Fall Prevention and Nursing Diagnosis Statement Order Instructions: Topic: Fall Prevention Scenario: An 84-year-old male was admitted to the hospital today after falling at home.
Fall Prevention and Nursing Diagnosis Statement
He currently lives alone, his wife passed away three years ago. He has one (1) daughter who lives nearby. He wears glasses and has a hearing aid in his right ear. His gait is slow and unsteady and reports feeling weak. Two months ago, the patient was alert and oriented to person, place and time and living independently. Today, he is oriented to person, but thinks that it is 1994, that he is in his home, and he is looking for his wife. Due to his change in mental status his daughter has decided when he is released from the hospital he will move into her house. She works at home and will be able to care for him during the day.
Fall Prevention and Nursing Diagnosis Statement Questions
1- Develop a teaching plan to address the patient’s safety needs upon discharge. Be sure to include the patient and family in the plan. Consider the patient’s safety needs to develop a plan of care for discharge.
2- Write one (1) nursing diagnosis statement (3 parts) with corresponding outcome and provide two (2) interventions (one independent and one interdependent). Provide a rationale to support your nursing diagnoses statement.
Required Textbooks and chapters for this paper:
Brunner & Suddarth’s Textbook of medical-surgical nursing**
• Chapter 73: Terrorism, Mass Casualty, and Disaster Nursing
Pharmacology: A nursing process approach**
• Chapter 29: Penicillins and Cephalosporins
Nursing Diagnosis
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module.
Maternal and child health nursing**
• Chapter 29: Nursing Care of a Family with an Infant (Section on Infant Safety, Bathing, and Diapering)
• Chapter 37: Nursing Care if a Family When a Child Needs Diagnostic or Therapeutic Modalities (section on “Use of restraints” only)
Fall Prevention and Nursing Diagnosis Statement Sample Answer
Fall prevention
Among old adults, falls are common and preventable sources of morbidity and mortality. They often threaten the health and quality of life of an individual. The normal and pathological effects of aging such as changes in vision, reduced light accommodation as well as the loss of perception is the major contributor of increased falls (Brunner, Smeltzer, Bare, Hinkle, & Cheever, 2014). Others include cognitive changes such as confusion and loss of judgment and musculoskeletal changes including altered posture and reduced muscle strength.
The following items should be included in the discharge teaching plan for a patient with a history of a fall. The relatives should be educated on safety environmental measures at home such as removal of rugs and obstacles help prevent falls and encourage good lighting. Also, family members should be encouraged to familiarize the patient to the layout of the room and limit rearranging of furniture. The patient must get used to the layout of the room to avoid tripping over furniture. The patient should be informed to put on hearing aids and wear sunglasses all the time and have them checked regularly. It will help reduce the occurrence of the falls by promoting visual and auditory orientation to the environment. Visual impairment is the major cause of falls (Brunner et al., 2014).
The most appropriate nursing diagnoses for the patient is, disturbed thought process related to age related changes as evidenced by disorientation of the patient to time and place. The outcomes for the diagnoses will be, patient will interpret the environment appropriately and maintain orientation to time place and situation to the best of his cognitive ability (Brunner et al., 2014).
The patient should be encouraged to check calendar and the clock more often to get oriented to time. It will help in orientation and aid in memory and recognition. This in turn will ensure a great degree of safety. The above stated diagnoses best fit the patient due to the presenting symptoms of disorientation to time and situation.
Fall Prevention and Nursing Diagnosis Statement References
Brunner, L. S., Smeltzer, S. C. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2014). Brunner & Suddarth’s Textbook of Medical-surgical Nursing: Suzanne C. Smeltzer…[et Al.]: Wolters Kluwer Health.
Roles in Nursing Case Scenario Assignment Order Instructions: Hello writer sir, how are you today
Thank you so much for helping for this assignment.
Roles in Nursing Case Scenario Assignment
Topic is mentioned below.
• APA Referencing
• At least 10 genuine references from 2010 to 2016 study based,
• 90 % references has to be research based peer reviewed Journal article AND books
• Australian and New Zealand based study articles are preferable.
