HNB1102 Foundations of Nursing
Name: Annie Ly
ID: 3900965
Word Count:
Lecturer: Sujashan
The “No Lift” approach is advocated by Worksafe Victoria as best practice for patient manual handling in the healthcare industry. Identify two (2) control measures that fit under this “No Lift” approach and discuss how they reduce the risk of musculoskeletal injuries faced by nurses within Australia health care settings.
Nurses today, are currently facing a common work-related health condition, jeopardizing their full capability to perform efficiently at work. The arising matter in the nursing profession within Australia is called the musculoskeletal disorder (MSD). ‘MSD is the presence of discomfort or damage within the muscles, skeletal system, joints, connective tissues, associated nerves and or soft tissues’ (Smith & Leggat, 2003). MSD also involves ‘lower back pains, spinal disk generation, disk prolapse, muscle tears and spinal fractures causing pain continually or in a specific manner so it differs’ (Smith & Leggat, 2003). This work-related back injury appears due to ‘the physical demands in the nursing profession, particularly when it comes to patient manual handling and due to the lack of proper education and training’ (Mitchell, O’Sullivan, Burnette, Straker, Rudd, 2008). To reduce and prevent these injuries faced by nurses within Australia healthcare settings, Worksafe Victoria adopted and advocated the “No Lift” approach
This assignment seeks to discuss three key themes in relation to Manual handling in the health care sector and will describe the literature which supports this. This topic has been chosen as the handling of patients plays an important role in Health and Social care. NHS, (2010, p. 3) states that 'Manual handling is a core competency for staff caring for patients'. This assignment will look at the importance of training that is required to ensure competent and safe use of equipment and the moving and handling of patients. Secondly this assignment will go on to describe how poor manual handling can affect Patients. There are many problems that can arise from incorrect manual handling, therefore this assignment will focus on the risk of
Nursing theories have been a fundamental tool used to explain, guide and improve the practice of nursing. Theorists have contributed enormously to the growth of nursing as a profession. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson. These theorists have contributed tremendously in the field of nursing through their theories, and research. One thing the theorists have in common is that they are patient centered. They are all concerned on ways we can improve our responsibility to the patients, their families and the environment. They have different ideas but they are all aiming towards achieving the same goal, which is patient satisfaction and safety. Their differences are in their areas of
I think you made an appropriate question for nursing students. I agree with your idea. Clinical instructors have to ask their nursing students crucial question that related to the nursing practice so that nursing students can use critical thinking to answer the question correctly. If the question is a general, students might answer it directly and do not think about it too much. Certainly, simulation is a fantastic idea for nursing students to think deeply and acquire nursing skills. It makes also nursing students to learn and understand the environment in the hospital. Questioning students might increase the level of student knowledge and experience. Questioning might help nursing students to learn more about nursing practice
The Nurse and Health Care Worker Protection Act of 2015, or H.R. 4266, was reintroduced to congress in December of 2015 by Representative John Conyers and Senator Al Franken (Mitchell & Dawson, 2016). It is legislation that attempts to protect patients, nurses, nurse assistants, and other healthcare workers from injuries as a result of unsafe patient handling and mobilization. Congress found that in 2014, registered nurses were the sixth largest profession who were reporting musculoskeletal disorders and injuries as a result of their employment with 11,360 cases; the second highest profession in 2014 of reported musculoskeletal injuries was nursing assistants with 20,020 cases (H.R. 4266, 2015).
A second type of legislation within health and social care is “Manual handling operations Regs 1992.” This act states that employers all must plan ahead and avoid task that carry risks. They must also take steps to reduce the risks of injury during tasks that cannot be avoided for example, within River glade using a hoist alone the staff must assess the risk of this job and potentially ask for help if they cannot do it alone. In order to reduce the risk of injury from manual handling the staff can plan every lift to be as safe as possible by bending their knees while lifting the can also, encourage people to move independently when possible. Lastly, they can avoid repetitive lifts. (Aldworth C., 2010)
The American Nurses Association (ANA) is supporting efforts to reduce or eliminate musculoskeletal injuries associated with lifting, repositioning, and transferring patients. According to the American Nurses Association (2016), the average nurse will lift 1.8 tons per shift and over 38% of nurses will experience a back injury during his or her career. The ANA endorses legislation that requires healthcare facilities to implement the use of patient handling assistive equipment. Through this initiative, the ANA hopes to ease some of the nursing shortage issues that are compounded by work-related injuries.
