Quantitative Research Publication Critique. The Perceptions

4) Significance: This research shows that there is a gap in the evidence, but that the primary concern for nursing staff is to ensure that catheters are removed as soon as it is possible to do so.

An informal survey of perioperative nurses, physicians and patients was performed regarding the use of thigh-length versus knee-length SCD’s. The surgical services management team, clinical nurse educator, surgeons, and materials management were also involved in the process of using only knee-length SCD’s on all surgical patients. The surgeons, staff, and patients were perceptive and willing to use only knee-length SCD’s. The perioperative nurses were hesitant at times to call the physician for an order to place knee-length SCD’s on the surgical patient. This was a barrier to the suggested change project.

A restraint is any physical or chemical measure in the healthcare setting to keep a patient from being free to move (Craven, Hirnle & Jensen, 2013). Nurses are presented with dilemmas in deciding whether to use restraints to protect the patient from falls, harming themselves or others, suppress agitation and to facilitate treatment. Improper usage and misconceptions of restraining can have negative consequences including physical and psychological issues. Physical and psychological disadvantages from restraining could include low blood pressure, decreased circulation, thrombosis, constipation, urinary incontinence, depression, fear and increased confusion (Yeh et al., 2004). Educating nurses may reduce restraint usage by increasing

J’s scenario is pressure ulcer. From analyzing Mr. J’s case one can see the correlation between the use of restraints and pressure ulcers. Obtaining data listed on the Braden Scale such as moisture, mobility, activity, and nutrition are important when assessing for pressure ulcer risks. Once the collected data indicates the patient is high risk then the established pressure ulcer protocol needs to be followed. Nurses will need to minimize friction, support bony surfaces, manage moisture, and maintain adequate nutrition to advance quality patient care. The other nursing-sensitive indicator in this case is restraints. As I have mentioned earlier the use of restraints in Mr. J’s case seems appropriate as he pose great fall risk which may further complicate his current health condition. However, it is important to perform a complete assessment on the parameters for restraint such as cognitive functioning, history of dementia, physical impairment, and drug interactions to determine the need for restraints. When restraint is clinically indicated, and the benefits outweigh the risks then protocol for restraints has to be followed. Once the patient is restrained, it is standard practice that restraints are to be removed as soon as possible, and the patient in restraints will need assistance to change position every two hours. B) To improve quality patient care throughout the hospital, the quality improvement department should scrutinize, and keep track of the

The NHRA sets the regulations for the use of retraints, in addition to these stated requirements the NHRA calls for an assessment of problematic behaviors, physician concurrence prior to the institution of restraints, use of restraints as a last resort, and explaining the restraints and why it is being used on the resident. The use of restraints is regulated by the NHRA and the practice is discouraged, however a majority of nursing home residents will be subjected to the use of them.

The population for the research was two postoperative orthopedic units with 29 beds each (Tucker et al., 2012). Nursing staff provided care for the patient with total joint replacement, adult reconstructive surgery, and orthopedic oncology (Tucker et al., 2012). Patient care was directed, planned, delivered, and evaluated by registered nurses only. Data collection was through nurse’s documentation. The SNRI interventions included offering toileting assistance, assessing and addressing patient comfort and position, placing call light Kleenex, water, remote, and garbage can within patient reach. Prior leaving, they would ask the patient if they needed any help, inform the patient that nursing staff will be back, and emphasized the willingness of the staff to respond rather than the patient try to ambulate unassisted (Tucker et al., 2012). To determine the effectiveness of SNRIs there were variables that were examined patient fall rates, patient fall risk, and nursing SNRIs fidelity. The research was approved by the Institutional Review Board for the protection of human subjects. Nurses were allowed to review medical record for fall-related data, participate in the SNRI implementation, and attend focus groups with the study nurses (Tucker et al., 2012).

The problem and explanation: The hospital I am employed at is currently having an issues with patient falls. The hospital is a “no restraint facility” and strongly discourages the use of any form of restraint including leather, soft, posey vests, or chemical. Currently the line of defense is using staff sitters, moving the patient to a visible room when available and or family members are encouraged to come and stay with their loved ones who are at high risk of falls. This does not always rectify the issues secondary to staffing issues and family participation.

