...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...
Words: 2454 - Pages: 10
...A Qualitative Exploration: Barrier to Breast- Feeding in Obese Women Grand Canyon University: NRS 433V May 1, 2016 Introduction American Academy of Pediatrics Policy Statement. (2005) “Breastfeeding to baby is great accomplishment to protects the health of babies and their mothers. With support from their families and communities, as well as from nurses, mothers are more likely to be able to breastfeed their babies”. Making decision whether or not to breast feed or formula feed is personal. According to leading health organizations, “the most babies should have only breast milk for the first 6 months of life and continue breastfeeding for at least 12 months”. Many medical authorities, including the American Academy of Pediatrics (APA) and the American College of Obstetricians and Gynecologist, strongly recommend breastfeeding to infants. Jarvis (2012) recommended breastfeeding for full term infants for the 1st year of life because breast milk is ideally formulated to promote normal infant growth and development and natural immunity. According to Hauff and Demerath (2012), “The obese women are less likely to initiate and more likely to stop earlier breastfeeding”. Background of Study: The study team members highlighted mix decision making barrier on breastfeeding. Mainly, privacy, birth complications, and not enough support from breast-feeding specialist are barriers to breastfeed to their babies. The study team also found that all women had wished...
Words: 1385 - Pages: 6
...A Qualitative Exploration: Barrier to Breast- Feeding in Obese Women Grand Canyon University: NRS 433V May 1, 2016 Introduction American Academy of Pediatrics Policy Statement. (2005) “Breastfeeding to baby is great accomplishment to protects the health of babies and their mothers. With support from their families and communities, as well as from nurses, mothers are more likely to be able to breastfeed their babies”. Making decision whether or not to breast feed or formula feed is personal. According to leading health organizations, “the most babies should have only breast milk for the first 6 months of life and continue breastfeeding for at least 12 months”. Many medical authorities, including the American Academy of Pediatrics (APA) and the American College of Obstetricians and Gynecologist, strongly recommend breastfeeding to infants. Jarvis (2012) recommended breastfeeding for full term infants for the 1st year of life because breast milk is ideally formulated to promote normal infant growth and development and natural immunity. According to Hauff and Demerath (2012), “The obese women are less likely to initiate and more likely to stop earlier breastfeeding”. Background of Study: The study team members highlighted mix decision making barrier on breastfeeding. Mainly, privacy, birth complications, and not enough support from breast-feeding specialist are barriers to breastfeed to their babies. The study team also found that all women had wished...
Words: 1382 - Pages: 6
...professionals. Practicing nurses need to be knowledgeable with these concepts to ensure patient’s rights. In this paper, the author will describe the relationships between legal and ethical issues. In addition, the author will identify personal values and professional ethics and examine ethical theories and principles. Examples of applications of legal and ethical issues to current practice will also be provided. Relationships Between Legal and Ethical Issues “Ethics is the branch of philosophy concerned with evaluating human action” (Guido, 2010, p. 3). It is based on the principles of right and wrong and provides structure to behaviors and actions. Ethics are closely intertwined with morals and values. Morals are “personal principles that are acquired from life experiences, family and peer relationships, religion, culture, and the law” (Guido, 2010, p. 3). Values are “personal beliefs about the truths and worth of thoughts, objects, or behavior” (Guido, 2010, p. 3). Therefore, ethics are subject to an individual’s personal interpretation. In contrast, laws are rules and regulations established by some authority and enforced by judicial decision (Dictionary.com, 2011). The legal system governs actions and behaviors without regard to personal values, beliefs, and views. Laws are constantly evolving to promote the greater good of society, rather than the individual within society as with ethics. In the health care setting situations often present itself in which both ethics...
Words: 2080 - Pages: 9
...Johnson Foundation, and the Institute of Medicine (IOM) the summary report clearly identifies the need for nurses to participate fully as partners to improve the nation’s health care system(“The future of nursing: leading change, advancing,” 2010). To that end, in order for nurses to participate actively in shaping the health care system nurses need education in what many consider as non-traditional nursing subjects, such as finance. In response to the need for education in finance nursing curricula include at least one course as an under graduate, and one on the post- graduate level. Together these courses provide both academic and practical knowledge the nurse manager can translate readily to manage an organization or an individual nursing unit (Finkler, Kovner & Jones, 2007). For nurses to begin to understand generally accepted accounting principles (GAAP) recognizing that accounting shares two similar domains with nursing, science, and art. Though this concept may seem counter intuitive at first as accountings defining principles, and subsequent rules reflect the rigor typically associated solely with science according to...
