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How Does Nursing Affect Pay-For-Performance?

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). To answer your question, nurse does affect pay-for-performance in regards to patient outcomes. And, certified nursing has positive affect on patient outcomes. In any specialized area or unit, a certified or specialized nurse is required to care for the patient. A nurse cannot delegate teaching. Take for example, a patient received a liver transplant. There is a great amount of teaching involved prior to the patient discharging. When the patient is not adequately taught, readmission rates are seen. For example, a new diagnosed diabetic is rushed through a glucometer, insulin pen, and sliding scale teaching on discharge day is not ideal. This is true when the patient is having to learn two different insulins. The next challenge this patient is learning is a tapering schedule for prednisone; this is in addition to seven new medications the patient will be going home with. Again, this is taught on discharge day. The last hurdle is that the patient will be leaving the hospital with a wound vacuum. We have seen that when …show more content…

Recently, a surgeon delayed a discharge by a day because a patient did not have a support person available during working hours. We as nurses do need to realize that evidence to support identifying appropriate nurse sensitive indicators proposes a close relationship between nursing and patient outcomes, however it is not consistent (Burston, Chaboyer, & Gillespie 2014).
At what point do we as a nurse leader notify the patient that he must do things on our terms. For example, having a support person available during business hours for discharge teaching and now the patient is disgruntled because he did not get his way. Or stop giving pain medication because it is outside the FDA recommended guidelines and now the patient is disgruntled because he did not get pain

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