...Patient-Centered Care and Communication in Critical Care Pikes Peak Community College Patient-Centered Care and Communication in Critical Care Introduction Communication is a key component in nursing care. As nurses we must communicate with our patient’s, patients’ families, and a wide variety of healthcare team members. Communication can be vital to patient’s lives, informative to physicians, and calming or educational to families. The communication method, or theme, that a nurse uses as part of her care can positively, or negatively, affect every aspect of patient care. Communication plays a huge role in the way I care for patients and their families. Without positive, supportive communication I would have a very difficult time building a trusting relationship with my patients. My nursing career goal is to one day become a critical care nurse. I chose this article to further educate myself about affective communication and how I can apply this knowledge in a critical care setting. As a nurse working in the Intensive Care Unit, communication has a critical role in patient-centered care. The objective of this study was to perform a qualitative analysis of nurses’ communication behaviors to develop interventions that will improve patient-centered communication in the critical care setting. The theoretical model of patient-centered care contains five domains. The five domains include: the biopsychosocial perspective; the patient-as-person; sharing power and responsibility;...
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...was it effective? In order to investigate the different views and opinions that patients have in regards to patient- centered care, interpersonal interviews, a research methodology, was utilized. Interpersonal interviews were conducted in this phenomenological study in order to inquire about the “lived experience” or phenomena of patient’s experience of patient- centered care. This methodology ensured reliability and validity. Reliability was achieved through the interpersonal interview technique by using the same interview framework and the same researcher to conduct all of the interviews. This allowed the data that was being extracted to have consistency. All interviews were applied in a ‘coherent and consistent manner’ through the use of open and in depth discussions about the phenomena of patient centered care. This ensured validity and provided a further insight into the participant’s views of patient centered care. The interviews were accurately recorded and interpreted by two researchers separately to identify different meanings of the data. The methodology used was definitely effective, as it allowed data saturation to occur, which meant that no new themes were forthcoming and the data was repeating itself. This signified that all data that was required on the study of patient centered care was collected. How is the study unbiased? The study or phenomena of patient centered care appears to be unbiased. The concept of phenomenology encourages the researcher to put...
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...Assessment Two template. 1. KWL Chart (20 marks) 2. Concept Map (25 marks) 3. Written prose – justification (35 marks) 4. Nursing Process of Care – Care Plan (20 marks 5. Academic writing and referencing. (Deductions up to and including 5 marks) The following information on pages two - six of this document details each category. 1. 1. KWL - Using the ‘KWL’ template provided, fill in the four column template. Theme Headings – Identify ten major themes for approaching holistic patient care K – What do I already know about the older person and caring for the older person? W – What do I want/need to know about the older person and caring for the older person? L – What have I learnt about the older person and caring for the older person? Theme Headings(Identify the ten major themes) | K | W | L | 1. | | | | 2. | | | | 3. | | | | 4. | | | | 5. | | | | 6. | | | | 7. | | | | 8. | | | | 9. | | | | 10 | | | | (20marks) 2. Concept Map – (Please use Freemind software) Please use a hierarchal Layout aiming to adhere to the following guidelines. a. Concept Map First Layer Thinking about the case scenario, Mr William Taylor, identify ten major themes worth considering when planning your approach of care. Place these ten key themes into your concept map with William Taylor as the centre pod. b. Concept Map Second and...
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...Introduction Palliative care (PC) provides a better comprehensive health care for patients with cancer and their families. Supportive care, pain management and symptom control at the end of life are valuable and common services provided by the PC team (World Health Organization [WHO], 2002). However, there are many challenges and barriers for PC in developing countries such as: health care and public literacy about PC, opioid phobia, policies and regulations to access and prescribe opioid, limited resources and adequate education and training (Bingley & Clark, 2009). The presence of these problems plays a major role in providing suitable and accessible symptom management for many oncology patients. In Saudi Arabia, between 2007 and 2011,...
