The Impact Of Patient Care In Nursing
Our nursing staff started to notice a varied recovery rate among these individuals. Those patients that ambulated sooner rather than later experienced the benefits of less pain, early return of bowel function, and timely discharges. Those that delayed getting out of bed and walking experienced more pain, nausea, delay of bowel functioning, and longer hospital stays. We identified that early ambulation after surgery was beneficial to and aided in shorter hospital stays for these patients. We dedicated one staff each day to get our patients out of bed, either to a chair for those that were non-ambulatory or out into the hallways to walk. This practice of early ambulation started on our 18-bed unit, was recognized by our organization, and was implemented throughout the hospital as a positive change that improved patient outcomes. Now, there is a dedicated group of individuals, patient care technicians, whom are responsible for getting our patients out of bed and walking if at all possible. This team is called the Ambulatory Team and it is an important program that helps not only our surgical patients, but also the care of all patients admitted to our facility. Implementing a change involves the time and efforts of many individuals along a process in place by an organization that ensures this change is worthwhile, effective, and an …show more content…
This quick search provided over 373 articles from 2012 for me to research and provide evidence of the effectiveness of this new practice. Early ambulation occurring within 24 hours post-surgical has shown shorter hospital stays and decrease rate of readmissions (Van der Leeden et al., 2016). Even though there is widespread agreement of those in the medical community that early ambulation is extremely beneficial to the post-surgical patient, the hectic environment of health care and time constraints of the nurses and physical therapists may prevent patients from this process (Le, Khankhanian, Joshi, Maa, & Crevensten, 2014). The new best practice initiative by my organization has provided a practice that will fulfill this gap in service by creating the Ambulatory Team. Their sole focus is to get patients moving, especially post-surgical ones, and allowing nurses and physical therapists the ability to focus on those with complex conditions. These are a few examples from the literature that supports and recognizes how the practice of early ambulation has on the health and wellness of post-surgical patients.
In conclusion, the personality and structure of an organization does help and may also hinder the introduction of nursing evidence-based practices. There is an extensive process to follow that allows passage of change that