Medical errors in decision making that result in harm or death are tragic and costly to the families affected. There are also negative impacts to the medical providers and the associated institutions (Wu, 2000). Patient safety is a cornerstone of higher-quality health care and nurses serve as a communication link in all settings which is critical in surveillance and coordination to reduce adverse outcomes (Mitchell, 2008).…
Registered Nurse with extensive experience in the healthcare field. Goals direct. Exceptional leadership ability and good professional judgment. Strong patient advocacy.…
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)…
Today, community hospital becomes a fast-paced environment. The growing number of consumers, including the median age from 40 to 41 years old in the American health care system; the community hospital strategic management is a fender-bender with the country economy and politic. In the same vein, the Patient protection and Affordable Care Act expansion of health care of many New Jersey’s people have allowed some things that were limited. People with a pre-existing condition and the children who remain on their parent’s insurance until age 26 are some of the examples.…
Every person has his or her own values, assumptions and perceptions. For the best provision of client care, the nurse must understand the elements and that of the nursing profession. Since they affect the way people think, and respond to world and other people in it.…
have impacted patient care in a scenario involving a 72-year-old patient, Mr. J, in a small local…
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).…
The scoring system consists of areas that are all deemed to be factors that may contribute towards a patient’s risk of developing pressure ulcers. These include a patient’s build, tissue viability, sex, nutritional status, continence, mobility and other special risks such as co-morbidities and medications. The theory is, the higher the patient scores within each area and overall the higher the patient is at risk of obtaining pressure ulcers (Judy-waterlow.co.uk 2007).…
A professional nurse has the responsibility to practice within his/her scope of care, calling upon his/her knowledge and skills to make decisions in the best interest of the patient.…
In any health care system, quality and safety of patient’s care is very important. According to my understanding, quality and safety of nursing care should include patient centred care, good communication, and teamwork. Also, a quality nursing care should be provided with dignity and respect, accountability, and advocacy.…
care patients are receiving and to improve the quality of care given. Healthcare workers should be identifying the root causes of outcomes, regardless of the outcome. Tracking of these outcomes, recognizing the differences and similarities of each, and making changes to the care provided based on this information is evidenced-based practice. Nursing-sensitive indicators are categorized into one of three areas of nursing: structural, process, and outcome. Structural indicators include adequate staffing and education and experience levels of the nurses providing the care. Those with higher levels of education and experience are said to have better outcomes than those with less experience and/or education. Process…
The National Patient Safety Goals require health care organizations to focus on specific priority safety practices, many involve nursing care…
The Institute of Medicine of the National Academics in Conjunction with the Robert Wood Johnson Foundation launched a campaign to provide solutions in response to the need for evaluating and alteration of the nursing profession. Future needs of our growing population from diverse cultures and demographics dictate the need for registered nurses to adapt and transform in response to advances in health care. This is done by promoting health with most favorable, efficient…
The purpose of nursing assessment in the clinical setting is crucial in addressing a patient’s medical problem. Two important assessments namely, chronic pain and mental impairment have helped determine the likely underlying causes of the problems discussed in this paper. The two diseases, Peripheral Arterial Disease with Claudication and Dementia, possibly Early Onset of Alzheimer’s Disease, once ruled in as the diagnoses are debilitating illnesses that can change the life of the patients forever. This paper highlighted accurate health assessment histories, the gathering of SOAP notes, and summaries of findings that will in fact contributory to the appropriate further investigations, diagnostics, planning and implementation of interventions.…
The leadership has been changed during the time with the definition as well as the theories. In the modern-day, leadership in nursing is important to meet the goal safety environment and the optimized quality of patients and staffs outcome. Leadership plays an important role of each member in the group to make a decision. This paper will present the role of leadership in nursing.…