Evaluation Of A Patient Observation

For over a decade researchers have been performing studies examining the effects patient-to-nurse ratios have on adverse outcomes, mortality rates, and failure-to-rescue rates of patients and on job dissatisfaction and burnout experiences of nurses. Aiken, Sloane, Sochalski, and Silber (2002) performed a study which showed that each additional patient per nurse increased patient mortality within 30 days of admission by 7% and increased failure-to-rescue by 7% as well. This same study also showed that each additional patient per nurse resulted in a 23% increase in nurse burnout and a 15% increase in job dissatisfaction. Additionally, Rafferty et al. (2007) performed a study in which the results showed that patients in hospitals with higher patient-to-nurse ratios had a 26% higher mortality rate and nurses were twice as likely to have job dissatisfaction and experience burnout. Blegen, Goode, Spetz, Vaughn, and Park (2011) performed a study where results showed that more staffing hours for nurses resulted in lower rates of congestive heart failure morality, infection, and prolonged hospital stays. The same study also showed that increased nursing care from registered nurses resulted in lower infection and failure to rescue rates and fewer cases of sepsis.

The health care industry is an environment that is competitive and expensive. To be a patient receiving care the urgency is high and at a very critical point to trust a team of strangers with your care possibly even your life. On the other side of that coin, treating and interacting with patients is a part of the health care industry because providing care does not end with the physician. In the middle of these two different side of health care is where management steps in and takes over the middle ground.

Significance: Because nursing is the largest health care profession and nurses provide most of the patient care, and as an acute nurse, I can relate to how unsafe nurse staffing/low nurse-to-patient ratios can have negative impact on patient satisfaction and outcome, can lead to medical and/or medication errors and nurse burnout. It can also bring about anxiety and frustration, which can also clouds the nurses’ critical thinking. Most patients might not know the work load on a particular nurse and can assume that her nurse is just not efficient. Doctors also can become very impatient with their nurses because orders are not being followed through that can delay treatments to their patients. There is also delays in attending to call lights resulting in very unhappy patients who needed help.

The patient is a 12 year old female who presented to the ED with thoughts of self harm and cutting behaviors. The patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. The patient reports that she has been sad lately. Per- documentation the patient reports to peers at her school that she was trying to kill herself, which the school sent her to DayMark. Further, Daymak IVC the patient and requested further evaluation.

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

In January 2015 a patient observation was conducted on an inner city psychiatric male admission ward commencing at 10.30 am and concluding at 11.30am. The observation was carried out by the ward manager and the patient advice liaison service (PALS) manager.

In this essay I will discuss a service user I encountered on recent practice placement who was referred to the hospital after she has been deteriorating in mental health and she has bipolar disorder. I am going to discuss the assessment and development of the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the

concern is that when nurse are over burdened with patient care the quality of care those patient’s

The objective is to observe and pseudo-experience the care provided to an individual. We will evaluate to practices of the clinician's as professionals. In the evaluation we will discuss whether, patient-centered care, a holistic and relationship based approach have been implemented. Evidence-based practices will be recommended to improve the care of future patients. The process will require a conscious effort to look through the eyes of the patient and remove ourselves from the caregiver role or perspective.

Initial case planning for taking over Christian’s care will involve a comprehensive review of his previous notes hence serving a good understanding of his mental health needs and hypothesis to be made to probe further investigation and appropriate interventions. A review of Christians discharge summary will give a clear picture of what has been happening and also what interventions strategies have been implemented. A study (deCathelineau, 2014) state that in order to provide best patient care, it is important for clinicians to have accesses to complete patient records. Establishing a good nurse patient rapport will facilitate the patients’ engagement and compliance. Guglielmi, Stratton, Healy, Shapiro, Duffy, Dean & Groah (2014) state that patient engagement strategies have demonstrated improvement in care delivery and translate into better outcomes related to patient satisfaction and recovery.

Every patient needs care, love and support while admitted to a hospital. With the lack of nurses, the patients are barely getting the proper care, love, and support he/she deserve. The nursing shortage has a huge impact on patient care. It does not give the nurses a chance to tend to the patients’ needs like the nurses should or would like too. Nurses work long hours in a highly stressful state, that causes team members to be fatigue, get injured, or have dissatisfaction of the work place. With nurses working under these conditions the majority are likely to make many mistakes and errors. This issue is very controversial because nurses are forced to over themselves to make sure everything patient has been seen. If nurses continue to go

Question 2. What is feedback of patients on the responses they receive from the medical staff?

According to journal of the American Medical Association (JAMA), adding one patient-per-nurse to a hospital’s staffing level increased nurse job dissatisfaction by 15 percent. The data indicate that more than 40 percent nurses who reported high burnout on the job dissatisfaction intended to leave their job within the next year.” Before, burnout on the jib can be also a direct problem of inadequate staffing since many hospital administrations ensure adequate staffing ratios. Besides poor staffing the nurses lack of autonomy at the bedside contrib. In a 2001 United States of America Nurses affiliation survey, Nurses were asked how it felt when he left their duties each day. The advantage of nurses responded those felt about to die out dis talking

How were staff involved in assuring that the patient experience would be at its highest levels?

There are 2.7 million nurses in America, and a new survey of more than 3,300 of them found that nurses are stressed, overworked, unappreciated, and underutilized. In a 2011 survey of about 95,000 nurses, 36 percent of nurses in hospitals and 47 percent in nursing homes providing direct care, said that their workload caused them to miss changes in patient conditions (Fischer, 2014). Not having the proper staffing hurts more than just the financial and overwhelming staff, but the reputation of the hospital. Patients put their lives and care in our hands and we need to make sure we are providing responsible care with respect and integrity.