...Nursing Practice: Acute NURS7113 Nursing Practice: Acute NURS7113 Due Date: 2nd May 2016 by 0900hours Due Date: 2nd May 2016 by 0900hours Paper Coordinator: Paper Coordinator: | Faculty of HealthAssignment Cover Sheet | Please complete this sheet and attach to your assignment, ensuring that you print clearly. Student ID: | 21303376 | | | Student Name: | KrishnitaSen | | | Programme Name: | Bachelor of Nursing (Pacific) - Year 3 | | | Paper Name: | NURS7113: Nursing Practice- Acute | | | Assignment Name: | Summative Case Study and Reflection | | | Tutor Name: | | | | Date Submitted: | 2nd May, 2016 | | By submitting this assignment, I certify that the work presented follows the guidelines set out in the Programme Handbook and is my own original work. We reserve the right to withhold marks or request further information if we are not satisfied that the work presented is the student’s own, or has been referenced appropriately. Introduction A nurse has a crucial responsibility to make accurate and appropriate clinical decisions in an acute setting working in partnership with health consumers across varies lifespan (Crisp, Taylor, Douglas, Rebeiro, 2013). The assignment aims to help develop the clinical skills of a nurse by demonstrating key aspects of client-centered nursing care in an acute setting during the placement. This assignment is based on a health consumer; that was encountered during clinical placement who is of...
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...improved patient outcomes. This focus is not only important for the patient’s health, but has become vital for the financial well-being of healthcare organizations. The United States has consistently ranked among the highest in healthcare costs and the lowest in improving patient outcomes when compared to other industrialized nations (Davis, Stremikis, Squires, & Schoen, 2014). There are multiple national organizations and initiatives designed to improve the state of healthcare in the U.S. and this topic is often debated at all levels of government. The Centers for Medicare & Medicaid Services (CMS), along with the Agency for Healthcare Research & Quality (AHRQ) developed a standard set of survey questions which are publically reported designed to measure patient’s perceptions of their “hospital experience.” The survey instrument is called the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) which allows hospitals and consumers the ability to compare hospitals to one another on topics important to patients. The survey also serves as a tool to enhance accountability through transparency and creates incentives for hospitals to improve the quality of the care they provide (Centers for Medicare & Medicaid Services, 2014). Nursing plays a vital role in the hospital’s HCAHPS comparison measures. The patient’s perception of the hospital “experience” includes several nursing-specific areas: communication, responsiveness, pain control, education...
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...for Nurses in Australia Developed under the auspices of Australian Nursing and Midwifery Council, Australian College of Nursing, Australian Nursing Federation Introduction This Code of Ethics for Nurses in Australia has been developed for the nursing profession in Australia. It is relevant to all nurses at all levels and areas of practice including those encompassing clinical, management,education and research 1 domains. This Code is framed by the principles and standards set forth in the United Nations’ Universal Declaration of Human Rights, International Covenant on Economic, Social and Cultural Rights and International Covenant on Civil and Political Rights; the World Health Organization’s Constitution and publication series entitled Health and Human Rights; and the United Nations Development Programme Human Development Report 2 2004: Cultural liberty in today’s diverse world. In considering this Code and its companion, the Code of Professional Conduct for Nurses in Australia, it should be borne in mind that they are designed for multiple audiences: nurses; nursing students; people requiring or receiving nursing care; the community generally; employers of nurses; nursing regulatory authorities; and consumer protection agencies. It is also noteworthy that the concepts of ‘ethics’ and ‘morality’ are substantially the same and have been used interchangeably throughout this Code. This Code outlines the nursing profession’s commitment to respect, promote, protect and uphold the...
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...Important Attributes Of Quality Health Care: Consumer Perspectives - Brief Article IMPORTANT ATTRIBUTES OF QUALITY HEALTH CARE: CONSUMER PERSPECTIVES M H Oermann, T Templine Journal of Nursing Scholarship Vol 32 no 2 (1998) 167-172 Personnel at contemporary health care agencies are identifying patient outcomes to evaluate services and patient care. This research focuses on consumer perspectives of high quality health care. Consumer perspectives or expectations have been found to be based on demographic characteristics, health care experiences, and specific concerns related to consumers' unique health problems. Further, patients evaluate their experiences by comparing their expectations to actual events. Satisfaction occurs when events match expectations. The purpose of this research was to allow consumers to identify important attributes of quality health and nursing care and to examine the relationship of consumer perspectives to health status and selected demographic variables. Method and sample. This exploratory study examined a convenience sample of 239 health care consumers, of which 50% were recruited from homes in neighborhoods of a large metropolitan area (ie, urban and suburban) in the Midwest, and 50% were recruited from waiting rooms of clinics in the same neighborhoods. These participants included 149 women (63.1%) and 87 men (36.9%). These gender totals equal 236, whereas previously stated the sample size was 239. This discrepancy was not addressed in the article...