Everyone possess critical thinking skills but when it comes to criticize a journal article it can be difficult for the first time, one of the best ways to develop critical thinking and reading skills is to use some strategies when reading and evaluating a research study (Wood & Haber,1998). The following essay it is going to focus in a critique of a qualitative journal article by giving its strengths and weakness, critical appraisal it is going to be done with support from different references and frameworks relevant to a qualitative study.

Furthermore, ANA strongly supports registered nurse [RN] participation in reducing the use of restraint and seclusion in mental health care settings. 4 Other policy was shaped by (Australian Capital Territory [ACT], 2011) provide clear information to staff to prevent the need for restraint and the use of restraint only as a last resort. Also, this intervention never use for the convenience of staff or to overcome a lack of adequate staffing availability. Moreover, don’t use restraints as punishment for any problematic

This is a review of literature related to physical restraint use in nursing home care facilities. The number of studies related to this topic is extremely limited and significantly outdated. More research is needed to understand the effects and experience of physical restraint use in nursing home facilities. Through conducting research on this topic, it is apparent that more research is needed to fully understand physical restraint use. This literature review include: nursing and psychiatric hospitals, underreporting use of restraints, nursing interventions, effective management of residents, informed consent and federal regulations.

The study was conducted for many reasons. First, in order to achieve optimal outcomes for the patient, the most current research based practice must be employed as improper techniques can have detrimental results to the patient in terms of inadequate oxygenation, injury to pulmonary tissues, infections and increased anxiety to the patient. The second reason is to identify if ICU Nurses are in compliance to the practice recommendations based on current research & knowledge, and if not, to implement actions to rectify deficiencies. The hypotheses statement is that ICU nurse’s ETS performance does not adhere to the best practice recommendation for ETS. The null hypothesis is that ICU nurses adheres to ETS best practice recommendation standards when suctioning patients.

While the prevalence of physical restraints in long term care facilities was around 37 percent 20 years ago, recent CMS rules has kept the numbers down to 5 percent in the US (Agens 2010). However, that is not the case in other countries with well-established healthcare systems. The prevalence of physical restraint use in these countries are as follows: 20 percent in Hong Kong, 28 percent in Finland, and over 31 percent in Canada (Feng 2009). Also, in Dutch nursing homes and hospitals, the prevalence

There are three authors for this quantitative research study. Martin Knoll is the HTW of Saarland, Clinical Nursing Research and Evaluation, Saarbruecken, Germany. Christine Lautenschlaeger, Institute of Medical Epidemiology, Biometry and Medical Informatics, Martin Luther University of Halle-Wittenberg, Germany is the second author. And last, Marianne

There were 163 partipants who attended RTTDC from November 2011 –February 2013. Attendees included nurses, physicians, pre-hospital personnel, respiratory therapists and radiology. After completion participants completed a 16 question survey which was analyzed for participants perceptions of the course. Furthermore 541 cases were reviewed from the hospital’s trauma registry reviewing length of stay (LOS), 6 months and 12 months before and after the implementation of RTTDC (Hlaing Zhu et al., 2011). Analysis of the data showed participants strongly agreed they gained knowledge from the course (18.8%), and agreed intensely that the activity was important (73.3%) Also 6 months after RTTDC, ED LOS was reduced by 18.5 minutes, moreover at 12

Recent attention in health care has been on the actual architectural design of a hospital facility, including its technology and equipment, and its effect on patient safety. To address the problems of errors in health care and serious safety issues, fundamental changes of health care processes, culture, and the physical environment are necessary and need to be aligned, so that the caregivers and the resources that support them are set up for enabling safe care. The facility design of the hospital, with its equipment and technology, has not historically considered the impact on the quality and safety of patients, yet billions of dollars are and will be invested annually in health care facilities. This provides a unique opportunity to use current and emerging evidence to improve the physical environment in which nurses and other caregivers work, and thus improve both nurse and patient outcomes.