...Evidence Based Practice. Research Methods. Evidence-Based Practice (EBP), the skill of using correct research methods, the importance of making informative decisions based on the best EBP within the health care industry as well as an example of EBP in regards to infection control and hand washing procedures will be key issues discussed throughout this essay. The health profession is continually developing and adapting in its implementation to health care techniques and skills due to changing world health conditions. It is therefore imperative that research be constantly conducted to analyse new research relating to health care to ensure health care practitioners are using techniques derived from the most current evidence (Aveyard & Sharpe, 2009). Evidence Based Practice can be defined as, “the conscientious, explicit and judicious use of current best evidence in making decisions about the health care of patients” (Sackett, Richardson, Rosenberg, & Haynes, as cited in Craig & Smyth 2007). The basis of EBP is that decisions are made by assessing not only the information at hand, but also integrating clinical experience, the most current evidence available, critical thinking and keeping in mind the patient’s best interest and preferences (Aveyard & Sharpe, 2009). Evidence based practice was developed because of the commitment of health care practitioners to social research and science (Mullen, as cited in Liamputtong...
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...Maintaining a Quality Practice Setting Case Scenarios Appendix Glossary of Clinical Terms References 3 4 4 4 5 5 6 8 9 11 12 OuR MISSIOn is to protect the public’s right to quality nursing services by providing leadership to the nursing profession in self-regulation. OuR vISIOn is excellence in nursing practice everywhere in Ontario. Infection Prevention and Control ISBN 1-897074-32-8 Pub. No. 41002 Copyright © College of Nurses of Ontario, 2009. Commercial or for-profit redistribution of this document in part or in whole is prohibited except with the written consent of CNO. This document may be reproduced in part or in whole for personal or educational use without permission, provided that: • Due diligence is exercised in ensuring the accuracy of the materials reproduced; • CNO is identified as the source; and • The reproduction is not represented as an official version of the materials reproduced, nor as having been made in affiliation with, or with the endorsement of, CNO. First published February 1996 as Infection Control Guidelines (ISBN 1-894557-33-6) Reprinted January 2000, October 2000, revised for Web June 2003, reprinted January 2004 as Infection Control (ISBN 1-894557-44-1) Revised June 2004, December 2005. Reprinted May 2008 (ISBN 1-897074-32-8). Updated in June 2009. Additional copies of this document may be obtained by contacting CNO’s Customer Service Centre at 416 928-0900 or toll-free in Ontario at 1 800 387-5526. College of Nurses of Ontario 101 Davenport...
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...we as nurses were able to prevent...
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...organization (PNO) pertaining to professional nursing practice. Boards of Nursing (BONs) are state governmental agencies run by appointed individuals that regulate nursing practice. BONs are responsible for accepting/accrediting nursing programs, outlining the standards for safe nursing care and issuing licenses to practice nursing (National Counsel of State Boards for Nursing, 2015). In my daily practice as an RN the BON regulates my practice by monitoring for compliance and completion of all requirements for licensure within NY state laws; including successfully passing NCLEX and enforcing the nurse practice act accordingly. However a professional nursing organization such as the American Nurses Association (ANA) are generally a group of registered nurses that advocate for the members within the organization and the nursing profession. The ANA promotes the rights of nurses in the workplace while seeking to influence policies to realistically advance the high standards of nursing practice within the nursing profession.(Matthews, 2012) In order to attain a projected goal, in some cases, the ANA also will lobby the congress and regulatory agencies on healthcare issues affecting nurses and the public. In my daily practice as an RN the Professional Nursing Organization regulates my practice by offering seminars, networking events, evidence based journals and certifications relevant to my specialty to keep me proficient in my practice area. B. Nursing Code Examples The nursing...
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...acute ward by my mentor. She showed me the emergency cardiac arrest and rapid response phone numbers. I was shown the fire exits and was told what to do in case of fire. I followed registered nurses around and participated in caring for the patients. A patient was allocated to me to care for, my mentor and other team member supervised me to ensure that adequate care was given to the patient. I have the opportunity to learning advantages and experience in sharing with others. The knowledge gained in my placement has given me experience to improve on my skills and standard of care. In nursing, reflection try to identify the true value and meaning of our actions in order to qualify, enhance or discard them and to enable us to replicate them appropriately to their best effect in future interactions. Each situation reflected on must be treated as a unique event if the maximum learning is to be gained. Hogston and Simpson (2002). Professional practice involves abiding by regulations that have been established to avoid misconduct and unprofessional practice. This conduct states that a nurse must act in a manner that will maintain the good reputation of the profession, that a nurse is accountable for their individual actions and omissions (NMC 2002). The (NMC 2002) states that a nurse must practice in accordance with an ethical and legal framework which ensures the primacy of patient interest and well being and to respects patient's confidentiality. Throughout the placement, patient's...
