Ad hoc and weekly audit were conducted to measure compliance and the effectiveness of health education of fall prevention by registered nurses to patients. During the audit, one or two patients were interviewed to check whether the registered nurses has orientate them regarding fall prevention. Registered nurses also were interviewed and observed on how they perform orientation for patient. The final audit is on the documentation. For example, how the registered nurses do the scoring for high risk patient and how do they fill up the fall assessment form.
The nurse’s objective is to aid and decrease any anxiety experienced by the patient by directing energy towards interpersonal growth. To achieve this growth a nurse needs to adopt a number of roles, and the patient needs to progress through various phases (Peplau, 1952). The roles are driven by the nature and stage of the patient’s issues. Peplau suggests that the roles of a nurse need to be that of a stranger, resource person, teacher, leader, counsellor, and a surrogate (Sloan, 2006). As a stranger the nurse receives the patient in the same way one meets a stranger in other life situations, providing a tolerant atmosphere that builds trust.
On the other hand, Non-pharmacological management including physiotherapy was suggested to Mrs Cole to increase function and reduce pain, improve quality of life and independence. In order to improve her ability to perform daily living activity by herself, occupational therapy was also offered after she is released from the nursing home. The Psychological intervention is necessary for helping in prevention against pain and it evaluates how patients behaves, thinks and feels along with the response of the family impacts on the pain experience (Dykes & Middleton, 2010). Finally the major role of nurse was to avoid Mrs Cole from developing pressure ulcers, therefore a relieving air mattress was provided to the patients. As mentioned by NICE (2010), air mattress can be beneficial for the patients when they are used along with repositioning of patients.
It should occur throughout the nursing process as well as at the end. It allows the nurse to evaluate the patient’s response to the nursing interventions that were provided and the progress the patient is making with their treatment. The nurse can then plan further care based on what worked well and what didn’t work for this patient (Ackley and Ladwig, 2014). The nurse evaluated the care that was provided to John. The goal was not met entirely and as a result the care plan was revised by the nurse.
This deterioration causes many negative effects to be brought upon nurses. It is named Nurse burnout, in most cases, burnout is in which basically a worker is overworked to the point they cannot do positive work. When workloads of nurses become overwhelming and they go through hard enduring shifts, they are more likely to contract symptoms of burnout. Burnout is very deterring especially in a field of utmost importance. This is important because it not only affects lifestyle, it plays a very large role in the work that the nurse outputs.
In the article titled, "The Lived Experience Of Pediatric Burn Nurses Following Patient Death." (Kellogg), nurses who work in the pediatric burn unit are interviewed about what they do as well as how they deal with the loss of patients. The conclusion of these interviews is that these individuals do not feel well prepared enough on how to properly handle the death of a patient and they all seemed to agree that grief counseling would have greatly increased their ability to get through these tough losses without starting to hate their job or not doing their job well enough. Another real life account comes from a working NICU nurse whom I interviewed named Clorinda Bryant. She told me all about how she absolutely loves her job and how she loves working with all the babies, but she concluded that by saying that it is a tough job to perform because “these babies have just come into this world and it seems unfair that sometimes they are taken out of it so quickly.” (Bryant) She told me how the hospital she works at does not have any services available to its workers regarding counseling and that if they need help dealing with a loss, they are expected to get their help outside of work and not deal with it there.
Therefore it is appropriate to apply the Pearson’s r correlation to measure if there is a strong association between the three factors. 5.4 Nurses’ Attrition Rate The nurses’ attrition rate will be analysed after a year from the completion of programme. It will be calculated as below: The details of the nurses who leave the ward will be obtained from the hospital’s human resource department. Only nurses who resign or request for transfer to other wards due to stress and inability to cope when caring for the older people will be considered in the above count. The reasons for resigning or transferring will be asked from the nurses during the exit interview by the ward managers.
“Fall risk assessment and post fall assessment are two very different and distinct approaches for falls prevention” ( Boltz, 2012). Knowing why the fall has occurred is crucial information to know. If you can do a post fall assessment and learn the underlying cause the nurse can create a care plan individualized and appropriate for each client. “The PFA is a comprehensive, yet fall-focused history and physical examination of the present problem (falling), coupled with a functional assessment, review of past medical problems, and medications. Clinical fall prevention guidelines are very clear about all of the necessary components for inclusion for patients who have fallen, which include fall history; fall circumstance; medical problems; medication review; Mobility assessment; vision assessment; neurological examination, including mental status; and cardiovascular assessment” (Boltz,
The potential positive social change implications of sedation management guidelines includes the development of an effective guide that nurses can use in the care of sedated patients and better patient outcomes. With the use of evidence-based practice guidelines, patients’ length of stay in the ICU, and the hospital as a whole, will be decreased, and the nursing practice in critical care will be enhanced with the use of evidence-based practice
Enhancement of interpersonal relations through the use of this theory can enhance a person’s quality of life and Peplau also hoped that through this work, nurses would change how they interacted with their patients (Forchuk, 1993). Today I’m going to utilize Peplau’s theory to be the vehicle for delivering the nursing care to the patient under my care. Peplau believed that if nurses pay attention to what they feel during a relationship with a patient, they can gain invaluable observations of feelings a patient is experiencing, even those the patient has not yet recognized or spoken about (Austin & Boyd,