...(Gandossy and Sonnenfield, 2004). Organizing the Plan The problem that was stated in Part A of this proposal was medication error and the organization is aiming at reducing the incidents of administration errors that involve medications. Although there are three proposed solutions, the one that gained the highest priority is the use red disposable apron during the medication rounds. This type of innovation is cost-effective, requiring short staff in-service by the nurse clinical educator, it is maintenance free, and does not require space for storage. This intervention will also allow a less difficult data collection for measuring outcomes. Every institution requires the approval of the Chief Nurse Officer (CNO) to pilot an intervention. The intervention will be introduced in a small 30-bed medical-surgical unit which will last for four months, and to start as soon as equipment is ready. A small task force that will include the director of the pharmacy department, the director of medical-surgical unit, the charge nurse, and the clinical educator of the department will actively implement the innovation. As with every organizational change, change leaders are required to manage and monitor, and evaluate the intervention. The...
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...to describe the importance, goal, or influence of each item. |Publications |First publication date and importance: | |Nursing Research |First Published: 1952 (Burns & Grove, 2007. p. 9) | | |Importance: | | |“Research conducted by the ANA and other specialty groups provided | | |the basis for nursing practice standards that currently guide | | |professional practice. The increase in research activity in the | | |1940’s prompted the first publication of Nursing Research” (Burns & | | |Grove, 2007, p. 9). | |Sigma Theta Tau Journal published by this organization is |First Published: 1967 (Burns & Grove, 2007. p. 10) | |now called Image—The Journal of Nursing Scholarship |Importance: | | |“Features scholarly work in all areas of nursing...
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...CASE #6: Attica Memorial Hospital, The Ingelson Burn Center Attica Memorial Hospital (AMH) is a non-profit acute care facility located in Norton County. The organization purchased and absorbed its competitor, Delphi Hospital in 2001, which also enabled it to acquire the reputable and well-known Ingelson Burn Center. Assumptions We assume that all financial data provided in the case are accurate, and that the Ingelson Burn Center is still known as the “Center for Excellence”. We also assume that recommendations have not already been implemented. Also, we are assuming that the current date is August 2, 2001, implying that the deadline for SCS Certification has not passed (October 31, 2001). Situation Assessment Strengths: The strengths at Attica Memorial Hospital include extensive staff training in the most current treatment protocols, not merely basic burn care. The hospital also employs a reputable practitioner named Dr. Ingelson. Interviews from fire departments support the notion that the Dr. Ingelson burn center is respected and preferred over other burn centers. Lastly, Attica Memorial hospital provides educational services to schools, insurance carriers, ED personnel, and pre-hospital personnel. This demonstrates the organization’s dedication to community outreach. Weaknesses: Some of Attica Memorial’s weaknesses include tension amongst staff regarding burn center, which causes an overall lack of support among physicians. In addition, this organization largely...
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...expressing “Burn Out” (frustration, dissatisfaction, or lack of interest in a job) as a result of the increase in the number of patients coming to the center who were diagnosed with terminal cancer. Nancy Nurse confided in you that she is particularly saddened about the rapid decline in Mrs. Jones’ health, a 30 year old single mother. She decided that the next time Mrs. Jones comes in for her treatment; she is going to give her an extra dose of a narcotic that could potential end her life. 1. Explain how the patient Bill of Rights applies to this case. The patient bill of rights applies to the case in the patients’ “right to be given by his healthcare providers information concerning diagnosis, planned course of treatment, alternatives, risks and prognosis (Showalter 2008).” It seemed that Nurse Nancy was going to administer the extra dose of a narcotic without Mrs. Jones even knowing it. The scenario does not state that Mrs. Jones was going to be aware of the extra dose that could potentially end her life. This would mean that Mrs. Jones’ patient bill of rights was violated because she was not informed on the planned course of treatment being doubled which could result in the end of her life. Another patient bill of rights that applies to this case is “the right to refuse treatment, except as otherwise provided by law (http://www.aha.org/default.html).” This right is being violated because Mrs. Jones is not aware of the intended treatment from the nurse because she...
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...U.S health care and economics may influence the demand for nurses and the work choices of newly licensed RNs. Theses are significant in the fact that it affected the job market in the nursing world. The article compares the two cohorts surveyed six years a part showing that new nurses are now less likely to work in hospitals and more like to work part-time. The article compared the cohort from 2010-11 and cohort from 2004-05. The data was collected from 14 different states: Alabama, Kentucky, Maryland, Nevada, New Jersey, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas and West Virginia. (Christine, 2011). Review of literature and theoretical framework Kovner, Carol, fatehi, and Katigbak, wrote an article titled “Changing Trends in Newly Licensed RN’s”. The research problem in the article is stated as follows “ The economic downturn and the related high employment rate may have affected RN’s work decision; for example, they may be reluctant to leave job if family members are unemployed. Much depends on NLRNs but little is known about how their work patterns change over time.”(Christine, Carol, 2010). The article is well planned out and was written by a nurses and that is what enhanced the attention to detail. In the background they describe why there is an increase in nurses. It also proof the fact by giving statistics from 2004 to 2011. Its states that there is a increase in nurses but it also predicted that soon once the baby boomers reach...