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...contributions, sacrifices and experiences. These things brought about renovations in patient care. Different ways of thinking led to research, theories and evidenced based practice. The importance of studying nursing history has led to overall progression of nursing as a profession. In order to fully study the historical development of nursing we need to study all aspects of nursing science throughout time, explain the relationships between nursing science and our profession, as well as influences of other disciplines on the development of nursing. Time Line Specific Years, Theories, Theorists, and Nursing Historical Events Prior to the 17th century. Prior to the 17th century to the 19th century, nursing care included basic hygiene, and primarily comfort needs. These were carried out by Nuns, and other religious groups (Craven & Hirnle, 2003). Nursing could possibly be the oldest profession. It started with wet nurses, who delivered babies, cared for them and their mothers (Weatherford, 2014). 19th century. Florence Nightingale developed the Environmental Theory. During the Crimean War she noticed more soldiers died of disease then of battlefield injuries. Through research she believed that dirt, and lack of cleanliness led to diseases. She instituted proper hygiene such as: hand washing, cleaning wounds, cleanliness of environment soldiers were in, from barracks to nursing wards. She believe that providing fresh air, sunshine, and preventing malnutrition...
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...the professional nursing organization I did my research on, AWHONN. AWHONN represents nurses and the support staff who care for pregnant and laboring women. There is a fee to belong to this organization. The sole purpose of the organization is to provide education and safe evidence-based practices for the nurses in the field of Labor & delivery and postpartum care and recovery, and obstetrics. They provide educational material and several journals for their members. Some of the educational resources are free and others can be bought at a reduced cost. Several times a year, AWHONN hosts conventions and provides lectures and continuing nurse education classes. This also allows for nurses to network with other care providers in their field of interest. The mission of this organization is not focused on all nursing, rather it is only focused on nurses working in women’s health and specifically for those working with women in their child bearing years. (AWHONN, 2015) The Washington State Board of Nursing Commission regulates and maintains competency and quality of nursing among registered nurses, licensed practical nurses, advanced registered nurse practitioner and nurse technicians. The job of the board is more than education. It is more about regulation. The board enforces licensing and evaluating the nurses at time of licensure or renewal. They are required to monitor that nurses are completing their continuing education competencies. The board also is responsible...
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...environmental factors can, and do influence patient’s rate of recovery was the beginning of nursing research and science as it is known today. One could almost imply that Nightingale knew that outcome measures needed to be “relevant, and address both the constant and variable components in order to determine effectiveness of an outcome” (Blackwood, 2006). Over the past centuries, Nursing as an independent science has emerged as a rich culture of theoretical perspectives and frame-works that have impacted the profession positively. Until the mid-1800s the act of nursing was performed by spiritual leaders, nuns, and lay women. Nursing was not a respectable job, and respectable women unless they were nuns were not supposed or allowed to become nurses, then enters Florence Nightingale. Born in 1820, an English...
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...Concept Comparison and Analysis Across Theories Paper The power and strength of disciplines are heavily reliant on the development of concepts that are empirically validated and relevant to clinical practice (Mitchman &Weaver, 2008).Those concepts are then studied within a theoretical framework that is applicable to the concepts and their attributes. Concepts are continuously compared and analyzed between theories to ensure applicability and enhance the spectrum of evidence –based knowledge in nursing research and theory. Community Health as a Core Concept Nursing Among the numerous concepts in nursing practice is the concept of “community” defined as,” A group of people sharing common values and that might be living in the same geographical area utilizing the same resources “(McDonald, 2004). Another concept is the concept of “health” defined as,”A balanced state of well- being of the body, mind, and spirit” (McDonald, 2004). These two concepts create a core concept in nursing termed “community health”. Community health is a broad concept and a field of nursing that was differentiated and worked on heavily by the first nursing theorist Florence Nightingale in her environmental theory. It was also discussed in a more detailed perspective in our modern days by many nursing theorists like Jean Watson and her human caring theory (Falk-Rafael, 2000). Community health in nursing handles multiple issues relating to the health. They can involve disease, well-being,...
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...professional nursing practice. As you compare and contrast these two organizations, be sure to highlight the differences between the two. A. Boards of Nursing (BONs) and Professional Nurses Organizations (PNOs) Both BONs and PROs are important in the system that provides society with high quality nurses. Here is a statement from the web site of National Council of State Boards of Nursing ("Boards of nursing,”) ------------------------------------------------------------------------------------------------------------ “What are Boards of Nursing? Boards of Nursing (BONs) are state governmental agencies that are responsible for the regulation of nursing practice…… Typical powers and duties of a BON are: • Enforcing the Nurse Practice Act and nurse licensure • Accrediting or approving nurse education programs in schools and universities • Developing practice standards • Developing policies, administrative rules and regulations…. The Nurse Practice Act Each state or territory has a law called the Nurse Practice Act……” Professional Nursing Organizations are independent associations whose members are professional nurses who voluntarily join and pay dues to the organization. The major such PNO in the United States is American Nursing Association (ANA). From the web site of the ANA: (ANA statement of purpose) ------------------------------------------------------------------------------------------------------------ “Statement of Purpose The American Nurses Association...
