Huston, 2017, pg151) Horizontal violence are behaviors that hinder nursing job satisfaction, impact job performance and put a lot of pressure on the nurse. According to the Joint Commission “intimidating and disruptive behaviors” can facilitate medication errors, lower patient satisfaction and lead to adverse patient outcomes. (Lachman, 2014) There is no singular solution to this problem and people have the right to work in a safe and healthy environment – regardless of setting. Victims need proper support and the offenders need to have discipline in order to correct this issue.
Of course, the healthcare professional must work within their Scope of Practice and ensure that they are comfortable and capable of administering the medication. It is essential that information such as allergies, morbidities and other medication, that the patient is already on, are obtained, following the selection of route, dose, time and drug. Prescribing involves transferring patient information plan with the nurse and the patient themselves, and providing accurate documentation of same. Illegible documentation, incorrect computerised data entry and mathematical error with drug calculations contribute to prescription errors, which in turn, leads to errors in the administering and monitoring sectors (Prot, 2005). Administration is when a nurse gives a ready to use form of medication where calculations, labelling, mixing and preparing may be involved (Healthline, 2015).
Introduction Nursing judgment refers to a clinical assessment concerning person’s response to health situations or how vulnerable the response is to individuals, household, clusters or the entire community. Clinical judgment consists of two main sections, descriptor, and attention on examination inclusive critical aspects of examinations. In some cases, exceptions are made on judgment and given in one term like anxiety, pain, and dehydration. Clinical officers should not concentrate most on diagnoses from focused challenge but to risks realized (North American Nursing Diagnosis Association, 2005). Before developments made while classifying clinical judgment, nurses were not guided by and standards while relating to their client's challenges.
Family theories have been used throughout the history of nursing to help guide patient care and provide the best patient outcomes. Certain theories may be more applicable to the specific patient encounter; however, each theory has benefits and drawbacks to their use. The purpose of this paper is to examine two selected theories, comparing their strengths and weaknesses. I will also discuss a theoretical family in relation to one theory, and how that theory can be best integrated into the care provided by an Advanced Practice Nurse (APN). Description of Theories The Calgary Family Assessment Model (CFAM) focuses on the theory that one patient’s illness affects the entire family.
Nurses play a big role in our hospitals and communities. They are important to have because of their significant roles and tasks they have in not only hospitals, but clinics and even private practices. Overworking nurses lead to a more stressful environment, patients get lower quality care, and nurses should have better pay and benefits. Having a nursing shortage is a big problem, which may cause many stressful conditions. The nursing shortage increases opportunity, but with opportunity, comes with some consequences.
Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016).
Assessment is a fundamental component of any nurse’s role. However, from what I observed today it seems particularly vital to the PACU nurse. While they do provide interventions, the majority of PACU nurses’ time is spent assessing their patients and documenting their findings. Patients in the PACU have undergone the significant stressor of surgery under general anesthesia and they have the potential for very serious complications. It is up to the PACU nurse to observe if the patient is declining and act quickly and appropriately.
This paper addresses two articles, Evidence-based approaches to breaking down language barriers by Allison Squires and Rapid response teams: What’s the latest? by Shirley A. Jackson. The first article discusses how language creates a barrier between nurses and patients and how to possibly overcome these barriers. Squires talk about how the barriers affect patient care negatively and the consequences of miscommunication such as re-admissions and non-adherence to medication regimen. On the other hand, the latter article discusses about rapid response teams (RRTs) and their roles and well as challenges they have to face while delivering care.
4.2 Computerized Decision Support Systems (CDSSs) Computerized Decision Support Systems are software systems that utilize individual patient information. It employs a storehouse of clinical information (knowledge-base) and an inference mechanism (logic) to produce patient particular outcome. These applications differ highly in refinement, outcome and the dimension to which they could merge with other clinical information systems. (Josip Car et al, 2008) Computerized decision support systems are created to help clinicians in taking decisions and by this improve the quality and safety of healthcare care. (Kathrin Cresswell, 2012) Kathrin also indicated that computerized decision support systems are in core computer software systems or applications that combine patient data, a database of clinical knowledge and conditional logic (if-then or do while) to produce patient particular advices related to healthcare (Figure below).
In modern-biomedical system,patients are treated with depersonalized cause isolation in person.The responsibility of the healthcare professional include building up a trust relationship between clients and them,hence, they are expected to be sensitive .Also, nursing intervention should be done with different need for clients, and effectively communicate with clients , facilitated the implementation of a proper and accurate medication . Health inequality,that causing some patients are normatively ignore the symptom of illness by the lack of medication.Hence,more serious diagnosis are found and consultation only done through lay-referral .To prevent illness becoming serious,the professional need to provide care to all clients equally ,getting adequate clients' clinical information, facilitating the accomplishment of medical treatment .The disease like HIV and depression were difficult to discover. The morbidity of men and working class is lower while the mortality are remained at high level