One of the key responsibilities for nurses is to help the patients in understanding the medical intervention planned for them and the things they can do to assist in their case, including list of things they should and shouldn’t do during the treatment till recovery. Research has shown that some clinical quality measures are strongly related to good nursing care (NorthWestern Memorial Hospital, 2014). They way that a nurse performs each and every activity has a substantial impact on quality of healthcare. This can also be seen in the understanding of patients that a good relationship with a compassionate, well-informed and capable nurse can help in the well-being and effectiveness of the care
Its main core is the selection of the best evidence based approaches of dealing with the SSIs and grouping them into a list that can be effectively implemented by nurses. The use of intervention processes or pathways in healthcare is effective in promoting compliance since it promotes integration of practices and procedures (Lutfiyya, et al. 2012). The selected surgical EBP interventions already implemented include comprehensive patient profiling (consideration of the urgency, patient conditions, and other risks to SSIs), use of prophylactic antibiotics, appropriate skin care (antiseptic skin preparation and hair clipping), and maintenance of perioperative temperature. My proposed quality improvement compliance checklist will be adapted to all surgical standards and areas of needed improvement. Individual nurses will complete the checklist monthly to be compared to quality data.
She analyzes the benefits of identifying and diagnosing delirium, the short term and long term effects of delirium on a patient, and nursing interventions to prevent and manage delirium (Volland, 2015). At Johns Hopkins, using the acronym DELIRIUM allows ICU nurses to identify risk factors including, “dementia; electrolyte disorders; lung, liver, heart, kidney, brain; infection; rx (prescription) drugs; injury, pain, stress; unfamiliar environment; metabolic” (Volland, 2015). With ICU nurses better trained in identifying these risks, they can alert the medical team and interventions can be implemented to decrease the effects and length of psychosis. Effective interventions studied were: addressing any underlying medical issues; creating a more relaxed environment that is conducive to sleep and decreased anxiety; distinguishing between night and day by adjusting the lights and announcing the day and time to the patient; and conversing with the patient (Volland,
Adams, it is important to address all areas from a holistic standpoint. This would include psychosocial, environmental and medical interventions. While providing care it is important to remember Florence Nightingale’s goal of nursing is to “assist the patient to regain “vital powers” by meeting their needs, which in the end puts the patient in the best condition for nature to act upon.” (Smith & Parker, 2015). Nightingale believed that nurses contribute to restoring health in a direct and indirect way by the management of patient’s environment (Smith & Parker, 2015).
It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as
(2014). Wallis (2012) makes implication that the prime objective of EBP is to provide approaches that can be applied effectively to prevent, detect and provide care of health disorders. Thus, obtaining a magnet status and evidence-based projects and should integrate current best evidence from research with clinical policy and practice to improve healthcare
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.
Patient empowerment: Patient empowerment in the international point of view is seen as a portion of the human side of healthcare. To gain the empowerment requires time and patients need to be strong in order to gain greater outcomes. With mutual trust gained from the nurse and patient, both nurse and patients will gain the confident. Being a Malaysian I am proud to say that our Malaysia Ministry of Health, had strongly support patient empowerment and each individual are responsible for their own health. It is believed that, regulations and enforcement activities are the tools to facilitate and enhanced individuals and the communities towards self empowerment.
Doctors and nurses should be considerate and kind to the patients by listening and attending to all their concerns. Teamwork is an important professional value that is vital in the provision of care centered on patients. A culture that is based on learning from previous mistakes and openness is fundamental in the provision of care and ensuring that patients are satisfied. In view of that, workers in the health sector should maintain honesty with the patients they are attending
The stated objective to understand and validate the factor of “gut instinct” with the charge nurses and how it helps them navigate towards the application of trauma code. The trauma code helps to recognize the severity of the problem or the injury. The study focuses and benefits its readers by providing the essential factor which can be used by the nurses to apply the trauma code in a proper manner. The defining of this objective is the next benefit that the article provides for where the author has made use of a lot of literature scanning by which the experience and observation in the emergency department could be seen as objectively as possible. At the start of the article there has been details provided on the chronology of events that took place in the emergency department till the point of application of the trauma code.
Team effort affects the quality of client care. Patient centred care empowers individuals through partnership with health professionals in decision making (Pulvirenti, McMillan & Lawn, 2014, p.304). It is a continuous patient and practitioner interaction to promote, educate and meet patient ’s needs (Pulvirenti, et al., 2014, p. 306). Nevertheless, patient centred care might be the solution to the problem of paternal clinical practice which is expressed under the multidisciplinary care (Pulvirenti, et al., 2014, p. 305).
Medical providers that have cultural competency will overall enhance the quality of care to a diverse group of patients. Having that cultural knowledge would help the medical provider make the patient feel comfortable ultimately increasing the chance for that patient to follow through or adhere to the medical provider's treatment plan. It would also allow the medical provider to help build a friendly nurturing relationship with all of his or her patients. Developing these friendly relationships with patients will help make the patient worry less about a difficult diagnosis and would give them hope that they could one day get better from it. When a medical provider is culturally competent they would know how to respond to certain medical scenarios
Inpatient Observation I was blessed with the opportunity to do an internship at the Kansas Rehabilitation Hospital in Topeka Kansas. At the facility, I worked in the inpatient therapy wing with patients aged sixty one and over. During my observation, I was under the supervision of Jamie Pfannenstiel who is a Physical Therapy Assistant at the Hospital. While at the facility I was able to perform many duties and take on responsibilities such as observing, cleaning, assisting in transfers and bringing the patient to and from their room, and exercising the patient with supervision.
According to the U. S. Department of Health and Human Services (HHS) (2016), "cultural competence refers to the ability to honor and respect the beliefs, languages, interpersonal styles, and behaviors of individuals and families receiving services, as well as staff members who are providing such services". Therefore, it is critical for community health nurses to equip with cultural competence when they service and provide care to diverse populations. In order to offer the optimal care, well utilizing the advantages of the cultures is essential. In cultural preservation, nurses can support the use of the cultural practices, such as “Tai Chi Chuan” to decrease the risk factors of stroke.
Cultural competence is vital in the nursing profession, one any given day the nurse is working with patients from multiple different cultures. It is crucial that the nurse give the patient cultural competent cares, which allow the patient to receive the best quality care that he or she needs. Cultural competence is defined as the “awareness and understanding of unique characteristics of a group’s social and cultural attributes, health beliefs, and values, but also encompasses interventions that reflect this awareness” (Cope, 2015, p. 305). It is vital to incorporate the beliefs and specific care of the patient’s culture into the patient’s care plan in order for the person to have the best quality care.