Study Document
… Self-injurious behavior (SIB), increasing weakness, lightheadedness and the likelihood of syncopal episode.
Clinical significance: The data would help identify personal/biological factors causing the patient’s condition.
Relevant data from social history: Sexual abuse by her stepfather, living with a single mom, and sexual behaviors.
Clinical significance: It would … single mom, and sexual behaviors.
Clinical significance: It would help identify social/family factors contributing to the condition.
What is the relationship of your patient’s past medical history (PMH) and current meds? What medications treat which conditions?
PMH
Home Meds:
Pharm. Classification
Expected Outcome
Anorexia nervosa
Depression
Self-injurious … created a “domino effect” in his/her life?
· Circle what PMH problem likely started FIRST.
· Underline what PMH problem(s) FOLLOWED as domino(s).
patient care BEGINS
What VS data is relevant and must be recognized as clinically significant by the nurse?
Relevant VS data: T: 96.2 F/35.7 C … depression symptoms, lack of……
Study Document
… met by hospitals throughout the nation. This is an important public policy issue because it would oblige hospitals that are part of the care program to create a committee that is partly made of nurses who can discuss the issue of staffing. As Fowler and Comeaux (2017) … challenge for nurses. If there are too few nurses on staff it can lead to nurse burnout. The right ratio of nurses to patient is required to prevent nurses from being overburdened (Martin, 2015). The reason I selected this policy is because it is clearly important to … rates from going too high (Laschinger & Fida, 2015). Therefore, this is an issue that can address a lot of problems in health care and improve community health.
Relevance
The policy on staffing ratios is relevant to nursing because it can be a solution to the problem … health.
Relevance
The policy on……
References
ANA. (2019). Nurse staffing. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/state/nurse-staffing/
Dousay, T., Childers, B., Cole, M., Hill, T., & Rogers, C. (2016). Lower Nurse-to-Patient Ratio: Higher Patient Satisfaction. Retrieved from https://scholarworks.moreheadstate.edu/cgi/viewcontent.cgi?article=1105&context=student_scholarship_posters
Fowler, D., & Comeaux, Y. (2017). The legislative role in nurse staffing ratios. MedSurg Nursing, 26(2), 12-14.
Laschinger, H. K. S., & Fida, R. (2015). Linking nurses’ perceptions of patient care quality to job satisfaction: the role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration, 45(5), 276-283.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
Reiter, K. L., Harless, D. W., Pink, G. H., & Mark, B. A. (2012). Minimum Nurse Staffing Legislation and the Financial Performance of C alifornia Hospitals. Health Services Research, 47(3pt1), 1030-1050.
Rondeau, K. V., & Wagar, T. H. (2016). Human resource management practices and nursing turnover. Journal of Nursing Education and Practice, 6(10), 101.
Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). Is there an economic case for investing in nursing care–what does the literature tell us?. Journal of advanced nursing, 71(5), 975-990.
Study Document
Current Issue in Nursing: Nursing Shortage
Nursing quality and adequate staffing are intertwined. Adequate levels of nurses, lower nurse to patient ratios, and also more highly trained nurses are associated with better health outcomes and lower mortality rates. But despite the fact that there … a desire to cut costs, many institutions are often unwilling, despite evidence-based research supporting higher staffing ratios as leading to lower-cost and superior patient outcomes, to hire more nurses as care staffing makes up as much as 40% of all intuitional operating costs (“Nursing Shortage,” 2019).
The attempt to cut costs by reducing staff … staff levels reflects an unfortunately misguided view of the value of the nursing profession. It also reflects a misguided view of an aging patient population which increasingly consists of patient with multiple chronic conditions, many of which must be managed with long-term care and guidance. Nursing has gained respect a……
References
ANA health care economist Peter McMenamin on the nursing shortage outlook. (2019). Nursing
World. Retrieved from: https://www.nursingworld.org/~4afb8f/globalassets/practiceandpolicy/health-and- safety/rnjobmkt_peterminterview_final_030713.pdf
Bond, D. (2017). Will BSN students consider a future nursing faculty role? Nursing Education Perspectives, 38(1):9–17.
Botha, E., Gwin, & Purpora, C. (2015). The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol. JBI Database of Systematic Reviews and Implementation Reports, 13(10):21–29. Retrieved from: https://insights.ovid.com/pubmed?pmid=26571279
Crawford, C. (2019). Addition of Advanced Practice Registered Nurses to the trauma team: An integrated systematic review of literature. Journal of Trauma Nursing. 26(3):141–146,
Gillespie, G. L., Grubb, P. L., Brown, K., Boesch, M. C., & Ulrich, D. (2017). ‘Nurses eat their young:’ A novel bullying educational program for student nurses. Journal of Nursing Education and Practice, 7(7), 11–21. doi:10.5430/jnep.v7n7P11
Haddad, L.M., Toney-Butler, T.J. (2019). Nursing shortage. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK493175/
Nurse staffing crisis. (2019). Nursing World. Retrieved from: https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-crisis/
Study Document
… a year because of older and outdated communication methods and technology, according to a recent study published by the Ponemon Institute and Imperva (care Business, 2013). The primary cause for those losses was decreased productivity of doctors and nurses, as well as longer patient stays. These days, care providers have access to more electronic patient information, and that means it should be easier to share data within and outside the hospital to improve the quality of care and speed up care delivery. Among the clinicians surveyed, each wastes an average of 45 minutes per day because of outdated communication technology. These were the biggest … communication equipment and affects all kinds of outdated equipment used in the hospital. Outdated technology supposedly causes as much as 35% waste in care. This waste occurs in areas such as increased downtime, maintenance costs, reduced productivity, etc. (Lee, 2016).
