Nursing 300: Foundations of Professional Nursing By: Jayme Shulman, RN 0ctober 28, 2012
America’s health care system has become very complex with a rise in health costs, patients with complex medical issues, and Medicare cuts. Nurses must find a way to juggle the health care industry while maintaining positive patient outcomes. Patients will either have good or bad outcomes during or after their care based on the decisions of the nurse and the interdisciplinary team. The new goal in healthcare is for outcomes to be patient centered. This means that the patient is looked at holistically and also that the patient is equally involved in the care planning process as the nursing and medical staff. This topic allows for nurses and nursing students to apply to Goodwin College curriculum framework based on the “Wellness Model” and “QSEN”. The nurse must collaborate with the patient and other members of the medical team to help the patient achieve the highest level of wellness. If this happens, then the patient has achieved a positive outcome. Not all patients will have positive outcomes. The goal for nurses is always to help the patient achieve the highest level of health and wellness. “Healthcare aims to maintain and improve patients’ conditions with respect to disease, injury, functional status, and sense of well-being.” (Paget, et al., 2011). QSEN are competencies for quality and safety in nursing education. This model revolves around patient centered care, teamwork and collaboration, evidence based practice, quality improvement, safety, and continuing education. (Altmiller). Nurses must demonstrate knowledge, skills, and attitudes that promote not only quality, but safety in patient centered care. Patients need to be able to be a partner in decision making and have their values, needs, and preferences be respected. Quality patient outcomes are achieved by a strong team of professionals who are able to communicate
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