Answering the call light (also called call bell a handheld like that is attached to the patient room wall, above the headboard of the bed) in a timely manner by the nursing staff in hospital setting is necessary to prevent falls that can harm, prolonged stays, and unnecessarily increase the cost of healthcare. However, researches concerning call light uses as it relates to patient safety, patient-care management and patient satisfaction are limited (Meade et al. 2006). Patients and their families emphasize that nurses should monitor patients constantly and provide assistance and answer a call light in a timely manner (Yoder, 2011). Note that the falls may be caused by several factors such as
This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may
With the rapid growth in the implementation and use of electronic medical records, there is an increase in how we define the role of nurses and other team member’s (Deese & Stien, 2004). Along with providing optimal care, nurses are also responsible for interpreting and accurately documenting large amounts of information. According to, (Ericksen, 2009) nursing informatics is defined as the integration of nursing, its information, and information management with information processing and communication technology to support the health of people worldwide. In this
A key recommendation for transforming nursing practice from the IOM is improving quality of care. There is an ample amount of research that associates midwifery care as being of comparable or higher quality to obstetrician/gynecologists with increased patient satisfaction and lower cost (American College of Nurse Midwives, 2012). Midwives work to improve care outcomes through providing holistic, patient-centered care.
The moderate sedation policy will be revised to require one on one nursing staff to monitor patient from admission until discharge criteria is met. Patient vital sign parameters will be included along with frequency of monitoring. All staff who assist or perform moderate sedation will complete required training as described in the policy. Annual recertification will be completed by all practitioners and registered nurses through continued education, observation, and implementation.
One the most important issues facing nursing these days is the changing healthcare insurance industry. I saw how these changes affected staff firsthand. I worked at Quincy Medical Center for three years until it closed in December of 2014. The Affordable Care Act led to cuts to Medicaid supplemental payments for the uninsured and has forced many hospitals to reduce staff or close like Quincy Medical Center. This is a concern for nurses because under current federal regulations there are no specific requirements for nurse to patient ratios. Multiple research studies demonstrate that lower nurse-patient ratios save both lives and money long term. For example, hospitals that routinely staff with 1-to-8 nurse-to-patient ratios experience five additional deaths per 1,000 patients than those staffing with 1-to-4 ratios, according to the Journal of the American Medical Association. Higher nurse to patient traditions lead to higher burnout
The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.
In order to practice as a nurse informatics or NI specialist, one must know and understand the standard to which he or she is held. The purpose and function of scopes and standards of practice for nursing informatics is to provide an overview of the specialty, assist future specialists understand their scope of practice, and practice at a competent level to guide and support nursing care. The scopes and standards of practice further provides an insight into the foundation of clinical decision making processes and cognitive concepts as the nurse moves data to wisdom in the clinical setting. As a NI specialist, the informatics nurse follows the concepts, scopes and standards of practice to guide and define their profession. This paper will further discuss the principles that guides nurse informatics specialist, the scope and standards of practice, professional performance, functional areas for nurse informatics, competencies, evolution, progress, and the future the specialty.
As health care systems worldwide move toward instituting evidence based practice, its implementation can be challenging (TIGER Initiative, 2007). The amount and difficulty of information nurses are likely to accomplish continues to rise exponentially (Bernard, Nash and O’Brien, 2005). Providing consistent, effective, customised care requires a degree of mastery of data and management that will be attainable only with the improved use of information technology (Bates and Gawande, 2003).
I have also had similar experiences, while working in labor and delivery. Being a mother and nurse, I find it very natural to be nurturing. While caring for Muslim families, I have found they are not as nurturing to their children. As a matter a fact, I have had many only hold their infants for a few seconds, them want them put back under the warmer. The Muslim father almost never holds the baby, but does come over to the warmer and say a prayer in the infants ear. The Muslim call to prayer or adhaan ("God is great, there is no God but Allah. Muhammad is the messenger of Allah. Come to prayer.") are the first words a newborn Muslim baby should hear (BBC, 2009). They are whispered into the right ear of the child by his or her father (BBC, 2009).
Patients with complex chronic conditions can benefit from nurse-led care coordination in ambulatory care settings in the aspect of reductions in ED visits and hospitalizations. Nurses provide guided-care and facilitate cross setting communication and transition between specialty and primary providers (Haas & Swan, 2014). Nurses support patient decision-making and self-care management. Nurses hear concerns and goals of patients and enhance their engagement in care interventions. Nurses empower patients and families in understanding health care resources and seeking consultation prior to increased severity of the disease (Forbes III, 2014).
With the rapid explosion of nursing knowledge worldwide, the amount of data nurses use and process in the delivery of care is extensive and often unmanageable. Advances in information management and computer technology have broad implications for this knowledge explosion and can facilitate the collection, manipulation, and retrieval of essential nursing data for practice and research. (AJPH, 1991). The Nursing Minimum Data Set is a standardized tool used for the collection of important data related to nursing. The data is frequently utilized by nurses to provide evidence based care that is accurate. This tool enables healthcare providers and nurses to collect nursing data from different places and compare these data, with
Nursing informatics (NI) has become a vital part of healthcare delivery and has become a defining factor in the selection, execution, and assessment of technology that supports safe, exceptional quality and patient-centered care. Nursing has become so uniform. The data in patient records has become a valuable resource and has improved assessments and overall patient care. Before the launch of nursing informatics throughout the second half of the 20th century there were not any real standards for language. The use of data restricted the function and
The authors conclude that in order to collect data for meaningful use, one must get back to nursing basics to satisfy regulatory requirements. Under direction of a nurse informaticist, utilizing electronic health records helps facilitate this.