...A. Identify a current nursing practice within your healthcare setting that requires change. DEVELOPING OR CREATING AN INDEX TO MINIMIZE RISKS OFPRESSURE SORE 1. Describe the current nursing practice. An instrument specifically designed to aid health care workers evaluate the dangers of pressure sores that a patient faces is called the Braden Scale. After assessment, the victim is categorized depending on six aspects: capability of physical activity, hydration and nutrition status, capacity to alter position, the ability to respond after sensing discomfort related to pressure, shearing or exposure of the skin to friction during locomotion, and skin exposure to moisture. If the overall score is lower it means the risk of pressure sore is higher (Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies, n.d). Prior to this Change, Skin assessment was based on non- formalized risk assessment which varies with each clinical practice. 2. Discuss why the current nursing practice needs to be changed Using non-formalized risk assessment in Predicting pressure ulcer resulted in non-uniformity and personal clinical judgement which varies from one person to another. Using Clinical judgement is more effective where the staffs are experienced and their experience assist in appropriate predictability, but with novice staff, the use of clinical judgment is inappropriate. In a multisite trial, Braden scale was tested by clinics bringing together skilled nursing facilities...
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...COMMUNITY HEALTH ISSUES FOCUS The role of communitybased nurses in health promotion Dean Whitehead Dean Whitehead is Lecturer, Faculty of Health, School of Nursing, University of Hull, East Riding Campus, Hull art of the ongoing process of National Health Service (NHS) reforms involves bringing about fundamental change in the way that primary health care is delivered in the UK (Department of Health and Social Security (DHSS), 1987; Department of Health (DoH), 1989a, 1996; Standing Nursing and Midwifery Advisory Committee (SNMAC), 1995). A considerable amount of discursive and legislative documentation has accompanied these reforms, which served to provide a ‘springboard’ for debate on current and future directions of health-related policy (DoH, 1989b, 1993a,b, 1997, 1998). There has also been a concerted and longstanding request for community nurses to adopt and incorporate both health promotion and educational activities into their workload. In the late 1980s, in its document Promoting Better Health: the Government’s Programme for P ABSTRACT It is the responsibility of all nurses to incorporate health promotional and health educational activities into their professional roles. Much of the literature around this issue relates to the specific role of community-based nurses in the primary healthcare team, and identifies their unique position and responsibility for pioneering the universal acceptance and adoption of health-promoting practices. Community-based...
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...Evidence-Based Practices in Nursing Evidence-based practice can be defined as any research done whose findings enhance the ability to make better decisions regarding health care. (effective healthcare) There have been countless studies done on a multitude of topics. All of this research has led to more effective treatment and better outcomes for patients. An example of an evidence-based project performed in 2014 is one on catheter associated urinary tract infections.(Clagg) This is an immense problem in hospital and nursing home settings. There are many ways we can examine this study to see how the nurses involved with these particular patients can decrease the risk of these infections. Patients admitted in the hospital are much easier to do this type of evidence based research on due to availability of data. In the hospital, the nurse can monitor the patient’s intake and output, the color of the patient’s urine, and whether or not it has any odor or sediment.(Clagg) This research may also be done in a nursing home setting with twenty-four hour nursing care. This type of research would be difficult in the patient who was at home with a Foley catheter without having a home health nurse multiple times per day. The steps of the nursing process closely relate to evidence-based practice. This is because the nursing process is designed to deliver complete care. The nurse taking care of the patient must evaluate the patient’s needs based on subjective and objective data, develop...
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...AND ADN PRACTICE 1 The Difference Between BSN and ADN Practice Lauren DiMuro Southern Vermont College What is the difference between BSN practice and ADN practice? This is a question that every nursing student should ask and research as both BSN and ADN nurses can sit for the same NCLEX-RN exam. There are multiple answer to this question, however the short answer is that nurse with a BSN degree has more opportunities to work in a variety of health care settings that offer an extensive array of opportunities for professional growth. (Moore, 2009) BSN student learn skills at a higher level that are required for exceptional practice. (Huston 7) The difference between the ADN nurse and the BSN nurse is not limited to the opportunities allotted but spans out to the education. The BSN nurse completes a curriculum that has a different focus than that of the ADN curriculum. The BSN curriculum emphasizes evidence based practice, leadership, critical thinking, and public/community health. (Moore, 2009) As part of this curriculum you receive crucial training in key areas like communication, leadership, and critical thinking- enhanced knowledge that will become ever more valuable in the complex and changing future of health care delivery. (Simons, 2012) BSN nurses can be and are not limited to bedside nurses, educators, case managers...
