...Clinical practice problem A survey of the nursing literature shows that supporting medical nurse staffing guarantees quality nursing watch over patients and has been a progressing test for attendant directors and executives. Inability to guarantee adequate numbers and empathetic medical attendant staff has been shown to adversely affect tolerant fulfillment and results. The medical nurse staffing issue is not restricted just to guarantee sufficient quantities of staff that are being lost in the intense consideration settings because of workaholic behavior, burnout, sympathy exhaustion and wounds; the attendant staffing issue additionally incorporates the effect to patient consideration and to the nursing work power when empathy and caring is truant and the negative impacts this has on both the patient and the medical attendant. Customary systems for tending to medical nurse staffing issues with monetarily based enrollment and maintenance arrangements have not determined these issues; be that as it may, applying the theory of human caring to the issue of attendant staffing gives critical knowledge and arrangements that can help supervisors, executives and associations to enhance the conveyance of consideration, bolster medical attendants as a profitable asset and enhance tolerant results. The deficiency of qualified nursing experts is frequently connected with the interest for nursing staff. To be sure, medical attendants speak to clinics' biggest work cost, containing the...
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...paper is to fundamentally appraised a qualitative research article by Burhans and Alligod, (2010), which incorporates assessing each structures of exploration procedure beginning from title, author/s, abstract, introduction, methodology, findings, discussions and lastly conclusion. Basically evaluating articles permits one to sift through the low quality studies and recognize deceiving data (Gerrish & Lacey, 2006). Title: The title of this article is Quality of nursing care in the words of nurses. Here the title represents that the research is about the study of meaning of quality nursing care in the expressions of medical caretakers. Author/s: The writers of article ought to have the essential aptitudes to do the concentrate so their capabilities are leaned to guarantee their capacity for the study. In this article both the authors are from the university and have achieved their PHD. Linda Mass Burhans had done Phd RN CPHQ and she is a research expert. Martha Raile Alligood has done Phd RN ANEF and she is a content expert. Their qualification and professions relevant to the research study which will help to improve quality care and patient outcome. Abstract: Abstract is a smaller version of the article. It ought to have the capacity to answer why and how the study was led which is typically around two hundred words (Borbasi and Jackson 2012,p.178). It helps the readers to realize what precisely is carry in the article. In this article the dynamic is a compact outline...
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...Standards Danielle Fonville University of Phoenix October 27, 2015 Professional Standards Professional standards in nursing are guidelines that help direct nursing practice and accomplish a level of greatness as well as proving a foundation for building competence. Professional nursing standards are examples of established nursing practice that is usually acknowledged as right. Standards of care were established and enforced to define the quality of care provided. They are the premise for nursing care and draw on the most recent exploratory information from nursing writing. The importance of standards of care is to ensure the public is protected and that the nurse is responsible and accountable for the quality of nursing care given to patients. The nurse is to be knowledgeable and a safe practitioner of nursing meeting all standards of care with all patients. Any nurse who does not meet acknowledged guidelines of consideration runs a danger of being discovered careless. Nurses who give skillful consideration taking into account their instruction will from time to time be included in misbehavior. Most lawful activities against nurses emerge in light of the fact that a patient cases the medical attendant ruptured a standard of consideration and that the break brought about mischief to the patient. Malpractice (carelessness with respect to a medical service) is one lawful activity that an nurse may be accused of for...
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...situation it is important to consider nursing-sensitive indicators and how this is an indicator of quality patient care. It is also important to note how this creates an ethical issue and to learn from the situation companywide. Many situations like Mr. J’s happen every day and are swept under the rug. Patient care should always involve patient needs along with cultural considerations while maintaining consistency with evidence based medicine practices. Nursing sensitive indicators assist to identify potential issues related to quality that may come about during patient care. Identifying nursing sensitive indicators allows nurses to improve the quality of patient care which results in increased patient satisfaction and improved patient outcomes. The American Nurses Association (ANA) is a great resource and wealth of information to assist in identifying specific indicators to apply to patient care. Nursing sensitive indicators bring light to specific patient needs. In the case of Mr. J several nursing sensitive indicators can be identified; his recent fall resulting in a hip fracture, he has dementia, cultural and religious values, immobility, pressure ulcer risk, the use of restraints, and pain management techniques. The diagnosis of dementia identifies that Mr. J is unable or has limited ability to reason with sound judgment along with the added use of pain medications. All of these indicators can lead to quality patient care if nursing applies them correctly and it is taken...
