Hello Everyone!
I am Smita Sikhrakar, an international student from Nepal, and have been living in the U.S since past 8 years. I missed the first day of the class because I was visiting my family in Nepal for winter break. I would like to share a little about me to our group. I have a Bachelor of Science in the Nursing and a Master of Science in the Aging Studies from the Minnesota State University, Mankato. Upon the completion of my bachelor’s in 2012, I worked as a staff nurse for a year at the Sanford Medical Center, Fargo in the adult surgical unit. I enjoyed working with older adults, thus decided to continue my education in the Aging Studies to understand …show more content…
I held graduate assistant and teaching assistant positions and helped undergraduate students with anatomy, chemistry, physiology, and gerontology courses. I believe that with the advancement of my education and enhancement of my knowledge with a degree in DNP will help me to become knowledgeable, compassionate, and skilled nurse practitioner. I am in the first year of full-time DNP program with a focused on adult-gerontology primary care track. I would like to work with older adults and provide qualitative and preventive care to them and underserved population. I do not have much direct involvement with an EBP development and implementation, however in my former job I have used practice and policy guidelines created by the organization to ensure that I am providing safe, qualitative, and standard care to my patients. I am really excited to learn more about EBP in this course and utilize it in my future role as a …show more content…
When I worked at the Sanford Medical Center, the management decided to increase the nurse-to-patient ratio to reduce the financial costs. The ratio was increased from 1:3/4 to 1:5/6. The change was abrupt and the administrative heads did not assess the reaction of nurses prior to implementation of changing the nurse-to-patient ratio. The unit supervisor tried to persuade staff nurses about the decision by presenting facts about higher ratios in other hospitals located in North Dakota. I believe that the increase in nurse-to-patient ratio not only affected nurses, but also patients. The workload was increased, which burned out nurses and the working environment was stressful. The new ratio also affected patients as the quality of nursing care declined after the implementation of the new ratio. I do not have the data, but I witnessed that the nurses were behind their tasks such as medication administrations, and daily chores. The nurses were not able to monitor their patients and within few weeks there was increased in number of falls in our unit. I am not sure if the hospital had evaluated the outcome such as patient satisfaction, patient outcome, nurses’ job satisfaction, and adverse incidence rate after the implementation of new nurse-to-patient ratio. Therefore, I am interested in determining the safe and effective nurse-patient