...Evidence Based Practice Task 1 Western Governors University Evidence Based Practice and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | ...
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...HIMSS Davies Award of Excellence: Case Study Jessica Moss October 9th, 2012 The HIMSS Davies Award of Excellence originated in 1994. The program and award is named after Dr. Nicholas E. Davies who was a practicing physician and the President elect of the American College of Physicians as well as a member of the Institute of Medicine Committee on Improving the Patient Record. Dr. Davies passed away in a plane crash in 1991 but he dedicated his work into improving the patient record. He believed that computer based patient records needed improvement to provide better care for the patients. The Davies Award of Excellence is an award that requires the staff in the health care system applying for the award to document and assess their progress and accomplishments using a framework for thinking about the implementation process of an electronic health records system. The HIMSS Nicholas E. Davies Award of Excellence identifies organizations use of health care information technology in four categories: public health, organizational health, ambulatory care and community health organizations. Each case study demonstrates the facilities innovation and the use of an existing application that delivers the new or improved functionality or original solutions created by the applicant enterprise. (HIMSS, 2011) In 2011, five case studies were awarded with the Davies Award. The New York City Department of Health and Mental Hygiene applied their case study and was awarded the Davies Award...
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...health and social care organisations Task 3: Report Explain how the communication process is influenced by values and cultural factors………………………………………………………………………………………………2.1 Explain how legislation, charters and codes of practise impact on the communication process in health and social care………………………………………………………………………………………………….2.2 Analyse the effectiveness of organisational system and policies in promoting good practise in communication……………………………………………………………………………….2.3 Suggest ways of improving the communication process in health and social care setting………………………………………………………………………………………………2.4 The Report Introduction. This assignment is about communication which is a two way process involving the sender and receiver. Communication in health and social care connects people of different aspects. I will explain how legislation, charters and codes of practise impact on the communication process and analyse the effectiveness of organisational systems policies in promoting good practise in communication and Suggest ways of improving communication process. Culture and values consists of customs, ideas and social behaviour of a society (Anon, 2016). Values and cultural are influenced by beliefs, religion and ethnic background. As a health worker I have a duty of care to respect people’s values and cultures, when people of different cultures are discriminated or ignored they react to it with anger and emotionally. In regard to the case study sengupta’s family...
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...improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to...
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...1.1 Explain current legislation sector skill standard influence on organizational policies and practices for promoting and maximizing the rights of users of social health and social care service. 1.2 Analysis the factors affect achievement the promoting and maximizing the rights of users of social health and social care service. 1.3 Analysis how commutation between individual and health care worker contribute to promoting and maximizing the rights of users of social health and social care service. 2.1 Explain the factor they may contribute the loss the independence non participation and social exclusion for vulnerable people. 2.2 Analysis how organizational systems and processes are managed to promote participation and independence of the users of health and social care service. 2.3 Analysis the tension that arise when balancing the right of individual to independence and choice against the care provider’s duty to protect. 3.1 use a case study from a health or social care setting to identify the extent to which individual are at risk of harm. 3.2 Explain the role peoples play in a team and how can work together to achieve the shared goal. 3.3 Analysis the effectiveness of policies, procedures and managerial approach within a health or social care setting for promoting the management risk, review current legislation, codes of practices and policies that applies in handling of medication. 3.4 Suggest alternative ways to complete task...
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...nation, a need to have better access to the available hospital beds is a necessity. We are in agreement that an electronic bed tracking system is a viable option to help decrease this time length, thus allowing for better continuation of patient care. As a team we have picked two different companies and decided on criteria that staff and management can agree upon. We have looked at the ease of use, clarity, and time factors of both these products. These were criteria were ones that we felt our nursing staff would look at, as they will be the ones working with the system that is implemented. The ability for them to learn a new system and be able to quickly maneuver within it is critical. The other two criteria we chose are compatibility and customization. The ability for the system to be customize to the staff and hospital needs will be instrumental to the decision process, while the compatibility of the system to be integrated into our current system is needed. Here is a summary of our findings. Comparison of the five criteria set forth In a comparison of both systems chosen, the ease of use is comparable for both. The systems incorporate GPS tracking to interact with patients, staff, and environmental conditions in order to optimize care. Patients are assigned a tracker upon admission, thus allowing for the tracking of when they were roomed, if they have gone for testing, and when they were discharged, thus decreasing the need for phone conversations. Staff can see in real time...