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...The purpose of this essay is to discuss, within a case study context, the impact of severe mental health problems on a client whose care I have been involved in and, to discuss how the condition has affected the person, their informal carers, family and supporters. This essay will aim to provide an explanation of severe mental illness as well as an overview of the chosen client’s background, diagnosis and the impact this has had on them and those involved in their care. To protect the identity of the client and to respect the principle of confidentiality, a pseudonym has been used throughout this essay (NMC, 2008). The reason for choosing John for my case study is that having worked with him for approximately 2 years now, I feel I have already developed a therapeutic relationship with him. Having this Therapeutic relationship means there is an ongoing rapport resulting in John feeling at ease in disclosing personal information.. There is no universal understanding of what a severe mental health illness is it tends to be seen differently by the person experiencing it, their family and doctors. The term can refer to an illness where psychosis occurs, e.g. Schizophrenia; it also includes mood disorders, e.g. manic depression, schizoaffective disorder and clinical depression, and often referred to severe mental illness Psychosis describes the loss of reality a person experiences. (Rethink, 2009). This case study is based around a 24-year-old man who shall be referred to as John...
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...the concept of nurse-patient relationship because this relationship is viewed as the essence of nursing practice (Moyle 2003). This essay’s aim is to demonstrate my understanding of the concept of the nurse-patient relationship through utilising relevant literature and relating this to a specific incident in my practice-experience. I will briefly explain an incident which I was involved in prior to identifying and discussing the significant aspect of the incident. Peplau‘s (1953) interpersonal relationship model and Rogers’ (1951) model of Self-Concept in mental health nursing will be used. I will then reflect on my learning and how this will impact on me as a registered mental health nurse. According to Julia and George (2002) a concept is an idea, thought, or notion conceived in the mind. These ideas or thoughts may be experimental or actual, depending on their ability to be observed in the real world. Meleis (2007), on the other hand, defined a concept as a term used to describe a phenomenon or a group of phenomenon. Nursing theories have been defined as reservoirs in which findings that are related to nursing concepts ,such as comfort, healing ,recovering, mobility rest caring enabling fatigue, and family care are stored ( Pearson 2005 ). I have used the pseudonym, Anna, when referring to the patient in order to protect her confidentiality in accordance with the Nursing and Midwifery Council’s Code of Professional Conduct and Ethics (NMC, 2008). I will...
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...oriented. He shows no signs of mental illness. He suffers from COPD, occasional CHF, and osteoporosis. The nursing home facility’s physician explains the treatment plan to the resident, which includes physical therapy, occupational therapy, and a low salt diet. The resident has no complaints, except that he is happy to be wheeled around in the wheelchair by the staff. He refuses PT and OT. Also, he keeps a salt shaker in his shirt pocket and takes his meals in his room. What is your plan as the Administrator in the nursing home in caring for this resident while balancing his resident rights? As the Administrator I will ensure the resident rights for this resident are provided and that the facility’s staff follows policies and procedures. Upon Admissions the resident would be provided a copy of the facility’s admission packet/contract, including payment sources and written information regarding his rights and facility policies. At the time of admissions the resident would be given written information concerning his rights to make decision concerning medical care, including the right to accept or refuse medical or surgical treatment, and the right to formulate advance directives. The resident would be given a written description of the facility’s policies that govern the exercise of these rights. Receipt of the above information will be acknowledged in writing to ensure the resident know his rights and responsibilities. The nursing home facility’s...
