...of the Study Job satisfaction in registered nurses should be of great concern to any organization. Nurses hold the majority of positions in most health care settings, and replacement of licensed personnel is costly and time consuming. As newly graduated nurses, we have limited time but ample exposure to varying degrees of job satisfaction. What makes some so happy with their chosen profession, and others so unhappy? Aside from a change of career, is there a solution? With the current nursing shortage, and the anticipation of worsening conditions, we set out to investigate the sources of dissatisfaction in the health care setting. We reviewed several scholarly sources and withdrew pertinent information. Following the discussion of literature findings is a summary including suggestions for further research. In the article written by Fletcher, job satisfactions as well as dissatisfactions were investigated. Questionnaires were mailed to 5,192 registered nurses (RNs), 1,780 of which were returned and scored using several evaluation methods (Fletcher, 2001). Researchers looked at job satisfaction, patient satisfaction and safety, extrinsic work values, role of the immediate supervisor, and intent to stay in nursing. Job satisfaction was evaluated on several levels: Profits, Job performance, Intrinsic work values, and, Patient care issues. Profits referred not to personal financial gain, but to the organization’s profits. Many nurses responded feeling "devalued in their job" (Fletcher...
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...profession where lives are saved every day. Nursing advocacy can affect patient outcomes. As the nursing profession evolves and responsibilities increase, it is necessary to better understand the concept of nursing advocacy. The role of advocacy is not new for the nursing profession, but the nature of advocacy in the nursing practice remains ambiguous. Nurses are obligated to act as an advocate for their patients, but there is lack of clarity on how to perform this role. The purpose of this paper is to better understand nursing advocacy and to explore ways it is practiced across all fields of nursing in order to promote improved patient care. Advocacy is an essential role for the nursing profession; however, it can be affected by many factors. The goal of advocacy is to balance the relationship between the healthcare system and the patients who are served by evaluating patient/family needs, providing information and education, ensuring access to proper care and supporting the patient and family’s decision within the structure of a multidisciplinary team. This paper will explore the following research question: What are the variables that affect the role of nursing advocacy and in what ways is it practiced across all fields of nursing? Review of Literature Introduction The general topic of the review of literature is nursing advocacy. We are examining and exploring a clearer definition of nursing advocacy and how it is practiced across all fields of nursing. The studies were retrieved...
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...recommendations in terms of what can be done by Delmar General and their management staff to increase motivation and decrease stress levels, with examples from supporting research. No matter what ones goal may be, motivation always plays a big role in achievement. In the workplace, individuals must be motivated to perform their best however, frequent conflicts can often hinder ones motivation levels by causing stress. Managers within the workplace can attempt to achieve maximum productivity while maintaining a positive employee affect through the use of various kinds of motivational plans. The nursing profession is one of many within healthcare that deal with a lot of stress and motivational issues. Currently nursing is facing a series of issues that makes understanding stress and motivation very important for healthcare managers. It was estimated by the US Department of Health Human Services in 2004 that by the year 2020 there would be a shortage of between 400,000 and 1,000,000 registered nurses (Badgett, 2011). Nursing is in great need of individuals for many reasons. A majority of nurses are of the “baby boom” generation and have begun retiring, leaving a very wide gap among the nations nurses that will only widen as time goes on. In addition,...
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...points): The area that was chosen for this assignment is alarm fatigue. Alarm fatigue has been described as the process that occurs when nurses are desensitized due to too many alarms that are sounding constantly. Often times, there is no clinical indication for alarms that are sounding. This leads nurses to make the assumption that certain alarms are not important or the alarms very simply become background noise. Alarm fatigue has become nationally recognized and is the National Patient Safety Goal (NPSG) that was implemented by JCAHO for 2014. Medical alarms that are supposed to make nurses aware that something is wrong with the patient and prevent sentinel events have resulted in sentinel events. Some research has been done to show that alarms that were ignored is what led to the sentinel event occurring. I chose to research this area as I have witnessed this in the workplace over the years. I am reluctant to see what the outcomes of research on this subject will lead to and what protocol implementations will occur to meet the 2016 JCAHO deadline for this problem to be addressed. #1 Database (or collection) (30 possible points): Title of source: Association for the Advancement of Medical Instrumentation (AAMI) Location of source (URL): http://www.aami.org/htsi/alarms/library.html Owner or publisher: Healthcare Technology Safety Institute (HTSI) Describe (in your own words) the research database or collection of research including the purpose and the subject...