• Please have a look Rubric guideline for given topic, I need good grades in this assignment so please do me a favour and try to make a good reflection using
Roles in Nursing Case Scenario Assignment on a Registered Nurse
You are a Registered Nurse on the afternoon shift on a short-stay (24 hours) in surgical ward. One other Registered Nurse, an Enrolled Nurse (Who can administer medication but cannot administer IV medication) and three Assistant in Nursing are also on duty. The Nurse Unit Manager is off Sick, and the other Registered Nurse is acting as NUM as well as taking a patient load. The ward is full, there are 22 patients, 14 of whom went to surgery in the morning, and 8 are going on your shift. Half of these a patient have intravenous access and antibiotics at some time during your shift.
Using your knowledge and experience of various patient allocation models, (such as total patient care, team nursing, and task allocations), outline how you would allocate the staff to the patient. Include in your discussion, your rational for the model of allocation chosen, and the scope of practice of the various staff.
Roles in Nursing Case Scenario Assignment Sample Answer
An efficient patient allocation model is vital for the safe delivery of nursing care to patients. Such a model should maximize on the abilities, roles, responsibilities, and actions of the available staff especially considering that nursing practice is prone to a shortage of practitioners. Halcomb et al. (2014) put it that role development is an issue worth attention when seeking to strengthen primary care delivery in the Australian clinical setup. This article takes an evidence-based approach to develop a workable task allocation in a case in which there are five nursing professionals with different education and experience levels.
According to Ferguson and Cioffi (2011), factors worth considering when managing nursing staff and allocating tasks include skills, experience, education, and the gains of patients and the service providers. On their part, McHugh and Lake (2010) asserted that when expertise is matched to responsibilities, it is possible for nursing staff to deliver high-standard care. Therefore, in addition to prioritizing on what types of services nursing professionals in the case study can deliver, it is also necessary to ensure that the staff is placed at a position from where it would gain and encounter minimum discomfort. The approach would facilitate teamwork and motivate service providers to be responsible while delivering with minimum supervision.
The Nursing and Midwifery Board of Australia (2016) defined the capabilities of registered nurses as including delivery of evidence-based and person-centered curative, palliative, restorative, formative, preventive, and supportive care to their clients. In the case scenario, registered nurses are best placed for context assessment and plan development as well as outcome evaluation and implementation. As such they would be required to supervise the enrolled nurse and the three nursing assistants while also administering intravenous medications to patients. Since one of the RNs is on administrative duties, the remaining one should actively engage in clinical duties.
On their part, enrolled nurses in Australia are accountable for the services they deliver when delegated (Monash University, 2016). These include administering direct care to patients and monitoring its impact. However, as Jacob et al. observed, ENs in Australia may end up practicing beyond their scope as the country faces staff and economic challenges (2010). Nevertheless, nurses should purpose to do their best for the wellness of their patients as they communicate their concerns through the relevant avenues. However, it is important that ENs be conversant with the law as there are restrictions to the types of care they should deliver depending on whether they have a notation or not (Nursing and Midwifery Board of Australia, 2016). In the case scenario, the EN can administer antibiotics to patients, interact supportively with patients, monitor individuals, and update the RN on patient statuses accordingly.
Lizarondo et al. (2010) investigated the importance of assistants in healthcare and concluded that they are valuable in service delivery and institutions should engage them effectively. In nursing, assistants are mandated to deliver services such as personal care for patients, manual transportation, preparing patients for clinical services, and ensuring that patient access recreational facilities when appropriate (Queensland.gov, 2013). In the case scenario, assistants should engage in the promotion of patient wellness through approaches such as maintaining high levels of hygiene. It is worth noting that surgical patients are prone to infections and therefore, the hospital should promote hygiene so as to prevent nosocomial complications (Mathur, 2011).
Roles in Nursing Case Scenario Assignment Reference
Ferguson, L. & Cioffi, J. (2010). Team nursing: experiences of nurse managers in acute care settings. Australian Journal of Advanced Nursing, 28(4), 5-12.