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...Evidence-Based Practice March 17, 2015 Overview of Quantitative vs. Qualitative Articles Using two research studies selected from the list of articles provided. I choose A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014) and Impact of a Smoking Cessation Educational Program on Nurses' Interventions (2014). The purpose of this paper is to do an overview of both a quantitative and qualitative article. Review each selected article on learning about study design, by identifying information from each component of the study. Then evaluate the strengths and weaknesses of each study. Overview of Quantitative Article Research Question According to the article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), the research question is, does patient hand hygiene included in the bundle strategy help decrease Clostridium difficile infections? According to information found in Chapter 3 (Adams, 2012), using the abstract of problem-solving, nursing process and research process, the information found in this study was impertinent to the outcome. Determining that hand washing does help decrease c-diff infections. Study Design The article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), is a quantitative study, and non-experimental design gathers the information. Non-experimental design as defined in Chapter 6 (Adams,...
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...constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted. A1. The current practice in the emergency department that I work in when admitting a patient to the medical floor goes something like this. 1. Emergency department doctor enters orders for a consulting doctor to come and look at the patient to determine if an admission is warranted. 2. The consulted admission doctor assesses the patient and determines admission diagnosis. 3. Orders are written for admission. 4. Admission orders and chart is assessed to determine if the patient meets inpatient or observation criteria by case management registered nurses. 5. Once inpatient vs. observation status is determined, case management puts up an indicator on patient chart that bed can be ordered. 6. Primary RN requests bed from bed board using computerized bed request form. 7. Bed board assigns room to patient and places an indicator on patient chart with room number. 8. Primary nurse calls floor that patient is assigned to and asks to speak to nurse assigned to patient. 9. Phone report is given to accepting nurse. 10. Patient care tech transports patient to room. 11. Accepting nurse and...
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...Historical Development of Nursing Timeline Historical Development of Nursing Timeline The 19th century marked the beginning of professional nursing. Florence Nightingale was the legend behind it as she began the struggle of nurses being recognized as professionals. It is hard to believe that nurses were once assigned to the job as a sentence for crimes committed or for the women who were too old or sick to hold conventional jobs. Nightingale’s focus included infection control, documentation, patient safety, confidentiality, and evidence based practice, which seems common place today, but was very forward thinking for that period. The era of Florence Nightingale is just the beginning of the timeline of significant events and theoretical development that shaped the evolution of modern nursing and nursing science. Timeline 19th century | * 1836: Kiaserworth Deaconess Institute opens the first recorded school of nursing in Germany. * 1850: Florence Nightingale attends Kaiserworth for three months of training. * 1854: Florence Nightingale was nicknamed the ‘lady with the lamp’ by the soldiers during the Crimean war. This period is where she developed the foundation for evidence based practice. * 1860: The Nightingale school of nursing was established and incorporated theory as well as clinical experiences. She was the first nursing theorist. * 1861: Dorthea Dix is chosen as the first superintendent of the United States Army nurses. * 1874 The University of...
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...Concept of Care from a Nursing Perspective Student’s Name Institution’s Name Concept of Care from a Nursing Perspective Care is a universal concept that applies primarily to health. From time immemorial, women have been considered as the primary caregivers in family units. Women always have been responsible for the well-being of the family and the community. If a member of the family or the community fell ill, the women were the only ones tasked with the responsibility of caring for this individual until he/she got better. This narrow definition of care has expanded over the years and has been inculcated fully into the medical profession. Care and nursing have become so intertwined up to the point that they can be considered synonymous. Currently, nurses are the care-givers to patients in hospitals and homes for the elderly. As a critical element in nursing, it is essential that the concept of caring is thoroughly analyzed. The subject cannot be taken as a small matter as it has a crucial impact on the process and outcomes of nursing. The purpose of nursing is to render health services that will ensure that the patients get better and are able to continue with their lives. Care is essential in ensuring that this purpose of nursing is met in the hospital, health center or home. Concept and Purpose The concept under study in this paper is care. This paper seeks to investigate the concept of care from a nursing perspective to determine...
