For these reasons, newly hired nurses who have less than 1-2 years’ experience in obstetrics nursing could benefit from a high-risk OB class that incorporates topics including postpartum hemorrhage (PPH) to assist in earlier recognition, response, and ultimately improved patient care. According to the Association of Women’s Health, Obstetric and Neonatal Nurses [AWHONN] (2015), OB hemorrhage is the leading cause of maternal mortality and major cause of morbidity. Additionally, 54-93% of maternal hemorrhage-related deaths could have been prevented with better clinical response (AWHONN, 2015). Healthy People 2020 identified a goal to decrease maternal deaths from 12.7 deaths per
Abstract/Purpose: (please refer to separate file) The worsening problem of hospital nursing shortage has resulted to inadequate nurse staffing, which affects our nursing care to our patients and our satisfaction towards our job. Understanding how nursing staffing levels affect both patient and nurse outcomes prompted these researchers to conduct a study on hospital nurse staffing levels (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002). The purpose of their study was to examine the relationship between the nurse-to-patient ratio and surgical patient outcomes, specifically patient mortality and mortality following complications nurse retention as well as the factors that influence nurse retention (Aiken et al., 2002). The study was conducted
The venue will be progressive care unit and the medical-surgical unit since both units come under same Nursing director and education nurse. Acceptance from the leadership team and main stakeholders is important to begin the project. This author will discuss about the importance DVT prevention and problems to follow to DVT protocol with the nursing director. This author will use the evidence from the literature reviews to convince how important to prevent this never event. With the support of nursing director, this author can discuss the problems and solutions with management team, finance department, risk managers, quality care team and the nursing staff to obtain adequate support and understanding of the project.
The various middle-range theories are preferred over grand theories, as researchers need the generation of testable hypotheses. (McEwen, 2014. pp. 213-214). This discussion will identify how the middle-range theory Interpersonal Relations and how it is applicable in solving nurse fatigue. The assumption is that only nurses who work in the hospital setting are subjected to nurse fatigue, but this problem affects in the rehabilitation facilities, home care nursing, specialized clinics.
Many theories exist in nursing today and are used as a guide to practice, and as well as providing a framework for nursing research. The purpose of theory in nursing is to provide an improvement in practice and positively to influence the health and wellness of persons, families and the community. In nursing, there should be a mutual relationship between theory and practice, practice providing the basis for nursing theory development where theory is validated in practice (McEwen, 2014). The problem of nurse fatigue continues to plague healthcare organizations worldwide because of long working hours, accepting extra assignments and sleep deprivation that can be dangerous for both nurse and patient. These inadequacies cause compromises patient
They also may face a higher risk of being involved in a situation that could lead to disciplinary charges or malpractice litigation. It is essential for nurses to understand and practice moral and ethical principles in their practice for the safe performance and the best patient outcomes. Ethical Dilemma of Value, Beliefs, and Perspectives During my first semester of nursing school, I experienced ethical dilemma. It was our first day in a clinical setting at the Avalon Health Care facility, a comprehensive, Medicare-certified, care facility that includes senior living, rehabilitation therapy, and hospice services. One of my classmates and I were assigned for the preceptorship to the experienced nurse on the rehabilitation floor, where patients receive personalized treatment plans to help them through their illness process.
In order to determine how a nurse works as a professional, it is important to first define the duties of a nurse. Potter et al. says that according to the American Nurses Association, it includes: "the protection, promotion, and optimization of health and abilities; prevention of illness and injury; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the care of individuals, families, communities, and populations" (2015, p. 2). While ideas of what constitutes professionalism in the field of nursing have long remained the same, nurses are now held to an even higher standard. In addition to traditional values, nurses are now expected to strongly advocate for their clients, rather than subscribe to the old model of simply following the doctor 's orders (Williams & Hopper, 2015).
When identifying areas which are affected, the problem spans from lack of assistance with activities of daily living, to major medical errors. One study focused on improved resuscitation rates related to appropriate nurse to patient ratios. Those involved in the study site the American Heart Association’s “chain of survival” to directly correlate their evidence. “Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” argues that nurses with an appropriate patient load are able to make contact with their patients more frequently, and for longer periods of time, giving those with a potential for cardiac arrest a more “timely response” to their cardiac event. Since “timely response” is the initial phase in the “chain of survival”, the subsequent steps are more likely to yield favorable outcomes.
Nurse to Patient Ratio as it Affects Nurse Retention Nurse to patient ratios, unsafe staffing, and job satisfaction are topics on many nursing units within the hospitals today. The changes in the nurse to patient ratios, has led to a widespread real and perceived increase in RN workload, patient safety concerns, and nurse and consumer complaints. As a nurse leader, it has been noted there is an increased nurse turnover rate. What is it like for bedside medical-surgical registered nurses (P) to experience a 1:4 nurse to patient ratio (I) compared to 1:6 ratio (C) that leads to increase nurse retention (O)? Problem Statement and EBP Question Hospital administrators need to focus on changing the staffing matrix across units within the facility.
This also leads into ethics and making the proper decision for the patients. The bachelors prepared nurse is taught the critical evaluation skills and is able to evaluate the ethical aspects of the career at a higher level. After even a couple semesters in this program, I find myself looking at situations experienced on my unit very differently than ever before. I find it much easier to help families deal with the difficult situations that they may be faced with. As a bachelors prepared nurse there is a commitment to higher accountability and critical thinking.