State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety.
The perception that “little things can make a big difference” motivated this reader to study Malcolm Gladwell’s “The Tipping Point”. As a future advanced practice nurse, considering all options regarding quality care and safety for patients, whether big or small, can mean the difference between a healthy life or one that is limited. Intrigued by his metaphorical language, Gladwell compares variations to contagions and explains how ideas, manufactured goods, trends, and behaviors can thrive and grow like viruses as soon as it reaches its “Tipping Point”. Questions are scattered throughout this book, encouraging the reader to reflect and apply this same concept to personal circumstances.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Translation Steps 11, 12, and 13, 14: Action Plan An action plan for implementing the pilot program for intentional hourly rounding will begin for the telemetry unit selected. Prior to initiating hourly rounding all staff nurses, charge nurses and nurses assistants will attend an educational in-service provided by the clinical nurse educator on the benefits of hourly rounding, how to effectively complete hourly rounding and who is responsible for the rounding. The education will be offered at set times and is mandatory for all staff to attend. Hourly rounding pilot will begin on the selected unit on the November 1st 2015.
The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).
Nefthaly Velazquez Apr 19, 2024 Mrs. Conkel Teacher Tamer By Avi In "Teacher Tamer" by Avi, Mrs. Wessex can be considered a bad teacher due to her lack of empathy, inability to control her classroom, and failure to adapt her teaching methods to meet the needs of her students. Throughout the story, Mrs. Wessex struggles to maintain control over her unruly class, resulting in chaos and disruption. When a spitball lands on her book while reading, she turns to one certain student, Gregory. And right away blame him without hesitation.
Change in the Workplace: Implementation Bar-Coded Medication Administration Change is inevitable and constant in the modern world. Continuous advancement in technology is also changing the healthcare system to ensure patient safety and provide high quality patient centered care. The hospitals are adding more and more computer assisted devices and the nurses are facing new challenges every day. Change in the workplace means making changes in the work environment that is different from the current state.
Advanced Practice Registered Nurse (APRN) has grown in the past years and continuation of its growth is expected. Studies show that there are some difficulties that a novice nurse experience as they transition to APRN. (Hill, L. *& Sawatzky, J. 2011). The transition is also stressful for the nurse practitioner, thus making the NP feel inadequate, overwhelmed and incompetent. Fortunately, there are steps that can help this transition run smoothly.
During the extended hospital stay, the cost of treatment also increases, sometimes by about 61 percent of the normal charges for treatment (Guse et al., 2015). Evidence based practice has shown evidence that hourly rounding can decrease the general hospital stay significant while at the same time cutting down the cost of treatment through reduction of falls. Nurses against this change complain of increased commitment on other duties, making it difficult for them to attend to their patients within the hour (Marquis & Huston, 2015). It should, however, be understood that hourly rounding may never be successful without teamwork. The absence of one nurse during the hourly rounding should be substituted by another nurse without regular complaints about personal patients.
350). Due to the increase in accountability of FNPs to provide safe, quality, and cost-effective health care, it is imperative that the nurse is fully prepared for practice as a nurse practitioner (NP). The outcome of the NP’s role transition can be inhibited or promoted by different transition conditions, such as the environment, availability of resources, support, and nursing experience. All of which fall into the lines of Meleis’s types of transition, making the process complex and multidimensional (Meleis, et al., 2000, p. 18). The role of nurse practitioners has extended in practice to provide comprehensive care.
• Assessment: Nurses often feel uninformed when changes are made. Not being made aware of important changes can affect patient care. • Nursing Diagnosis: Communication breakdown due to ineffective delivery of new changes related to patient care. • Goal setting: Implement an education book that is placed near the nurse 's station and nurses are responsible to read the changes and sign off when they have read it. • Evaluation: Nurses are better informed and are up to date with new
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective.
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).
ANNOTATED BIBLIOGRAPHY Berman, A., Kozier, B., Snyder, S., & Frandsen, G. (2015). Kozier & Erb 's fundamentals of nursing: Concepts process and practice (10th ed.). Hoboken, NJ: Pearson Education.
Developing collaborative student relationships fosters a sense of mutual trust and respect. Gaining every student’s trust enhances the learning relationship and is reflective of my commitment to caring and my dedication to student success to achieve their goals. When it comes to classroom instruction, I feel that how I teach is equally as important as what I teach. I integrate current evidence based practice in all course content. I feel it is important to include new innovations and applications not only within nursing but within related and supporting disciplines.