Halcomb, E. J., Salamonson, Y., Davidson, P. M., Kaur, R., & Young, S. A. (2014). The evolution of nursing in Australian general practice: a comparative analysis of workforce surveys ten years on. BMC Family Practice, 15, 52.
Jacob, E. R., Barnett, A., Sellick, K., & McKenna, L. (2013). Scope of practice for Australian enrolled nurses: evolution and practice issues. Contemp Nurse, 45(2), 155-163.
Lizarondo, L., Kumar, S., Hyde, L., & Skidmore, D. (2010). Allied health assistants and what they do: A systematic review of the literature. Journal of Multidisciplinary Healthcare, 3, 143–153.
Mathur, P. (2011). Hand hygiene: Back to the basics of infection control. The Indian Journal of Medical Research, 134(5), 611–620.
McHugh, M. D., & Lake, E. T. (2010). Understanding clinical expertise: nurse education, experience, and the hospital context. Research in Nursing & Health, 33(4), 276–287.
Monash University. (2016). The enrolled nurse (EN) scope of practice. Retrieved from http://www.med.monash.edu/nursing/competency-standards/scope.html
Nursing and Midwifery Board of Australia. (2016a). Registered nurse standards of practice.
Nursing and Midwifery Board of Australia. (2016b). Fact sheet: enrolled nurse and medicine administration. Retrieved from http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/FAQ/Enrolled-nurses-and-medicine-administration.aspx
Queensland.gov. (2013). Assistant in nursing. Retrieved from https://www.worksafe.qld.gov.au/__data/assets/pdf_file/0005/33827/Assistant-in-nursing.pdf
Nursing Patient Handover Isobar Format Order Instructions:
Topic is mentioned below.
• APA Referencing
• At least 10 genuine references from 2010 to 2016 study based,
• 90 % references has to be research based peer reviewed Journal article AND books
• Australian and New Zealand based study articles are preferable.
Nursing Patient Handover Isobar Format
• Please have a look Rubric guideline for given topic, I need good grades in this assignment so please do me a favour and try to make a good reflection using
You are working on the morning shift on the ward, and receive a patient from ED. The ED nurse provides you with the following handover, using the ISOBAR format
Please put this link in to google, it will work. It is a verbal handover link
Then please answer the following briefly with your appropriate rationales in detail please
1. What further questions will you need to ask the nurse?
2. List specifically what further assessment you would complete, when the patient arrives onto the ward.
Nursing Patient Handover Isobar Format Sample Answer
Patient Handover: Isobar Format
Handovers are critical in nursing. Unless nurses communicate effectively, mistakes could occur hence placing patients at a loss (Street et al., 2011). Among other things, patient diagnoses, laboratory tests, treatment plan, current situation, history, and considerations are important to highlight during the transition of care. Nurses handing over patients should be willing to give as much information as necessary so that their incoming counterparts are best placed to continue providing care (Chaboyer, McMurray, Wallis, 2010). On their side, nurses receiving patients are obliged to seek clarification on each aspect that they would perceive unclear.
In the presented case, it would be necessary for the incoming nurse to inquire whether there are any anticipated risks regarding the patient (Matic, Davidson, & Salamonson, 2011). The ED (Emergency Department) nurse should explain the patient’s progress and indicate whether there is improvement or deterioration. Such information as Bogossian et al. (2013) wrote would guide the incoming nurse on monitoring the patient and determining the necessary tasks to handle the patient’s situation.
It would also be important for the nurse to know whether there is any sensitive information such as patient preferences, family involvement, and patient understanding of information and his sensitivity to the same. According to Kerr et al. (2011), such clarification would enable the nurse to associate wisely and ground a healthy interaction with the patient. On the same note, the nurse would avoid asking questions that may disturb the patient.
Additionally, the ED nurse should explain whether the doctor requesting the upfront tests would be available so that the incoming nurse can make the necessary plans. Such an approach would minimize time wastage and also put the nurse at a position to deliver accurate information to the patient.
