...Literature Search Paper NUR443 September 19, 2011 Professor Dina Faucher Literature Search Paper Numerous studies have been conducted to prove the relationship of shift work and fatigue and the results noted on medication errors. Two articles were chosen using the University Library, a qualitative research study and a quantitative research study from peer reviewed articles through the use of databases such as EBSCOhost, ProQuest, and Gale Powersearch. To research this topic, the query tool utilizing terminology such as shift work, fatigue, and medication errors was used to narrow the search. The intent of this paper is to identify the difference between research study articles versus plain journal articles, the type of nursing journals, and if the article is peer reviewed. EBSCOhost allows one to narrow the search, by selecting the mode as Boolean search, the source type as Academic Journal, the subjects as errors and patient safety, the publication as Journal of Nursing Management, AORN Journal, and Journal of Nursing Education, and finally the database as CINAHL plus with full text reduced the results to 259 articles. The articles are in order from most relevant to least relevant. Effects of working conditions of intravenous medication errors in Japanese hospital, written by Seki and Yamazaki was the most relevant article posted that encompassed the use of a quantitative research method to support the educational content. According to Burns and Grove (2011) “quantitative...
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...Nursing Overtime and Adverse Effects Blima Marcus Hunter College Abstract This paper will explore the topic of nursing overtime and its effect on adverse events and errors in the workplace. The prevalence of mandatory and voluntary overtime is high. Nursing shortages combined with the aging baby boomer population means more work for health care workers, and nurses bear the brunt of this reality. There is some legislation in place to restrict mandatory overtime, but research suggests that overtime hours have not decreased since those policies were created. Furthermore, voluntary overtime is unregulated, with many nurses exceeding the recommended 40-hour workweek. Studies have shown that exceeding recommended hours results in workplace injuries to nurses, increased burnout and lower retention of nurses, and poorer outcomes for patients, including early readmission, medication errors, falls and nosocomial infections. More regulation may be necessary to reduce the hours worked by nurses. Advanced practice registered nurses are in a position to advocate for stricter policies in their facilities, and to implement strategies that would reduce overtime hours worked in their facilities, for example by increasing staffing. Nurse managers can ensure that their nurses doing overtime take the recommended breaks and do not exceed the recommended number of hours worked per week. Nursing Overtime and Adverse Effects Mandatory overtime is defined as employer-imposed work time in excess...
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...inner city emergency room (ER) nurse. The name of the article was, Madness: tales of an emergency room nurse and how I became a bitch. The article talked about the everyday work life of an emergency room nurse. I am an emergency room nurse and have never worked in any other department and this article hit close to home for me. The article talked about the emotional and physical abuse that only an ER nurse would understand. After reading the article it made me think about nurses combating compassion fatigue. Some people might ask, “ What is compassion fatigue?” In this paper I will talk about the cause of compassion fatigue, talk about warning signs, physical, emotional, and spiritual needs of a caregiver, and last some coping techniques. Causes of Compassion Fatigue Compassionate fatigue refers to the physical, emotional, spiritual, and social exhaustion that overcomes individuals and leads to persistent decline in their desire, energy, and ability to care for other people (Bush, 2009). As nurses our role is to be the patient’s number one caregiver. Many studies show that nurses experience a high level of compassion fatigue. Not a day goes by during a nurse’s shift where we aren’t placed in a constant roller coaster of heart tugging, emotional encounters. Nurses get emotionally invested in the care of their patient’s, by being involved in difficult conversations and sometimes the bearer of bad news. After a long day of this type of work nurses have to go home and take care...
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...examining cancers of the hematologic system, including multiple myeloma. A cancer of certain white blood cells in the bone marrow known as plasma cells, “myeloma” refers to a tumor of the bone marrow, and “multiple” refers to more than one area of the bone marrow being affected (Mangan, 2006, p. 64hn1). Because the disease is incurable, and because only 30 percent of patients survive longer than five years after diagnosis, living with multiple myeloma can be difficult for patients and their families (Mangan, 2006, p. 64hn1). As health care providers on the front lines of patient care, nurses must be aware of the multi-system manifestations of multiple myeloma, be able to make the assessments needed to identify and prevent complications related to the disease and its treatment regimen, and be ready to provide patients and their families with knowledge and support. In this paper, the author will first provide a full description of multiple myeloma, including etiology and risk factors, pathophysiology, diagnostic tests, and treatment. This accomplished, the author will apply the stages of the nursing process to nursing care...
