...cases of Clostridium difficile (Health Protection Agency, 2009). Almost the same rate is listed for Germany, highlighting a clear need for decisive action. This research examines the main causes if HCAIs, and discusses the relationship between compliance with hand hygiene guidelines and stress among nursing professionals in one German hospital (Knoll, Lautenschlaeger, & Borneff-Lipp, 2010). This paper explores the factors associated with hand hygiene compliance of nurses during routine clinical practice. The purpose of this research was to clarify whether external factors such as ward capacity, or level of nursing intensity had an influence on nursing staff compliance with hand hygiene guidelines. The research questions in this study are; does hand hygiene between healthcare workers decrease healthcare associated infections (HCAIs)? Does exterior factors influence on nurses compliance with hand hygiene guidelines? The hypothesis of this study is; workload factors like maximum ward capacity, severity of patient cases, have an influence on nurse’s compliance with proper hand hygiene guidelines. Study Variables A total of nine variants were used in this paper. Records from the descriptive interviews were used as dependent variables. The ward-specific workloads considered on one side as the rate of used ward capacity, and on the other as the degree of nursing intensity which were distinct as independent variables. Conceptual Model\Theoretical Framework Acquiescence...
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...The Attitudes and Barriers of Nurses towards Pressure Ulcers in Long Term Care Facilities that Hinders Prevention & Treatment Takoya Walker College of Costal Georgia Introduction and Background Pressure ulcers (PUs) have post a problem to healthcare for thousands of years. Since at least the 1980s, pressure ulcers have been considered a result of poor quality of care (Lyder & Ayello, 2012). In response to the Institute of Medicine’s landmark report To Err is Human: Building a Safer Health System, the National Quality Forum designated hospital-acquired Stage III or Stage IV PUs as “never events” (considered avoidable health care incidents) (Agency for Healthcare Research and Quality [AHRQ], 2012). Since 2008, the Centers for Medicare & Medicaid Services no longer reimburse providers for treatment of facility acquired Stage III or Stage IV PUs. Populations at risk for PU development include older adults, patients with dementia, and any person with conditions of immobility (Ratliff, Tomaselli, & The Guideline Task Force, 2010). Because an older adult is more likely than a younger person to have impaired mobility and co-morbid health conditions, elders are especially vulnerable for PU development. This is of particular concern given the large population of these individuals in our nursing home facilities. In 1992, the AHRQ developed early guidelines for preventing pressure ulcers. In general, prevention guidelines focus on reducing the amount...
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...jobs well done, and identify areas that have opportunities for improvement. A successful performance evaluation will be one that fosters a healthy working relationship between manager and staff. The case study to be discussed involves a staff nurse who has completed his/her performance evaluation with his/her healthcare manager and has left the appraisal conference disappointed in its outcome and with concerns regarding one specific incident having weighed heavily on his/her evaluation (Mary & Joanne, 2011, p. 231). At the manger level the annual performance appraisal is a toll that should utilized to evaluate past and current performance, identify educational and professional development needs, give rewarding recognition for positive performance, and take disciplinary action if needed. Nursing professional standards of practice holds that each nurse has an obligation to adhere to the code of ethics. The standards of professional practice should be utilized as a criterion when evaluating a nurse’s practice ("Professional Standards," 2012). In reviewing the information provided by the case study this author has evaluated potential problems that could have contributed to the deterioration of the evaluation of this particular staff nurse. It appears that active participation by both participants did not take place during this evaluation process. Performance appraisal must be interactive with all parties involved to be considered an effective process (Mary & Joanne, 2011, p. 219)...
