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Evaluation of nursing sensitive indicators
Nursing sensitive indicators
What are nurse sensitive indicators
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More handpicked essays just for you.
Evaluation of nursing sensitive indicators
Nursing sensitive indicators
What are nurse sensitive indicators
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Recommended: Evaluation of nursing sensitive indicators
Thank you for your sharing. It is a very nice post. I understand more on how the nursing-sensitive indicators work with your appropriate example. For my understanding, “nursing-sensitive indicators” work like as a meter. The low meter reading represents something such as inefficiency or low score.
However, safety, health, and care have high chances to be compromised. In the hospital setting, patients with dementia get constant care, support, and help from staff in the
In the past, nursing homes have notoriously been known for not delivering the best quality care. There have been cases of patients being burned by heating pads, strapped to their beds with restraints, or given medication to quiet them down, with more extreme cases including patients so sedated, that they almost seemed lifeless. In 1987, the Nursing Home Reform Law was passed to change the quality of care being given to nursing home residents such as monitored clinical care, unexpected inspections, and having a registered nurse on duty 24 hours a day. While its creation had many positive effects, there was still an issue with the quality of care being given as stakeholders and investors in nursing home chains have begun to cut expenses by limiting
Recently the advanced practice registered nurse (APRN) became a very important profession due to the major changes in the healthcare system and the Patient Protection and Affordable Care Act (PPACA) goals that focus on providing patients with affordable but quality care, improving patient health outcomes, expanding care to the underserved areas, and lowering the costs. It became apparent that over the years nurses played an important role in healthcare system. According to the National Governors Association (2012) “The demand for primary care services in the United States is expected to increase over the next few years, particularly with the aging and growth of the population and the passage of the Affordable Care Act (ACA)” (p. 1). In addition,
The feeling of being able to alleviate the suffering of an acutely ill patient is at once incredibly satisfying and immensely humbling. I am constantly in awe of the fact that by coming to work everyday, I have the privilege of helping others who cannot care for themselves. During my time in my Clinical Care Extender Internship, I developed a special interest in caring for the geriatric population and have had the opportunity of serving as a personal caregiver to an elderly woman with dementia. I do not take the trust and confidence that my patient places in me lightly and work hard to advocate and provide for her safety because she deserves no less. Thus, in the interest of patient advocacy, as a nurse in your facility, I will seek to improve the practices that will keep my patients safe and promote their healing.
The nursing informatics course has taught us the importance of the utilization of electronic charting system in the health care field. This system helps facilitate effective communication among clinicians in the health care field. However for that to happen, we must practice what this course has though us, which is good and proper nursing documentation. The electronic charting system allows multiple clinicians to have access to patient information in real time with the help of the internet, however for this information to be helpful we need to practice good and proper nursing charting.
(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent
Description: In week 7 we had visited Wesburn Manor, the Long-term Care (Clinical Placement) setting. It was our first time there, therefore as a group, we oriented the place. At this time, we went to each nursing station on each floor and introduced ourselves from the organization we were from and how we will be providing patient care to the clients in this setting. We were educated by our clinical instructor on the different access codes in the building, the policies and guidelines, our assigned floor and the appointed personal support worker. Our role of professionalism as a nursing student was represented as we came prepared and greeted each healthcare and staff member.
Christian nurses are given the unique ability to provide compassionate and spiritual care to a variety of patients. The purpose of this paper is to explain my definition of nursing as a caring art, describe how Christian faith impacts caring, describe my personal philosophy of nursing while identifying my own personal values and beliefs, and discus how my beliefs impact my nursing practice. To me, nursing as an art of caring, is defined as caring for the whole person, building meaningful relationships, and providing compassionate care. Holistic nursing care involves healing a person physically, emotionally, and spiritually. I believe the art of nursing is embedded in the steps we take to address problems that are not simply physical.
My current practice setting is primarily based out of the hospital and quality care measures as well as cost analyses are certainly the biggest concern this day and time. I am constantly making sure that all "quality indicators" are present on each and every cardiac consult that we encounter and making sure that I document the reason why a certain "quality indicator" is not indicated on that individual patient. What I find thought provoking is that although I may discharge a chronic systolic heart failure patient on all the core measure medications and they demonstrated improvement while in the hospital for the 3 to 4 days that they are allowed for that admission, they still bounce right back into the hospital for "congestive heart failure".
Many individuals have certain work values that help them excel more than others, and that’s what makes one different and unique from one another. Having certain work values can determine a lot, it can determine what kind of person some one is and what interests them the most. The work values that I ranked the highest on Prioritizing Your Values, assessment were being prestigious, having self expression, interest, high achievement, commitment/ work ethnic. I will use the values that I scored the highest on the assessment to the best of my ability to reach my goal. Incorporating these values will help me reach my goal, by applying them into my daily life at work when I become a registered nurse in the future.
With a nurse shortage, patients are not getting the best quality care they should be getting. Archive stated that hospital nurse staffing, is a matter of major concern because of the effects it can have on patient safety and the quality care patients deserve. Nursing-sensitive outcomes is an indicator of the quality care and can be defined as variable patient or family caregiver state, condition, or perception responsive to nursing intervention. Some unfortunate patient outcomes potentially sensitive to nursing care are shock, urinary tract infections (UTIs), pneumonia, longer hospital stays, upper gastrointestinal bleeding, failure to rescue, and 30-day mortality. Research has focused on negative rather than the positive patient outcomes for the simple reason that adverse outcomes are more likely to be documented in the medical record.
CHAPTER THREE 3.0 RESEARCH METHODOLOGY 3.1 Research Design A cross sectional descriptive study design was used in order to give a detailed description of the nurse’s knowledge, practice and challenges on the care of critically ill patients. In a cross sectional study, data were collected at one point in time, the phenomena under the study was captured during one period of data collection (Polit and Beck, 2008). Quantitative approach was used to collect and analyze data from the study participants; data was quantified in numerical values, percentages to enable statistical inferences. A quantitative method was chosen because it enables the researcher to test the relationship and examine cause and effect among dependent and independent variables.
The 14 fundamental needs are what guide the nursing process which nursing use to guide their care plan. Virginia Henderson theory separated the nursing care from the medical care because she wanted to focus on the patient as a whole (Blais& Hayes, 2016). The nurse who is caring for a patient with dementia will determine if the patient is capable of doing any of the needs on his or her own, will need the nurse to guide them with these needs or to take full responsibility for the patient to reach all of the 14 fundamental needs. The nurse is coming up with a plan of care for the patient and basing it on what Virginia Henderson believes a nurse’s role for the nurse should be. Which is the nurse will take full responsibility for the patient needs, or offering assistance to the patient while they are no longer able to do independently and working with the patient to promote independence (Ahtisham& Jacoline,
Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).