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...Aging of America and The Preventive Measures we take Christopher J. Murray Professor Adler HCM 625 Selected Learning Activity for December 2012 { Salem International University, Healthcare Management Program } Abstract Between now and 2030, the number of Americans age 55 and older will almost double. To put the demographic numbers into perspective, we will see 60 million to 107.6 million; a 10 percent increase as the Baby Boomers will reach their retirement age. Within that same time period, the number of Americans over 65 will more than double, with an increase in population of 34 million to 70 million; an almost eight percent increase (Administration of Aging). The average life expectancy has increased almost 20 years for females and 16 years for males, in part due to the advancements of our educational system and healthcare. We, as Healthcare Managers, must plan accurately because of this current trend of extended longevity. Fail to prepare, prepare to fail. What do these words mean for our country? It is imperative that we, as Americans, prepare for the future in all aspects due to such a large population. We will see drastic increases in aging, income, and the need for a practical plan by every American because of the statistics that have been listed. The proof is in the pudding by showing the statistics given by the Administration of Aging; we see increases in all age brackets...
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...Introduction When one thinks about the historical developments in nursing research and research utilization, the statement is indeed true… that nursing has evolutionalized. This brief journey into historical research has been described by LoBiondo – Wood and Haber (1998) as ‘the systematic compilation of data, resulting from evaluation and interpretation of facts regarding people, events and occurrences of the past’ History is where we come from, who we are, and where we are going. History may not always repeat itself exactly, but knowledge of history can serve as a guide to avoiding pitfalls or mistakes similar to those in the past (Rees and Howell, 1999) Developments covered will include the work of Florence Nightingale, the development of the Nursing Science Journal and the Agency for Healthcare Research and Quality (AHRQ), the identification and development of the first nursing diagnosis conference and the development of the Healthy People 2010. Florence Nightingale is best known as the person who founded modern nursing. She chose nursing despite the disapproval of her family. Her choice to rebel against the traditional woman’s role as a wife and mother helped her as she started her initial research role by focusing on the patient’s physical and mental wellbeing and promoting a healthy environment. She is noted for her collection and analysis of soldier morbidity and mortality data during the Crimean War. The research enabled her to change the attitudes of the military and...
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...Leadership Interview NUR 492 June 30, 2014 Leadership Interview Could you speak a bit about your background and the role you have today? I first started school for engineering, and then after two years I found my passion was in nursing. So I started over at school, taking different types of classes as I pursued nursing, and three years later graduated with a nursing degree. Several different paths where traveled in nursing for me, meaning I tried many different departments and assignments. Then by accident I ended up as an RN case manager for mentally ill clients. Psych was never my intended path, but I loved it from the first day. I am now a Manager of a group of outpatient clinics for mentally ill clients and love it. I cannot see myself doing anything else now. How would you describe a leader? A good leader is only as good as the group you are leading is what I was always told. That does help, but there is a lot more that goes into it. I believe a quality leader should also be a good teacher. A leader needs to have the knowledge to pass on to those they lead. A good leader has to be able to listen as well. While those under me may look to me for answers, I have to realize that I may not always have that answer. I may have to take input from my staff, my superiors, and even clients in making proper decisions. Another attribute that is important is a critical thinker. A leader has to think on the go, and know that the answers are not always text book answers. Thinking...
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...Bachelor Degree versus Associate Degree So, Why? The reason why this is the million dollar question is because one will not know until they are at the next level. For that reason I referred to my husband who has an advance degree in nursing. He graduated more than twenty years ago with an associate degree and went on to obtain a bachelor degree so after. He stated that when “he was in school the pending threat was that Associate Degree Nurses (ADNs) will be phased out in the future.” For that reason he went on to obtain his bachelor. However, as the years passed he realized that time was repeating itself and nurses over the decades were being told year after year ADNs will be phased out. But it was both far from the truth but gradually becoming a reality. In the book, Nursing Against the Odds, Susan Gordon identified that in the 1990’s nursing was under attack through the establishment of the managed care system. She stated that “many hospitals responded with cuts and restructuring plans that drastically increased the workloads of individual nurses, even as the cost pressures also meant the average hospital patient was sicker and the average stay shorter, so the patient actually needed far more care.” Now my husband a 1992 graduate confirmed this by identifying working on a 44 bed cardiac post-open heart unit with only four registered nurses and two licensed practical nurses each shift. The nurse to patient ratio was 10:1 with a medication nurse. At that time he thought how...