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...people understood that prior to surgery, no intake of solid food was to be consumed. (Ljunggvist&Soreide, 2003) Ljungvvist&Soreide (2003) explains that surgical authorities recommended that patients have fluids containing carbohydrates, for example, beef tea, during the preoperative period. In spite of this, later studies revealed anaesthetic related aspiration. This resulted in progressively firmer rules for preoperative fasting, in which case patients were informed not to consume solids and liquids prior to sugery- ‘Nil by Mouth’ from midnight. (Ljunggvist&Soreide, 2003) Over the past two decades, authors have questioned the need for such intense fasting regimes. Following this, studies have been completed, which showed that guidelines which are less intense can be used to benefit the patient. (Ljunggvist&Soreide, 2003)Ljunggvist&soreide (2003) explain that following the studies, healthy adults who are undergoing surgery, can consume clear fluids up to two hours prior to surgery. However, this does not apply to people who have got gastrointestinal deficiencies or diabetes. This is because, gastrointestinal deficiencies affects gastric emptying time. (Ljunggvist&Soreide, 2003) Given the amount of literature available and the author’s interest in this topic, it is the intention tolook at the length of time patients are being fasted for, and to look at evidence which supports whether these lengths of time are based on evidence or preference.The essay will discuss...
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...Literature Review: Our thesis aims to evaluate work based learning approaches in developing acute skills for nurses in critical care wards. In this section of the literature review, we will discuss policies in the nursing profession, case studies and various approaches to work based acute skills learning programmes. For our purposes we conducted a literature search using popular medical databases and terms such as ‘acute skills’ ‘learning programmes’ and ‘critical care learning’. Our review highlights on the several important approaches to work based learning ranging from reflective practice to experiential learning and work based formal practical training to enhance professional skills. A learning programme for acute ward nurses responsible for caring of critically ill patients has been the central focus of nursing practice development. According to Coad et al (2002), a work-based learning approach has been found to empower ward staff with the necessary skills of nursing and the authors studied the efficacy of a five-day competency based high dependency skills course in enhancing professionalism and quality of care in nursing. The aims of comprehensive critical care are developing leadership potential and enhancing networking opportunities for nurses within critical care and acute ward areas. Critical care is the most challenging aspect of nursing care and acute skills in nursing are enhanced not just by work-based learning programs but also from first hand nursing and...
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...of consensual decisions A qualitative study Lorenz Imhofa, Romy Mahrer-Imhofa, Christine Janischb, Annemarie Kesselringc, Regula Zuercher Zenklusend a b c d Zurich University of Applied Sciences ZHAW, Institute of Nursing, Winterthur, Switzerland Department of Education, Training and Professional Development, Stadtspital Waid Zurich, Switzerland Institute of Nursing Science, University of Basel, Switzerland Department of Medicine, Pourtalès Hospital, Neuchâtel, Switzerland Correspondence: Lorenz Imhof PhD RN Zurich University of Applied Sciences Institute of Nursing School of Health Professions Technikumstr. 71 CH-8401 Winterthur Switzerland lorenz.imhof@zhaw.ch pivotal. Therefore, leadership by experienced senior physicians and nurses is needed and great efforts should be made with regard to multidisciplinary education. Key words: decision-making; multidisciplinary collaboration; end-of-life issue; resuscitation orders Introduction Since the 1980s, “do-not-attempt-resuscitation (DNAR)” orders have become common in medical practice. DNAR orders are given for 50–60% of patients who die a non-sudden death, with wide variations among countries. DNAR orders apply to only 19% of hospitalised patients in Italy, but to as many as 83% in Sweden and 86% in Switzerland [1, 2]. The frequency of DNAR decisions in which competent patients had been involved in the decision is as low as 10% in Italy and as high as 84% in the Netherlands. Several other authors reported strong reluctance...
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...planned process in which information is collected systematically for a specific purpose, analysed and reported. Research can have many different functions in health and social care. Functions of Research In pairs read through the following study and discuss the function(s) that the research can be used for. Aim: Hofling (1966) aimed to discover whether nurses would comply with an instruction which would involve them having to infringe both hospital regulations & medical ethics. The intention was to test the strength of the doctor-nurse relationship, regarding how far a nurse would go to comply with doctor’s orders against their own code of professional conduct. Procedure: Identical boxes of capsules were placed in 22 wards of both public & private psychiatric hospitals in the USA. The capsules were, in fact placebos (consisting of glucose). But the containers were labelled ‘5mg capsules of Astroten’. The label also indicated that the normal dose is 5mg with a maximum daily dose of 10mg. While the nurse was on duty, a ‘doctor’ ( a confederate ‘Dr Smith...