Finally, the ED nurse should indicate whether there are other persons involved in the case so that the incoming nurse can link with them for continuity of care for the patient. Care consolidation would increase the efficiency of investigations, assessments, as well as management (Birks et al., 2013).
In addition to the indicated tests, the nurse would also carry out systematic assessments. These would include both shift and focused assessments. Since the patient is having a respiratory complication, assessment on the respiratory system should be a priority (Johnston, Maxwell, & Alison, 2011). Such an assessment would inform the practitioner on nursing outcomes as the patient undertakes the indicated treatment procedures (Birks et al., 2013).
Pain assessment would also be crucial so that the nurse can evaluate the necessity of pain medications. It could also indicate tissue damage and therefore, documentation would be necessary for development of further management strategies (Devita et al., 2010). By determining the progress of pain, the nurse can assess whether the patient’s health is improving. As Cooper et al. observed, nurses’ ability to rescue patients with a deteriorating health would depict clinical expertise (2011). The nurse should also assess the patients throat, mouth, ears, and nose for infections as there could be high chances of the patient getting infections or trauma in these organs.
The nurse may also assess the immune system. The assessment would not only give light on the progress of disease, but it would also inform whether the patient is allergic to the prescribed medications (Fayers & Machin, 2013). The nurse should be keen on patient’s response to treatment as such information would be handy for the development of appropriate treatment plans (Buykx et al., 2011).
Nursing Patient Handover Isobar Format Reference
Birks, M., Cant, R., James, A., Chung, C., & Davis, J. (2013). The use of physical assessment skills by registered nurses in Australia: Issues for nursing education. Collegian, 20(1), 27-33.
Bogossian, F., Cooper, S., Cant, R., Beauchamp, A., Porter, J., Kain, V., & Phillip, N. (2013). Undergraduate nursing students’ performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: An Australian multi-centre study. Nurse Education Today, 34(5), 691-696.
Buykx, P., Kinsman, L., Cooper, S., Henry, T., Cant, R., Endacort, R., & Scholes, J. (2011). FIRST2ACT: Educating nurses to identify patient deterioration — A theory-based model for best practice simulation education. Nurse Education Today, 31(7), 687-693.
Chaboyer, W., McMurray, A., & Wallis, M. (2010). Bedside nursing handover: a case study. International Journal of Nursing Practice, 2010(16), 27–34.
Cooper, S., McConnell-Henry, T., Cant, R., Porter, J., Missen, K., Kinsman, L., … Scholes, J. (2011). Managing deteriorating patients: registered nurses’ performance in a simulated setting. The Open Nursing Journal, 5, 120–126.
Devita, M. A., Smith, G. B., Adam, S. K., Buist, M., Bellomo, R., Bonello, R. . . . & Winters, B. (2010). Identifying the hospitalised patient in crisis”—A consensus conference on the afferent limb of Rapid Response Systems. Resuscitation, 81(4), 375-382.
Fayers, P. M., & Machin, D. (2013). Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. John Wiley & Sons.
Johnston, C. L., Maxwell, L. J., & Alison, J. A. (2011). Pulmonary rehabilitation in Australia: a national survey. Physiotherapy, 97(4), 284-290.
Kerr, D., Lu, S., McKinlay, L., & Fuller, C. (2011). Examination of current handover practice: Evidence to support changing the ritual. International Journal of Nursing Practice2011(17), 342–350.
Matic, J., Davidson, M., & Salamonson, Y. (2011). Review: bringing patient safety to the forefront through structured computerisation during clinical handover. Journal of Clinical Nursing, 20(2), 184-189.
Street, M., Eustace, P., Livingston, P. M., Craike, M. J., Kent, B., & Patterson. D. (2011). Communication at the bedside to enhance patient care: A survey of nurses’ experience and perspective of handover. International Journal of Nursing Practice, 2011(17), 133–140.
Perioperative Specialist and Nursing Care Order Instructions: 15 APA RREFERENCESIN TOTAL NOT OLDER THEN 5 YEARS. JOURNALS AND ARTICLES ONLY. ALL RESEARCH SHOULD BE VALID IN AUSTRALIA.