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...Recovery Model Introduction If the famous quote by Heraclitus, “The only thing that is constant is change,” is true, then one must wonder how the mental health field resisted change for so long. In light of the modern age, characterized by scientific methodologies, the mental health field advanced rapidly. Amazingly, the human condition could be put to test, understood and categorized. Sadly, anything falling outside the “norm” became “abnormal.” Once a person was identified as “abnormal,” they were the lucky recipients of a label they carried with them for life, or until they “recovered.” Mental health labels carry with them a certain stigma that communicates to the person they are different, perhaps less of a person and that “normal” may never be a reality with their “illness.” Recovery would be based on becoming symptom-free, or at the very least, a significant reduction in symptoms (Gehart, 2012). The mental health field has experienced tremendous growth in terms of understanding the plethora of conditions people experience, as well as in treatment of those conditions. However, one thing remained unchanged until recently. The idea behind recovery shifted from coercive treatment to person-centered change (Onken, et al, 2007). Gehart states is this way, “instead of using the medical paradigm of disease, the recovery paradigm approached mental “illness” using a social model of disability that emphasizes psychosocial functioning over medical symptomatology” (2012). The focus of recovery...
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...End of Life Population Health Framework University of Massachusetts Medical School Fall, 2011 Articles 1. http://www.cancer.gov/cancertopics/factsheet/Support/end-of-life-care 2. http://www.loisgreenlearningcommunity.org/ < Compare and Contrast: The National Cancer Institute’s End of Life Care Questions and Answers on their website are written more the for caregiver or patient and describe what end of life care refers to. It’s formally written and describes each step or phase of care from initial diagnoses of end of life approaching or withdrawal of life saving measures such as chemotherapy to knowing when the patient has passed. It describes ways to take care of a patient at the end of life and when to call for professional help. It’s mainly geared toward the caregiver and really addresses all issues in providing care no matter how minor. The priority here is the well being and education of the non-professional care taker and the patient. The Lois Green Learning Community is an online resource for health professionals and a community to share experiences and also take care of yourself by doing so. It’s a place to blog or unwind about an experience, there are many resources listed for certification for palliative care and how to treat patients. It’s written with a very open and warm way and it’s a safe place to share your experiences, not formal and official like the NCI website. Communities like this are very important for health professionals to have a place...
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...evolution of the nursing profession has developed over the centuries, from the times of the Egyptians and stories garnered from the saving of the infant Moses, to the beginnings of the nursing process with Florence Nightingale, and to present professional practices. At the heart of practicing as a nurse is the mission to provide expedient, effective and compassionate care to patients to allow for recovery to regain a quality of life that is acceptable personally and socially. A. Functional Differences Professional development of nursing is imperative to maintain goals of continuing nursing practice. Organizations within this profession serve to regulate and enhance nursing practice, specifically regulatory agencies, such as boards of nursing, and professional organizations, comparable to the American Association of Critical-Care Nurses. Boards of nursing have multiple roles but primarily exist to safeguard the public’s health, safety, and welfare through these functions. Within each state, a board exists that regulates nursing practice through establishing minimum practice standards, approving schools of nursing, developing and adopting regulations, investigating complaints against nurses, conducting disciplinary hearings, and collaboration with consumers and nurses alike to increase public awareness (Board Mission, n.d.). Nursing boards are able to establish a standard of practice that each nurse is responsible for adherence. Professional nursing organizations (PNO)...
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...evident in everyday language in nursing and definitions of the term are variable. Definitions suggest it has a broad purpose in nursing and can appear to have a lack of accord and focus. Jones (1999) suggests that clinical supervision offers nurses guidance, support and education and is concerned with quality, safety and protection of clients which reflects the Department of Health ‘Vision for the Future’ (1993) interpretation of clinical supervision as a: ‘formal process of professional support and learning which enables individual practitioners to develop knowledge and competence, assume responsibility for their own practice and enhance consumer protection and safety of care in complex situations. It is central to the process of learning and to the scope of the expansion of practice and should be seen as a means of encouraging self assessment and analytical and reflective skills.’ The following assignment aims to demonstrate a critical appraisal of the concept of clinical supervision, critique the process and the outcomes of clinical supervision and review contemporary research that directly informs understanding and application of clinical supervision to practice. It will also reflect on personal knowledge, skills and attributes required for effective clinical supervision and evaluate the impact that clinical supervision has on health and social care practice with the emphasis on my professional discipline of nursing/ mental health nursing. During this paper I will...
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