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...Assignment: Learner information OCR Level 3 Health and Social Care Unit 2: Equality, Diversity and Rights in Health and Social Care Assessor: Important Dates | |Assessment Criteria |Issue Date |Formative Assessment |Summative Assessment | |Task 1 |P1, M1 and D1 | | | | |Task 2 |P2 and P3 | | | | |Task 3 |P4, M2, D2 | | | | |Task 4 |P5 and M3 | | | | CANDIDATE NAME: General Information for Learners Q Do I have to pass this assignment? A Yes. You must pass this assignment to achieve the full qualification. Q What help will I get? A Your tutor will help you when completing the OCR assignment and will make sure that you know what resources/facilities you need and are allowed to use. Q What if I don’t understand something? A It is your responsibility to read the assignment carefully and make sure you understand what you...
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...sought to find an appropriate model to predict the risk of unplanned heart failure readmissions. The primary outcome from chart reviews also included death of heart failure patients within 30 days of discharge. The study looked at Centers for Medicaid and Medicare Services (CMS) models and the LACE+ index, to mention two of many that looked at prediction ability. The LACE+ index is a model that looks at length of stay, acuity, the Charlson comorbidity score and age, to predict readmissions. They found that no one model was appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were within the last five years. Statistical data was gathered by experts and calculations made through third party experts, lending validity to the study. This article does not use the words ‘Evidence-Based Practice’ (EBP), but the CMC model is an EBP model, and many of the newer references make note to EBP. Although this was an interesting article, I may not use this in my final project. I...
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...Assignment: Learner information OCR Level 3 Health and Social Care Unit 2: Equality, Diversity and Rights in Health and Social Care Assessor: Important Dates | |Assessment Criteria |Issue Date |Formative Assessment |Summative Assessment | |Task 1 |P1, M1 and D1 | | | | |Task 2 |P2 and P3 | | | | |Task 3 |P4, M2, D2 | | | | |Task 4 |P5 and M3 | | | | CANDIDATE NAME: General Information for Learners Q Do I have to pass this assignment? A Yes. You must pass this assignment to achieve the full qualification. Q What help will I get? A Your tutor will help you when completing the OCR assignment and will make sure that you know what resources/facilities you need and are allowed to use. Q What if I don’t understand something? A It is your responsibility to read the assignment carefully and make sure you understand what you...
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...Nursing, as a profession, continues to be a growing and changing entity. As nurses, we must consider that our future is going to be much different than our past. This presentation will review four major topics that are worth consideration, and hopefully provide food for thought about each nurse’s plans and goals for his or her own career in the future. We will discuss evidence-based practice, nursing theory, research, and nursing roles and opportunities. Each of these topics includes a myriad of ideas, publications, and opportunities for self assessment and growth. Evidence-based nursing, evidenced-based practice, and evidence-based medicine are all based on the idea that health care treatment has transitioned from “practice that was based on intuition, experience, clinical skills and guesswork” to practice based in science (Chitty, 2010, p. 258). This has allowed nurses to make decisions based on research, and to provide the most skilled, advanced, and expert care. Nurses should know where to find research to support evidence-based care decisions. According to Ciliska, Haynes, and Marks (2013), a nurse could review textbooks, online data bases, journal articles, and the internet. One should consider that both consolidated and distilled information resources are available, and remember that distilled information resources do not always provide the most accurate and up to date information. The consolidate resources can be plentiful and one may have some difficulty choosing...
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...Health promotion involves the establishment of healthy settings and a variety of these settings are utilized to encourage health and wellbeing worldwide. Health promotion settings include schools, universities, sporting clubs, cities/municipalities, hospitals, workplaces, prisons and child care centres. The following assignment mainly focuses on exploring, investigating, evaluating and summarising the benefits of hospitals as a health promotion setting. Hospitals are popular for their significant role in endorsing health, inhibiting disease and offering rehabilitation services. Additionally, hospitals influence health not only through the delivery of prevention, treatment, and recovery but also through their influence on the local environment (WHO, 2017). The key points that are going to be covered for the success of this assessment include a summary of the fundamental principles and importance of hospitals. Also, a predominant definition of hospitals will be provided, together with the target groups, main investors, and illustrations of health promoting activities in hospitals. Lastly, a Flinders Medical Centre case study will be evaluated to show the current and past activities that were done in the hospital setting. The Ottawa Charter for Health Promotion defines five key areas for health promotion: building healthy public policy, creating supportive environments, strengthening community action, developing personal skills,...