Perioperative Specialist and Nursing Care
NOTE; MY NURSING SPECIALITY IS PERIOPERATIVE NURSING
AS IN EXAMPLE I AM ATTACHING ANOTHER STUDENTS WORK IN SAME SPECIALITY (PERIOPERATIVE) NURSING.
PLEASE GO THROUGH THE DOCUMENTS ATTACHED FOR ALL THE INFORMATION.
ONE FILES HAS QUESTIONS AND MARKING GUIDE.
The SECOND FILE HAS READING AND ACTIVITIES FOR THE ASSESSMENT
THIRD FILES IS NNMBA WHICH TELLS THE LEGALITIES WHICH NEEDS TO BE CONSIDERED WHILE MAKING THE ASSIGNMENT
MAKE SURE TO FOLLOW THE MARKING GUIDE.
Perioperative Specialist and Nursing Care Sample Answer
Perioperative care is an important practice in as far as health care is concerned. It comes with various challenges that every health worker requires to understand. During the provision of perioperative care, patients’ safety is the primary focus (Laws & Goudas, 2013). However, the health care’s provider’s health is mostly forgotten. Perioperative placement poses a challenge in the health of the nurses. To start with, nurses undergo not only physical injury but also they experience emotional harm. These nurses are expected to work long shifts which sometimes extend beyond twelve hours (ElBardissi & Sundt, 2012). This is attributed by the fact that nurses mostly perform their duties while standing therefore predisposing them to musculoskeletal injuries.
Moreover, they are predisposed to infections. During the placement, one comes in contact with secretions from the patient. Some patients may have hepatitis infections, while other may be infected with HIV virus (Gillespie, Gwinner, Chaboyer, & Fairweather, 2013). Perioperative nurses are usually separated from their family members for long hours this makes them suffer from workplace related stresses.
The health of nurses is very critical since it determines the provision of quality care to patients. There are workplaces which make nurses experience physical and psychological damage. The improper work environment can predispose perioperative nurses to short-term or long-term conditions (Laws & Goudas, 2013). These include musculoskeletal injuries, infections and mental health changes. Long-term complications that may also arise include diseases such as cardiovascular and neoplastic diseases.
Factors that predispose to psychological damage include long working hours and long shifts and also some nurses work overtime. It is believed that when nurses work for long, they may end up affecting their sleeping patterns which in turn affects the length and quality of sleep (Laws & Goudas, 2013). When working for long hours, time of social interactions with family members and friends is depleted. This makes the nurses be separated from their families for long. Physical injuries can result from some positions nurses are expected to assume when for instance lifting patients. Many nurses end up complaining of backaches.
Perioperative Specialist and Nursing Care References
Afkari, H., Bednarik, R., Mäkelä, S., & Eivazi, S. (2016). Mechanisms for Maintaining Situation Awareness in the Micro-Neurosurgical Operating Room. International Journal of Human-Computer Studies.
ElBardissi, A. W., & Sundt, T. M. (2012). Human factors and operating room safety. Surgical Clinics of North America, 92(1), 21-35.
Gillespie, B. M., Gwinner, K., Chaboyer, W., & Fairweather, N. (2013). Team communications in surgery–creating a culture of safety. Journal of interprofessional care, 27(5), 387-393.
Laws, T. A., & Goudas, L. (2013). Health workers Safety in the operating room: A systematic review. ACORN: The Journal of Perioperative Nursing in Australia, 26(3), 10.
Nursing and Midwifery Board of Australia. (2010). Nursing and national competency standards for Registered nurse.
TASK 2
The nursing profession is governed by a professional code of ethics which stipulate the roles and responsibilities of nurses during provision of care. Moreover, some ethical issues must be considered. During the provision of care, nurses should be aware of the client’s rights. Every patient has the right to confidentiality; this means that the information provided by the patient should not be disclosed to anyone without their consent (Gold, Philip, Mclver, & Komesaroff, 2012). Clients must be assured of confidentiality to prevent them from withholding any information that might directly impact their health.