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...Research Summary and Ethical Considerations: Complexity in Practice Environments Grand Canyon University: NRS 433V 1/12/2014 Title Needed This article discusses the complexity in nursing practice environments that affect patient outcomes. There are many different aspects of the relationship between nursing care and patient outcomes. Nurses struggle to provide quality care in a high-demand practice environment, all the while dealing with stressors. Through research of the nurse work environment three key stressors that influence the quality of care given by nurses were identified. This new phenomenon has been labeled complexity compression. Background of study The association between the nurse staffing levels and the patient outcomes has been extensively studied over the past decade or so. The question being asked by researchers is: does an increased staffing level lead to more positive patient outcomes? This study was conducted by interviewing nurses and not patients. There is a direct link between the amounts of stressors that nurses “juggle” and how the effect of those stressors tend to affect their patient outcomes, either positively or negatively. This study resulted in the description of a new phenomenon referred to as complexity compression; which is defined as the stress that a nurse experiences when they are overwhelmed with assuming added and often unplanned responsibilities, while continuing to carry out multiple duties in a condensed time frame (Krichbaum...
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...Proposal to: Mayor and Chief Medical Officer Proposal Title: Nursing Care Center By: Nightingale Nurse Recruit, Nursing Director: Anesta Parris; Medical Information Technology Directors: Dawn Froemel & Ernestina Ayon; Laboratory Services Director: Andrea Dabney April 12, 2013 Introduction Please accept this proposal for the new Riverview Hospital Nursing Care Center. Key health care directors have contributed to this plan. Each director’s perspective is shared as related to his/her department. The following pages of this proposal contain their ideas and touch on the following considerations for the planning of this new facility: The specific department services provided How nursing care center services coordinate with the services the hospital provides How nursing care center departments interact and coordinate with each other to provide efficient and effective care Potential grants to assist with funding the nursing care center project How departments demonstrate consideration and application of the nursing care center code of ethics Executive Summary Nursing Director Executive Summary Nationwide, nursing staffs is changing in today world include not only long-term to care for their patients’. The population of people receiving treatments in the hospital is becoming highly trained and committed to health care staffs. The goal is to make a difference and to take action to improve the nursing staffs. Highly recommend to improve the nurses to limited access...
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... When it comes to nursing, every health center must have a good leadership that supports the nurses so that they can maximize their performance. However, for leadership to be of good quality there needs to be a good working environment in all aspects (Pinelli et al., 2004). The following is a case study illustrating an ideal working environment that supports good nurse leadership in health institutions. Type of Organization The organization that I would like to work in is a medium sized health care center. The facility is equipped with all the necessary gear needed to deliver quality healthcare services. There are over fifty doctors and seventy qualified nurses in the organization. The healthcare center serves over five hundred outpatient patients daily. It has enough facilities to cater for approximately 250 in-patients at any particular point. This health facility has taken into consideration the guidelines that make it professionally fit for an advanced nursing role. The development and implementation of good governance in this facility has been taken seriously in order to promote the nursing role. The following are some of the principles that have been implemented in order to promote good governance in this health facility. The organization looks at all the aspects of service delivery to promote good decision making. All the services that are provided are assessed by both local and outsider drivers to make certain that they are of the best quality. Educational needs...