Staff injuries that include lower back discomfort and MSD’s are considered of the most common amongst healthcare professionals (Liebert, 2007). Recent articles reflect that a staggering seventy percent of staff injuries are related to direct manual patient handling and transfers (Liebert, 2007). Staff injuries negatively affect productivity levels secondary to lost time (Liebert, 2007). This often creates a viscous cycle leaving less staff to care for more patients. This in turn increases the risks for experiencing an injury onto the overburdened and overwhelmed staff. The use of the Procedural Stretcher with
One nursing theory that has influenced my values and goals as a nurse is Jean Watsons Theory of human caring: Transpersonal Caring as the Fulcrum. Watson believed every person needs an interconnection with others and caring promotes this need. Through caring, a nurse can help the patient have balance and harmony of mind, body, and soul (Cherry & Jacob, 2014).
American Nurses Association started the Handle with Care Campaign in 2003; American Nurses Association published Safe Patient Handling and Mobility guidelines in 2013
Effects of a National Safe Patient Handling Program on Nursing Injury Incidence Rates by Gail Powell-Cope, Peter Toyinbo, Nitin Patel, Deborah Rugs, Christine Elnitsky, Bridget Hahm, Bryce Sutton, Robert Campbell, Karen Besterman-Dahan, Mary Matz, Michael Hodgson and published in 2014 discusses the musculoskeletal injury( MSI) among the primary healthcare providers in the veteran health administration facilities. The research shows that the rate of the MSI is quite high and this overall impacts the efficiency of the nurses. The article suggests that failure to educate the peer leaders on the appropriate safety patience handling programs, inadequate equipment, and staffing contributes to MSI (Powell-Cope et al.).
A majority of the nurses and transportation workers had a less than 5 years of experience at work. Years of experience did not seem to have a significant association with low back pain. This differed with Rahman et al. [12] who observed that job tenure along with awkward posture can cause low back pain. The prevalence of low back pain among nurses and transportation workers was analyzed in the study. The crude odds ratio of nursing reporting back pain was (OR 1.633) and transportation workers (OR 1.156). Furthermore, the association between the low back pain in the past 3 months persisted after controlling for overexertion, high demand, low control, being harassed at work, the White race, married and having more than one minor child. As the majority of the nursing workforce comprised of females, being married and having children seemed to increase the low back pain as in addition to their jobs they have to take care of house and kids. [11]. About 13.59% nurses had more than one job which could contribute to low back pain especially if the other job is also physically demanding. A majority of nurse reported low back pain, however, they did not perceive the pain as work-related. Less than 1% discussed the low back pain with their doctors. The reason could be that with intermittent pain, nurses try to take medications regularly to alleviate the pain. [10] However, medications only provide short-term relief,
The profession of nursing has matured from the time of Florence Nightingale. Nursing has gone from just treating dying soldiers on the battlefield to helping guide people through their entire lives from birth to death. The maturation of nursing has led to changes in nursing philosophy and allowed for practitioners of Nursing to meld these philosophies together to form their own philosophy. In this paper I will explain my philosophy of nursing and compare it to Virginia Henderson 's definition of nursing along with discussing some of the changes to Nurse philosophy I will also discuss some of the difficulties to being a patient advocate.
Theory is a cluster of concept or ideas that propose a view concerning a phenomenon to guide nursing practice (Chitty, 2005). The four concepts basic to nursing that are incorporated in this paper are nursing, person, health, and environment (Cherry & Jacob, 2005). The goal of this paper is to describe the core concept of nursing shared amongst Dorothea Orem and Virginia Henderson’s theories. The comparison and analysis of concept definitions between these two theories will also examined. Finally Henderson’s theory of concept statement, metaparadigm and her philosophy will be explored.
PART 1 What is nursing theory? How does nursing theory differ from theories of other disciplines? How does nursing theory relate to nursing practice?
As far back as Florence Nightingale, professionalism and ethics have been the cornerstone of nursing practice. “Ethical values and practices are the foundation upon which moral actions in professional practice are based” ( LaSala & Bjarnason, 2010). Core professional nursing values (CPNV) are taught and instructed upon in nursing programs. This paper will explore and define the CPNV of altruism, autonomy, human dignity, integrity, and social justice. Although these values are all individual characteristics, I will show that they are all intertwined in the path of care that an ethical practicing nurse walks every day with her patients, without even thinking about it.