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...facilities, patient safety is little to non-existent and if they are, there displayed on a need be and not obliged basis. They are displayed case by case rather than nursing home protocol. Even with changes in regulations, reporting systems, and documentation over the past couple of years, the nursing home industry still has its share of problems. Patient safety is meant to provide patients freedom from healthcare associated preventable harm, meaning when things go right, nothing bad happens. Nursing home organizations have been constantly trying to improve their reputation and the way people view them, but how? Don’t patients make up a nursing home? What about their safety? Shouldn’t we start there? How do we make improvements? Telehealth, a new approach to improving patient safety in nursing homes, will use telecommunication technologies to deliver health related services and information that support patient care, administrative activities, and health education (Dixon, Hook, McGowan, 2008). In this paper I will explore the major benefits of Telehealth and how its implications can improve patient safety in nursing home care. What is Telehealth and why is it important? Telehealth is the means and methods to improving access to care and reducing healthcare associated costs. It is also a system that can be used for education purposes, to keep physicians and medical staff in the know on healthcare changes and updates; in which combined together are the steps to improving patient safety...
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...Practice Standard – Safety and Quality Patient safety is a high-priority issue for all professionals including pharmacists. Patient safety is defined as ‘the prevention of harm to patients, including through errors of commission and omission’. The role of pharmacists has been clinically proven to improve many outcomes regarding patient health, including greater patient safety, improved disease and drug therapy management, effective healthcare spending, improved adherence and improved quality of life (Canadian Pharmacists Association, 2008). The focus on patient care stemmed from a 1999 US report by the institute of Medicine titled, ‘To Err is Human: Building a safer Health System’. This report detailed the costs of medical errors to the US economy and how medical errors numbered higher than deaths due to AIDS, motor vehicle accidents, and breast cancer, combined. The report went on to descried how errors can be reduced (Institute of Medicine,1999). For centuries, pharmacists have been the guardians/safeguards against "poisons" those substances which could cause harm to the public. Now more than ever pharmacists are charged with the responsibility to ensure that when a patient receives a medicine, it will not cause harm. As highlighted in a report produced in November 2009 "Pharmacy Intervention in the Medication-use Process - the role of pharmacists in improving patient safety", the involvement of pharmacists in patient safety can be as early at the prescribing phase and...
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...Ethical and Legal Issues in Nursing NUR/391 Ethical and Legal Issues in Nursing As nurses, it is our duty to advocate for our patients. At times, we are faced with personal and professional challenges that impact how and when we chose to advocate. It is imperative we have a healthy awareness of these potential challenges. Improvements in health care technology have provided patients with an array of treatment options as well as assumed or possible increased chance of survival. As a result, nurses are met with a rise in ethical decision making. This paper will discuss the legal, ethical, social, and personal factors that can impact our decision making process, with the focus on two specific case studies. American Nurses Association Code of Nursing Ethics Role in Practice The American Nursing Association (ANA) has created a set of ethical standards for the profession of nursing to abide by, which is entitled the ANA Nursing Code of Ethics. The ANA Code of Ethics states that collaboration is central to the care nurses deliver and to their ethical commitment to the patient (Garity, 2005). In the end-of-life case study, the nurse (she) has an unwritten obligation to the patient; the family appears to be in conflict with how to proceed with the patient's medical treatment. The medical team has an obligation to give the family all of their options and possible outcomes. If the family remains in conflict, it would then be appropriate for her to refer the family to...
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...companies pressured health services to decrease infection rates, and that led to an increase in infection control systems and programs. Countries with developed health care systems have taken action to the need to control hospital infections, reflected in escalating charges of hospitalization and increased length of stay in patients with illnesses, by establishing infection control procedures that span the gamut of hospital practice and clinical...
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...Quality Management Case Study Mike Baker OSCM440-F1WW-W14 John Rice March 1, 2014 Can improving health care quality result in a way that is beneficial to both the patients and the investors? This will create a way for lower costs to patients and higher returns to investors without sacrificing the quality care expected and deserved. VARIABLES Wellness programs Staying in the hospital longer Lack of communication between all the people involved Reduction in medical errors Healthcare improvements ALTERNATIVES Higher premiums for companies Shorter stays or no stays in hospitals Good communication between patients and doctors Improvements in healthcare may be optional Using technology to keep track of patient care When looking at the first alternative which is higher premiums for companies, it makes sense for companies to offer wellness...