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...Module 2 Assignment: Research Summary and Ethical Considerations Karissa Skowron Grand Canyon University NRS-433 V Christine Thompson-Sanxter March 13, 2015 Research Summary and Ethical Considerations Understanding a patients’ experiences in relation to pain management is an important evidence based practice in the field of nursing. The significance as a nurse is in the understanding of the patient’s perception of pain in order to administer the appropriate treatments. This particular study was performed to understand the patients experiencing pain that have been hospitalized for cancer treatments. The objective was to obtain different perspectives in order to determine what is believed to be proper pain management. The study included 18 participants each was diagnosed with an advanced stage of cancer involving bone metastases. The data was achieved through interviews, the descriptions that were provided were to remain as low-interference interpretations to acquire an understanding of the essence of pain and management. Through the process it appeared that some of the subjects did have some difficulty expressing their expectations with regards to pain management. The most prominent results were being present and supportive, providing information and knowledge, medicating appropriately according to the orders and the needs of the patient, and finally recognizing the pain emerged as themes of pain management. At the completion of the study it was noted that although...
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...managing the human resources function for your specific organization. One of the main challenges for human resources for a nursing facility is the nursing staff, admissions, and social worker. Due to the nature of the business, caring for the elderly, patients with dementia, etc. it’s very difficult to find the special kind of persons needed for this type of environment. Most facilities have a high turnover rate in nursing, especially CNA’s (certified nursing assistants). This is due partially because CNA’s are usually nursing students, or those who are studying to obtain their LPN (licensed practical nurse) or RN (registered nurse) license. A nursing home is not for everyone. The following staffing standards statistics are summarized primarily from a December 2010 study, “Nursing Home Staffing Standards in State Statutes and Regulations”, by Charlene Harrington, Ph.D. R.N. “Federal Staffing Standards Section 483.30: Nursing Services requires that "... the facility must have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care..." MA Staffing Standards Section 150.007: Nursing Services requires that "...all facilities provide appropriate, adequate and sufficient nursing services to meet the needs of patients or residents and to assure that preventive measures, treatments, medications, diets...
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...The main goal of nursing practice is to provide the patient with the best quality care possible. Therefore, there are tools aimed to track if this is being true in the health care setting. A quality indicator is an evidence-based measure of health care quality, which has been obtained from comparative data in regard to the organizational framework of nursing care, the nursing process, and the outcomes obtained (NDNQI, 2010) In other words, these indicators are a reflection of the quality of the nursing staff, and how assessments and interventions are being performed. It is important to count with these indicators since they provide standardized means by which the performance of nursing care can be evaluated and to identify potential needs for...
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...The purpose of this paper is to take a look at a qualitative research study that was done by the University of Michigan at Ann Arbor. This particular study titled Missed Nursing Care; A Qualitative Study, took a look at the most commonly missed nursing interventions and why they were missed. It also looked at the correlation to the omission and nurse to patient staffing ratios. This study is significant to nursing practice as a whole, because it affects patient outcomes, nursing satisfaction, as well as malpractice issues and hospital payouts. The hypothesis of the study stated there was a common theme in hospitals of repeated omissions in patient care and that it has a direct correlation to patient outcomes and hospital stay length. The study which was qualitative in nature, focused on two hospitals that were geographically separated and had a range of 210-458 occupied beds on a medical surgical unit at any given time. 107 RN’s, 15 LPN’s and 51 Nurse Assistants were assigned to 25 different focus groups. The research was designed so that the subjects were separated and promised confidentiality about their responses. The groups were further segregated so no retaliation could occur between the groups of workers, for instance RN’s could not be in a group with Nurse Assistants. In addition, they were also given the option to make responses on paper in secret to items they had fear of retaliation. Surprisingly, the same themes and reports came up time and time again in the...