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...competencies between the two degrees, and that hospitals employed with bachelor’s degree nurses have better patient outcomes (Aiken, Clarke, Cheung, Sloane & Silber, 2003). Associate degree nursing education was developed more than sixty years ago at the end of World War II. There was a shortage of nurses, and a project was initiated for the two- year degree. Doctor Mildred Montag, the project director, designed the curriculum to be patient centered instead of disease centered. It consisted of approximately half nursing courses and half general education courses. Fundamental concepts were instilled in the students in the beginning of the program, and by the second year were built on with more complex concepts. Clinical experiences were also different in that it included community facilities, in addition to hospital-based experiences. The two- year program deemed itself successful, and became a stimulus for growth. Even with the associate degree’s success, it has been a controversial subject when compared to the baccalaureate degree (Mahaffey, 2002). In 1960, the American Nurses Association promoted the baccalaureate program to become “the basic educational foundation for professional nursing” (Mahaffey, 2002). This caused many disagreements within different nursing organizations. Technical nursing versus professional nursing, and differentiated nursing practice became a common theme...
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...Building an Ethical Organization is not only important but also crucial to any organizations overall success. I am the newly appointed director of the Public Women’s Health Center. This organization is dedicated to helping out by providing women’s services and family planning to those in need. The Women’s Health Center is a provider of OB GYN care with excellence in family planning and counseling. WHC is a non-profit organization and a leader in health care for women today, with the most advance technology we are able to keep up with the ever changing times as well as the ever changing needs of the community to. The clientele for this organization will mainly be at risk women (youth) in the community as well as those in need of services because they cannot afford the treatment. The clientele is usually poverty stricken and have no other means for treatment otherwise. As the director I had the distinct pleasure of creating a mission statement that will strategically guide this organization through daily operations and decisions. The mission statement written expresses just that, guidance. The WHC mission statement: “To provide quality care, compassion and comfort to those within the community in need.” This mission statement supports the ethical system because it addresses the needs of the clientele as the main focus of the organization which is what the focus is supposed to be about as well as through acting as guiding purpose of all organizational and professional behavior...
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...Research Critique, Part 1 XXX Grand Canyon University: NRS 433V XXX Research Critique: A Qualitative Study Researchers completed a study seeking out barriers to the implementation of non pharmacological interventions for patients with dementia by nursing home staff. To better recognize and understand these barriers and to in hopes of providing a stronger evidence base for cultural change, researchers elicited nursing staff, recreational therapists, activity personnel and medical directors in a study titled “Its About Time: Use of Nonpharmacological Interventions in the Nursing Home.” Problem Statement Dementia is one of the most common diagnoses on the rise amongst the geriatric population. Alzheimer’s The most common form of dementia is Alzheimers, affecting well over 5 million people nationally. Institutionalization is common amongst this population as the disease begins to progress, typically bringing on behavioral and psychological symptoms of dementia (BPSD) including agitation, aggression and depression. This population is recognized as vulnerable and fragile, both mentally and physically. Many frequently have physical comorbidities along with dementia. This issue of suffering from comorbidities brings on the prescribing of multiple medications, which over time interact and accelerate their functional decline (Kolanowski, Fick, Frazer, Penrod, 2009). Due to the lack of beneficial effects when weighted against both short and long term adverse effects of various...
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...of Ethics Compare & Contras Concordia University Code of Ethics Compare & Contrast The three codes of ethics that I chose to compare and contrast are those of the American Health Care Association (AHCA), the Health Information Professionals (HIP), and the American Nurses Association (ANA). Each one of these organizations have areas that are very similar to each other, as well as areas that are completely different. This paper points out the most common ethical codes which are practiced by each of the three establishments while on the same hand showing how vastly different they are. American Health Care Association The first code of ethics is from the American Health Care Association, or AHCA for short. What I found interesting about this particular code of ethics was that it seemed to be right down the middle compared to the other two. The ethics of the AHCA seem to be greatly centered on long term care for those in the community who need it and the standards of which they are upheld to. There is also more emphasis on self-accountability and just being a good person by doing what is right. The AHCA also considers itself as a model for other healthcare organizations when it comes to establishing the moral guidelines for employers as well as employees to follow. Patient advocacy and the strength of the relationship with the community are repeatedly emphasized in these ethics codes, which suggests that above all, healthcare providers should put the needs of those...
