Broadmoor Hospital

Individual Literature Review Group Research Topic and Problem The research question my group and I formulated is, what are the interventions to decrease nurse burnouts in the health care setting? According to the National Nurses United, “Burnout is categorized as physical, mental and emotional exhaustion” (Ericksen, 2015). A nurse that experiences a burnout strongly effects his or her emotions and decreases their motivation, which can lead to a decrease in patient care. Furthermore, this stress…

How can you reflect on your practice to grow? I can only recall one situation during my clinical where I felt terrible about myself for not doing my best. One of my responsibilities as a student nurse to help other residents and not cause any harm to them. I remembered an incident where I had to go into a resident room to take her vital signs. And accidently causing her to have a skin tear while taking her blood pressure. I absolutely felt awful about it even though the resident was extremely…

The impact that a chronic illness can have on individuals and their families can differ. Family members often become the primary caregivers for people with chronic illnesses. When a family member has a chronic illness it can disrupt and affect the lives of every family member. Daily routines, limitations, and the demands of treatments can require family members to become more available. Many families need to share in the responsibilities that come along with caring for a person who suffers from…

Henceforth, this tracks the length that a patient stays in the hospital for specific ailments or surgeries and gives insight by comparison to The Joint Commission into the care of the patient across hospitals. However, the hospital’s decisions can be made to decrease the length of stay by focusing on the primary duties of caring for the patient that help to regulate…

Many patients with lung cancer expressed the feeling of uncertainty on their limited time after being diagnosed with the disease. They often had to wait long periods of time to receive treatments or results without any adequate information which led to increased distress and anxiety. One of the patients have complained; The uncertainties of the future, treatment, side effects and death may create fear for the patient and the families. According to Mulcahy, Perry and Glover (2010), the…

Communication is essential to the health care interdisciplinary team for patient’s satisfaction, safety, and efficiency to deliver quality care. I would address the problem of patients’ long delay during pretesting in the staff meeting to make sure the whole team is aware of the situation. “A delayed in treatment is when a patient does not get a treatment that had been ordered for them in the time frame in which it was supposed to be delivered” (The Joint Committee, 2016). Consequently, my…

Sternberg EJ, Inouye SK. The Confusion Assessment Method: a systematic review of current usage. J Am Geriatr Soc 2008; 56: 823-30 25. Laurila JV, Pitkala KH, Strandberg TE, Tilvis RS. Confusion assessment method in the diagnostics of delirium among aged hospital patients: would it serve better in screening than as a diagnostic instrument? Int J Geriatr Psychiatry 2002;17:1112-19 26. Ely EW, Inouye SK, Bernard GR, et al. Delirium in mechanically ventilated patients: validity and reliability of…

Mortality is obviously a significant outcome in emergency medicine (EM), but the comparison of crude mortality rates may be confounded by differences in case mix. Risk adjustment models may be used to assess the emergency healthcare quality 1,2. The observed mortality among emergency admissions can be compared with the predicted risk adjusted mortality to determine whether the number of deaths exceeds the expected rate 3. The shortcomings of existing methods may be due to the failure to adjust…

Background: Emergency thoracotomy is a rare but lifesaving procedure in victims of chest trauma especially with penetrating wounds. In the United States, 9 percent of all trauma-related deaths occur from injuries to the thorax, of which one-third involve a penetrating mechanism. In an internal survey, 80% of cardiothoracic surgeons felt that special training is required and only 7% reported that they regularly practice emergency thoracotomy in arrest. We plan to develop an emergency thoracotomy…

Introduction: Sparse evidence outline whose infections are responsible for hospital admission in Multiple Sclerosis (MS). Their location, severity and prognosis are unknown. Our aim was to characterize infections requiring hospitalization in MS patients. Methods: We performed a retrospective study of MS patients admitted to our hospital between 2006 and 2014. We collected information about MS characteristics, location and severity of infection, need for Intermediate/Intensive Care Units (ICU)…