Admit the patient using critical thinking skills to assess and prioritise nursing interventions related to Audrey’s.…
Kari Sand-Jecklin and Jay Sherman, (2014) have stated that their study had been conducted for quantifying the quantitative outcomes of a practice change to blended form a nursing report. In this regard, several advantages of bedside nursing shift report have been identified in the literature. But the published studies failed to adequately quantify the outcomes related with this process change as these studies had either unreported or small sample sizes or were not tested for statistical significance. The method used in the study was that several medical surgical units from a large university hospital implemented a blend of recorded as well as bedside nursing report. The outcomes that would monitor included the satisfaction of the patients and nurses, patient falls medication errors and nursing overtime. It was found in this study that there were statistically significant improvements taking place in post-implementation in the four patient’s survey items particularly impacted by the…
Nursing- Sensitive Indicators are factors that can be used by nurses to directly impact the outcome for the patients they serve (Sauls, 2013). If the nurse had used what was known about nursing-sensitive indicators the outcome would have been positive for the patient and family. Nursing-Sensitive Indicators use structure, process, and outcomes to develop nursing care geared for the patient and directs the nurse to carry out the care needed for that patient. The structure of nursing-sensitive indicators looks at various aspects of nursing such as staffing levels, mix, experience, and education level (Sauls, 2013). Structure looks at the number of Registered Nurses (RN), Licensed Practical Nurses (LPN), and Certified Nursing Assistants (CAN)…
References: Birz, S. (2005). Electronic surveillance provides hospital infection control. Retrieved July 15, 2012 from http://www.nursezone.com/NursingNews-Events/devices-and-technology/Electronic-Surveillance-Provides-Hospital-Infection-Control_23980.aspx Digitalized Medicine. (2009). EMR Selection: Roles of Project Team, Project Manager and Decision Making Process. Retrieved July 26, 2012 from http://www.digitizedmedicine.com/2009/08/emr-selection-roles-of-project-team-project-manager-and-decisionmaking-process.html Goth,G. (2006). Raising the Bar. Barcoding has the potential to dramatically reduce medication errors. Healthcare Informatics. Retrieved July 25, 2012 from http://www.healthcare-informatics.com/ME2/dirmod.asp?sid=9B6FFC446FF7486981EA3C0C3CCE4943&nm=Articles %2FNews&type=Publishing&mod=Publications%3A %3AArticle&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=E4E1FB00EF4C4434A7081D01BFDE42C5 Newbold, S. (2011). A New Definition for Nursing Informatics. Advance for Nurses. Acces July 26, 2012 from http://nursing.advanceweb.com/ article/a-new-definition-for-nursing-informatics.aspx Ozbolt, J. (2000). Terminology standards for nursing: Collaboration at the summit. Journal of the American Medical Informatics Association, 7 (6), 517–522. Thede, L. & Sewell, J. (2010). Informatics and Nursing: Competencies and Applications, Third Editions. Interoperability at the National and International Level, (pp. 266-285). Copyright 2010, Philadelphia, PA: Lippincott, Williams, and Wilkens. US Department of Health and Human Services. (2012). Health Information Privacy. Retrieved July 25, 2023, from http://www.hhs.gov/ocr/ privacy/hipaa/understanding/srsummary.html Weber, V., Wright, A., & McIlvried, R. (2008). An electronic medical record (EMR)-based intervention to reduce polypharmacy and falls in an ambulatory rural elderly population. Journal of General Internal Medicine, 23(4): 399–404. Retrieved July 25, 2012 from http:// www.ncbi.nlm.nih.gov/pmc/articles/PMC2359523/…
The National Database of Nursing Quality Indicators (NDNQI) established by the American Nurses Association (ANA), provides reports on how care, specifically provided by nurses, affects patient outcomes. Based on these reports, the ANA has developed a national set of nursing sensitive indicators that measure the process of care, the structure of care, and patient- focused outcomes in a health care setting. NDNQI 's aim is to help nurses plan and implement patient safety and quality improvements through evidence-based care (Montalvo, 2007).…
As a result of the introduction of computer technology and the combination of evidence-based practice in nursing; standardization of terminologies has become imperative in the classification of nursing diagnosis, interventions and expected outcomes. The most popular and successful systems are the North American Nursing Diagnosis Association International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) (de Lima Lopes, de Barros, & Marlene Michel, 2009). This paper aims to provide a brief outline of these standardized terminologies (STs) as they relate to a patient with congestive heart failure (CHF), to identify the elements of NANDA-I, NIC, and NOC, and describe the data, information, knowledge and wisdom (DIKW) used during the process.…
Classmate 1 provides a clear outline of the various nursing categories, which enables the reader identify differences. The value of the insights provided is enhanced by categorizing nurses and showing their respective education and responsibility levels. The comparisons assist to bring out the skills and competencies that each category requires. Consistent with Catalano (2015), the review succeeds in providing a succint highlight of the scope that each category of nursing cover. Overall, Classmate 1 helps in identifying the contribution that each category makes to the well-being and health of patients while validating the significance of each category.…
