ABSRACT
Clinical practice guideline having much importance to improve the patient care outcomes and safety from complications. Nurses role as health care provider, depend on multi-disciplinary knowledge and experience to use of clinical practice guidelines to promote their nursing practices. Nursing staff adherence to clinical practices guidelines is help in improving patient safety in hospital. The purpose of this study is exploring the factors that promotes and inhibit adherence to clinical practices. This research based on systematic literature review and quantitative evaluation of research results. In this study, population is comprised of registered nurses who are working in Jinnah hospital Lahore is included except critical areas, head nurses and other health
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These are two potential of nurses one is misconduct when guidelines are not adhered to and second is the factors that might promote or inhibit guideline adherence among nurses. (Davies, Edwards, Ploeg, & Virani, 2008) According to Ismaile Samantha (2014), there are similar and different promoter and barriers to adherence with clinical Practice guidelines. The two main factors that impact to adherence with clinical practice guidelines among nurses, one is environmental factors that are patient, organization, standard guidelines, and second is personal factors which included knowledge, attitude, and skills, intention. The primary promoters for adherence to clinical practice guidelines among clinicians ( Nurses) that can be helpful to utilizing the evidence base clinical practice guideline are focused on standardized patient care, optimize outcomes of patient care, clinicians are familiar with guidelines according to habit and routine, and guidelines are readily accessible and easy to utilize.(Keiffer,
The National Organization of Nurse Practitioner Faculties (2014), outlines the quality competency as continued improvement of practice through the use of the best evidence, evaluation of the influence of safety, access, cost, and quality of health care. Also, the application of skills to encourage a culture of excellence, and the ability to implement interventions
The main function of the healthcare ethics committee is to resolve ethical conflicts by providing consultations and conflict resolution, answer ethical questions, promote patient rights and shared decision making between patients, surrogates, and their clinicians, promote fair policies and procedures that increases the probability of attaining good and patient-centered outcomes, and provide education (Ethics Committees, Programs, and Consultants, 2013). The committee reviews cases on a case-by-case basis and assists patients, family, and staff with coming to an agreement on the options that best met their needs (Healthcare Ethics Committee, 2013). The healthcare ethics committee is structured to include a broad span of community leaders in positions of political stature, respect, and diversity (Healthcare Ethics Committee, 2013). The healthcare ethics committee should include a multifaceted team, consisting of physicians,
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
The theory of evidence based practice is not only an approach that targets for quality of patients but also highly improves the level of accountability in the health care sector by promoting a life-time learning process. Evidence based practice addresses the compulsory need for quality research evidence and quality practice all in struggle to support the care of a patient. Below is a brief description of the five models of evidence based practice(“ LibGuides at Oregon Health & Science University,” n.d.). Ask: Get some information about the consideration of people, groups, or populaces. Acquire: Secure the best accessible proof with respect to the inquiry.
I enjoyed reading your discussion post. Nurses must understand how organizational infrastructure and culture affects implementing and sustaining evidence-based practice. Although an evidence-based practice may be well documented and proven to positively, impact patient care, organizational structure and culture may present barriers to change. For example, financial constraints, tradition, or attitudes of leadership may hinder the implementation of evidence-based practice (Huber, 2014). Change agents or opinion leaders can influence the promotion and adoption of nursing evidence-based practice through creativity and persistence (Huber, 2014).
Educational Preparation of Clinical Nurse Leader (CNL) The vision for the Clinical Nurse Leader CNL role began in 2003-2004 in response to the Institute of Medicine’s quality and safety reports. In 1999, the Institute of Medicine released its report, To Err Is Human: Building a Safer Health System, which called on health care systems to reduce medical errors and improve patient safety. In 2002, the Robert Wood Johnson Foundation called for developing new practice models and enhancing collaboration between education and practice, and in 2003, the Institute of Medicine released its set of five core competencies that all clinicians should possess, regardless of their discipline, to meet the needs of patients in the 21st-century health care system. The Clinical Nurse Leader (CNL) is a master’s educated nurse, prepared for practice across the continuum of care within any healthcare setting.
Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will
Buchan and Aiken (2008) stated that the nurses shortage problems may be due to the nurses that not willing to work as a nurse under the current conditions in working environment. A real shortage is circumstances where experienced people are not available for a certain vacancies due to some reasons (Wildschut&Mqolozana, 2008). A news article written by Salma Khalikin in Straits Times stated that according to current situation Singapore may not be able to create enough nurses for upcoming years. The impact of nurses shortage may causes increase work load for nurses which subsequently may increase the risk for nurses made errors in clinical, the risk of increase hospital acquired infections which cause by viral, bacterial, and fungal pathogens. More over the impact of shortage of nurses may also increase death rate, and also increase the risk of occupation injuries and exposure in working environments.
Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive
The profession of nursing has embraced evidence based practice (EBP) as evidence based care combines evidence from research, clinical experience, and patient preferences that help us to ensure that patient care is effective, considerate, and cost effective for facilities and the population served, while meeting the specific needs of each patient Research that leads to EBP tells nurses and health care providers what practices/treatments that work, what does not work, and with whom and where they work best. An example of EBP is that the Affordable Car Act requires that all reimbursable treatments follow the guidelines and recommendations made by the U.S. Preventative Services Task Force (USPSTF). The USPSTF recommendations are derived from
Evidence based practice is using the most recent research to asses the patient and provide them with the best outcome. “The NMC’s (2015a) Code: Professional Standards of Practice and Behaviour for Nurses and Midwives states that it is the responsibility of each nurse and midwife to maintain their knowledge and skills and to practice using the best available evidence.” The purpose of this paper is to mention challenges that nurses face when trying to implement EB, blah blah blah. What it is what it isn’t why it makes a difference and why its crucial.
Evidence-based nursing practice help to improve individual bedside practice because nurses work in the ward based on knowledge they obtained from previous research. It can also answer problematic clinical practice issue since it aim at solving problem, it improves nurse’s quality and reduces variations in care. Nurses are also confident in their decisions due to the fact that they know what they’re doing and can as well prove it because every patient deserves care that is based on the best scientific knowledge and ensures high quality and are cost-
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
The poem, “Guidelines,” by Lisa Suhair Majaj, was written in 2009: during the War on Iraq. While vital details such as the identity of the speaker and the setting of the poem are omitted, one key feature is included; the speaker, or at least the person being spoken to, is Arab. This is noted in the initial stanza and is an essential detail in the remainder of the poem. The tone of the poem is set from an early stanza; while an important topic is being discussed, sarcasm and humor, mixed with ubiquitous ambiguity, are sure to be present. This poem is an attempt to portray a sense of peace and subsequent comfort during times of hate directly related to the idea that everyone who resembles the appearance of a Middle Eastern individual is a terrorist.