Safe use of NPPV and regional anaesthesia combination for caesarean section have previously described with several case reports in patients with respiratory failure due to kyphoscoliosis, neuromuscular diseases, acute respiratory distress syndrome, pneumonia and non-cardiogenic pulmonary oedema (3-5). In our patient, acute pulmonary oedema developed presumably because of tachycardia caused by anxiety and pain caused by preterm labour in our patient with pre-existing multivalvular heart disease and limited cardiac reserve. Management of these patients is difficult, because guidelines and standards are lacking. Some authors have described the use of general anaesthesia with good maternal outcome, whereas others have reported increased pulmonary arterial pressure during laryngoscopy and
Safety strategies were identified and prioritized. Smeulers, M., Onderwater, A. T., Zwieten, M. B., & Vermeulen, H. (2014). Nurses' experiences and perspectives on medication safety practices: an explorative qualitative study. Journal of Nursing Management, 22(3), 276-285. doi:10.1111/jonm.12225 This article define medication errors and when occur these medication administration errors (MAEs) such as one or more of the seven rights of medication administration (right patient, right drug, right dose, right time, right route, right reason and right documentation) are violated. Moreover, the writers suggest study more about nurses’ knowledges with and perceptions on preventing MAEs through this journal.
Nurses play a crucial role in the management of pain of patients; discuss this statement with reference to the relevant literature. Accurate pain assessment is essential for effective pain management. Evaluating patient’s pain should be done routinely while also recording vital signs. Andrews and Boyle (2008) point out that nurses have certain expectations and attitudes to pain. However, perception is reality and the patient’s self-report of pain is what should be used to determine pain intensity.
The first was that of acting on behalf of the patient which implies the nurse represent patients who are unable to or those that feel they are unable to represent themselves. The second attribute is protecting patients which entails actions that promote the respect of the patients. Lastly, intervene in the provision of healthcare. This attribute regards nurses addressing inequalities in healthcare and services. These attributes parallel the attributes identified by Baldwin (2003) in a concept analysis discussing patient advocacy.
Case scenario (Appendix A) depicted. According to (ASHP guidelines on preventing medication errors in hospitals, 1993) medication error should be classified for a better management of interventions. Level-0 being potential errors to Level-6 for an error that occurred that resulted in patient death. Firstly, and most important, the author will have to verbally inform the patient and/or caregiver of the medication error and nursing manager on duty. Patient has the right to know of any event pertaining to them.
By utilizing the basic metaparadigm concepts as a theoretical guide, quality patient care can be achieved. Exploiting resources and using past experiences as a guide ultimately leads to more effective decision making. The abstract concept of presenteeism proposes that more productivity is lost when a nurse is present at work but is unable to perform at full capacity while the concept of integrity presents that conflicting demands on nurses have the potential to compromise the integrity of the profession thus leading to additional stress. Based on the two concepts of presenteeism and integrity, the following five assumptions were made: 1. Many nurses, identifying with the self-sacrifice culture, promote presenteeism by reporting to work despite illness and expecting fellow nurses to do the same, 2.
Rajaram, Barnard, and Bilimoria (2015), for instance, noted five serious flaws in the current PSI-90 core metric used the hospital programs: the HACR and the HVBP. Problems evidently exists with flawed component measures; incorrectly identified targeted clinical areas; inaccurateness in identified adverse events; inadequate risk adjustment; and flawed composite measure formulation. Vulnerability to surveillance bias, which is the inherent tendency for increased testing to increase detection outcomes, had been observed (Rajaram, Barnard, & Bilimoria, 2015). There had also been redundancy in specific measure components that had been observed in two different P4P programs, which can result to double penalization of the hospital due to a single redundant measure component (Rajaram, Barnard, & Bilimoria, 2015). Other problems include inaccurate measurement of clinically relevant complications of a medical condition; inconsistent capturing of comorbidities across hospitals; and numerating weighting shortcomings.
Introduction This chapter provides a background of nurse burnout and their effect on quality of care and patients outcomes. It also includes a description of the purpose, research questions ,hypotheses and significance to conduct this study in Jordan along and the definition of the study variables. Background Burnout is the term often used, and the concept of burnout has important attention in the area of nursing. Maslach, one of the first researchers to begin investigating burnout, described it as “a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who work with people in some capacity” (Maslach, Jackson, & Leiter, 1996). Freudenberger (1974) first described burnout as
Such conditions determine the risk of individuals getting ill, their ability to prevent sickness, as well as opportunities to access to the right treatments. (Black, 2013) Numerous reports have been presented by medical professionals regarding this discriminatory issue and will be cited throughout. Poor health and higher than average death rates can be identified in relationship to different social categories with enough evidence to prove these inequalities. This essay will specifically look at inequalities found in the care of people with learning difficulties, when they have a physical health problem, with reference to the Confidential Inquiry into Premature Deaths of People with Learning Difficulties from Bristol. In addition to this, the inequalities found between the different genders will be discussed, with reference to the Black Report.
Three main causes can be identified which ultimately lead to poor health or an adverse event. First, the poor infection control. When an invasive procedure is planned, several safety measurements must be taken in account. The administration of prophylactic antibiotic, awareness of cross infection between the healthcare provider and the patient, the contaminated equipment and cloths and the risk of acquiring the hospital acquired infection during hospitalization. Therefore, the preventative measures must be applied whenever an invasive procedure is intended.