The objective of this……
References
Healthcare Business. (2013, May 15). Report: Hospitals waste billions using outdated technology. Retrieved from Health Care Business Tech: http://www.healthcarebusinesstech.com/outdated-technology-wastes-money/
Lee, J. (2016, April 14). Top five risks of using outdated technology. Retrieved from Meridian: http://www.whymeridian.com/blog/top-5-risks-of-using-outdated-technology
Moran, W. J. (2019). Hospital Fundraising Best Practices. Retrieved from The Moran Company: https://morancompany.com/hospital-fundraising-best-practices/
Parand, A., Dopson, S., A. R., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: a systematic review. BMJ Open.
Pohjola, T., Suhonen, M., Mattila, K., & Meretoja, R. (2016). The work done in healthcare projects . Journal of Nursing.
Ponemon Institute. (2013). The Economic and Productivity Impact of IT Security on Healthcare. Imprivata.
Study Document
… wrong and the suitable way of fixing it. Imperatively, root cause analyses are utilized when sentry or adverse occurrences take place in the care sector, post event. Basically, an assessment team is sent off, through the use of a toolbox approach with numerous approaches such as Fault-Tree-Analysis, … FMEA, and PDSA on the quality and…[break]…are both sick and in need. By carrying out an approach such as PDSA in the health care patient safety protocols, it is possible to continue fostering this simple ideal of human safety and preservation (Johnson et al., 2018). Third, Failure Models … Models and Effects Analysis (FMEA) it employed by organizations to evade disastrous occurrences with an objective of enhancing and maintaining the quality of care. Specifically, this tool is utilized to ascertain potential areas of failure where preemptive techniques and methodologies are applied to pinpoint and are applied ……
References
Charles, R., Hood, B., Derosier, J. M., Gosbee, J. W., Li, Y., Caird, M. S., ... & Hake, M. E. (2016). How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient safety in surgery, 10(1), 20.
Johnson, A., Clay-Williams, R., & Lane, P. (2018). Framework for better care: reconciling approaches to patient safety and quality. Australian Health Review.
Study Document
care professionals usually encounter challenges to address the health conditions facing female patient. In light of the changing nature of today’s society, chronic and acute illnesses among women have become more prevalent. The prevalence of such … 50% (Eells et al., 2014). As a result, urinary tract infections among women in the United States contribute to more than 6 million patient visits and 479,000 hospitalizations each year.
Treatment of these two conditions is critical because of their contributions to morbidity and mortality in the … include use of homeopathic products (Baars et al., 2019). In addition traditional and non-traditional treatment options focus on enhancing the health of the patient. However, these conditions differ with respect to drug resistance as there is evidence of increased resistance to antibiotics by the primary cause of … of non-traditional treatment options for osteoporosis.
Collaboration with other Clinicians
Given the complexities associated with the two……
References
Baars et al. (2019, February 3). The Contribution of Complementary and Alternative Medicine to Reduce Antibiotic Use: A Narrative Review of Health Concepts, Prevention, and Treatment Strategies. Evidence-based Complementary and Alternative Medicine, 1-29. doi: 10.1155/2019/5365608
Carbone et al. (2015, November). Urinary Tract Stones and Osteoporosis: Findings From the Women’s Health Initiative. Journal of Bone and Mineral Research, 30(11), 2096-2102.
Eells, S.J., Bharadwa, K., McKinnell, J.A. & Miller, L.G. (2014, January 15). Recurrent Urinary Tract Infections Among Women: Comparative Effectiveness of 5 Prevention and Management Strategies Using a Markov Chain Monte Carlo Model. Clinical Infectious Diseases, 58(2), 147-160.
Harvard Health Publishing. (2017, May). Urinary Tract Infection in Women. Retrieved from Harvard Medical School website: https://www.health.harvard.edu/a_to_z/urinary-tract-infection-in-women-a-to-z
Khadilkar, A. & Mandlik, R.M. (2015). Epidemiology and Treatment of Osteoporosis in Women: An Indian Perspective. International Journal of Women’s Health, 7, 841-850.
Tian et al. (2017, October). Prevalence of Osteoporosis and Related Lifestyle and Metabolic Factors of Postmenopausal Women and Elderl Men. Medicine, 96(43), doi: 10.1097/MD.0000000000008294
U.S. Preventive Services Task Force. (2018, June 26). Screening for Osteoporosis to Prevent Fractures – U.S. Preventive Services Task Force Recommendation Statement. JAMA, 319(24), 2521-2531.