Words: 1538 - Pages: 7
...quality, selfless care that patients have always relied on them for, and expected, since the very beginning of nursing. From pediatrics to gerontology, nurses are serving a culturally, religiously and financially diverse population with challenging needs. In the face of this, nursing itself is becoming ever more diverse in it’s culture and skill set, which is helping the profession stay in the race, and continue to advance the practice of nursing. Although I’ve been a nurse for only seven years, and spent the bulk of my working career for fortune 100 companies in the aviation field, I feel i bring a wealth of business, people-skills and management expertise to the field. I was drawn to the field of nursing for many years, and when I finally had an opportunity to turn to school, I did, and pursued my nursing degree. Helping people was always a goal of mine, and I have been able to fulfill that goal and set new ones in that realm within the world of nursing. My past business experience has provided me with the knowledge to not only provide safe, quality care for my patients, but to relate to families and hospital staff in a clear and effective manner that improves outcomes for my patients. I have also participated directly in reducing our blood stream infection rates substantially, and in eliminating waste and duplicate supplies, which have saved my unit hundreds of thousands of dollars. The functional differences between a regulatory agency (RA), and a professional nursing organization...
Words: 2539 - Pages: 11
...Research Critique Part 1 Alisa Rogers Grand Canyon University Introduction to Nursing Research NRS 433V June Helbig July 28, 2013 Research Critique Part 1 Children are vulnerable in the pediatric intensive care unit (PICU) and experience pain when not needed. The nurses and physicians lack of knowledge about how critical illness affects the signs and symptoms of children’s pain Problem Statement The clinical problem eluded that there is little known in the pediatric intensive care (PICU) settings of the nurses knowledge of pain in critically ill children. It is known that the knowledge of pain and quality of care given for pain alleviation is relevant. Not much is known regarding the nurses clinical learning patterns. Nurses used judgments in measuring pain in a variety of ways and it was found that their clinical judgments came from different levels of understanding and diverse aspects of pain. These assumptions lead to the aim of the study: to elucidate patterns in clinical knowledge development and unfold the role of the nurse as facilitator in relation to pain management in the PICU. (Mattsson, Forsner, Castren, Bolander Laksov, & Arman, 2012, p. 109) It is known that working in a PICU that nurses rely on each other and what they perceive as pain in a child may not be actual pain. Overtime clinical knowledge is developed with different encounters with patients and their families. The nurses need to focus more on their individual learning practices to...
Words: 924 - Pages: 4
...within its community by being a leader in providing high quality healthcare. The first of Nightingale Community Hospital’s value statements addresses safety. A key aspect in providing safe patient care includes communication among caregivers. A1. Sentinel Event Nightingale Community Hospital recently experienced a sentinel event that involved the possible abduction of a 3 year old patient. As defined by the Joint Commission (2014), a sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. On September 14th a 3 year old patient came to the hospital for an outpatient procedure. She was accompanied by her mother. They first registered for the procedure and completed all required registration documents including authorization forms. The patient then went to the pre-op area to complete all pre-op assessments. At this time the mother informed the pre-op nurse that she had to take care of a personal matter with her son while her daughter, the patient, was in surgery. The mother gave her contact information to the pre-op nurse who then recorded it in her personal notebook. From the pre-op area the patient was then taken to the operating room. Both nurses and surgeons are present during the procedure. After the surgery, the patient was taken to a Post Anesthesia Care Unit (PACU). It is also referred to as the Recovery Room. Upon arrival, the mother had not yet returned. Throughout the recovery...
Words: 2935 - Pages: 12
...1. Tell us about yourself? Good morning. My name is Lingling Cui, an international student from Deakin University. it is really a great honor to have this opportunity for a interview. I am about to be graduated and registered in August after the 6 weeks clinical placement in Knox. So far, I have completed two clinical placements in Australia. One is mental, another is surgical unit. Prior to commencing my Bachelor of Nursing in Australia, I have graduated from Peking University and achieved my first Bachelor of Nursing following a 3.5 years study and 1.5 years clinical placement in medical surgical ward, theatre, pediatric ward, gynecologic ward, delivery room and emergency room. Besides studying, I am also working in nursing home from last year. I am a nice person with excellent nursing skill and interpersonal skill, which enable me to working in a team with pressure. Furthermore, I can listen and speak mandarin and English fluently. All the experience and skills that I gain during studying and working are around nursing, which enable me to prepare well for future career. 2. What do you know about this organization and why have you chosen to work here? Healthscope is one of Australia’s leading private healthcare operators and the second largest private hospital provider. Healthscope owns or manages 45 medical/surgical, rehabilitation and psychiatric hospitals. In addition, Healthscope operates a leading pathology business with facilities in Australia, New Zealand, Singapore...
Words: 1429 - Pages: 6
...Burns: Understanding Nursing Research, 4th Edition Critiquing Exercise Knott, A. & Kee, C. C. (2005). Nurses’ beliefs about family presence during resuscitation. Applied Nursing Research, 18(4), 192-198. |STANDARDS/EVALUATION CRITERIA 50|KEY CONCEPTS IN CRITIQUE | |points | | |Descriptive Vividness 5 pts | | |Was the significance of the study adequately described? |1. The significance of the study was adequately described. | | |Family presence (FP) during resuscitation is a matter that | |Was the purpose of the study clearly described? |warrants more investigation as to whether or not it should, or | | |should not be allowed. Furthermore, the study proposes the | |Were the interpretations presented in a descriptive way that |necessity of protocols in place in institutions to guide | |illuminated more than the quotes did? |decisions on this matter. | | | ...
