Nursing process provides a framework for clinical decision-making, which helps to guide care and promote critical thinking. Improvements patients participation in care by promoting patient autonomy and individualized care. ADPIE is an acronym that is used to help nurses remember the steps in order: Assessment, Diagnosis, Planning, Implementation, and Evaluation. In the assessment phase, nurses collect subjective and objective data about the patient in a systematic way through observations, interview questions, and physical examinations. Data is collected, organized, verified, and recorded.
Evidence based practice is a big part of the medical field and what we as nurses use to take care of patients in the hospital. An example would be the sterilization technique of catheterization and the importance of pericare before inserting a catheter into a patient. Sterilization technique ensures that there is no introduction of bacterial agents that may cause serious infectious such as sepsis, and death. Even if a nurse is using the best devices, it does not matter without proper sanitary care (The Fight Against UTIs Continues, 2011). Pericare is an essential component of caring for a patient with a catheter.
How do clinical pharmacists care for patients? Clinical pharmacists: • Provide a consistent process of patient care that ensures the appropriateness, effectiveness, and safety of the patient’s medication use. • Consult with the patient’s physician(s) and other health care provider(s) to develop and implement a medication plan that can meet the overall goals of patient care established by the health care team. • Apply specialized knowledge of the scientific and clinical use of medications, including medication action, dosing, adverse effects, and drug interactions, in performing their patient care activities in collaboration with other members of the health care team. • Call on their clinical experience to solve health problems through the rational use of medications.
Monitoring of this complex quality indicator is best accomplished through a process of establishing a guideline for your defined healthcare setting that has an evidence base to which the staff will be held accountable. Break the guideline into its constituent elements of assessment and interventions and begin working on the most challenging element. Empower staff to provide input and engage them in measurement. At the unit level, a visual monitoring board can be used to post metrics, keeping the staff focused on the outcome, and adherence to the fall prevention guidelines. Peer support, empowerment, and process accountability equate to success with clinical quality (Williams,
The role of the nurse in caring for any patient is multifaceted. The nurse must not only provide physical care to her patient, but must also acknowledge and care for the psychological and educational needs of her patient. In order to provide the highest standard of care to a patient undergoing a total cystectomy and the formation of an ileal conduit the nurse must have a wealth of knowledge regarding urinary diversions. The nurse must understand the indications for the formation of a urinary stoma and the implications of having one formed for the patient. This essay will discuss different forms of urinary diversion and shall also discuss the role of the nurse in regards to patient education, and also the physical and the psychological needs
The competent of nurses in clinical setting can be perform encounters their knowing and also requires doing. Evidence of being clinically competent includes of encountering, knowing, performing, maturing and improving (Lejonqvist et al., 2011), the authors explain that encountering, maturing, knowing and performing is referring to clinical competence growth whereas improving is refer to how clinical competence was refined. Thus, it is argued that clinical competence of an individual is shows on the process of an individual informal learning in practice. To integrate of the findings, the authors (ibid, 2011) highlighted two categories of clinical competence which is ontological and contextual clinical competence for implication in nursing education. Ontological clinical competence should be obtained during the education, whereas contextual clinical competence reached after experiencing their practice.
Arrange patient details on abnormal results of physical and psycho-social assessment treatment, medications and laboratory results. Then develop goals and outcomes and list what can do to address each problem. Following these steps will help nurses or students to think critically and it will help to improve clinical experience and outcome of the patient. One research article published in pub med in 2010 regarding “Concept mapping” for applying theory to nursing practice. That theory-based practice believe that this will improve clinical outcomes and nurse satisfaction.
2003). Patient empowerment is now been used as a keyword in health care industries as it emphasis on active decision making by the patients. As a nurse, I am convinced that healthcare providers should invest in the concept of patient empowerment in order to master the challenges facing modern health system and patients. According to Elwyn et al. (2013), patient’s empowerment in decision making had gained consensus among health professionals.
Medicine. In medicine Expert Systems can be applied different area. Medical expert systems were initially developed for academic areas and later for clinical purposes. Health care systems produce information in different area such as patient, demographic, clinical and billing data which are prone to analysis by intelligent software which need new techniques and extract new knowledge. Medical expert systems tools are available and can function as intelligent assistants to clinicians by helping in diagnostic processes, make some laboratory analysis, suggest a reliable treatment protocol, and also teaching of medical students and residents as well.
Nursing Profession Paper Several self-reflective thoughts come to mind in responding to the query ‘what does it mean to think like a nurse’. The first thought which comes to mind is that of critical thinking. A nurse that applies critical thinking to their accountabilities is a professional who is able to organize their situational understanding across a broad spectrum of patient interaction. One who can take into consideration all of the patient data available to piece together a solution and/or plan of action which is specific to their patient so to optimize the outcome. Someone that asks questions for discovery and better understanding so to further progress towards assessing the range for best and worst case patient scenarios.
Objective #5, synthesizing research is the back bone of good nursing. We have been taught that every action we take as nurses should be evidence based in order to deliver the best most effective nursing care. Throughout the nursing curriculum we have written a various evidence based papers which have molded our nursing practices and the way we deliver care. Artifact #1 is an in-depth look at research on the myocardial infarction (MI) protocol, how it was developed, and its effectiveness. The paper was written for the Health promotion III course.
The purpose of this quality initiative is to provide measures necessary to facilitate the frontline ED nurses in the early identification and treatment of sepsis. The clinical question for this scholarly project is as follows: “In the emergency department, will quality improvement initiatives, improve the frontline nurses’ early recognition and treatment of
These questions on the topic of how often Lovenox injections are required to be therapeutic versus how often heparin needs to be injected and the resulting patient satisfaction during the hospital stay. With the emphasis on patient satisfaction and the government guidelines for preventable hospital acquired problems, finding a solution to DVT prevention is important for nursing. One study by Arnold et al. (2010) directly compared the two drugs in question for this project and provided credible information to the development of an evidenced-based answer to the problem (Arnold et al., 2010). A second systematic review by Akl et al.
Reviewing the standards and practices employed by primary care the practices, training is the very important when it comes to risk management, and achieving accreditation with a self-governing organization such, as The Joint Commission on the Accreditation of Healthcare Organization. This organization performs intermittently on site reviews of procedure and compliance. This will help to promote awareness and compliance (Reising, 2012). Nurse Practitioner needs to protect themselves by: (1) Caring, establishing a good connection with patients and maintaining confidentiality. (2) Communicating with client by following up with all laboratory results and follow up with referrals as this will show competence.
For the purpose of this discussion, I will discuss nursing informatics and clinical informatics, followed by two examples of how clinical informatics is used in my organization. I will explain how a nurse manager uses data management as a strategy to improve patient care on the nursing unit. Lastly, I will explain why President Bush mandated the implementation of the electronic health record by 2014. Although, clinical informatics and nursing informatics appear similar, and cross paths at times, each indent is different. Nursing informatics incorporates nursing science with computer and information sciences technology to manage and communicate information (New scope and standards of nursing informatics practice, 2015).