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...Sexual Harassment in the Workplace EXPERIENCES OF WOMEN IN THE HEALTH SECTOR Paramita Chaudhuri Health and Population Innovation Fellowship Programme Working Paper, No. 1 This report is the result of a project entitled “Understanding Sexual Harassment in the Health Sector,” undertaken as part of the Health and Population Innovation Fellowship (HPIF) awarded to the author in 2004. The HPIF programme is administered by the Population Council, New Delhi and is a continuation of the MacArthur Foundation’s Fund for Leadership Development (FLD) fellowship programme that continued over the period 1995 to 2004. The Council is grateful to the MacArthur Foundation for its support to this programme. The HPIF programme aims to support mid-career individuals who have innovative ideas, leadership potential, and the capacity to help shape policy and public debate in the field of population, reproductive health and rights in general, with a focus on two priority themes – maternal mortality and morbidity, and the sexual and reproductive health and rights of young people. Since the transfer of the programme to the Population Council through 2006, a total of 17 individuals have been supported under the HPIF programme. For additional copies of this report, please contact: Paramita Chaudhuri Senior Programme Officer Sanhita 89B Raja Basanto Roy Road Kolkata 700 029 Email: sanhita@cal.vsnl.net.in Phone: 033-24227965 Population Council Zone 5A, Ground Floor India Habitat Centre, Lodi Road...
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...Research Summary and Ethical Guidelines: Person-Centered Interactions Grand Canyon University: NRS-433V 8/23/15 There is an increasing focus on person-centered care in the literature and in the clinical setting. It is proposed that utilizing a person-centered approach during medication related activities has the potential to improve patient experiences and outcomes. This research summary and ethical considerations analysis is based on the article published in the International Journal of Nursing Studies by Bolster & Manias in 2010 “Person-centered interactions between nurses and patients during medication activities in an acute hospital setting: Qualitative observation and interview study.” Background of Study Despite the known benefits of using a person-centered approach to medication related activities nurses continue to routinely use a task-based approach to medication related activities. Most patients have medications administered to them by a nurse while hospitalized. This provides the nurse multiple opportunities to provide education and person-centered care. This is significant to nursing because “previous research has shown that the relationship between the nurse and the patient including how the nurse provides information is critical to enhancing medication adherence and management” (Bolster & Manias, 2010). The objective of the study was to investigate the following scenario: “How do nurses and patients interact with each other during...
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...Title: Core Competencies Necessary for the APN Role Development. Name: Course: Institution: Date: Interview with an Advanced Practice Nurse Introduction Interview with APN/CNP, Diane John Diane John, APN/CNP is a nurse practitioner at Health land, a Hawaii center for the public. She has devoted 30 years to her nursing career. She has worked as a nurse in a medical intensive care unit and as a research nurse in the study in the intensive care unit. She has been a Female Nurse Practitioner for the past 20 years where she started out as a midwife at wife care center, where she provided midwife services to women. Rationale for an engaged interview process The reason for this interview is to find out Competencies necessary for APN role development and also to get some background information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into...
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...* Professional Interview and Response Guidelines posted by Dr. Char Schultzat Feb 08, 2015, 4:19 PM Last updated Feb 08, 2015, 4:19 PM University of Phoenix Material Start very early to find clinicians: Professional Interview and Response Guidelines The following guidelines must be followed when completing the Professional Interview and Response assignment due in Week Four. Accepted modes of interview: * In person * E-mail * Telephone * Other Internet medium Possible methods of interviewee selection: * Word of mouth * Personal association * Internet search * Print media or other advertisement Accepted interviewee criteria: * One of the interviewees must be a licensed clinical psychologist who has been active in his or her practice longer than 5 years. * The second interviewee may be licensed or license-eligible in a profession that provides mental health services. This interviewee must not be a student in a graduate program. The following is a list of potential interviewees: o Drug and alcohol counselors o Clinical social workers o Licensed professional counselors o Marriage and family therapists o Psychiatrists o Psychiatric nurse o Psychological assistant Things to communicate to the interviewee: * You are enrolled in a University of Phoenix degree program. * The purpose of the interview is for an assignment. * Information will only be used for academic purposes. ...