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...move continuously from a small nursing skills class several decades ago up to the philosophy’s degree in nursing practice today. Since nursing is the holistic care of a human being, as caregivers, we must continue to invest time and effort into providing more advanced nursing to our holistic beings for their better health. According to the Institute of Medicine (IOM), nurses must be 80 % baccalaureate prepared RN workforce by 2020 (AACN Face Sheet, 2015). Therefore, nurses must endeavor to achieve the Bachelor of Science in nursing (BSN) for more competencies in their lifetime working field. Needless to say, patients will receive highly qualified care based upon enhanced education. Thus, BSN education preparation should be differentiate in order to meet these expectations. Different Competencies between the Associate-Degree Versus the Baccalaureate Degree Level The enlightened preceding nurses through many experimental years have developed many characteristics for a professional nursing. Currently educated nurses utilize their competencies that acquired from school in many different clinical setting environments. Compare to Associated degree level (ADN) focused on learning basic clinical skills within two years, BSN programs broadened learning realm along with the education centered on the art and science of nursing in four years (Walters & Kluwer, 2012). For example, ADN nurses tend to have better grasp on nursing skills and tasks such...
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...From Chronic to Critical: A Latino Family Confronts End-of-Life Decisions By Karen Peterson-Iyer Gabriela Rivera is an 80-year-old Puerto Rican immigrant, who lives alone in her rent-controlled apartment in New York City. She has lived in the United States for almost 40 years and speaks some English, albeit somewhat hesitantly. Her primary language is Spanish. Although she is now retired, for years Gabriela worked in a factory where she was exposed to a variety of industrial chemicals now considered toxic. Gabriela's husband died four years ago of a massive heart attack. She has six adult children, three of whom now live out of state. Gabriela is a devoted mother, calling her children as often as she can afford and even sending them homemade sweets. She raised her children through their teenage years in the same apartment in which she lives today. She is loath to leave it, although she now pays the rent only with great difficulty and substantial financial help from her children. Gabriela has long suffered from high blood pressure, which she controls with medication. She also has type-2 diabetes. When she was originally diagnosed with diabetes, she met once with a nurse who advised her on diet, exercise, and weight control, but Gabriela has found it difficult to adapt her traditional tastes in food and her lifestyle to the recommendations the nurse offered. Subsequently, Gabriela's doctor prescribed medication to help keep her diabetes under control. She tries to take her medication...
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...Online Training E. Staff Development training III. Managing staff turnover IV. Outpatient vs. inpatient services V. Weaknesses of management VI. Recommendations VII. Conclusion VIII. Reference list Management at Stamford Hospital Introduction Stamford Hospital is one of the leading hospitals in healthcare provision in Stamford and Connecticut at large (Frampton & Charmel, 2008). The hospital is a non profit organization and has been in the business for more than 100 years (Heuer, 2004). Stamford Hospital is said to have created about 2300 job opportunities for health care providers (Daft & Marcic, 2005). Its vision is to offer quality health care services to its patients. The hospital makes use of the new technology and is one of the Planetree Alliance member hospitals. The Planetree Alliance members are obliged to provide patient centered services meaning all members must focus on maximizing their patient’s satisfaction. The hospital provides medical services in areas such as cancer treatment, cardiac services, orthopedics and general health (Spinelli, 2006). Stamford Hospital is a partner of the New York-Presbyterian Healthcare System and a key training partner of the Columbia University which offers medical courses (Heuer, 2004). The hospital has an employee development program that mainly focuses on equipping employees with the right skills to achieve its corporate goals (Newmark, 2006). The hospital recorded its first positive profit...
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