Diminished personal accomplishment is to evaluate oneself negatively because of failure a result it occurs when the individual’s external demands become higher than their coping ability.(Maslach, Schaufeli, leiter., 2001) . Many studies revealed that there is a high prevalence of burnout among nurses worldwide, it can affect approximately 45% of medical and nursing staff .(Abdo, El-Sallamy, El-Sherbiny, & Kabbash., 2015) . Bases upon several studies 25% to 33% of critical care nurses have a symptom of sever burnout syndrome.(Moss, Good, Gozal, Kleinpell, & Sessler., 2016). BURNOUT AMONG NURSES AND QUALITY OF CARE
Unfortunately, there are many ways a patient can be injured or harmed while staying at a hospital. Even though there have been several attempts to make a hospital visit one hundred percent injury preventable, accidents and mistakes still happen. The three leading types of patient injuries are medication errors, patient falls, and pressure ulcers. However, if the entire health care team, such as: health care providers, pharmacists, nurses, etc, work together then hopefully the percentage of patient injury will decrease each year. (Berman, A. 2011)
Introduction As a whole, fall injuries in hospital settings cost around $19 billion in the year of 2000. In 2020, the cost of falls is expected to cost over $54 billion (Hicks). The government deemed that since hospital falls were avoidable, they decided that they would no longer reimburse the expenses and instead the hospital would have to pay for the mistake by itself. With the cost of falls rising, it is even more important to bring to light the importance of fall prevention and safety.
These two texts confirm the significance of mental health, by showing how badly patients suffer when they are abused and treated improperly. This is done with specific details of instances within each text. This is demonstrated when patients deteriorate throughout the duration of “Ten Days in a Mad-House” and with the narrator in “The Yellow Wallpaper” going insane in the end (Gilman 310-312). After reading both texts, the reader becomes better at understanding that mental health mistreatment and abuse have an irreversible impact on patients in mental health facilities. Furthermore, the reader is able to see the mistreatment and abuse of mental health from two angles, which allows him or her to view each text from the point of view of the other
Change management in reducing the percentage of inpatient fall in hospital. Fall is defined as being “an event which results in a person coming to rest inadvertently on the ground or floor or other lower level” (World Health Organization, 2012). The author is a registered nurse working in a private hospital. In the author practicing hospital, inpatient fall was identified has a major problem. The targeted aim for inpatient fall is less than 5%.
According to the Agency for Healthcare Research and Quality, between 700,000 and 1,000,000 people in the United States fall in a hospital each year. According to our reports, 20 of these falls occurred in our hospital last year. Research has identified risk factors for falling in a hospital, such as impaired balance, history of falling, vertigo, orthostatic hypotension, altered mobility, visual impairment, the use of certain medications, etc. Patients who fall are more likely to feel hopeless, become less confident, become depressed and more isolated socially, experience a loss of physical functioning, a loss of quality of life, etc. This is an issue that must be resolved as soon as possible because the safety and well-being of the patients in this hospital should be a top priority.
Even though some types of nursing home neglect are noticeable, numerous cases of nursing home neglect go unreported and ignored. Reporting nursing home neglect can make a difference between life and death for the patient being mistreated. Malnourishment, thirst, and ulcers are noteworthy worries for a nursing home patient. These physical forms of nursing home neglect may be more definitely identifiable for the patient’s family when they come to visit their loved ones. Wounds from nursing home drops, or choking in a nursing home bed, are likewise both instances of physical nursing home neglect (Gil,
One way it is manifested is through underdiagnosing seniors. This happens when complaints about curable medical conditions are written off as just “old age” (Kane & Kane, 2005). Unfortunately, this is especially prevalent when it comes to diagnosing mental health conditions because many doctors believe that old people simply “aren’t all there” (Blakemore, 2009). Logically, this has worrying impacts on the health of senior citizens as they will suffer from preventable ailments due to this. Additionally, Under-diagnosing typically happens because healthcare professionals aren’t knowledgeable about the typical health issues associated with old age, because of confusion of chronological and biological age ( i.e. because he is 75, he will have the typical body and ailments of a 75 year old), or because of ageist attitudes
Studies show that the hospital stay of patients is usually prolonged approximately 2 more days due to these medication errors. As a result, this increases costs approximately $2000-$2500 dollars per patient (Cheragi, Manoocheri, Mohammadnejad, & Ehsani, 2013). The patients’ physical health is at risk, including the ability to function with everyday activities, and their mental health could be altered, potentially causing anxiety and other psychological symptoms (Rejane & Goldim, 2013). Depending on the type of medication administration error performed, the patient could potentially be physically harmed, incapable of performing activities of daily living, or could potentially die. The elderly are the number one population to have death related to a medication administration errors (Brunetti & Suh, 2012).
These alarming statistics raise a huge concern with the effectiveness of the transitions of care. The main issue with transitions of care is that there are discrepancies that mistakenly occur during this process. As reported by Judith Kristeller, PharmD BCPS, “the transition between inpatient and community settings in particular is prone to medication errors related to a lack of communication between health care providers, missed patient follow-up, inadequate patient education, etc.” (6). Medicare services have even included a three percent fine on Medicare payment for hospitals that have unnecessary readmissions, and this percent has increased since 2014 (5).
Working on the burn and wound unit which is a step-down from the burn ICU, the patient population varies in age with the youngest aged 17 to a patient that was 106. People get burned through many mechanisms such as fire, hot liquid, or electricity and falls are a small reason why the patients get burned. Falls play a small role as to why our patients get burned. Our focus however, is fall prevention once they reach us. Patients who get burned are considered fall risks for multiple reasons; from the opioids they will receive while staying with us, to mobility issues due to their injuries.
As working as a Certified Nursing Assistant in a long term care rehabilitation facility, I encounter many elderly patients who are admitted for fall related injuries. The majority of patients are recovering from total knee and hip replacements as a result from falling at home or elsewhere. Fuller states, “Falls are the leading cause of injury related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years…More than 90 percent of hip fractures occur as a result of falls, with most of these fractures occurring in persons of over 70 years of age” (Fuller, 2000, para.1). There are many factors that can contribute to the reason why individuals, particularly the elderly,
Environmental Conditions: In 2008, researchers estimated that potentially preventable adverse drug events kill 7,000 Americans annually and that medication errors that result in harm are the number-one cause of inpatient fatalities. While error rates vary widely among facilities, experts believe at least one medication error occurs per hospital patient every day (Anderson & Townsend, 2010, p. 24). Some of the most common medication errors that occur in the acute healthcare setting is due to the latent conditions. Nurses that reported working in
Analysis Many nurses and physicians questioned the postoperative results of peripheral nerve blocks on patients who underwent lower extremity surgery and falls. However, key findings indicate that 13% of patients who fall in the healing center after elective orthopedic surgery maintain harm and 3% experience more serious outcomes such as head injury, and demise (Mandl et al., 2013). The recommendation is that further research could investigate conceivable varieties in dangers and advantages of CPNB Continually Peripheral Nerve Blocks (especially the fall hazard) based on the individual client’s characteristics for example, preoperative practical condition, restorative comorbidities, or the dosage or other type of anesthetic used. Neuromuscular assessment post-femoral nerve block: Nursing (RN) implications on fall prevention, I have ascertained that nurses play a key role in neurovascular assessments and tend to act as surveillance systems.