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...This case study investigates the healthcare informatics processes and technology in improving the accurate entry of patient data and summarizes nursing research regarding data integrity. The case study examines the impact of consequences of the use of Electronic Health Record (EHR) systems on the quality of care and proposed solutions to address accidental EHR-related mistakes. In this case study every diagnostic procedure was done correctly and promptly for patient`s well-being, while poor and improper entry of the patient’s data led to jeopardizing the integrity of information, and further endangering patient safety or decreasing quality of patient care. One of the methods to ensure data accuracy is to ask the patient to verify data that is collected during admission and assessment processes. This verification may be accomplished through: verbal confirmation, reviewing data by patient on selected computer screen or tablet, and reviewing printouts by client of entered data. Each of these methods has possible problems. Patient may not be English proficient, the atmosphere in the emergency room may be too fast paced for the patient to be able to accurately review the data or patient may have verbal or vision weakness. Usually, electronic health records data entry result in faults due to software design flaws, poor decision support rules, inadequate user training, system performance issues, human error, interruptions by colleagues while submitting patient data, or use of the...
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...communities face several challenges concerning health care. For instance, communication with health care professionals, transportation, availability of doctors, and shortage of doctors. Literature review to identify and review new methods of improving access to health, quality of care, and improving the effectiveness of delivering health care services in remote Alaskan villages. MEDLINE, EMBASE, and CINAHL databases that index health research were used along with Artic health databases. Abstracts and full articles were review, and categorized into four sections. Organizational structure of health services, telehealth, ehealth, and medical transportation. “Despite the challenges facing rural and remote regions, there is a distinctly positive message from this broad literature review. Evidence-based initiatives exist across a range of areas - which include operational efficiency and integration, access to care, organizational structure, public health, continuing education and workforce composition that have the potential to positively impact health care quality and health-related outcomes” (Masucci, Mitton, & Dionne, 2011). The literature review did not identify any past research associated with new ideas to improve access, quality, and efficiency in the organizational structures and delivery of health care services in northern rural and remote and rural populations. This review was directed toward the redesign of health care systems in Nunavut territory in Canada. When conducting...
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...TREATING A PATIENT WITH CANCER: MAINTAINING PATIENT QUALITY OF LIFE Introduction Cancer is one of the most prevalent diseases in the U.S. Case (2011) noted that the 2010 report of the American Cancer Society (ACS) indicated that more than a million an d a half new cases of cancer are diagnosed every year. Along with physical disease, cancer also brings a significant impact on the patient’s overall quality of life (QOL). This paper asserts that for optimal patient outcome, healthcare workers, particularly nurses, need to attend to the cancer patient’s overall QOL rather than simply focusing on the physical disease of cancer. This essay will first address the issue of understanding what constitutes the patient’s QOL. Then key factors that directly affect the QOL are reviewed in the context of current best evidence. That will be followed by a section that addresses the nursing implications of this subject. The paper concludes with a brief summary and conclusion about the importance of maintaining patient QOL in cancer patients. The first element, is thus to define what is meant by “quality of life.” The next section of this paper addresses that specific issue. Defining Patient Quality of Life Before patient QOL can be addressed in a nursing practice, it is essential to understand what is meant by QOL. Bahrami (2011) has noted that no specific, well accepted definition of patient QOL exists. One reason for this lack of consensus on QOL is that life quality is a highly...
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...outcome indicators that focus plans/programs to increase quality and safety in patient care. They gauge aspects of direct patient care related to quality of nursing care by reflecting on structure, process and outcomes of nursing care. Structure in regard to staffing and the skill, education and certification of staff; process in regards to measuring aspects of nursing care related to assessment, intervention and RN job satisfaction, and outcomes by improving the rates of specifics in relation to patient outcomes such as in this particular case preventing hospital acquired pressure ulcers, improving patient satisfaction and restraint prevalence. Nursing Sensitive indicators are only specific to nursing and in 1998, ANA developed a National Data base of nursing quality indicators (NDNQI) so they could continue to collect and build on data from studies to expand nursing knowledge related to factors that influence the quality of nursing care. Why is this important? The nursing profession has the responsibility to measure, evaluate and continually improve practice. NDNQI identify where and how the staff is needed and show the need to increase staff in particular areas of nursing care that need improvement. The NDNQI mission is to help the RN in patient safety and quality improvements by providing research based national and comparative data on nursing care in relation to patient outcomes. In this particular case, if the nurse was educated and had an understanding of nursing indicators...
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