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...Alarm Fatigue Alarm fatigue is a growing national problem within the health care industry that links medical technology as a serious hazard that poses a significant threat to patient safety within hospitals across the country. Alarm fatigue occurs when nurses encounter an overwhelming amount of alarms thus becoming desensitized to the firing alarms. Alarm desensitization is a multifaceted issue that is related to the number of alarming medical devices, a high false alarm rate, and the lack of alarm standardization in hospitals today (Cvach, 2012). Desensitization can lead to delayed response times, alarms silenced or turned off, or alarms adjusted to unsafe limits, which can create a dangerous situation for the patient. Alarm fatigue has been identified as having negative effects on patients as well as healthcare professionals. Many hospitals have reported that alarm-related injuries have occurred due to the overwhelming amount of constant sounding alarms. Critical alarms cause nurses to tune out sounds, which in turn triggers the brain to adjust to stimulation, thus causing a healthcare professional to disregard the alarms. Hospital alarms can come from an array of devices including blood pressure machines, oxygen saturation devices, sleep apnea devices, fall prevention alarms, intravenous pumps, patient-controlled analgesia pumps, patient call systems, ventilators, telephones, anti-embolism pumps, and heart monitors. The purpose of this paper is to analyze the problem...
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...The Impact of Shift Work on Nurses The Impact of Shift Work on Nurses The purpose of this paper is to discuss nursing shift work and its impact on nursing staff health and family life. The position of the International Council of Nurses is quoted below. It is their position that shift work is detrimental. Position Statement: “The International Council of Nurses (ICN) recognizes that many nursing services must be accessible on a twenty-four basis, making shift work a necessity. At the same time ICN is very concerned that shift work may have a negative impact on an individual’s health, ability to function, immediate support group and the continuity of care, thus affecting the services provided” (ICN, 2007). The impact of shift work on nurses affects productivity at work. Nursing leaders should also encourage work place cultures that respect nurses’ days off and vacation time, promote nurses’ prompt departure and allow nurses to refuse to work overtime without retribution. Traditional eight hour shifts are becoming a thing of the past, twelve hours days and night shift are the norm providing flexibility and a balance family life. Because of unforeseen circumstances such as nurses calling out, change in patients’ condition, short staff on the schedule which was posted two weeks ago, hence the reason twelve hour shift becomes an unplanned longer shift. According to the article in the Journal of Nursing Law, “Compounding the situation nurses work long shifts and often...
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...Running head: COMPASSION FATIGUE: CARING FOR THE CAREGIVER Compassion Fatigue: Caring for the Caregiver Kimberly Flowers Grand Canyon University Spirituality in Health Care HLT-310V Patricia Mullen March 24, 2012 Compassion Fatigue: Caring for the Caregiver Introduction Compassion represents an “acknowledgement of another’s suffering and is accompanied by the expression of a desire to ease or end that suffering.” (Van der Cingal, 2009, p. 124) This is a fundamental characteristic usually found in health care workers and nurses especially. In one twelve hour shift, a nurse’s job can change from taking vitals and administering medications to performing life saving measures or even holding a dying patient’s hand as they transition from this world to the next. And in that same few hours, a myriad of emotions can flood the soul with such force it leaves one drained and exhausted. This would be a very difficult roller coaster of emotions for anyone, but multiply that times three or four days per week for many years. It is no surprise that health care workers are extremely susceptible to emotional and physical fatigue, also known as compassion fatigue. Compassion fatigue is that fatigue brought on by giving so much of one’s self for an extended period of time without taking time to revive or replenish one’s own physical, emotional and spiritual needs. This paper will explore the nature and causes of five major...