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...mechanisms that usually control arterial pressure within a certain (normal) range are altered. Medications 1. chlorothiazide (Diuril)- Acts on distal tubule and thick ascending limb of the loop of Henle by increasing excretion of water, sodium, chloride, potassium, magnesium. Common Side Effects- headache, dizziness, fatigue, orthostatic hypotension, hypokalemia, N/V, anorexia, constipation, urinary frequency, photosensitivity. Nursing Considerations- BP lying, standing; postural hypotension may occur, especially in geriatric pts. Electrolytes: sodium, potassium, chloride, calcium, magnesium; include BUN, blood glucose, CBC, serum creatinine, blood pH, ABGs, uric acid; glucose in urine if patient is diabetic. 2. hydrochlorothiazide (Microzide)- Acts on distal tubule and ascending limb of loop of Henle by increasing excretion of water, sodium, chloride, potassium. Common Side Effects- dizziness, fatigue, weakness, orthostatic hypotension, hypokalemia, N/V, anorexia, urinary frequency, hyperglycemia, hyperuricemia. Nursing Considerations- BP lying, standing; postural hypotension may occur, especially in geriatric pts. Signs of metabolic alkalosis: drowsiness, restlessness. Signs of hypokalemia: postural hypotension, malaise, fatigue, tachycardia, leg cramps, weakness, dehydration. 3. enalapril (Vasotec)- Selectively suppresses reninangiontensin-aldosterone system; inhibits ACE; prevents conversion of angiotensin I to angiotensin II, dilation of arterial, venous vessels...
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...The nine Essentials are: · Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice o A solid base in liberal education provides the cornerstone for the practice and education of nurses. · Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety o Knowledge and skills in leadership, quality improvement, and patient safety are necessary to provide high quality health care. · Essential III: Scholarship for Evidence Based Practice o Professional nursing practice is grounded in the translation of current evidence into one’s practice. · Essential IV: Information Management and Application of Patient Care Technology o Knowledge and skills in information management and patient care technology are critical in the delivery of quality patient care. · Essential V: Health Care Policy, Finance, and Regulatory Environments o Healthcare policies, including financial and regulatory, directly and indirectly influence the nature and functioning of the healthcare system and thereby are important considerations in professional nursing practice. · Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes o Communication and collaboration among healthcare professionals are critical to delivering high quality and safe patient care. · Essential VII: Clinical Prevention and Population Health o Health promotion and disease prevention at the individual and population level are necessary...
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...of Nursing Student’ Name Institutional affiliation Personal Philosophy of Nursing Introduction Nursing is defined by the American Nurses Association as an act of safeguarding and upholding health and capabilities, preventing disease and harm, easing distress by offering diagnosis and treatment of any diseases that threaten the existence of the human race, and advocate for better care for individuals and communities in general (American Nurses Association, 2004, p. 7). Having a personal philosophy in this field is important. Philosophy refers to beliefs, and values of an individual that help reveal underlying values and belief about a field (Watson, 2008, p.259). Seedhouse (2000) defined nursing philosophy as a term that encompasses foundational and universal assumptions regarding the nursing profession.It further stipulates the beliefs and values that touch on the nature of knowledge and truth of the entities in the nursing profession and human wellbeing processes as indicated by the meta-paradigm (p.493). My personal philosophy of nursing is founded on the building blocks of philosophy that are, attitudes, beliefs, and values. There is a need for me as a professional nurse to believe and show the significance of nursing (ANA, 2002, P.15). This can be done by clearly articulating my personal philosophy of nursing. The philosophy will help me define how I can find my unique truth. My personal philosophy building began by trying to answer questions about what nursing means...
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...http://www.nursevillage.com/nv/content/careerresources/mgmtcover_sample.pdf http://www.samplecoverlettersamples.com/cover_letter_samples/medical_cover_letter_samples/cover_letter_sample10.htm |Date | | | |Mr. John Smith | |Department Manager | |ABC Company | |1234 E. Main Street | |Any Town, US 55555 | | | |Dear Mr. Smith: | | | |As a an experience staff RN with experience as an assistant nurse manager, I am seeking to secure a | |position working within St. Joseph's Medical Center providing care to a pre-...
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