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... 2. Innate leadership skills: being born with a certain set of physical and emotional characteristics for inspiring others to reach a common goal ii. Style theories: 3. 4. How leaders behave in certain environments and situations. a. Democratic: you care about what others think b. Lasae faire: no structure; people can do what they want c. Authoritarian: you are in charge iii. Situational-contingency theories 5. 6. These theories consider the challenge of a situation and encourage an adaptive leadership style to complement the issue being faced. Assess, assess, assess 7. You are typically democratic; you assess the situation and change your style based on what the situation is. iv. Transformational theories 8. 9. Inspires, motivates, empowers, mentors, provides intellectual stimulation and promotes creativity b. Motivational Theories v. Hierarchy of needs 10. 11. Low level needs will always drive behavior before higher levels needs can be addressed. For example, pain level, nutrition, and energy level need to be considered before delivering patient education. vi. Two-factor theory 12. 13. Must have good working conditions as well as recognition and achievement. High salary alone is not enough to create job satisfaction. ...
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...stating the problem on musculoskeletal injuries in nurses. “The purpose of the study of critical care nurses was to investigate how nurses perceived their risk of work-related MSK injury and...
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...surgical/medical, operational rooms, emergency, obstetrical areas of care and adolescent residential behavioral/ mental health units. The main culprits to these act are non-other than; charge nurses, senior nurses, physicians and nurse managers. This is impartial research among others that have been carried in the United States in relation to nursing careers. Indeed, bullying in nursing profession is stirring at alarming rate that should be moderated through implementation of a number of rules and procedures. The act ought to be rectified since allowing bullying in a nursing environment does not only damage interpersonal relationship in a healthcare facility, but also has devastating effect to the whole group, the patient quality of care, overall financial loss, and give a bad image to the workplace (Quine, 2001). Consistent bullying, affects a nurse physically with chronic health conditions, psychological depression which ultimately lowers his or her occupational performance capacity. These conditions eventually led to increased rate of sickness occurrences, inadequate staffing and poor job performance. Very few nurses can accept bullying at work. It is evident that female nurses are more at risk since bullies target them as they are perceived to be powerless and conquered by physicians, senior nurses, and administration. In most cases, bullying is done by the superior against a subordinate. Creating awareness in regard to...
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...Psychiatric Intensive Care Unit for an NHS Foundation Trust. Working in restrictive, structured, secure environment can be daunting and frustrating for patients who are admitted, due to a combination of the intensity of their mental illness, behaviours derived from this level of intensity and the constraints caused by the environment. This frustration can at times be displayed in a violent manner and directed towards nursing staff and their peers. It was identified through various discussions with the patients, staff and the Manager that both patients and staff were frustrated and both parties had different views towards reasons of violent and aggressive behaviour (appendix 1 and 2). Staff believed it was the patient’s internal views and presentation that led to an aggressive outburst, while the patient reported environmental and poor communication to be the contributing factor. Whittington and Duxbury (2005, p 469) identified environmental conditions and poor communication to be at the forefront of patient aggression and violence incidents and that there is a need to explore the view of the ‘aggressor’ in order to fully understand the nature of the problem and deal with it effectively. Through discussion with the Manager and the nursing team an agreed action plan was identified to improve the relations for both patients and staff and help reduce violent incidents, improving the service and providing a safer and less stressful environment. In...
