Discussion Post NURS 6531 Week One Nurse Practitioner Competencies Quality As we further our education to become advanced practice nurses (APNs), it is crucial that we understand the behaviors or core competencies expected of all APNs. For the purpose of this discussion, I will evaluate the core competency of quality and how I will integrate this behavior into my daily practice.
It is underpinned by values of respect for persons, individual right to self-determination, mutual respect and understanding. It is enabled by cultures of empowerment that foster continuous approaches to practice development.’ This type of care approach is focused solely on the person and the concept of personhood (HSE, 2010). It is imperative that the nurse hears the voice of the older person.
I believe that the solutions are effective because a lot of people are not able to afford care services for their parents or grandparents although they wish to take care of seniors. Also, some people do not understand the importance of giving attention and listening to elderly’s views. This book parallels with the course objectives of our HSM 220, “Aging in America” class. We learned that aging population is growing rapidly, and there is a need to promote well-being for age-wise citizens in our society. The Age of Dignity book helps us understand the aging process and encourages us to appreciate the multi-disciplinary approach to health of the elderly.
Change commonly derives from conflict, and if this study can reveal some of the underlying difficulties within certain facilities, I think it could lead to a modification in the overall effectiveness of caretakers and the satisfaction of patients and family members. This study currently would cause great interest amongst other cities due to the sheer amount of people entering the elderly population in the next decade. We must figure out how to fix current social problems in health care for the next generation of elderly people to continue positively with such a large aging population. This study is a simple way to understand how one detail can have lasting effects on another. For example, studying the effects of how the level of care in relation to satisfaction will in turn show how facilities can be modified and improved due to a better understanding of a population and their needs as a whole.
With the increase in age, comes an increase in age-related chronic illnesses. Dementia and Alzheimer’s disease are expected to almost double every 20 years as life expectancy increases. There is also an increased need for specialized health care workers. By 2030, it is estimated that 36,000 geriatricians will be needed in the U.S. In 2008, however, there were only 7,000 practicing geriatricians.
Researchers used nursing theories to help guide research on complicated phenomena(Connelly, 2014). After reviewing evidences collected on the topic "Antibiotic therapy and Clostridium difficile infection (CDI)", the most common theories that have been cited are, exposure to antibiotic, especiallyin patients that have been previously diagnosed with bacterial infections(respiratory, urinary and osteoarticular infections) are significanly at risk for acquiring CDI and theory for prevention cited was implementation of an Antibiotic stewardship program. Inaddition,hand hygiene, contact precaution and environmental cleaning protocols where other interventions listed. Concept Definitions Exposure to antibiotic- is operationally defined as the last time within 30 days a hospitalized patients received antibiotic therapy before the current hospital
Department of Health and Human Services established an objective for Healthy People 2020 to prevent HCAIs, this reflects that the U.S. health care system is committed to and serious about solving this issue. These objectives address two extremely important topics, central line-associated bloodstream infections, and methicillin-resistant Staphylococcus aureus (MRSA) infections. Also, there are other major causes of HCAIs that Health and Human Services is working on their prevention such as urinary tract infections (UTIs) associated with catheters, infections of surgical wounds and sites, C. difficile infections, and ventilator-associated Pneumonia. Researches done on HCAIs shown that we can prevent many of these infections by implementing effective strategies to eradicate it, adapting some advanced prevention tools, and following new prevention approaches. There should be a more focus on HCAIs prevention in acute care settings.
There has been an extensive change in the U.S. demographics within last 50 years. According to Center for Health Workforce Studies (2006), in 2020, there will be about 54 million Americans above the age of 65 years as compared to 35 million in 2000. This number is expected to rise further at the rate of 12.5% to 20%, which means by 2050 every 1 in 5 American will be above 65 years (p. 2). This exhibits how baby boomer generation will have a significant impact on the current long-term care system. Long-term care is defined as the continuum of services framed to support the needs of people with chronic health problems and physical limitations.
In the review of the literature regarding National Patient Safety Goals and the reduction of healthcare associated infections by the implementation of evidence-based practice, one article addressed the education of patients and family to prevent catheter-related bloodstream infections (Dela Cruz et al., 2012). MD Anderson Cancer Center Infusion Therapy Team places 600 central venous catheters (CVC) and PICC’s and 100 implanted ports each month at their facility (Dela Cruz et al., 2012). This volume gave rise to an extensive formal education program to assist the patient and family with care and maintenance of their CVC to reduce the number of catheter-related bloodstream infections (Dela Cruz et al., 2012). The education program consists
Sridhar, R., Naughton, B., (2010), stated that the U.S. population is aging and associated with this group is an increase in the incidence and prevalence of chronic diseases, with consequential increase in health care expenditure. They stated that in 2000, the total Medicare expenditure was $239.5 billion. By the year 2010, this expenditure is estimated to increase to $519 billion. The concept of aging in place is one method proposed to reduce cost, while maintaining the quality of life for the elderly. The elderly will be supported in their environment of their choice while avoiding institutionalization and or nursing home
Nurse stafﬁng is a significant region of worry because it can place a strain on patient safety as well as quality of patient care. With cost effectiveness in mind, hospital administrations have elected to reduce nursing stafﬁng ratios and substitute licensed nurses using cheaper unlicensed personnel. This increases uneasiness as the quality of care in hospitals might be undesirably reduced. The necessity to evaluate nurse stafﬁng is essential.
Unfortunately, at this moment, there is little improvement regarding the quality of patient care since the To Err Is Human report was published in 1999, by the Institute of Medicine (IOM, 1999). Presently, health care provider education should focus more on the demands on quality and safety. The beginning of Quality and Safety Education in Nursing (QSEN) was created to integrate quality and safety competencies in nursing education. For this reason, nursing schools should reinforce and focus on the competencies of QSEN, within the curricula of the baccalaureate programs.
Central line associated bloodstream infections (CLABSIs) in 2009 were amongst 23,000 infections in the inpatient population of US hospitals. (Sweet, Cumpston, Briggs, Craig, & Hamadani, 2012) These infections increase morbidity of patients, mortality, and increase cost. Those that are at risk are the population with central venous catheters. This infection is commonly due to improper hub care and consequently provides the direct introduction of the bacteria into the blood stream. A fairly new intervention to prevent this morbid infection is the implementation of alcohol impregnated protective caps, otherwise known as the brand name Curos caps in addition to others.