3) In addition to the information in the case presentation (including the web sites contained in the case itself), what other information did you find to determine whether this study represents a successful application of the process of scientific inquiry? For example, you found other studies that reviewed the power of the research method or…
I chose this article based on the Authors current hospitals practice. The application of foam dressings on all surgical patients with a low Braden score and/or patients with long surgeries.…
Some of the interventions that can be taken to help minimise the risk of pressure ulcers occurring in those that are at risk, one method is to that the individuals is position is changed on a regular basis, another is to use a pressure relieving device such as a special mattress, bed frame, seat…
Nursing sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care. ("Nursing world," 2013) Having knowledge of these indicators hard-wired and put into practice in daily care of patients, could have assisted the nurses involved in this particular case in many ways. Knowing the risk of pressure ulcer development with the use of restraints could have helped the nurse prevent one in this patient. The bedside care providers, the nurse, as well as, the CNA would have recognized the reddened area as the first stage in pressure ulcer development. They would have been more meticulous with skin assessments and repositioning with the use of restraints in this elderly patient. Also, if the CNA had a better understanding of when to appropriately use restraints and how to manage a restrained patient she wouldn’t have positioned the patient on his back after he returned to bed. Another nursing sensitive indicator is patient and family satisfaction which was not taken into account in this situation. The nurse so easily dismissed the daughter’s concerns about the dietary mix up and blew off her concerns regarding what her father was served. Nursing sensitive quality indicators are an important part of the equation when it comes to establishing evidence-based practice guidelines. But measuring these indicators is not simply good science – it’s an ethical imperative.…
In California, nurses look for guidance to their professional body and to the nurse practice act, which is a set of laws that mandates the board of registered nursing to set out the scope of practice and responsibilities for Registered Nurses. The California nurse practice act recognizes the existence of overlapping functions between physicians and registered nurses but registered nurses are authorized to perform independent nursing functions related to “direct and indirect patient care services that insure the safety, comfort, personal hygiene and protection of patients.”(CA nurse practice act, 1995) In California, a registered nurse has a duty to insure safety and protection of her patients. Some of the verbiage in the act is broad and open to interpretation, and it could be argued to what extent they apply in this case. The practice act further clarifies this expectation by stating; a registered nurse ‘acts as a client’s advocate, by giving the client, the opportunity to make informed decisions about health care before it is provided’. (California code of Regulations Title 16) All of these state laws make it clear that nursing is…
It is the RN responsibility to delegate nursing tasks to other team members like the LPN/LVN and the nursing assistant. These task should follow the legal parameters established by professional nursing organizations in the scope of practice and standard and defined by the state of its nurse practice in addition to the institution policy (Cherry & Jacob, 2014).…
Knowing the prevalence, one could consider the actions leading up to the good and bad outcomes, compare the two to determine contributing factors, then put together a plan of action to prevent bad outcomes from occurring. The data collected on the unit could then be shared throughout the hospital to have better outcomes and a greater patient satisfaction score overall. Through this process, healthcare workers could learn to prevent nursing-sensitive indicator, such as pressure ulcers, by turning or repositioning patients at least every two hours. Being proactive throughout the hospital will reduce the number of hospital acquired pressure ulcers and help the healing process of those that were present upon admission. This also aids in a better patient satisfaction…
The National Patient Safety Goals require health care organizations to focus on specific priority safety practices, many involve nursing care…
The NPUAP website has the ability to be a good start for clinicians in the battle of the bedsore. Sullivan & Schoells, (2013) further credit the information given by the NPUAP by stating, “guidance provided by such organizations as the Institute for Healthcare Improvement, National Pressure Ulcer Advisory Panel, and AHRQ has resulted in successful implementation of bundled evidence-based practices throughout the United States.” It is clear that the information on the NPUAP website is not only valid, but it is based on best practice and is evidence based. Nurses dealing with patients that are susceptible to pressure ulcers are doing themselves and their patients an injustice by not utilizing the tools that the site has to offer. Nurse educators, and wound nurses will find this site especially valuable and would be able to change practices and policies if needed based on the information the site provides. Another nice feature of the site (especially for the busy consumer researching medical information) is the link to Medline and the description it gives of the usefulness of evidence based…
As part of your treatment plan, your care team will discuss with you the best way to prevent pressure ulcers. This will be based on your individual circumstances.…
The role of a nurse is to perform assessments of the patient's health status upon admission to the hospital, and over time to check on the patient to see how he/she is responding to the intervention/ plan of care. This is because the nurse spends the most time with the patient in the hospital setting providing around the clock care. Also, the nurse is responsible for implementing the doctor's orders (such as medication, labs, and catheters). It is important that the nurse assesses safety of doctor's orders before she or he implements it. Another role of a nurse is to think critically using that data from assessment to help with making decisions about the actions that are needed taken to care for the patient. Nurses focus on trying to meet patients' needs (emotional, physical, psychological, social, and spiritual). In the healthcare team, the nurse advocate for patients to promote optimal health. Additionally, the nurse serves as the patient’s educator and coach on issues around lifestyle choices, coping with a diagnosis, or understanding warning signs and symptoms of emerging problems before they are discharged from the…
The Nursing Practice Act is a profession within the health care sector focused on the care of individuals, families and communities so they may attain, maintain or recover optimal health and quality. The scope practice includes, but is not limited to care and counseling of patients. The provisions of care supportive to or restorative of life and well-being. It is the exercise of appropriate nursing judgment. The promotion of health and prevention of illness and injury. It is the conducting and documenting comprehensive assessments and evaluations of patients and focused nursing assessments. The documentation of nursing interventions and responses to care in an accurate, timely, through and clear manner. It is the executing medical regiments including administering medications and treatments prescribed by a licensed or otherwise legally authorized prescriber (Alabama Nursing Practice Act, 1993)…
The nursing profession requires an individual to be alert, watchful, and prepared. They must monitor patients closely. Concentration and attentiveness declines when a nurse is overloaded with work. Nurses who become fatigued from the work overload can become a danger to themselves and their patients. Medication errors and pressure ulcers are common results from fatigued nurses. Medication errors happen a lot when a nurse loses the ability to concentrate and focus. Pressure ulcers are a result of poor nursing care which can be caused by fatigue. A nurse may be so fatigued by the end of her shift that she does not properly position a patient. Basic care is sometimes put on the back burner, or is delegated to less qualified staff. As well as providing basic nursing care, a nurse must also give report, check patients orders, medications, and labs, all in one shift! This leaves little time to create or maintain a relationship with a patient. Often times, nurses are assigned five or more patients to take care of in one shift. Nurses become stressed from the pressures of the job, and decide to leave the profession all…
Kleinpell, R. M., Hudspeth, R., Scordo, K. A., & Magdic, K. (2011). Defining NP scope of practice and associated regulations: Focus on acute care. Journal of the American Academy of Nurse Practitioners, 11-18. http://dx.doi.org/10.1111/j.1745-7599.2011.00683x…
There are very important laws that Nurse’s must be aware of when taking care of a patient. These laws were created over one hundred years ago by state governments to ensure safe practice and protect the public (Nurse Practice Acts Guide and Govern Nursing Practice, 2016). On a smaller level, every hospital has its own rules that health care providers must abide by. These rules may be different in each hospital, so it is important for Nurses to be familiar with the hospital’s rules that they are currently working…