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...American Academy of Nursing (Watson,2007). She is the author/co-author of more than 14 books on caring and holds six honorary doctorates. Recently she founded Watson Caring Science Institute, a non-profit organization developed to help spread her nursing theory and ideas. Dr. Jean Watson goal is to have nurses come together, regardless of specialty, and share a common definition that embraces science and philosophical perspective. The common goal has become known as caring-healing consciousness. Watson begins her theory by identifying 10 carative factors of care. Theory Concepts Watson bases her theory of nursing on 10 carative factors: 1. Formation of humanistic-altruistic systems of values: This begins in early development and is molded by life experiences, exposure, learning, and culture. 2. Development of faith and hope: The belief in spiritual being can assist in the healing process. The nurse can be authentic in enabling a patient to become more aware of his deep belief systems. 3. Sensitivity to self and others: The nurse is to be sensitive to others in a nurturing, healing way to facilitate healing and promote spirituality. Listening and understanding how the patient is feeling and...
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...Iranian Journal of Public Health Tehran University of Medical Sciences The Code of Ethics for Nurses F Zahedi, M Sanjari, [...], and M Vahid Dastgerdi Additional article information Abstract Nurses are ever-increasingly confronted with complex concerns in their practice. Codes of ethics are fundamental guidance for nursing as many other professions. Although there are authentic international codes of ethics for nurses, the national code would be the additional assistance provided for clinical nurses in their complex roles in care of patients, education, research and management of some parts of health care system in the country. A national code can provide nurses with culturally-adapted guidance and help them to make ethical decisions more closely to the Iranian-Islamic background. Given the general acknowledgement of the need, the National Code of Ethics for Nurses was compiled as a joint project (2009–2011). The Code was approved by the Health Policy Council of the Ministry of Health and Medical Education and communicated to all universities, healthcare centers, hospitals and research centers early in 2011. The focus of this article is on the course of action through which the Code was compiled, amended and approved. The main concepts of the code will be also presented here. No doubt, development of the codes should be considered as an ongoing process. This is an overall responsibility to keep the codes current, updated with the new progresses of science and emerging...
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...beneficial to the baccalaureate graduate nurse because it helps develop their own personal beliefs and strengths about their own practice and how it has and will be shaped throughout their profession. One of the purposes of this paper is to explain differences between nursing regulatory agencies and professional nursing organizations. Next, we will take a look at the American Nurses Association, (ANA) Code of Ethics, investigating the provisions and professional traits and how they are placed into practice. Also, to describe a nursing theory that fits into my own practice, including how the contributions of one historical figure has impacted my nursing practice. And lastly, I will discuss a scenario where I, as the nurse, safeguarded two principles for the patient. Functional Differences Between a Regulatory Agency and a Professional Nursing Organization as it Pertains to my Nursing Practice Neonatal Nursing has been part of my life for over the last 10 years. My nursing license is very important to me. It takes a lot of hard work and dedication to earn. As a nurse, I have nursing regulatory agencies and professional nursing organizations in place for my benefit as well as for the benefit of the public. However, both have some very different functions. When becoming a nurse, the Board of Nursing, (BRN), is the regulatory agency that issues and regulates licenses. It is a government agency with each state having the ability to choose how its own BRN will be organized and structured...
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...Safeguarding Assignment 2 Legislation, policies and workplace procedures which reduce the risk of abuse Hand In Deadline: 19th November 2014 Task 1: You must write a report that covers: * Legislation * Recruitment practices * Sector Guidance * Strategies and * Procedures that are used to safeguard vulnerable adults. In addition you must say how these can be used to help reduce 2 different types of abuse. This report will be looking at how legislation, policies and workplace procedures reduce the risk of abuse. Legislations are put in place to reduce the risk of abuse in certain environments and workplaces that are targeted by abusers. The definition for legislation is the act or process of making or enacting laws. In this report I will be covering the six legislations that are most known to us these are; The Sexual Offences act, The Care Standards Act, The Mental health Act, The Equality Act, The Human Rights and The Data Protection Act. The first one I will be covering is The Sexual Offences Act 2003. This Act lists the different types of sex offences. How sex offenders are monitored, how the police have to be informed if the sex offender has changed address or been away from home for more than seven days and it also covers sexual abuse of vulnerable people with mental disorder. This can help spot abuse within different environments, prevent abuse from occurring and stops sex offenders from abusing again within a matter of weeks. The...
