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Patient safety in nursing practice essay
Nurse safety issues in workplace in usa essays
Patient safety in nursing practice essay
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It was a privilege to work with Laura on a team rehabilitating a severely impaired brainstem CVA patient. She uses evidence based practice to modify treatment approaches to promote positive outcomes for both her patients physical needs as well as cognitive-communicative needs. A perfect example of this was scheduling her PT session prior to an SLP comm/cog session with increasing cardiovascular effort to promote improved cognitive
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.
I like the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model, because it is a powerful problem-solving approach to clinical decision-making, and it has user-friendly tools to guide. According to Zaccagnini & White, “it is designed specifically to meet the needs of the practicing nurse and uses a three-step process called PET: practice question, evidence, and translation” (2015). The goal of this model is to ensure that the latest research findings and best practices are quickly and appropriately incorporated into patient care. Great choice!
Studies have shown that when there are too few nurses for too many patients, patient length of stay is longer, the risk of infections and falls is higher, and overall customer satisfaction lowers, lowering the hospital's image and quality of care. - In the long run, having a lot of resignations and losing patients makes the hospital lose money because looking for staff means using up a lot of time and paying more to administrators just for finding staff. Plus, not having the trust of patients means having fewer people to care for and less and less
he Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) is a model that is utilize as an outline to aid in the synthesis and translation of evidence into practice (Baker, 2008). The JHNEBP is made of up of 3 components of nursing. These components consist of practice, evidence, and translation. JHNEBP model also has internal and external factors that need to be considered before change can be implemented. During the practice stage/question stage a question is refined in answerable terms.
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
Evidence based practice is the act of incorporating clinical expertise, best research evidence and patient values and preferences in delivering care. This system, as opposed to previous methods that used the same standard of care for each patient, evaluates treatment plans based on research and the practioners own experiences. The usual workup of this type of practice is to ask a series of “why” questions and meticulously observe patient patterns to paint a better picture of the environmental factors surrounding the patient’s condition. This method advanced treatment modalities as practioners were able to better incorporate external factors in the assessment. Previous styles of care such as defensive medicine, forced providers to aggressively
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
Our nurses are being over worked and understaffed and no one is saying anything! There are mountains of evidence that show the adverse relationship between subpar nursing care and patient outcomes. Many people work overtime to make that overtime money because the hospital is usually understaffed. But because patient outcomes really depend on nurses to be in tip top shape, I think it is extremely important that hospitals eliminate working overtime. That is why I am asking policy makers to cosponsor the bill S. 1132: the Registered Nurse Safe Staffing Act of 2015.
Due to hospital care reaching an all-time high in America, we need nurses now more than ever before. Currently in America, we have an issue with nurses having too many paperwork to fill out. In the article “We Need More Nurses” by Alexandra Robbins argues we need more nurses in the hospital. Nursing shortage has been a common issue throughout the world. Because of this issue others are being affected in many different ways.
This occurs when nurses provide care to more than the assigned patients, thus increasing patient workload. It affects the patient’s quality of care, increasing the risk for NSOs and other patient complications. Not only are patient outcomes affected, but nurses are experiencing increased burnout and fatigue. A safe nurse is necessary when providing care to ensure a safe and stable patient outcome. These concerns can be preventable by implementing and assigning the necessary tools to minimize effects on nurses and patient
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.
1. Define research, nursing research, and evidence-based practice, and describe the purposes of research in implementing an evidence-based practice. Research is investigating and studying of materials and sources to establish facts and reach new conclusions or to report knowledge about something. Research can also mean to validate something that already exists based on some kind of theory.
This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.
If ignored, a problem that was once containable may now be spreading and be the cause of new problems arising. Hospitals need to learn how to obtain more nurses so their current nurses don't quit due to overworking and potentially getting into legal issues with unfortunate mistakes that can happen to anyone. Patients could be getting upset over the fact that the best care may not be given to them due to the fact that their nurse has nine
