Burnout syndrome has an adverse effect on the organization, the nurse, and the patient. The question to be answered by this review of research is, In emergency care nursing, are the rates of burnout and fatigue higher than those of other types of nursing? Discussion The Maslach Burnout Inventory
Information regarding the reports such as research limitations, level of evidence, research method and design are included in the discussion and implications of nursing. The literature review found that nurse on nurse bullying does indeed effect nurses in a physical and emotional way as well as effecting the adequacy of patient care. Effects of Horizontal Violence in the Workplace on Nurses and Patient Care Introduction Nurses spend approximately 12 hours a day 3-4 times a week working in either a hospital, clinic, or some sort
To ensure the best care, your doctors need to know the history of the medicines you have taken and the ones you are currently taking in order to prevent drug interactions. Jotting down your medicines in a journal or a medication log can save you the stress of trying to recall the name of these medicines. Remembering the dosage, intervals, and duration of multiple drugs can be really hard, especially for busy people. Inquire. If there is something you don’t understand regarding your medication regimen and the doctor’s prescription (like in the case of illegible handwriting), never hesitate to ask.
About ten months in between May 2008 and April 2009 were not collected because nurses needed time to learn and perfect the use of the BCMA implementation before it was able to use in the experimentation to create a more accurate calculation. Data for both the use of PBMA and BCMA were compared to see if there is really a major difference in time saving while keeping patients safe (Dwibedi et al., 2011). This experiment was conducted in a hospital with 624 staffed beds. Of the 624 beds, 127 were in the ICU. The times spent with patient and medication administration were observed and timed.
As a second limitation the actual pharmacotherapeutic complications due to the potential food-drug interactions were not evaluated. As a third limitation, this study was conducted in one inpatient teaching hospital and the results may differ from the results of studies in other centres. Future studies are warranted to further evaluate the real outcome of food-drug interactions. Moreover, future research to consider the knowledge of physicians, pharmacists, nutritionists and nurses about the food-drug interactions is recommended. Communicating with nurses seems to be an effective ways to preventing food-drug interaction interactions.
This system is used for reporting observed and new ADEs at the VA (VA, 2014). VA ADERS allows individuals to report, track, and electronically submit serious adverse drug events to the FDA’s MedWatch system (VA, 2014). Nurses should be educated on new medication policy and procedure, as well as, protocols (Anderson & Townsend,
It is vital for nurses to administer medication in a safe and effective manner to ensure the safety and wellbeing of patients. As part of the learning process, the Gibbs reflective cycle (1998) has been used to reflect on three instances regarding medication administration within the Clinical Practice unit to better understand and enhance my own learning. Whilst preparing oral medication in the Clinical Practice Unit, I incorrectly read the label of the medication, picking up a packet of Metoclopramide 10 mg tablets, used to treat nausea (“Metoclopramide”, 2017) as listed in MIMS, instead of Metoprolol tartrate 50 mg tablets, used to treat heart conditions according to MIMS (“Metoprolol”, 2017). The 50mg order would have required 5 tablets,
This paper addresses the effects of nursing interventions on the prevention and management of intensive care unit (ICU) psychosis. ICU psychosis (or ICU delirium) is a sudden onset of confusion, lethargy, hallucinations, and distress during an ICU stay. ICU psychosis is distressing to the patient, family, and nursing staff, and can result in detrimental health outcomes. ICU psychosis is relatively unstudied and untreated, yet highly prevalent in the ICU (Idemoto, 2007). With the implementation of the Confusion Assessment Method in the ICU (CAM-ICU), it is now estimated that 87% of all ICU patients experience delirium (Dimensions of Critical Care Nursing).
Oral hypoglycemic agents were omitted on day of surgery and started after surgery day or at time of discharge or replaced by insulin. In few cases, oral hypoglycemic agents were continued on the day of surgery deviating from literature. In majority of cases insulin was given on the day of surgery (STAT dose was given based o the GRBS). Certain target blood glucose levels were set by the physician which was patient specific and insulin dose was adjusted based on those levels. If blood glucose levels were within the target range insulin was omitted and if not, STAT dose with short acting insulin was given based on GRBS values through intravenous route.
Current Issues and Trends One of the major issues that is currently impacting nursing leaders and managers is the ongoing problem with medication administration errors. It is a nurse’s job to verify that the correct dose, route, frequency, and duration of the drug is administered and monitored appropriately. Unfortunately, numerous studies show the significance of this problem amongst nurses. For example, within a certain study performed involving 237 nurses, 64.55% of them had made medication administration errors, while 31.37% of them were on the verge of making a mistake (Cheragi, Manoocheri, Mohammadnejad, & Ehsani, 2013). With the continuous problems related to this topic, it is evident that serious change needs to be made within the workplace in order to