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...Supporting Independent Living Student Name: Nzuzi Rosaria Artur Student ID: P1019897 Lecturer: Chileshe Cecilia Introduction In this article I am going to explain how technology can be implemented to support users to live independently, also I am to analyse barriers of technology, to explain the benefits of technology in health and social care, to talk about health and safety considerations, to talk about the ethical consideration of assistive technologies, to give explanation of the impact of budding technology development, on health and social care services, between organisations and care workers, to define the specific needs, to identify specific needs of an individual require to be supported to live independently, and to linked it to Sally' s case study. To recommend which technologies, must support the independent living arrangements, and finally to evaluate the usefulness of technology for users of health and social care services. Task 1 1.1 Explain how technology can be used to support users of health and social care services in living independently. Disability rights commission rule (2002) extracts the word independent living and refers to entirely disable, individuals meeting the equal selection, control and freedom as any other citizen at home, at work, and in the community. Does not necessarily mean disabled persons they do everything for themselves it does means the rights to practical assistance people need should be share on their own...
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...with the highest priority for the Emergency Department at the University of Massachusetts Memorial Medical Center. In a continuous care operation, it is critical to document each patient’s condition and history of care, to ensure the patient receives the best available care. The medical record documents the care of the patient and can immediately be accessed, updated, and passed among the interdisciplinary team of caregivers. The Emergency Department is the initial passageway to the hospital for most patients. Electronic documentation is a patient’s health information including medications, allergies, past and present illnesses, and family history can be gathered upon their initial presentation and up-to-the minute revisions can be made by the healthcare team throughout their hospital stay. The Electronic Medical Record/Charting can be designed to hold collaborative information from all providers that are involved in the patients’ care. With each subsequent visit thereafter, the patient’s demographic, insurance, and health history database will automatically pre-fill the electronic template alleviating nurses of time restraints associated with paper documentation. This allows for quick updates to the patient’s profile if necessary. Patients may suffer drastic consequences when a chart is misread, lost, or switched accidentally. Electronic documentation provides chart legibility, clarity, error minimization, speed of accessibility, and up to the minute progression of care...
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...Abstract Patient safety and Medical errors are one of the major concerns of healthcare industry. Our group decided to throw more light on the present situation of this issue. In this paper we have given a clear picture about the types of errors, how these errors occur and towards the end we have discussed on how to prevent these errors. The implementation of the actions to prevent errors discussed in our paper will help in improving and reducing them. In doing so, we can be leaders in an effort to provide the best care possible to all Americans. We have also discussed about the importance of patient safety. Reducing errors and improving how we respond to error is but a subset of the all-important issue of quality of care. TABLE OF CONTENTS Introduction ……………………………………………………………………………... 5 Regulatory Authority……………………………………………………………………. 5 Patient safety ……………………………………………………………………………. 6 Medical Errors ………………………………………………………………………….. 7 Why medical errors occur? .............................................................................................. 8 When errors are not reported ………………………………………………………….. 8 Types of Medical Errors ………………………………………………………………… 9 Sentinel Events ……………………………………………………………………….. 9 Diagnosis or evaluation ………………………………………………………………. 9 Medical decision-making …………………………………………………………… 10 Treatment and medication …………………………………….…………………..… 10 Dispensing ……………………………………………………………………………11 Procedural complications...
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