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...Personal Impact Paper Anissa Spada Rn May 3, 2012 NUR427 Laurie Baumgartner RN, MSN, CNS, NP, CCRN Introduction This paper will examine the chronic disease of lupus. A big portion of information in the paper comes from a patient Anna. The areas of her life that are affected by the disease , and the motivators for lifestyle change are discussed. The education of Anna regarding the disease and learning model theory will be examined. What is Lupus? Lupus is a chronic autoimmune disease. The immune system fights off invaders in the body. The body develops antibodies to protect from invaders. The immune system affected by lupus cannot tell the difference between good and bad tissue. This process causes the immune system to attack itself. There are many different types of lupus. The type Anna has is cutaneous and systemic. Cutaneous affects the skin. Systemic lupus in her case affects the joints. Cutaneous lupus causes skin rashes/lesions. The most familiar rash is the butterfly rash. The rash occurs on the bridge of the nose and across upper cheeks. Systemic lupus cause the joints become painful and inflamed. Anna The interview with Anna was held over a couple of days. Anna was diagnosed a year and a half ago with lupus. Anna believes that she has had the disease for longer than a year and a half. The rashes that she experienced had been occurring since she was...
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...COMPASSION FATIGUE AMONG HEALTHCARE WORKERS A PROPOSAL PRESENTED TO THE FACULTY OF THE GRADUATE SCHOOL OF UNIVERSITY OF THE VISAYAS CEBU CITY, PHILIPPINES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN NURSING MAJOR IN NURSING MANAGEMENT BY: CONCHITA BRANZUELA BERGADO CHAPTER I THE PROBLEM INTRODUCTION: Quality of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the...
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...Patient Services/Intensive Care Nurses/Compassion Fatigue Intervention/BESt 173 Best Evidence Statement (BESt) Date: July 17, 2013 Title: Decreasing Compassion Fatigue* among Pediatric Intensive Care Nurses Using Self-Care Skills* and Compassion Fatigue Training* Clinical Question: P (Population/Problem) I (Intervention) C (Comparison) O (Outcome) Among pediatric intensive care nurses does functional knowledge of compassion fatigue and the practice of self-care skills, compared to not, demonstrate less compassion fatigue? Definitions for terms marked with * may be found in the Supporting Information section. Target Population for the Recommendation: Nurses working in pediatric intensive care settings who provide direct patient care Recommendation: It is recommended that nurses working in pediatric intensive care settings receive training that includes compassion fatigue awareness, coping strategies, stress management, relaxation techniques and self-care interventions to decrease the level of compassion fatigue experienced in the work environment (Marine, Ruotsalainen, Serra, & Verbeek (2009) [1a]; Gunusen, & Ustun (2010) [2a]; Kravits, McAllister-Black, Grant, & Kirk (2010) [4a]; Meadors & Lamson (2008) [4a]). Discussion/Synthesis of Evidence related to the recommendation: The evidence referred to a variety of concepts related to the manifestation of compassion fatigue, including burnout, emotional exhaustion, and workplace stress. The concepts...
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...Quantitative analysis of fatigue after stroke: The patient’s perspective Gwendoline Bungansa NRS 433-0501 Grand Canyon University Phoenix Arizona July, 17 2016 Introduction Waking up to a new normal is how a stroke patient describes his experience after a stroke. A stroke is a brain attack which happens when part of the brain is being deprived of blood supply. Stroke is not planned hence, stroke survival face varied problems as a result of the stroke incident. Fatigue is a common problem post stroke and though people experience fatigue prior to a cardiovascular accident, the fatigue post stroke as reported by patients is different. Post stroke fatigue is not related to energy exhaustion from being active (www.stroke.org.). Barbour and Mead’s research is praised for their methodology in protecting human participants, data collection, data management and analysis, and discussion of finding in an investigation of patients’ perspective of fatigue post stroke. Problem and Purpose Given that stroke patients face varied complication post a cardiovascular accident including fatigue, it was worth investigating if fatigue matter to these patients. It is reported that fatigue is common and depressing for stroke survivors. A survey of 88 patients posts stroke, 68% complaint of fatigue while 40% stated that fatigue was their worst problem post stroke. When another researcher studied 90 stroke survivors, fifty percent of the patient reported that fatigue was their major problem....
