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Essentials of evidence based practices
ESSAY ON evidence based practice in nursing practice
Essentials of evidence based practices
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Through the learning from week 1 and week 2, I have learnt that the most frequent adverse event in health-care delivery is health care-associated infections. It is essential for us to follow the infection control practices that both patients and us are at a risk of being infected. Standard Precautions involve the use of safe work practices and protective barriers, for example, the use of personal protective equipment(PPE). At first, I think Standard Precautions are very easy. Everyone knows PPE can protect us from infections and hand hygiene is important throughout the process.
Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,
Researchers used nursing theories to help guide research on complicated phenomena(Connelly, 2014). After reviewing evidences collected on the topic "Antibiotic therapy and Clostridium difficile infection (CDI)", the most common theories that have been cited are, exposure to antibiotic, especiallyin patients that have been previously diagnosed with bacterial infections(respiratory, urinary and osteoarticular infections) are significanly at risk for acquiring CDI and theory for prevention cited was implementation of an Antibiotic stewardship program. Inaddition,hand hygiene, contact precaution and environmental cleaning protocols where other interventions listed. Concept Definitions Exposure to antibiotic- is operationally defined as the last time within 30 days a hospitalized patients received antibiotic therapy before the current hospital
The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.
Delegation Paper Breanna Lake Department of Nursing, Davenport University NURS433: Nurse Manager and Leader Professor Debbie Bosworth February 17, 2023 Delegation Paper Introduction For my leadership experience, I spent seven weeks on a medical-surgical unit in Hastings, Michigan. I worked alongside my nurse preceptor on night shift, and as the clinical experience unfolded, I learned numerous new skills and gained knowledge that will be extremely beneficial moving forward in my nursing career. I evaluated the hospital’s mission statement, the leadership and communication styles among team members, and I evaluated how my skills and leadership style evolved over the course of the clinical rotation. General Information
Hand washing or isolation of the sick persons with infections in the prevention of hospital acquired infections. 5. Does the use of hand washing, and antisepsis lower the rate of hospital acquired infections? The fifth PICOT question is selected because of the reported low compliance percentage among medical caregivers.
Health care organizations require excellent management and leadership to keep the institutions running effectively. I agree with you that the Nurse Executive (NE) contribute to senior leadership by giving nursing a voice and oversee many functions in the organization. The NE has an important role to play in health care decision making. They have the ability to advocate for implementation of evidence based practice (EBP) in improving patient care while maintaining the vision and mission of the organization. Clinical nurses faces many challenges to use the EBP and that where the NE intervenes since they have the persuasive and decisional power to make EBP utilized within the organization.
(2008). I would like to challenges Chief Nurse Executives (CNEs) to lead the journey and highlights how patients, their families, and health care organizations would benefit immeasurably if CNEs stepped forward and accepted this leadership role, then and only then can the best practice changes begin to improve what we as nurses already know. The processes of leading are intended to enable more people to develop into leaders and more people to share the roles of leading, to enhance the quality and safety of patient care (Stone P. Hughes R, Dailey M.
All around hospitals you see where signs are up that have step by step procedures, hand washing reminders, and the list goes on; although finding studied evidence that these visual aids work was difficult to find. For this review, an article was chosen that analyzed predictors of healthcare provider stethoscope disinfection and its impact on infection control in the pediatric population. An anonymous survey was sent out and a topic that was explored was barriers to disinfections. Most believed that stethoscopes had the ability to spread infections, but nevertheless, very little healthcare providers indicated that they disinfected their stethoscope after every use. (Muniz, Sethi, Zaghi, Ziniel, & Sandora, 2012)
1 Introduction When you hear about the words ‘servant’ and ‘leader’, what would you think about? Many people will come up with the fact those are contrary words. If you draw a hierarchical pyramid in your mind, the servant is placed in the bottom class and the leader is located in the top part on the contrary. However, there is one leadership theory called servant leadership.
Leadership is the ability to guide or influence others with an objective of achieving a desired outcome. It involves influencing beliefs, opinions, values, perceptions, or behaviors of an individual or a group, and it is an amalgamation of inherent personality traits, learned skills, and it is a response to situational stimuli. I believe that, at any particular moment, where two or more individuals are interacting, one of them will emerge as the leader the other(s). To me, this means leadership role is fluid, and it changes as situational stimuli changes. For instance, during interpersonal interaction involving two individual, the leadership role has potential to shift from one individual to the other, as the situational stimuli changes.
An analysis of recent literature on the effect of healthcare leadership revealed that nursing leadership was the primary barrier to establishing best practices in the clinical setting (2011). Furthermore, nursing leadership is shown to define clinical organisational culture, collaboration, and lateral violence which are all shown to impact patient outcomes indirectly (2015). A meta-analysis of 20 individual studies revealed nursing units with reported poor leadership had significantly higher adverse events, including the incidence of urinary tract infections, pneumonia, and higher patient mortality. Comparatively, nursing units with reported strong leadership had significantly less adverse events, including fewer medication errors, falls, pressure areas, and lower patient mortality (2013). Therefore, a strong correlation between effective nursing leadership and improved patient safety is shown to exist and vice
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
Reflection Qualities that make an effective nursing leader are the same qualities that many other nursing staff and general public possess. Such as, the ability to support and empower their team members, be well organized, remain consistent with their expectations, and be able to communicate with their team. Support and empower the team members An example of this quality is a Licensed Practical Nurse (LPN) on one of the units at Wascana Rehabilitation Center (WRC), where I had one of my clinical rotations. This nurse would ask each staff member if they had any concerns during their daily huddles.
The main reasons for developing a HCAI are poor hand hygiene by healthcare staff, medical device related infections such as intravenous lines and urinary catheters and the overuse or improper use antimicrobials. Hand hygiene is the cornerstone measure to prevent healthcare associated infection (HCAI) and it has been shown that MRSA is primarily transmitted from patient to patient via the hands of healthcare professionals (Donskey, 2009). Although hand hygiene is the simplest, most effective and most cost effective way to prevent the spread of HCAIs (Pratt et al. 2007) (Kilpatrick et al. 2013), adherence to hand hygiene among health care professionals remains low worldwide (WHO, 2009).