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...Solution Novice nurses are usually not confident enough to handle patients during their initial practice. They are not able to critically appraise and use scientifically proven evidence as a way of providing quality health services to patients. The main goal of evidence based practice on novice nurses is to impact informal knowledge and skills to new nurses. Novice nurses will gain the required competence skills as they continue training under the skilled physicians. Novice nurses will be accessed on regular basis to determine the EBP positive impact on their transition exercise. Therefore, the evidence based practice on novice nurses will provide best intervention for quality service delivery. The experienced physicians will play...
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...is a burn? Burns are physical injuries that occur when the human skin comes in contact with heat, radiation, electricity or certain chemicals. Burns are extremely dangerous and excruciatingly painful. Even a minor burn can be extremely painful. They can cause a severe damage to the skin and in some cases also to some internal organs of the body. They form permanent or temporary marks on the skin and involve the damage of the layers of skin. Basically burns are caused by any hot object or a chemical. Usually the most common agent causing burns is the fire. Other agents are hot liquids, electricity and chemicals and gas. Each year, over 200,000 Canadians receive medical care for burn injuries. More than 5000 of these are hospitalized for an average of two weeks, and of these, four percent will die from their injuries. How many of you have had a burn? How many of you have had, or ever had a loved one have a burn so severe that they had to go to a burn ward for treatment? I’d like to take this opportunity to give you a little history on the creation of burn wards in Canada, specifically Winnipeg, Regina (my own personal experience with my brother) and Toronto, the costs of these services, the leadership required to make these services a reality, and the important role these services play in the welfare of injured Canadians as a whole. Prior to the 1960s, burn victims were treated in general surgical wards. There were no specialized facilities for treating burn victims...
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...Eugene Burns, a patient at Robert Wood Johnson Hospital was transferred to Harborside Nursing home following an operation for an aneurysm. The patient had a tracheotomy tube inserted during surgery, which made him unable to speak and required him to be suctioned every four hours. A day after arrival at the nursing home they issued a new medical order that the patient be suction once a shift and as needed, which was vastly different than the hospitals orders. During his stay he was visited by a close friend, Stephen Szczuvelek. The patient reached out to him and asked for his help by the use of a note stating that he had not been suctioned and needed to be suctioned immediately. His friend pushed the nurses’ call button and when he did not receive a response for over an hour went looking for a nurse. The nurse directed him to a conference room to talk to a social worker. Mr. Szczuvelek showed her the note from the patient and she assured him that the patient would be assisted. However, when he returned to the patient’s room he asked the nurse to suction the patient, but she replied that she already did. Mr. Burns shook his head no, so Mr. Szczuvelek confronted the nurse, who then replied that it was the doctor’s orders that the patient not be suctioned. After further prodding from Mr. Szczuvelek the nurse stated “I don’t have to take this crap” and left the room. The patient was unresponsive the next day and was rushed to Somerset Medical Center. Mr. Szczuvelek visited the patient...
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...Increasing changes in diversity puts a demand on healthcare professionals. Changes in healthcare have popularized empirical and evidence-based research in the field of nursing research (Hung, Chang,Chen, 2010) New roles that are emerging are tele-conferencing, providing nursing care over the phone triage style nurses need to be effective leaders and managers to meet the new challenges, advocate for policies that contribute to the health of populations, to sustainable development, and to the security and just treatment of nurses and health care professionals (NSNA,2011). Health care evolving at a fast rate and as provider’s nurses will need to adapt by meeting the needs and demands of individuals. The elderly are increasing and have been at a steady rate, and we need the professionals to be available to take care of the elder generation. The acuity on my floor are seeing more and more elderly’s coming in with stroke and fractures. Hung, H., Wang, H., Chang, Y., & Chen, C. (2010). [Nursing knowledge: the evolution of scientific philosophies and paradigm trends]. Hu Li Za Zhi The Journal Of Nursing, 57(1), 64-70. Retrieved from EBSCOhost. NSNA (2011) Meeting Today’s Global Health Care Challenges retrieved from http://www.nsna.org/Portals/0/Skins/NSNA/pdf/Imprint_Feb04_Hancock.pdf patterns of health events in populations characterizes health outcomes in terms of what, who, where, when, and why: What is the outcome? Who is affected? Where are they? When do events occur...
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...The crucible is metaphorically illustrated as a scorching fire throughout the play, portraying the ongoing heated situation in Salem and the chaos resulting from the hysteria. As the fire and the intensity of the heat rapidly escalates, more people are caught in this witch-hunt and even the innocent people are thrown into the vicious flames. In Act 2, Francis Nurse arrives at John Proctor’s house to inform him that his wife, Rebecca Nurse, has been charged of murdering Mrs. Putnam’s baby. Since Rebecca Nurse was one of the most venerated figures in Salem for her kindness and charity work, Reverend Hale was astonished and says that “if Rebecca Nurse be tainted, then nothing’s left to stop the whole green world from burning” (Miller 71)....