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...|Evidence-Based Practice Matrix of Ten Pieces of Primary Research on One Topic Related to Nursing | |Authors | |Authors | |Authors | Authors |Resource/ Database |Year of Publication |Research Type |Population/ Sample Size |Outcome Variables Measured |Pertinent Data from Results |Author’s Suggested Conclusions |Comments | |Chou, Y., Shao, M.,Tzeng, W.& Yeh, M. |WGU Library |2010 |Cross-sectional |435 female nurses from five different hospitals |Sleep quality and quality of life in female shift-working nurses |57% had global sleep-quality scores > or = to 5 |Long hours affect nurses sleep quality and information should be given while in school and to managers to improve health |It was interesting to see the Pittsburgh Sleep Quality Index...
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...Compassion Fatigue James Stangle 2.1.2013 Compassion Fatigue This paper will discuss the problem surrounding compassion fatigue as related to health care providers and their causes. Further discussion will include ways to recognize health care provider compassion fatigue by dialoging specific warning signs that are present before compassion fatigue sets in. Concepts regarding the emotional, spiritual, and physical needs of the health care provider will be discussed including the importance of fulfilling the discussed needs. Lastly, coping strategies will be discussed including available resources that can be used by health care providers to help thwart the onset of compassion fatigue. The Problem As cited in an article titled “Program to combat ‘compassion fatigue’” published in 2010 within the Hospice Management Advisor, Coe states, “Compassion fatigue is a stress disorder that was identified in the 1950s, primarily among vocations that provide care for people in crisis” (“Program to combat”, 2010). Coe further related that, “Compassion fatigue is the gradual lessening of a person’s ability to provide compassion” (“Program to combat”, 2010). Coe was cited to say that, “Each nurse, doctor, or other caregiver only has so much compassion” (“Program to combat”, 2010). With the problem defined, discussion may be had to what this problems leads to. When compassion fatigue takes hold of a health care provider suffering becomes mutli-facet. Care provided by the health care provider...
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...Critique of “Correlates of Fatigue in Patients With Heart Failure” Galen College Transitions/NUR 240 January 4, 2010 The topic of this article is to determine correlates of fatigue in patients with heart failure. The aim of this study was to examine the incidence of fatigue and distinguish its demographic, clinical and psychological correlates in patients suffering from heart failure. These findings could possibly lead to ways to better treat patients living with HF. Healthcare workers could benefit greatly from the data gathered to better understand the needs of the aforementioned patients and focus their interventions to accommodate their needs. No review of literature is included in this research paper. The study was conducted by six scholars with advanced degrees. Two of the researchers hold PhDs and two other hold DSNc degrees, which are professional level research degrees in Nursing. The Doctor of Philosophy (PhD) in Nursing is considered a more academic degree and prepares those who have attained the it for both research and teaching positions. In this study, a cross-sectional correlation design method was used. This type of research study uses a small group of individuals to represent a whole population. It is often used in making healthcare decisions and imperative that only current information...
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...Healthcare providers are at increased risk for compassion fatigue (CF), which has also been called secondary traumatic stress, second hand shock syndrome, secondary stress reaction, and vicarious trauma (ABA, 2011). Compassion fatigue begins to become an issue when caregivers give too much of themselves to others and neglect to provide for their own needs. Neglecting one’s personal needs can be harmful, leading to destructive behaviors and patterns, such as over indulgence and increased sick calls. Over time the provider has a decreased ability to show compassion. This paper will discuss and describe compassion fatigue, warning signs of compassion fatigue, and discuss recovery options for those suffering from compassion fatigue. Compassion fatigue is expressed as a form of burnout due to the intensifying emotional, physical, and psychological effects of being exposed to the stressful and often emotionally draining circumstances of our patients and coworkers while providing care. Coupled with our own stressors in our everyday lives can lead to spiritual exhaustion (Pfifferling & Gilley, 2000). Compassion fatigue may change the overall view of how the caregiver or nurse views their everyday life or society in general. Caregivers with compassion fatigue often expend a huge amount of care, energy and compassion to those they care for, but do not get enough support for themselves individually to replenish their depleted energy. It has often been said that caregivers make the...
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