Clinical Question To evaluate the essence of inpatient nurse to patient staffing ratio The initiative indicates that there should be a minimum of nurses to patients This is designed with the aim of addressing the growing concerns that there has been harm on patients through inadequate staffing, thereby paving way to increase in complexity and severity of the illness during the care (American Nurses Association, 2014) Search Criteria/Results Search Criteria The research conducted ensured that extensive research was carried out on numerous databases such as PubMed, CINAHL and in different areas that related to nurse to patient ratio Search Results:…
Rationale. The patient safety team in collaboration with the Chief Nurse of each facility established hospital teams who would be responsible for determining the need for development of new or the amendment of existing policies and procedures. Physicians, nurses, clinical engineers, respiratory therapists that practice in particular service line settings are examples of typical members of the facilities’…
In reviewing current policies and protocols, it was found that the use of VTE prophylaxis is considerably less than expected. Nursing staff in general are not fully educated on how to utilize the protocol and have a lack of understanding of the benefits of VTE prophylaxis. The protocol is not clearly defined and many nurses leave the decision up to the physician to order a VTE set, essentially if the MD didn’t order it then the MD didn’t want it. Also, nursing staff fail to adhere to current orders and do not act progressively to reapply mechanical prophylaxis…
These include appropriate update of patient notes, record keeping of imaging results and drug charts. Enteral feeding should commence as soon as possible and gastric protection must be used. Compliance with the hospital’s venous thrombo-embolism prophylaxis policy is mandatory. Intravenous lines must be used judiciously and removed once not necessary. The patient is nursed better in the 30’ head up position, due to its’ offering improved ventilation, decreasing the risk of micro-aspiration and ventilator associated pneumonia and being safe in the presence of spinal injury.…
Nurse to Nurse Incivility and How it Affects Performance Clinical Question Problem description The nursing profession has high rates of cases of incivility among the profession. Uncivil behavior at the workplace entails violence at the workplace, intimidation, withholding of critical information, public humiliation and intimidation and stealing credit for work not done (Casale, 2017). Despite the nursing profession being based on ethics and values of respect and integrity, it has been reported that more than eighty-five percent of registered nurses were victims of nursing workplace incivility (Casale, 2017).…
As nurses, quality and safety in regards to patient care is our main priority. This being…
Discuss your thoughts, with scholarly support, with your colleagues in this class. How do these issues affect us, as healthcare providers, and our community members? People are living longer with many co-morbidities and the Affordable Care Act involves Medicare and Medicaid reimbursement and preventative measures improving quality of care with cost control. This includes a collaboration of care from the interdisciplinary team to give the highest quality of care in clinical care settings and preventing unnecessary cost (Salmond & Echevarria, 2017, p.12).…
Implementation of the mandatory bedside reporting policy within the hospital will incorporate another vital source to the list of policies. This model of report improves clinical effectiveness, patient safety, nurse efficiency, and staff satisfaction (Olson-Sitki, K., Weitzel, T., & Glisson, D. (2013). Nurses will have a safer more reliable way of reporting, resulting in increased safety for their patients. After assessing the needs of the customers, planning and focusing on procedures and features, and implementation strategies, this policy will benefit the overall hospital staff and patients. There is no better accomplishment than implementing a policy that increases safety measures for patients while covering nurse’s accountability all in…
Nurse Practice Act As a registered nurse, the most important responsibility to have is to the patient. The nurse is a trusted advocate, not only providing care, but also education and support that benefits the patient’s overall well-being. There is an obligation that registered nurses must maintain a safe and competent practice for every aspect of nursing and this is how the Nurse Practice Act becomes incorporated into the care. Many possibilities can arise in nursing and situations are never the same, thus, continuously creating new standards produced by laws. These standards are constantly changing due to the growth and demand of society and accomplishes protection for clients and the guidance of nurses in their practice (Russell, 2012,…
Evidence Based Practice – Pressure Ulcers In today’s era of nursing, nurses practice in an “accountability age.” The quality of care provided to each patient as well as cost issues is what drives the direction of healthcare. Patients are becoming more informed and knowledgeable about their own health as well as prevalence of medical errors within hospitals and other healthcare institutions across the United States. To decrease such errors such as nosocomial infections, medication errors, pressure ulcers, and even death, health care professionals began to take on new approaches to see what works and what doesn’t.…
Main Question Post: Discussion Week 11 -- Creating a Culture of Evidence-Based Practice Introduction Evidence-based practice is the utilization of the superlative scientific evidence incorporated with clinical experience and amalgamated patient principles and penchants in the practice of professional patient care (Polit & Beck, 2017). Evidence-based practice (EBP) amplifies the quality of patient care while advancing patient outcomes (Estrada, 2009). The healthcare workforce nurses has the obligation to ensure that patient receive quality superlative care whilst utilizing evidence-based practice (Estrada, 2009). Indeed, there are arrays of barriers related to the embracement of EPB in the organization’s, which makes it impossible to the healthcare…
Current research findings will most likely become the basis for increase activities against hospitals and other health care organizations. The doctrines of corporate liability hold hospitals accountable for failures to ensure a safe and conducive environment for patient care. Serious injuries to patient represent a sequence of errors and may involve missteps by members of different disciplines. Expect to hear more concerns from physicians and other health care providers about how nurse staffing effects their liability’s, practically because of medias attentions on recent research. If providers believe that poor nurse staffing causes infrequent monitoring of patients conditions, inconsistent alerts of changes in status and delays in implementations…
In recent years, our ever increasing information and technology has played a vital role in changing nursing practice. Evidence based practice (EBP) will continue to have a positive impact on the care that we provide our patients and will continue to advance our healthcare system. There have been various quality improvement initiatives that have been adopted to advance patient care and safety. In these articles, a major goal that has been identified in the hospital setting is effective preventive management of venous thromboembolism (VTE). In 2005, a healthcare research and quality improvement program recognized that assessing and identifying patients that are at a high risk for VTE is imperative in improving patient safety and outcomes (Fein…
Nurse’s role is to care for the patients, support and recovery them from disease or any medical condition they came with and improving their quality of lives and get them back to community to function as normal. But not always things go smoothly as planed. Nurses work with other multi-disciplinary team to achieve the goal. Nurses encounter loads of ups and downs therefore Nurses have an immense responsibility to recognizing and rescuing the deteriorating patients. It’s a challenging work, which comes with plenty of clinical experiences and great deal of knowledge.…
In today’s era of nursing, nurses practice in an accountability age. The quality of care provided to each patient as well as cost issues are what drives the direction of healthcare. Patients are becoming more informed and knowledgeable about their own health as well as prevalence of medical errors within hospitals and other healthcare institutions across the United States. To decrease such errors such as nosocomial infections, medication errors, pressure ulcers, and even death health care professionals began to take on new approaches to see what works and what doesn’t. Evidence based practice, EBP, is a guide in which nurses use to make effective, timely, and appropriate clinical decisions.…