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... Combating Compassion Fatigue The purpose of this paper is to discuss the significance of Compassion Fatigue (CF) and its effects in the lives of caregivers. A caregiver is defined by dictionary.com as an individual, such as a physician, nurse, or social worker, who assists in the identification, prevention, or treatment of an illness or disability (dictionary.com). Caregivers may also include family members, friends or neighbors who voluntarily have accepted responsibility for looking after a vulnerable neighbor or relative. For the purpose of this paper, the primary caregivers discussed will be nurses. Most nurses chose nursing as a career because they have the desire to both help people and provide care for patients with physical, mental, emotional, and spiritual needs. Having this desire puts nurses at risk for suffering from CF. CF can affect nurses in many areas such as physically, emotionally, in job performance, as well as their attitude toward the work environment, coworkers, and their patients. Nurses suffering from CF may experience emotional symptoms that include, but not limited to; poor concentration, decreased focus, poor judgment, mood swings, irritability, anger and resentment (Eyre & Lombardo, 2011). Work related symptoms that may be experienced are; avoidance or dread of working with certain patients, reduced ability to feel empathy towards...
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...deals with how being a nurse can be stressful and tests the limits with death. How much death can one take before it starts to affect their everyday life, or the care of their patients? Nurses are at risk for a great level of stress and burn out. One may ask is it from the round the clock twenty four hour one on one care that they give. Nurses are expected to attend to the humanity needs of medicines than any other health provider (Peterson et al., 2010). A nurse dealing with death on a daily basis could affect them in a negative manner. Inefficient stress management will come to of burn out. The nurse is the primary caregiver which initiates the relationship with the patient. Considering what the duration is of their stay I will be the bond of this relationship. If one has not ever had to care for an end of life patient this could be mentally disturbing. Common clinical stressors are A) watching the patient suffer, B) death of a patient, C) listening to the patient talk about his/her death (Peterson et al., 2010). Nurses are the symbol of wellness, healing and aren’t use to letting someone to lay there and die. There are concerns a nurse will carry around such as making sure the patient is comfortable and all their needs are met. For that the reason of concern is the patient should be are they happy with their treatment. Ways that can bring anxiety, apprehension are the doctors leave questions unanswered or just not clarified. Some nurses are left...
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...classification of burns that range from minor to severe. First degree burns, second degree burns and third degree burns. There are many causes of burn including sunburns, chemical or electrical burns and ones caused by fire. This paper will be and overview of the types of burns and there causes. It will also describe the best treatment for each type of burn and education of the patient. First-degree burns are minor and affect only the outer layer of the skin, the epidermis. They can cause pain, redness, and swelling and they can be erythematous, and dry. Usually, first degree burns do not require medical attention and can be given adequate attention and treatment at home. For minor,...
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...Running head: Critical Analysis of Qualitative Research Paper. Stressors on Anesthetist student Nurse and Coping Skill Name: Angela Francis Course: NRS-433V-0101 Running head: Critical Analysis on Qualitative Research: Problem Statement: Recognized practice nurses furthering their career anesthesiology being challenged by stresses involved in the program course outline as well as post graduation stressors. The problem of this study was the fact that just a minimal awareness about post graduate nurse anesthetist educational program which is mostly entrusted to competency in cultural training, rates of attrition, curriculum of the clinical areas in other words the historic review on transformations in educational programs over a period of decades. This problem not only affect practices in nursing, rather it focuses on fears and worries and thereby discovering ways to enhance the curriculum for nurse anesthesiology by reducing stress on students. Problem of this study marches with it’s naturalism of paradigm and due to the presenting problem replies or responses could be retrieved from the students points of view. The application of grounded qualitative theory method stands as a good choice for this study as it enables the writer to stop the use of inquiry from nurses in other to get data required from participating individuals. By the applied method of obtaining data a reasonable theory came up...
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...Simulation is the art of science and the recreating of a scenario in to a setting that is not real is one that has been an important aspect of nursing for decades. Although the manikin Resusci Anne was introduced to modern nurses practicing cardio-pulmonary resuscitation (CPR), the Mr. Chase doll was initially used in 1911 for nurses to practice their skills (Burns, O’Donnell, & Artman, 2010). Computers and technology have become instrumental in the delivery of nursing education. The use of high fidelity simulators, promotes problem solving, critical thinking and communication skills development (Stokowski, 2013). As high fidelity simulation is emerging to address the 21st century, clinical education in nursing must be aligned with the current trends without compromising patient safety and curriculum. This technology of simulation will foster learning as a catalyst into the new era of learning and critical thinking needed for the evolving profession of nursing. Some debate has been raised over replacing clinical hours with high fidelity simulation. Passive learning occurs through passive teaching methods such as dictated lectures. Active learning strategies such as high fidelity simulators are usually more effective and can largely affect new graduate nurses when entering the profession. Impact According to Stokowski (2013),...
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