However, nurses usually face a challenge when the health of the client is compromised especially when they are undergoing an operation. This may happen in the case for the patient who was undergoing an operation goes into a comma (Gold, Philip, Mclver, & Komesaroff, 2012). In as much as the perioperative nurse might have promised to keep any information confidential, it may necessitate disclosure of this information to the family members (Nursing and Midwifery Board of Australia, 2014). However, this goes against the principle of confidentiality. There are ethical principles which can guide the healthcare professions in the perioperative unit.
When a patient is undergoing surgery, and it happens that a particular body part requires to be amputated, it is difficult for the health providers to make a proper decision parting the outcome since the patient had not given consent. It, therefore, calls for the involvement of the carers.
In the event the health of a patient on the operating table deteriorates, nurses are torn between safeguarding the patient’s confidentiality or disclosing any information to the caregivers. Before admission into the perioperative unit, possibly when the patient is signing the consent, it is important to ask them what information can be shared with the family members. Therefore, it is important for the patients to understand that they may not be able to make decisions when they have been with anesthetic agents (Gold, Philip, Mclver & Komesaroff, 2012). Similarly, when they are in the theater, they may develop anxiety and tension, therefore, carry out the wrong decisions. This, therefore, stresses the need to share information with the family members (Wilson, 2012).
Patients have a right to make decisions regarding their health and therefore, perioperative nurses should respect since its emphasis on the importance of keeping confidentiality (Berman et al. 2012). In case any information is disclosed without the patient’s consent, the patient may suffer psychologically on realizing it. Patients may take legal action in the event of bleach of confidentiality (Gold, Philip, Mclver, & Komesaroff, 2012). However, in some situations, it may be important to share a patient’s information with other health care professionals to safeguard their health. This would mostly apply in case a patient to undergo an operation has hepatitis or HIV infection.
Perioperative Specialist and Nursing Care References
Berman, A., Snyder, S.J., Kozier, B., Erb, G., Levett-Jones T., Dwyer, T., Hales, M., Harvey, N., & Stanley, D. (2012). Kozier and erb’s fundamentals of nursing (2nd ed.). Vol 2, NSW: Pearson Sydney Australia.
DeKeyser Ganz, F., & Berkovitz, K. (2011). Surgical nurses’ perceptions of ethical dilemmas, moral distress and quality of care. Journal of Advanced Nursing, 68(7), 1516-1525.
Gold, M., Philip, J., Mclver, S., & Komesaroff, P. A. (2012). Between a rock and hard place: Exploring the conflict between respecting the privacy of the patient and informing their carers. Internal Medicine Joiurnal, 39(9), 582-587.
Ingravallo, F., Gilmore, E., Vignatelli, L., Dormi, A., Carosielli, G., Lanni, L., & Taddi, P. (2014). Factors associated with nurse’s opinion and practices regarding information and consent. Nursing Ethics, 2(3), 259-313.
Nursing and Midwifery Board of Australia. (2014). Nursing and national competency standards for Registered nurse.
Petronio, S., & Sargent, J. (2011). Disclosure Predicaments Arising During the Course of Patient Care: Nurses’ Privacy Management. Health Communication, 26(3), 255-266.
Wilson, R. (2012). Legal, ethical and professional concepts with in the operating department. National Institute of Health, 22(3),81-5.
TASK3
Surgery disrupts the body image even when the surgical results are optimal. I noted during my placement that those patients who underwent surgery experienced social isolation and depression after surgery. This was attributed by patient’s different perception on illness. It came to my realization that patients who underwent cardiac surgery experienced social, emotional and spiritual fears. This was attributed to the patients having a cultural meaning of the heart as an organ responsible for emotions and controls life (Griffin & Yancey, 2011). The perioperative environment takes the patient away from the family home exposing him to unknown situations, bright lights, strange sounds and technical language. I also noted that previous hospital experiences and personal issues such as unemployment family responsibilities may have adverse impacts on the outcome of the surgery (Hanna et al., 2012).