The American Nurses Association has identified several areas of patient care as indicators to improve the care patients receive from nursing staff. These nurse-sensitive indicators can change the outcomes of the care nurses provide. Nurses need to be aware of these indicators so they understand the relationship between the care they provide and the results their patient’s experience.…
Nursing informatics can best be described “as the integration of data, information and knowledge to support patients and clinicians in decisions across roles and settings, using information structures, process, and technology” (Knight & Shea, p. 93). Nursing informatics has evolved over the last half decade from a system with only a few abilities to a worldwide technological system used in many hospital settings and physician offices in order to unify healthcare, eliminate error, and allow clinicians to spend less time charting and more time fulfilling job duties.…
A standardized nursing language for documentation of nursing care is important to the nursing profession and to the care providing nurse (Rutherford, 2008). Nursing has always faced by two challenges including, to distinguish nursing contributions in patient care from medicine and to incorporate nursing care into the healthcare to improve the patient’s care. As the development of Electronic Health Records (EHR) and the establishment of Nationwide Health Information, these challenges become more significant. It became essential to identify nursing contributions in patient care and to incorporate elements of nursing care in to the EHR. This quandary was resolved by using standardized nursing terminologies to reflect the uniqueness of nursing…
In 1966, the American Medical Association first founded Current Procedural Terminology (CPT) codes. In the United States, CPT codes are five-digit numbers used as an unvarying style of language used to report medical services in terms of reimbursement (American Academy of Professional Coders [AAPC], 2016). Acute care nurse practitioners (ACNP) need to be proficient in using CPT codes because those codes are directly related to an ACNP’s pay (Richmond, Thompson, & Sillivan-Marx, 2000). A crucial aspect of using CPT…
In 1893, physicians realized the importance and the value of the standardized language (Rutherford, 2008). This recognition increase when the physician realizes how the standardization improved the communication between health care professionals (Rutherford, 2008). With the beginning of the standardization system, medical diagnosis developed many classification and codification diseases to have evidence in the medical practice (Rutherford, 2008). An example of this classification system is DMS-IV for mental disorders diagnosis (Rutherford, 2008). This standardization helps the multidisciplinary team understand the patient’s diagnosis (Rutherford, 2008). In 1973, The American Nurse Association introduce the standardized language and for the years to come has been developed different nursing communication systems as Nursing Interventions (NIC), Nursing Outcomes (NOC). The use of standardized nursing languages enhance communication care not only nationally, but internationally (Rutherford, 2008). This is very important because the help and the care will be the same at any place in the world. This help every nurse to know what an effective care…
Implementation of an EHR and demonstration of meaningful use should not make a nurse's job more difficult. According to Mihalko (2012), “a well-designed EHR should support the nurse by streamlining processes and workflows, assisting with intelligent decision support at the point of care, standardizing documentation, and making data entry and data retrieval faster and more accurate” (p.2). The focus should include medication administration safety, transparency of the nursing process, diagnosis prioritization, and electronic workflow development should standardize and improve communication. By using their voice nurses must begin to expect solutions that improve electronic documentation, communication, patient safety and care (Lavin, Harper, & Barr, 2015).…
The aim of this essay is to explore evidence based nursing intervention in the care and management of chronic obstructive pulmonary disease (COPD) in an acutely ill patient. The acutely ill patient involved in this essay was admitted to hospital due to cerebrovascular accident and had a past medical history of myocardial Infarction, left Ventricular failure, peripheral vascular disease and duodenal ulcer as well as chronic obstructive pulmonary disease. This essay will provide a rationale for the chosen aspect of care (COPD) and reason will be given why it is a priority. In particular the essay will examine the significance of the underlying pathophysiology of the disease relating to the acutely ill patient other conditions. The nursing intervention will focus on the measures in order to manage the acutely ill patient experiencing breathlessness. The involvement of other members of the multidisciplinary team, some of the relevant drugs, the common test and investigations will discuss as a part of the nurse holistic care process.…
The American Association of Colleges of Nursing has provided an essential guide for graduate level of nursing scholars. The nursing scholars are expected to be an effective leader, be a lifelong learner, able to collaborative with other health care discipline, able to steer through different health care services within the health care system, able to explore and experience different nursing practice, and able to cooperate evidence-based nursing practice into daily advanced nursing practices (American Association of colleges of Nursing, 2011). In order to be an successful graduate nursing scholars, learning how to be more effective in written communication is essential.…