Words: 1867 - Pages: 8
...Hispanics and other cultures. The community we serve is very poverty-stricken, and much of what they are going through on a daily basis has to do with things like housing instability, homelessness and unemployment, behavioral issues, high rate of incarceration CHMC provides a broad range of medical services to meet the growing needs of the community they serve. The hospital operates a comprehensive cancer service with the Vantage Oncology and operates the only twenty-four, seven days’ emergency room (ER) in downtown Los Angeles. The hospital has the only Level II Trauma Center and the Leavey Trauma Center. Other services include the stroke center, the heart center, diagnostic imaging, intensive care unit, maternal and neonatal, orthopedics, palliative care, pediatrics, surgery, transitional care and rehabilitation and women’s health. The mission, vision and values of CHMC read as follow: Our Mission We are committed to furthering the healing ministry of Jesus. We dedicate our resources to: Delivering compassionate, high-quality, affordable health services; Serving and advocating for our sisters and brothers who are poor and disenfranchised; and Partnering with others in the community to improve the quality of life. Our Vision A vibrant, national health care system known for service, chosen for clinical excellence, standing in partnership with...
Words: 1567 - Pages: 7
...by David R. Fordham, CMA, CPA, Ph.D and S. Brooks Marshall, CFA. DBA This article explains how to use simulation methods within a spreadsheet program such as Excel to perform sensitivity analysis for a given decision context. The available spreadsheet simulation software systems include the programs Crystal Ball and @Risk, among others. These software systems allow the user to analyze the effect of uncertainty on the potential outcomes of a decision. These tools can be applied directly to CVP analysis. The tools allow the user to see the potential effect on the breakeven level or total profit of potential variations in the key uncertain factors in the analysis. The uncertain factors affecting breakeven might be the unknown level of unit variable cost, price or fixed cost. Also, in determining total profit, the unknown level of demand might be a key uncertain factor. Exercise: Use a spreadsheet...
Words: 9115 - Pages: 37
...worked, overtime, days off, sleep/wake patterns, errors and near misses. According to Dr. Rogers, fatigue results in: * Forgetfulness * Slowed reaction time * Diminished decision making * Reduced vigilance * Apathy, lethargy * Impaired communication. Delivery of health care requires higher cognitive functions – judgment, logic, complex decision-making, memory, vigilance, information management and communication skills. Fatigued workers try ineffective solutions to problems and neglect activities deemed non-essential. Sleep research indicates that most people need at 7.5-8 hour of sleep each night. Nurses in the study averaged 6.8 hours of sleep. Long hours, and the impact of competing priorities in personal lives impact getting adequate rest prior to working. In more than half the shifts, nurses were unable to take breaks due to shift demands. Findings included correlation among work duration, overtime, number of hours worked and reported errors and near errors. Regardless of the scheduled shift length, overtime increased the odds of reporting error, but the risks significantly increased when overtime followed a twelve-hour shift. On average, nurses worked about 55 minutes longer than scheduled each day, and all participants...
Words: 2474 - Pages: 10
...David R. Fordham, CMA, CPA, Ph.D and S. Brooks Marshall, CFA. DBA This article explains how to use simulation methods within a spreadsheet program such as Excel to perform sensitivity analysis for a given decision context. The available spreadsheet simulation software systems include the programs Crystal Ball and @Risk, among others. These software systems allow the user to analyze the effect of uncertainty on the potential outcomes of a decision. These tools can be applied directly to CVP analysis. The tools allow the user to see the potential effect on the breakeven level or total profit of potential variations in the key uncertain factors in the analysis. The uncertain factors affecting breakeven might be the unknown level of unit variable cost, price or fixed cost. Also, in determining total profit, the unknown level of demand might be a key uncertain factor. Exercise: Use a...
Words: 9076 - Pages: 37
...Research Review: Working Through Grief and Loss Research Review: Working Through Grief and Loss: Oncology Nurses Perspectives on Professional Bereavement By: Lara Grinceri, RN Grand Canyon University Background The purpose of this article is to look at the role of Professional Oncology Nurse, their obstacles to care, in terms of grief and loss, and determine possible supportive interventions. [ (Jennifer Wenzel, 2011) ] As the oncology patient population continues to grow, so does the demand for experienced, expertly trained oncology nurses. The role of the oncology nurse is challenged by many outside forces, such as increased workloads, heightened patient acuity and complexity, and repeated contacts with suffering patients and caregivers. [ (Jennifer Wenzel, 2011) ]. Due to the nature of their role, these specialized nurses are a limited resource, and due to the high emotional complexity of their patients, can result in a higher than normal turnover rate. This is often in the form of burn-out or compassion fatigue from the constant interactions with death or dying situations. It is critical for nursing to recognize and identify the emotional, as well as physical, barriers to care, and intervene before burnout or compassion fatigue is able to occur. This study looks at the collaboration of a mid-Atlantic University NCI (National Cancer Institute) teaching hospital and affiliated school of nursing , to research their oncology nursing population, and create a...
Words: 954 - Pages: 4