I realized during my placement that in the perioperative phase, nurses have a great responsibility in addressing patient’s perception on about the outcome of surgery. Most patients had anxiety and fear which was directly related to the death threat, threat to change of health condition and separation from their family members. I happened to interact with a patient who was waiting to be done craniotomy and he had fears that the operation would have changed his life. I appreciated that nurses were vigilant in handling these fears. After surgery, most patients were grateful to the nurses for the information they were provided with since it provided them with better coping skills hence faster recuperation. These patients therefore changed their perception about illness and recovery after surgery
I noted that during the perioperative period that, preadmission contact, provision of relevant education and information, proper communication skills and maintaining patient privacy are factors which provide security and patient satisfaction (Reynolds & Carnwell, 2012). Minimal nurse contact, lack of personalized care and lack of information about the surgery, type of anesthetic agent and recovery are associated factors to the dissatisfaction of the patient. Therefore, it is important for the nurse to attend to the patient’s expectation to surgery. In the perioperative period, the nurse should attend to patients concerns, attend to medical needs as well as emotional, social and spiritual concerns (Griffin & Yancey, 2011)
My experience during my placement enlightened me that surgery can have physical and psychological change s which can have consequences on the life of the patient after surgery and have a different meaning on health, illness, and death (Berman et al., 2012). Nurses have a role in respecting the patient’s values and beliefs and provide support to family members and patients. Health professionals should understand the perceptions of the patients regarding illnesses and recuperation so as to enhance their recovery.
Perioperative Specialist and Nursing Care References
Berman, A., Snyder, S.J., Kozier, B., Erb, G., Levett-Jones T., Dwyer, T., Hales, M., Harvey, N., & Stanley, D. (2012). Kozier and erb’s fundamentals of nursing (2nd ed.). Vol 2, NSW: Pearson Sydney Australia.
Griffin, A., & Yancey, V. (2011). Spiritual Dimensions of the Perioperative Experience. AORN Journal, 89(5), 875-882.
Hanna, M. N., González-Fernández, M., Barrett, A. D., Williams, K. A., & Pronovost, P. (2012). Does patient perception of pain control affect patient satisfaction across surgical units in a tertiary teaching hospital?. American Journal of Medical Quality, 27(5), 411-416.
Reynolds, J., & Carnwell, R. (2012). The nurse-patient relationship in the post-anesthetic care unit. Nursing Standard, 24(15), 40-46.
Tan, K., Konishi, F., Kawamura, Y., Maeda, T., Sasaki, J., Tsujinaka, S., & Horie, H. (2011). Laparoscopic colorectal surgery in elderly patients: a case-control study of 15 years of experience. The American Journal of Surgery, 201(4), 531-536.
Nursing Practice and Legal Obligations Order Instructions:
15 APA REFERENCES IN TOTAL NOT OLDER THEN 5 YEARS. JOURNALS AND ARTICLES ONLY. ALL RESEARCH SHOULD BE VALID IN AUSTRALIA.
NOTE; MY NURSING SPECIALITY IS MENTAL HEALTH.
Nursing Practice and Legal Obligations
AS IN EXAMPLE I AM ATTACHING ANOTHER student WORK IN DIFFERENT SPECIALITY OF NURSING.
PLEASE GO THROUGH THE DOCUMENTS ATTACHED FOR ALL THE INFORMATION.
ONE file HAS QUESTIONS AND MARKING GUIDE.
The SECOND FILE HAS READING AND ACTIVITIES FOR THE ASSESSMENT
THIRD FILES IS NNMBA WHICH TELLS THE LEGALITIES WHICH NEEDS TO BE CONSIDERED WHILE MAKING THE ASSIGNMENT
MAKE SURE TO FOLLOW THE MARKING GUIDE.