Study Document
Nurse practitioners play a crucial role in the modern care system given their responsibilities in administering patient care. One of the critical components in the delivery of care services in the modern care setting is collaboration between different stakeholders. Modern care environments and settings are characterized by the establishment of a multidisciplinary team that provides patient care. Consequently, nurse practitioners are required to collaborate with others, particularly physicians in their respective roles in the care delivery process. Stewart & DeNisco (2019) states that collaboration among care providers or clinicians is based on shared goals and decision making, mutual relationships, and use of collective knowledge of all stakeholders involved in … or clinicians is based on shared goals and decision making, mutual relationships, and use of collective knowledge of all stakeholders involved in the care process.
Collaboration with physicians has tremendous impacts on the practice and job satisfaction for nurse practitioners.……
References
Dillon, D. & Hoyson, P.M. (2014, January). Beginning Employment: A Guide for the New Nurse Practitioner. The Journal of Nurse Practitioners, 10(1), 55-59.
Stewart, J.G. & DeNisco, S.M. (2019). Role of development for the nurse practitioner (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
Study Document
… soap and water to clean the hands.
When to Wash Hands
There are several times when it is important to wash hands. Some care organizations recommend it more frequently than others. According to the Centers for Disease Control, there are several critically important times that people need … caring for someone who is ill (especially with vomiting or diarrhea); before and after treating cuts and wounds; after changing diapers or taking care of a child after using the toilet; after touching an animal, animal waste, or animal food; after coughing, sneezing, or blowing your nose; … waste, or animal food; after coughing, sneezing, or blowing your nose; and after touching garbage (CDC, 2020).
There are additional times that health care professionals and others involved in medical procedures need to wash their hands or take extra steps for hand hygiene. Hands should be washed … to wash their hands or……
References
Centers for Disease Control and Prevention. “When and How to Wash Your Hands.” CDC. 2 April 2020. https://www.cdc.gov/handwashing/when-how-handwashing.html " target="_blank" REL="NOFOLLOW">
Study Document
The Importance of Effective Nursing Leadership Today
Today, the nursing profession is under unprecedented pressures to deliver high quality patient-centered care in the wake of the ongoing global coronavirus pandemic. In far too many instances, nurses are being overwhelmed on the front lines of … in the wake of the ongoing global coronavirus pandemic. In far too many instances, nurses are being overwhelmed on the front lines of patient care, and it may be weeks or even months before the peak of the pandemic is fully experienced. Against this backdrop, identifying ways that … calls upon virtually all professional nurses to be prepared to “hit the ground running” in a leadership role from day one of their care. For example, Standard 12 of the student handbook, “Leadership,” clearly states that, “The registered nurse demonstrates leadership in the professional practice setting and … the professional practice setting and the profession” (p.……
References
ANA leadership and governance. (2020). American Nurses Association. Retrieved from https://www.nursingworld.org/ana/leadership-and-governance/ .
Delgado, C. & Mitchell, M. M. (2016, January-February). A survey of current valued academic leadership qualities in nursing. Nursing Education Perspectives, 37(1), 10-13.
Meliniotis, C. (2015, March 30). Effective nursing leadership. Elite Healthcare. Retrieved from https://www.elitecme.com/resource-center/nursing/effective-nursing-leadership/ .
Student handbook.
Study Document
Today, the U.S. Department of Veterans Affairs (VA) operates that nation’s largest health care network, including 170 major medical centers that provide health care services of some type to more than nine million veteran patient each year (VA fast facts, 2019). Given that Iran recently classified all U.S. military personnel as terrorists and the high-profile nature of the … storms and huge snow drifts are common. We’re also experiencing frequent earthquakes that are blamed on fracking. All of these events can disrupt patient care and surgical procedures so we try to train for these types of events constantly.
b) Fires: Current VA policy prohibits smoking on VA … so we try to train for these types of events constantly.
b) Fires: Current VA policy prohibits smoking on VA grounds so our patient and their families usually try to stay as close to our premises as possible while they smoke. Last……
References
Blake, N. & Wilson, E. (2019, September/October). Disaster preparedness: Mitigation, response, and recovery to ensure staffing excellence in Los Angeles County. Nursing Economics, 37(5), 231-233.
Labrague, L. J. & Yboa, B. C. (2016, January). Disaster preparedness in Philippine nurses. Journal of Nursing Scholarship, 48(1), 98-102.
Natural disasters and severe weather. (2020). Centers for Disease Control and Prevention. Retrieved from https://emergency.cdc.gov/planning/index.asp .
VA fast facts. (2019). U.S. Department of Veterans Affairs. Retrieved from https://www.va. gov/health/aboutvha.asp.
Veenema, T. G. & Griffin, A. (2016, March). Nurses as leaders in disaster preparedness and response - A call to action. Journal of Nursing Scholarship, 48(2), 187-192.
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