The article focuses on hospitalized older adults, but it talks about how the same can occur in a long term care facility if the patient has some sort of disease or is unable to move themselves. From this article I learned that many times nurses do not help with moving patients because they are not taught it is essential or they are not taught how to. I also learned from the article that increased mobility also leads to increased healing of certain injuries or diseases, and better overall health. An evidence based intervention the article discussed was better education and more theoretical framework for nurses about the knowledge or mobility. Another intervention the article discussed was using the knowledge and theoretical framework to change nurse’s attitudes about mobility.
It has been found to significantly decrease the time of wound healing (2). Diabetic foot ulcers and chronic venous ulcers are cutaneous lesions that are difficult to treat and heal. Venous ulcers are commonly known as chronic wounds with a prevalence of 1% of adults in developed countries. Diabetic foot ulcer is a serious complication of diabetes mellitus and is the single most important risk factor for lower limb
Likewise in healthcare, oncoming staff generally does initiate not patient care delivery until a hand off process occurs. “Communication failures are increasingly being implicated as important latent factors influencing patient safety in hospitals.”(Sutcliffe, 2004, p. 187) Parker (1996) reports, “the nurses handing over had direct knowledge of the patient and were able to convey idiosyncratic and personal knowledge of the patient. This is a crucial element in professional nursing practice. The nurse can report on clinical judgments and can be held accountable for the judgments made” (Parker, 1996, p. 25) Critical evaluation of nursing actions can be evaluated and considered to be either continued or discontinued based on the rationales for the action and the patient outcome. In 2005, the Australian Council for Safety and Quality in Healthcare published a literature review of clinical handover and patient safety.
2.2 Incomplete charting, the use of uncommon abbreviations and falsified documentation Besides, not only the issue of unreadable handwriting, due to the lack of time and abundance nursing care and patients assignment, nurses are also prone to involve in incomplete charting. As we know that, there are many reports and charts need to be filled during one shift such as four hourly observation chart, pain assessment chart, input and output chart, Morse Fall Scale assessment chart and so on. Nurses tend to take everything for granted and document in simple way. For example, during input and output charting, nurses document for the quantity of urine output but he or she might miss to fill in the remarks column which required the nurses to document
This speaks to a fair amount of resistance amongst the staff as well as a likelihood of significant barriers to implementing nurse-led groups. It will be important to determine what has failed with this change in the past, as well as what has worked in the successful implementation of change with the same team to determine the best path forward. Furthermore, it is concerning that the nurse manager’s past attempts at communicating regarding quality improvement have resulted in a lack of feedback. As you discussed, it will be very important to build an implementation plan based upon the work described by Middaugh (2017), Heuston
They will also not be able to perform all the necessary care and treatments required for a patient. Dr. Jean Watson’s theory of care addressed the nurse to patient ration, according to the method “nursing is positioned with caring of the sick, prevention of sickness, restoration of health and promotion of health. This process includes the process of assessment, plan, intervention, and evaluation. On the review, the nurse observes, identifies, review problem(s) and forms a care plan that will be used in appropriate nursing care. When the nurse to patient ratio is low, the nurse will not be able to perform this assessment.
Most likely, they are admitted to a nursing home or hospital, but this is not the permanent solution for them and also an expensive way. In that case, wearable technology is playing an important role to solve this particular problem. It continuously monitors the physical activities of elder people which minimizes the risk of illness and injuries. With the help of wearable devices, they can observe their own health activities and measure, blood pressure, heart rate, calories burned etc. (Chan et al.
It has many types which will use based on the patient condition or behavior. The decision regarding the use of restrains is not an easy; it’s really a legal and ethical dilemma especially for nurses. Some theories was supported the use of restrains and some are not, but the important things here that the nurses must have updated knowledge of excellent ethical decision making. Also, to focus on two main ethical principles which are beneficence and nonmaleficence. In mu opinion, the use of restrains must be prevented due to the present of too many alternatives which can make the patient
Challenges in providing spiritual care The need for spiritual care is clearly stated and identified for a holistic care; however, there are certain challenges that exist in providing spiritual care. It is believe that many healthcare providers including the doctors and nurses find it very challenging to initiate discussions or dialogs with patients touching aspects on their spirituality. Researchers had mentioned that, some nurses feel discomfort in having discussions on spiritual care as they do not see it as their scope of services or even as their role (Tiew & Creedy, 2010) . Some of the nurses find that such discussions are too intimate or interfering for them. A group of nurses stated that such discussions may possibly cause a degree of discomfort for their patients and in fact some patients or even the nurse herself may not have any personal spiritual or religious practices (Noble & Jones, 2010).
One of the nurses, KR, voiced that it is a hassle to write up bruises and sometimes she would not write it up especially when her shift gets busy (Personal communication, March 1, 2018). ANA’s Code of Ethics (2015) has stated that “the nurse has authority, accountability, and responsibility for nursing practice…takes action consistent with the obligation to promote health and to provide optimal care” (p. 15). The nurse’s decision not to follow through with the resident’s skin issue is a failure when our ultimate goal is to provide optimal care. I have observed these attitudes towards bruises more often because most of the time I was the receiving nurse and consequently was the one to write up the bruise. When it comes to wounds, nurses differ in their opinions as to what appropriate treatment and dressing needs to be used.
Specialized therapy or cardiac monitoring is necessary when initially increasing activity. Some exercises may be provided at home. A structured program of low intensity exercise can improve functional capacity, increase self-confidence to exert self and improve quality of life. Provide resources and contact support groups. Although a lengthy advice has been given whist in hospital by the surgeons and nurses, the patient may not be ready to comprehend a load of information at once.
Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later. Which is dangerous, and a high risk for making an error. The change agent or the nurse leader will need to use the driving forces that will help the project to be successful. Budget is the major barrier. Since the project needs adequate funding, the support from the administration and higher authority will be required.
As a result, a deeper investigation needed to be accomplished to learn about clinical issues surrounding sedation management. According to research by Wøien and Bjørk (2012), nurses do not consistently practice SATs consistently. Their findings suggested there were assessment tools available and nurses reported using both "personal experience and clinical judgment" in their daily routines (p. 133). Therefore, these variances can lead to inconsistencies in best practice. As a result, a comprehensive investigation into the influence of the nurse 's individual level of sedation management knowledge needs to be uncovered to promote recommended practices.
Without the opportunities to apply theory in the clinical setting—which is commonplace across the country—student nurses are deprived of developing essential knowledge and skill sets to provide safe patient care (Crawford, 2012). Experienced pediatric nurses have knowledge deficits of current dosing guidelines if they do not engage in continuing education. Nurses report gaining the knowledge and skills necessary to treat ADEs from peers as important, but this is not openly communicated (Star, Nordin, Pöder, & Edwards,
The controversy over the roles of physicians and nurse practitioners in primary care in the United States has been heatedly discussed over the past years. Although many may not even know the difference between the two, the issue is very important to those with the careers. A nurse practitioner is an alternative career for professionals who want to work in advanced healthcare but do not wish to make the commitment necessary to become a physician ("Nurse Practitioner vs Physician Assistant."). Physicians and nurse practitioners are different in their education and approach to care. Physicians study medicine and disease, while nurse practitioners study how to care for the sick.