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...6, 2012 High-Risk Family Assessment and Health Promotion Assessing health needs is a fundamental nursing skill. Unfortunately, many nurses only associate the assessment process to the individual patient they are caring for and fail to assess and address the needs of the entire family. Performing a family assessment is vital, especially when working with high risk individuals and groups. High risk families can be defined as those families with a higher than expected risk for developing a particular disease or injury in association to their lifestyle, environment, habits, or socio-economic conditions. Post active-duty war veterans are a group that is at high risk for developing Post Traumatic Stress Disorder (PTSD), which can lead to physical, psychological, and social problems. These problems not only affect the veteran but also strongly alter the health and lifestyle of the entire family. The objective of this paper is to present the health profile and behaviors of PTSD veterans, describe assessment models and theories that are applicable to the patient and family, and identify Healthy People 2020 objectives that relate to this high risk group. In addition, the paper will present nurse intervention strategies based on health promotion and prevention as well as the role of advanced practice nurses as case managers. Health Profile According to the Mayo Clinic (2012), PTSD “is a mental health condition that is triggered by a terrifying event”...
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...Material Professional Interview and Response Guidelines The following guidelines must be followed when completing the Professional Interview and Response assignment due in Week Four. Accepted modes of interview: • In person • E-mail • Telephone • Other Internet medium Possible methods of interviewee selection: • Word of mouth • Personal association • Internet search • Print media or other advertisement Accepted interviewee criteria: • One of the interviewees must be a licensed clinical psychologist who has been active in his or her practice longer than 5 years. • The second interviewee may be licensed or license-eligible in a profession that provides mental health services. This interviewee must not be a student in a graduate program. The following is a list of potential interviewees: o Drug and alcohol counselors o Clinical social workers o Licensed professional counselors o Marriage and family therapists o Psychiatrists o Psychiatric nurse o Psychological assistant Things to communicate to the interviewee: • You are enrolled in a University of Phoenix degree program. • The purpose of the interview is for an assignment. • Information will only be used for academic purposes. • Confidentiality is not guaranteed—the results of the interview will be posted and housed on a University of Phoenix database. • The interview will take approximately...
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...Nurse Leader Interview Paper Uchenna Enewally University of Phoenix NUR 587 February 25, 2013 Breta Lieke, RN, MSN, NE-BC Nurse Leader Interview Getting a chance to interview a true nurse leader is not easy as many attempts to get an appointment fail. Nurse leaders have very busy schedules because of their organizational roles and finding time to grant a quality interview about their leadership style is slightly out-of-the-box for their daily routines. Interviewing a nurse leader is even harder when the interviewer is working from a remote area in Africa and has to do the interview by phone. The interview must take place so when finally MK, the Patient Advocate/Patient care services of St. Francis Medical Center consented and gave the interview, it became possible to report the personal in-sight of a good nurse leader. This interview report is a summary of MK’s perspectives on her leadership style, changes made because of evolving leadership role, challenges faced as a leader in today’s health care system and the effects of formal and informal power in the organization. Summary below are her answers to the questions asked by the nursing graduate student presenting this report. Leadership Style MK started at the organization in 2004 as the patient advocate manager to improve the customer satisfaction rating and advance the image of the hospital in the Los...
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... psychological and social impact to the patient and financial problem to the health system. Most leg ulcers are managed in the community and the community health nurses should have adequate knowledge about appropriate management and best outcome for the patient. Healing and recurrence is difficult for venous leg ulcers (Todd, 2011). Compression bandaging is the best method for management of leg ulcer and healing occurs in effective, timely manner (Annells,O”Neill&Flowers,2008). This paper will focus on qualitative research critique on a study conducted in Australia in one of the community health centers on “Compression bandaging for venous leg ulcers: the essentialness of a willing patient” Research problem and purpose Venous leg ulcers cause undesirable experiences such as pain, limited mobility and social seclusion. Long term care requirements increase health care economic burden (Annells, O”Neill & Flowers, 2008). Compression bandaging is the best practice for the management of venous ulcers. The effectiveness of the treatment depends on appropriate dressing done in timely manner. Community health nurses often use compression bandaging with little knowledge about why it is done. The study purpose was to explain and discover why do or why do not community nurses use compression bandaging as an element of the management of venous ulcers? The study pursued to recognize both enablers and limitations ( Annells, O’Neill &...
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