Constraint In Nursing

Integrative case: What went wrong at university hospital? In this memo, I would like to clarify the causes of the failure of the training program in the hospital and propose the new way of the training that could be more useful for both senior managers and the employees.

According to Porter-O’Grady, 2016 et al p 324, our healthcare systems today are at the center of what is considered major change. Much of the change today is directly related to the foundational principles, concepts and associated with complexity in systems and relationships, and an understanding by nurse leader and

Nursing shortage According to Canadian Nurses Association(2009), human health resources have stated that by the end of 2011 Canada will experience shortage of 78 000 registered Nurses (RN) and shortage of 113 000 nurses by the end of 2016. Globally there will be shortage of 4.3 million health care workers. It was also shown that approximately 38% of new graduate nurses leave their workforce within the first year of employment (Lavoie-Tremblay, Wright, Desforges, Gelinas, Drevniok & Marchionni, 2008). According to registered Nurses Association of Ontario (2011), full time positions of RN dropped to 57.9 % in 2010 from 58.9% in 2009. With the current trend it is expected that the Canadian Nursing shortage will increase significantly. In

Executive Summary   Description of Periop 101: A Core Curriculum In 1999, expert surgical nurse authors at the Association of periOperative Registered Nurses (AORN) developed a comprehensive curriculum to assist in the education and transition of nurses entering perioperative clinical specialty for the first time (Beyea, 2002). In 2007, Periop 101: A Core

Nurse staffing ratios Running head: NURSE STAFFING RATIOS Nurse Staffing Ratios Maureen K. Halstead Grand Canyon University: Theories and Concepts in Leadership and Management/451V September 15, 2012 Nurse Staffing Ratios Over the past number of years there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is due to the uprising acuity of patient care and a decrease in there overall hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Not only has the safety and quality of patient care suffered, the working conditions in hospitals

Nursing Practice and Responsibilities 2 Introduction "Many older people fear that a hospital stay could leave them even more disabled than they were before. Unfortunately, there's new reason to believe this fear is justified. Elderly patients who are hospitalized are at much higher risk of cognitive problems afterward, according to a study published on Wednesday in the journal Neurology."

Transforming education is included in the second key message of IOM report. Nurses require top levels of education and training to function in ever more multifaceted health care structure. So it is vital for the nurses to advance the education and training without difficulties. Chances to improve education from Licensed Practice Nursing or Associate Degree in Nursing to Baccalaureate science in Nursing and then to advanced degrees must be accessible and available. Besides clinical skills, health policy, evidence based practice and research, quality improvement teamwork and leadership should be added in the competencies while developing educational programs. Program of study should be modified to make sure that the nurses are prepared their best to perform their tasks. In addition to that there should be opportunities available for cross training to improve teamwork and collaboration, to ensure patient safety ("ISNA Bulletin," 2011, p. 11).

Mandated nurse staffing plan would require appropriate staffing levels given the unit, acuity of patients as well as the level of experience of the registered nurse. This would result in both patient and nurse safety, with overall satisfaction in delivery of care. The staff committees will implement policies, evaluate and correct errors. In addition, Staff planner (the secretary) will report daily for each unit and for public the licensed number of registered nursing staff for each shift. (“Sec.1899C.(2)Secretarial responsibilities pg6/11). This reduces overworked nurses. Thereby increasing accountability for institutions to plan within house, diminishing negligence and increasing safety of patient and nurse.

Introduction, This educational needs assessment will cover the hospital I serve in. It is a full service, 139 bed community hospital located on a scenic campus in. The hospital staff pride ourselves on providing the highest quality care in all service areas. Our intense focus on customer service and patient safety has created a unique healing environment. In addition to our personalized care, we offer state-of-the-art technology and a medical staff consisting of the finest physicians in the area. All of the patient rooms are private and we provide free, convenient parking in a safe neighborhood. We have also achieved top scores from the Joint Commission and the State Department of Health and are accredited Chest Pain Center. The hospital is partially owned by physicians. Needs Assessment The nursing services provided at my hospital include a number of clinical services in areas such as bariatric care, cardiology, robotic surgery, the day hospital, pediatrics and a number of other areas. As mentioned above, the hospital is a full service institution that is well awarded and provides a lot of services. However, even in great institutions, things can be improved for the approximately 200 nurses employed on staff. From the research that this author has doen, the geatest gap in our hospital's educational needs (and possibly the most expensive is the lack of knowledge of HIPAA (Health Insurance Portability and Accountability Act) amongst hospital staff nurses. To test fellow

Transforming education is included in the second key message of IOM report. Nurses require top levels of education and training to function in ever more multifaceted health care structure. So it is vital for the nurses to advance the education and training without difficulties. Chances to improve education from Licensed Practice Nursing or Associate Degree in Nursing to Baccalaureate science in Nursing and then to advanced degrees must be accessible and available. Besides clinical skills, health policy, evidence based practice and research, quality improvement teamwork and leadership should be added in the competencies while developing educational programs. Program of study should be modified to make sure that the nurses are prepared their best to perform their tasks. In addition to that there should be opportunities available for cross training to improve teamwork and collaboration, to ensure patient safety ("ISNA Bulletin," 2011, p. 11).

Plans for education – information and demonstration on the proper use of CHG will be disseminated in every unit by the nursing educators. Proper documentation will also be taught by the nursing educators. Order sets will be taught to hospitalists, residents, and mid-level practitioners by the NIC. Online annual education classes will be provided through Healthstream. New hires will also be taught during orientation regarding the proper use of CHG, acquiring cultures from patients and proper documentation.

Ms Debra Shannon, BSN, perioperative RN is assigned to the OR consisting of 6 main rooms and 1 cysto room and provides support to the interventional radiology, during this rating period. She serves as Service Lead to Cardio, Vascular and Thoracic Services. She provided valuable input for this proficiency. This proficiency report demonstrates examples of how Ms. Shannon uses her perioperative nursing expertise to provide patient centered nursing care in exceeding the Qualification Standards in the four areas for a Nurse II.

In the healthcare field, technology, medical techniques, and procedures has been rapidly developing and we must always update our knowledge about these modernization. My willingness to learn as a student will enable me to perform effectively as a student and later as a practicing baccalaureate prepared nurse.

Have you ever thought about the role a nurse has between his or her client? A nurse’s role is more than just helping clients when they are not feeling well. In 2007 there were a reportedly 12 million nurse’s employed (Bureau of Labor Statistics, 2009). That is a large amount of nurse’s that are employed in the world. A nurse protects, promotes, optimizes health and ability, prevents illness or injury, alleviates suffering through treatment and diagnosis of human response, and advocates in the care of individuals, families, communities, and populations (Amercian Nurses Association, 2012). A nurse stands for many good qualities but, why is there a big shortage of nurses?

Nursing Plan Outline By focusing on overall patient care and satisfaction many areas patients are surveyed on can be improved. Once a performance standard is selected staff must develop a plan for improvement. The first step would be to research as many sources as possible to find the best evidence based practices that would work for the specific facility. This can be divided into two the two categories of direct nursing care and indirect nursing care. Direct nursing care would include implementing hourly rounding, adequate nursing staff and SBAR communication. Indirect nursing care includes availability of technology such as wireless communication, real time locating, wireless monitoring, and electronic medical records. The second step would contain education of the staff on what is to be implemented and why. The why is important for nurses to overcome any barriers that might be encountered. While nursing practice has grown based on evidence Vanhook (2009) explains the greatest barriers to evidence based practice, such as difficulty interpreting findings, limited time, and misunderstanding of research itself, and how to overcome these barriers. With phase one and two completed facilities can move forward with implementation and evaluation.