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...Barriers to Using Evidence-Based Medicine Melanie Ossman Granite State College Professor Philip Wyzik HLTC 600 March 4, 2011 Thesis The Institute of Medicine recommends the use of evidence-based medicine as a primary tool for achieving the aims outlined by their six themes of improvement. Specifically, EBM relates to their aim to make health care more effective: “to provide health care that is effective and efficient.” (Institute of Medicine, 2001) In recent years, evidence-based medicine has gained increasingly broad-based support in health care, but many doctors still aren’t using it. With a lean towards Pharmacy management, I researched the barriers providers and institutions are faced with in successfully incorporating evidence-based medicine and how initiating organizational improvements can help. The research highlights some important considerations to be aware of that gives evidence-based medicine a bad name, the pitfalls to avoid, and some ways providers and institutions are working to overcome them. Introduction This paper begins by giving an overview of evidence-based medicine, what it is, and the benefits to be realized by providers, insurers, and patients. I compared that to what providers were using before EBM. Next, I examine the barriers to successfully incorporating evidence-based medicine, and the negative perceptions that dissuade their use by clinicians. Identified are the disadvantages such as source information bias, ethics considerations...
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...CLINICAL PRACTICE GUIDELINES ON INTRAPARTUM AND IMMEDIATE POSTPARTUM CARE 2012 A collaboration of the Department of Health and the Philippine Obstetrical and Gynecological Society 1 The mention of specific product brands is not meant to suggest that they are endorsed or recommended by the Department of Health (DOH) and the Philippine Obstetrical and Gynecological Society (POGS) in preference to other products of a similar nature that are not mentioned. All reasonable precautions have been taken by DOH and POGS to ensure that the information contained in this publication is accurate. However, this guideline is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the guideline lies with the end user. In no event shall DOH and POGS be liable for damages arising from its use. 2 ii MESSAGE The primary aim of MDG 5 is to reduce by three quarters by between 1990 an 2015, the maternal mortality ratio,especially among less developed countries. The Philippines is among those with high maternal mortality rate (MMR). In 2006, our MMR was 162 deaths/100,000 live births, however, the Family Health Survey in 2011 showed that the MMR has increased to 221 deaths/100,000 live births. It is therefore important that we mobilize our efforts together to avert further deaths of our pregnant mothers. The Philippine Obstetrical and Gynecological Society (Foundation), Inc. (POGS) stood up to the challenge of World...
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...Controlled Trial Study. RESEARCHER: 1. Cheung Li, PhD, is an Assistant Professor, Department of Nursing Studies, University of Hong Kong, Pokfulam, Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged to integrate the best available evidence with clinical judgment and the current climate in health care requires nuses to be able to apply the best evidence, usually through...
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...Essay Topic – PsychoEducation is a fundamental part of routine care for people with mental illness, using current literature, discuss the use of psychoeducation in mental health care under the following headings; Opportunities for psychoeducation in clinical settings Role of the nurse/therapist in providing psychoeducation Effectiveness of psychoeducation in enhancing mental health outcomes for people with mental disorders The current therapeutic model for the treatment of mental health disorders embraces a combination of pharmacological and psychological interventions. Psychoeducational methods are employed in clinical procedures for all mental health disorders and are critical to integrated health care (Bedell, Hunter & Corrigan, 2009). Creamer and O'Donnell (2008) refer to psychoeducation as education, which is specially targeted to psychological health and aims to produce changes in an individual’s knowledge, attitudes, and skills to improve health outcomes. This study is aimed at discussing what psychoeducation is, its role in clinical settings, its efficacy and how nurses figure in employing techniques attributed to psychoeducation. The study draws from evidence-based literature, including meta-analyses and research papers in the field. It is common practice to inform patients with any chronic disorder to be informed about their illness, prognosis and treatment. For instance, patients with diabetes will be educated on their...
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...Psychiatric-Mental Health Nursing Supplemental Learning Guide Course Objectives * Relate the minimum requirements for the course. * Illustrate the use of competencies for learning. * Formulate own needs and responsibilities relative to meeting course competencies. * Relate course/clinical assignments and evaluation * Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity 20. Quality improvement 21. Relationship-based care ...
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...The author’s intention is to identify an aspect of clinical practice which lends itself to change at a micro level. The definition of a micro-change is an intervention of change aimed at the individual or the way small teams work. The micro-level change is not to be confused with a service change (Walsh, 2009). When considering a change in practice we need to firstly understand why we need to make a change? Secondly when making a change, we need to justify a decision. This can be achieved by exploring the components which encompass decision making within nursing practice. Cullum et al (2007) identifies four requirements:-Clinical experience, valid researched evidence, available resources and lastly but no less important the patient preferences and experiences. The area of clinical practice to be studied is within a community district nursing team consisting of 7 qualified nurses and 3 health care assistants. The location is situated within a seaside town with a large population of over 65 year olds. Through clinical experience, the author has found a flaw in quality of care when nursing staff are using the overview assessment document which has been adapted from the single assessment process produced by the Department of Health (DOH, 2002). When assessing nutrition there is a series of six questions and an asterisk to consider the “Malnutrition Universal Screening Tool” (MUST, 2003) however experience in practice would suggest the tool (MUST, 2003) isn't used and a local...
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