Pee Training Case Study

Healthcare systems and the way safe, quality health care is delivered are continually changing to better serve patients and communities. Professional nursing practice is a large component in the healthcare system today. Back in the 1960s, professional nursing leaders tried to adopt the bachelor degree programs as the only educational track to become a registered nurse (Creasia & Friberg, 2011). Due to nursing shortages and demands this motive did not hold fast. Individuals entering the nursing profession today must first decide which educational pathway to take to become a Registered Nurse (RN).

There are many successful options for control of urinary incontinence which include nursing interventions in the form of behavioral therapy, pharmacological agents, and surgical treatment.

I would like to start by taking this opportunity to thank the WCCCD SNA and staff for allowing me to attend this year’s NSNA Mid-Year Conference. It was a wonderful experience, and it made me even more elated for my future career as a nurse. I greatly appreciate the opportunity to meet fellow nursing students and prospective employers and educators. I was impressed by the NSNA’s display of professionalism, organization and how they met the standards of the Code of Conduct established by the Board of Directors.

According to the evidence based research done by Overton Brooks VA Medical Center “implement a bladder retraining trial in compliance with the NPSG to prevent CAUTIs. The goal was to decrease infection risk by decreasing the length of time catheters were in use and reinsertions. Decreasing reinsertion rates not only reduces infection risk but also decreases post-op length of stay, saving money and resources.” (Shreveport, 2013).The way I would share with my employment would be to have in service education for all staffs and share the information about normal bladder function. Also instruct nurses to teach patients to have voiding schedule that incorporates regular delay of voiding by using interruption and relaxation techniques, self-monitoring,

The Pathway to Excellence® Program touts 12 practice standards or core concepts that are nursing centered including the ability of nurses to control the practice of nursing and recognition of nursing for achievement (see Appendix A) (American Nurses Credentialing Center, 2014). These standards have shown evidence of overall nursing satisfaction, which is a key influencer in nursing satisfaction and retention. Pella Regional Health Center provides a post-designation exemplar of participation in the Pathway to Excellence® Program. Key outcomes included that 99% of nurses felt a key part of quality improvement strategies, 96% felt they were a key part of changes to patient care standards, and 98% felt nurses were involved in professional development strategies (Drafahl, Beyer, & Chow, 2012). The designation confirms a supportive nursing environment with a practice based on standards

The NMBA has set several specific requirements in place that outline professional development and evolving prerequisites for nurses. Some of the fundamental components include nurses “participating in at least 20 hours of continuing nursing professional development” – which may incorporate participation in mandatory skills acquisition – per year and keeping written documentation of it for verification, (NMBA, 2016). This continuation of professional education and development, as well as documenting it concisely, is critical in the assessment process of a successful nurse in the field of contemporary healthcare.

I began to think about where the NPR would be most valuable and supportive to the nursing staff. As a newer process to nurses, the goal of this project would be for staff nurses to feel comfortable in the NPR and not intimidated. Another goal is that nurses will feel more accountable for the care they provide and the team around them.

Examining the competencies for the training for the SpNS nurses has raised questions about the direction of the program and the RNST competencies project. We will meet next week (12/8) to discuss the program, refocus the project and examine what we have done so far. I will be working on the concept and structure of a survey to determine the in-house training capability and resources of CHDs, which I will send for your consideration.

In the article, Effects of a Preceptorship Programme on Turnover Rate, Cost, Quality and Professional Development, the authors discuss the value company can achieve by establishing a preceptorship program. Cascio offers five questions that should be answered when evaluating a training program. Cascio states that you should ask, “Have trainees achieved a specific level of skill, knowledge, or performance? Did change occur? Is the change due to training? Is the change positively related to the achievement of organizational goals? Will similar changes occur with new participants in the same training program?” (Cascio, 2013, p. 311). Through their research, the authors of this paper discuss the results of the program and show evidence that the preceptorship program, designed for new Nurses, was effective for the test population (Lee, T. Y., Lin, C. H., Tzeng, W. C., and Yeh, M. L., 2009).

Nursing education has progressed throughout history from one of uneducated lay persons to the current standards we know today. As the career has progressed it has become apparent that there is a need for a skilled labor forced trained to deal with the sick and dying, “the provision of nursing care by American women…demonstrated the effectiveness of skilled nursing on improving outcomes for sick and injured soldiers” (Creasia & Friberg, 2011, p. 4). However, as the career progresses so does the need for more specialized training amongst nurses to help them deal with the changing atmosphere of patient care. The future

It's enjoyable most of the time when the parent teaches a child how to do different activities and gets to see the child doing the activity with fluency. But one of the activities that many parents don't find pleasure is when it's time to train the child how to manage the poop and the pee also referred to as potty/toilet training.

For boys and girls alike, the initial trip to the potty (a bowl used by small children as a toilet) remains a huge deal for both the baby and the parent. It tells us, the parents that our little one is currently displaying signs of independence. Your little one may show interest in a basic potty, a potty that sings when you pretend to flush it or in using a standard toilet. Either way, this demonstrates to you that your baby is now on the right track in the beginning phase of toilet training. In addition to your eager little one, you will also require plenty of patience, a potty/toilet, pull ups or underwear and a mattress protector for the toilet training process.

When having a patient that deals with bladder control issues such as incontinence. I would be professional with the patient by making sure this person knew how many individuals struggle with this per year. He/She is not alone at all. 12.2 Billion adults have incontinence. This is a huge number and a lot of people. I also would not talk about this persons diagnosis or issue infront of other people. I wouldn't want to hurt his/her feelings. When we age we get older and things fall apart and don't work like they used when we were younger, we can not change it. Women are twice as vulnerable to have the urge to urinate and leak more than men.

Being toilet trained is an extremely necessary skill to make it through our day to day lives. It is something that seems so natural to us that we have forgotten that at one point in our lives we did not have this skill. Someone had to teach it to us. Unfortunately there is a large population of people with disabilities that have not mastered this skill and require the constant aid of others to go to the bathroom. Being independent in the bathroom is a major skill that can affect a child’s entire outlook on their lives. While being toilet trained may not seem like a big deal, having to constantly rely on someone else to do every movement necessary to use the bathroom can become extremely frustrating

Billings & Halstead, (2016) mentioned that with the globalization and advancement of technology as educators, one should accept innovations and be an advocate for a change. To ensure continuous quality improvement in the Nurse educator role one should participate in professional development opportunities that will enhance one’s effectiveness in the role (Halstead, 2007). I accomplished this by participating in the continuing education for nurses, making sure that all my licenses are updated and current. Religiously attends organization skills fair to keep up with clinical skills, as well as be informed of ongoing faculty development. Moreover, maintaining my CCRN certification will give me an edge an educator to apply quality improvement projects