Nursing: An Evidence-Based Practice

This occurs when nurses provide care to more than the assigned patients, thus increasing patient workload. It affects the patient’s quality of care, increasing the risk for NSOs and other patient complications. Not only are patient outcomes affected, but nurses are experiencing increased burnout and fatigue. A safe nurse is necessary when providing care to ensure a safe and stable patient outcome. These concerns can be preventable by implementing and assigning the necessary tools to minimize effects on nurses and patient

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.

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 100,000 live

There is a sharp impact of unsociable hours of work on the health and performance of nurses who are partner of 24 hours working society since ages. It is important for the policy makers of health service organizations that personal, socio-cultural and environmental perspective of the nurses be given due attention. Shift planning should be arranged in such a way that it does not create any physiological and psychological stress. Policies should be worked out for effective napping techniques and to improve the environment. The provision of effective facilities as given below can help the shift workers to cope

Poor communication is so important that the Institute of Medicine identified it as the cause of many medical errors (Institute of Medicine, 1999). The Center for American Nurses (2008) defines disruptive behavior as “behavior that interferes with healthy communication among providers and adversely influences performance and outcomes. For instance, at the beginning of the placement, I found a reason behind the occurrence of client errors and missing nursing interventions that is insufficient communication among my teammates. Meanwhile, I have learnt a more systematic presentation to turn over cases and apply. Standard protocols, such as SBAR (situation-background- assessment-recommendations) are now commonplace as a way to improve communication (Beckett & Kipnis, 2009).

Caring in nursing Being in the health profession isn’t the easiest, but it shouldn’t be the hardest either. Especially in nursing when you are in charge of the patient’s pain management. Giving out the right medications at a certain time while keeping track of symptoms they might be experiencing during the day is important. Many people now a day go into nursing for the money and it should not be like that.

Savor discusses this prediction saying, “As the demand for healthcare keeps growing, we’re going to need Nurse Practitioners (NPs) in huge numbers” (2017). An increase in the need for NP could lead to a decrease in registered nurse. This is due to either a registered nurse continuing with their education to become a NP or less people entering nursing school because they are worried that their will be no jobs for a registered

She further explores the difficulty involve in knowing oneself, accepting who we are can be a long process that causes us to face things that may be painful. The author claims self-awareness starts with self-consciousness and the expectation of change that relies on constant effort. Because the nurse spends more time with the patient than any other healthcare provider, self-awareness is key in the building of nurse-patient relationship. Hildegard Peplau (Cited in Vandemark, 2006), The central task of the basic professional school of nursing is viewed as the fullest development of the nurse self-awareness seeing him/her as a person who is aware of how he/she functions in the situation” (p.606). Eckroth-Bucher (2010, explains “Self-Awareness involves the cerebral exercise of introspection e.g. what we think, our belies, values, and the way others see us” (p.297).

Professionalism is the core value of any healthcare profession. According to the article written by McSherry, “Excellence in nursing care will only happen by ensuring that nurse managers, leaders and educators are able to respond to the complexity of reform and change by leading, managing, enabling, empowering, encouraging and resourcing staff to be innovative and entrepreneurial in practice” (Mc Sherry, Pearce, Grimwood, & McSherry, 2012, p. 7). McSherry’s article expressed the public’s deleterious views of nursing and the lack of empathy. Basis for these views stemmed from undesirable standards of patient care as a direct result of under staffing. The public unfortunately see’s negative before positive, therefore, exemplification of professionalism

In nursing, burnout appears to be a common phenomenon worldwide. The nurse burnout is associated with poor job satisfaction among nurses and decreased perception of quality of care by patients. Thus, more research studies are needed to identify the measures that can effectively prevent the nurse burnout. It is important to consider nurse burnout as a vital issue, need urgent action from the organizational and Governmental levels .Developing, testing, and implementing intervention programs to reduce nurse burnout may keep nurses in clinical positions, and maintaining or raising quality of care (Poghosyan, Clarke, Finlayson, & Aiken,

The Process of helping is client oriented as the helper focuses on assisting clients to meet their needs." Mary say " as a Human Services Worker she has to address if a client report the nursing department not meeting all the clients needs ." Mary said at time a clients could call a nurse in their room every five to ten minutes, but report neglect on the nursing department for not answer their call light. When problem like this occurs Mary said "she has to do a care plan to address the problem and come up with a solution." Mary say they have to also investigate the nursing department also to make sure no neglect has occurred.

he Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) is a model that is utilize as an outline to aid in the synthesis and translation of evidence into practice (Baker, 2008). The JHNEBP is made of up of 3 components of nursing. These components consist of practice, evidence, and translation. JHNEBP model also has internal and external factors that need to be considered before change can be implemented. During the practice stage/question stage a question is refined in answerable terms.

Evidence based practice (EBP) is need and used within the nursing leadership of health care today, redesigning care tgiven to patients that is effective, safe, and efficient. (Huber, 2014). The purpose of this discussion board is to discuss the helpful attributes of an organizational infrastructure and culture implementation of nursing evidence-based practices and to discuss what process my organization uses for implementing evidence-based practice. Evidence-based practice (EBP) programs within healthcare organizations is helpful in that it enable the nurses to develop competencies to promote the quality,safety and clinical decision making, problem solving as well as allows for cost effective outcomes within their environment (Stevens, 2013).

The purpose of this posting is to discuss the nurse’s scope of practice. The nursing scope of practice includes the functions, actions, or procedures that nurses can legally perform (American Nurses Association 2010). As a registered nurse (RN), I must know what is within the scope of practice since I work under the direction of a licensed physician (MD) or advanced practice nurse (APN). The MD or APN may place an order that may not be within my scope of practice and performing that task may be harmful to the patient and result in loss of my license. Each state or country has their own definitions of the scope practice which are important to know as well as they may differ.

The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs in order to help guide the practice of advance practice nurse (APN). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care to patients. By incorporating effective leadership skills, APN’s can impact healthcare reform and quality improvements for the patient, institution and the community. According to the American Association of College of Nursing (2011), a effective leader assumes and applies the skills of communication, collaboration, negotiation, delegation, and coordination. APN’s must establish and maintain healthy working relationships