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...registered nurses having to work with personnel who will assist them in their work. Delegation of tasks is important so that the nurse can have more time to critically reason, plan and coordinate healthcare given to patients. The act of delegating is attributed to the fact that, as a registered nurse, one has greater knowledge and critical reasoning ability than the assistive personnel. As a result, the RN has the responsibility of delegating, assigning and supervising the assistive personnel. According to the NCBSN and the ANA, appropriate delegation of tasks can result in effective and safe nursing care (NCSBN & ANA, 2006). In the case study given, the recently graduated registered nurse (RN) is new in the field, thus does not have enough experience with regard to attending to six patients during the morning shift. Six patients are too many for the new RN thus, need for the UHCW. Delegation of duties as stated earlier on should be done so that the registered nurse gets enough time to complete tasks that require his or her specialized attention and knowledge. The reason why the RN has delegated the UHCW to assess the patients’ vital signs is so that he or she can do the final touches with regard to personal hygiene care. This reason is not professional enough in that the RN can use the help of the UHCW in completing the personal hygiene care process. The UHCW can gather up the dressing the used up dressing materials and subsequently deliver them to the cleaners for washing while...
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...and Quality Management Hospitals most likely originated from temples, which were dedicated to Greek and Egyptian gods of healing. Sacrifices, prayers, and dream interpretations played the major role in the ancient physicians healing process, but they did occasionally set a broken bone, stitch up an open wound while using opium as a pain killer. Today in the early 21st century hospitals are much different. Hospitals can cover the full spectrum of health care from major surgery to minor injuries acquired in emergency situations. Physicians are highly trained and most of them specialize in some area of medicine that uses hi-tech equipment to help them. Nurses no longer just take vital signs and tell the patient that the doctor will be with you in a few minutes even though they know it will be more like a few hours. Nurses provide a number of preventive and primary health services, take care of minor injuries and illnesses, and prescribe medication. Hospitals have same day surgery where patients arrive in the morning have surgery and are back in their own home by night-fall. Basically hospitals are one or more large buildings where sick or injured people can receive medical or surgical care and most of the time as an inpatient. Everyone takes risk every day of his or her life and the chance of a negative impact is increased by the number of unintelligent choices they make. Risk can be defined as the uncertainty of results derived from a choice or objective. Quality can...
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...WHO Guidelines on Hand Hygiene in Health Care: a Summary First Global Patient Safety Challenge Clean Care is Safer Care a WHO Guidelines on Hand Hygiene in Health Care: a Summary © World Health Organization 2009 WHO/IER/PSP/2009.07 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable...
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...Mandatory Influenza Vaccinations Review Shumetria Cleveland English 321 Mandatory Influenza Vaccinations Review Introduction Influenza is a highly, contagious virus that affects the respiratory system. It is transmitted from person to person through respiratory droplets by an infected person coughing or sneezing. Influenza is much more serious than the common cold and is preventable. Good hand washing, covering your cough, and good health habits will prevent the spread of influenza and other respiratory diseases. It is onset by chills, fatigue, high fever, cough, sore throat, and body aches are some sign or symptoms of influenza often referred to as the flu. The incubation period is one to four days. Each year, influenza causes a significant increase in illness and death. In the elderly, children, patients with chronic illness and immune compromised disease. Once in a while the influenza changes to a severe disease. In the early 1900 there was a pandemic that killed approximately 20,000,000 people. Scientist later discovered the bacterial that causes the virus by testing the blood. Today physicians are able to keep the bacterial infections under control with antibiotics. In 2009 the swine flu epidemic caused illness, stole lives and flashed a light on health care workers to get mandatory influenza vaccinations. Some institutions, for the first time, implemented policies for mandatory influenza vaccines for health care workers due to the escalation of the swine flu...
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...Journal Of The American Academy Of Nurse Practitioners, 20(4), 172-180. doi:10.1111/j.17457599.2008.00305.x Introduction Authors of this investigative review wanted to research the predisposing factors in peripheral intravenous (IV) catheters causing phlebitis. Millions of patients hospitalized in the U.S. each year have had an IV or IVs’. The patients in this study received a variety of IV drugs and IV infusion solutions. Review of Literature Phlebitis rates from previous studies range from 41.8% to 68.8%. These studies also looked into consideration of predisposing factors such as age, gender, immunosuppression, aseptic techniques, medications and high osmolality solutions. The authors found conflicting correlations with age, gender and infusion rates being a cause for phlebitis. Catheter size, length of time it was in place, location (site) and the drugs infused had not been studied. Discussion of Methodology This is a descriptive comparative study. Standard protocol for this hospital: Sites are assessed and cared for with povidone iodine 10% every 24 h. PIVs are changed routinely every 72 hrs. A new IV is inserted when symptoms such as tenderness or pain develop. The data was collected by, developing a questionnaire and direct observation using the Scale of Phlebitis to diagnose phlebitis. 91% of the data collected was by the author, Esin Uslusoy, BSN, MS. The remaining 9% of data was reported by the nurses taking care of the patients....
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