Nursing Practice and Legal Obligations Sample Answer
Module One
Nursing practice is bounded by various legal obligations. These laws are in accordance with the nursing ethics which guides the nature of the conduct of nurses. In Australia, there is a specific nursing code of conduct that each nurse is expected to abide by in their operation. Moreover, the Parliament of Australia enacted a social act that nurses should operate within. The primary objectives of having to adhere to legal obligations in nursing is to protect all the individuals who are affected by the nursing practice and the nurses themselves. According to Day (2007), nurses often face situations that require quick and critical decision making. In such circumstances, Carryer, et.al, (2013) argues that if a nurse fails to consider the overlaying rules regarding what to do, he or she may end up making a mistake that could be punishable by law. For instance, the Australian rights of terminally act introduced a law which allows active voluntary euthanasia. However, this may go against the law if a nurse carries out euthanasia with consent from the family members of the sick person and not that of the sick individual. Even though the nursing legal and ethical conduct laws are different, they operate through closely related frameworks. However, nursing legal responsibilities regarding mental health sometimes crashers with the ethical requirement of the nursing code.
Under my specialty which is mental health, the law has set out directives of when a person can be admitted (Carryer, et.al, 2013). In the requirement, a single medical officer or nurse cannot fully ascertain that one needs to be admitted but it has to be agreed by several health officers. This legal requirement may be good in preventing unwarranted admissions, however, it sometimes contradicts with the nurses’ believe of offering help. Mental ill individuals might not always know that they are sick, there is the need for someone else to point that out. Before that happens, one cannot be treated for mental illness. This becomes problematic in a situation where there is an urgent need to treat a mentally ill person yet the legal procedure of ascertaining that the person is ill has not occurred. These individuals might be involved in self-destructive activities of which another person may not point out easily. Therefore, as per Doran, et.al (2015), if the proper procedure for identifying their problems is followed, treatments can be administered when it is too late. My resolution is that I will offer consultative help to the individual first before administering any medication. This way, I will be able to offer to help them in advance and yet again still remain within the legal confines of the Australian nursing laws.
Nursing Practice and Legal Obligations References
Lennard-Palmer, L. (2012). The use of simulation for pediatric oncology nursing safety principles: Ensuring competent practice through the use of a mnemonic, chemotherapy roadmaps and case-based learning. Journal of Pediatric Nursing, 27(3), 283-286.
Carrier, J., Gardner, G., Dunn, S., & Gardner, A. (2013). The capability of nurse practitioners may be diminished by controlling protocols. Australian Health Review, 31(1), 108-15. Retrieved from http://search.proquest.com/docview/231731777?accountid=45049
Doran, Evan, BA, Grad Dip Health Soc Sci, P., Fleming, Jennifer, BA, M.H.A., PhD., Jordens, Christopher, BA, M.P.H., PhD., Stewart, Cameron L, Bec, L.L.B., PhD., Letts, J., M. Bioeth, & Kerridge, Ian H, MPhil(Cantab), F.R.A.C.P., F.R.C.P.A. (2015). Managing ethical issues in patient care and the need for clinical ethics support. Australian Health Review, 39(1), 44-50. Retrieved from http://search.proquest.com/docview/1673832440?accountid=45049
Module Two
The nursing code of conduct requires that patient information is kept private (Bourgeois, Negron & Harper, 2015). However, this view is to some extent contradicted by the ethics of care theory. According to the theory, as stated by Regard and Sited (2012), all health care moral agents should not be regarded as separate entities, however, should be allowed to share views and information regarding a particular patient of interest. These entities include clients, careers, institutions, and healthcare professionals. Therefore, like Mulligan, and Braunack-Mayer (2014) puts it, sharing information is important in medical practice. It offers a way to show the role of a nurse in handling information (Vezyridis & Timmons, 2015). In dealing with mental health cases, information sharing sometimes becomes difficult. This is because the affected individuals who are patients may not be in apposition to comprehend or receive any information regarding their status. For instance, according to the Australian terminal act which guides the health practice associated with treating mealy ill individuals, one can be perceived to be mentally ill and taken in for treatment even without their consent. Therefore, in such cases, it is not possible to share with them their health information, however, the information is given to careers. Apparently, this goes against the nursing ethics but remains in line with the consensus ethics believes that gives considerations to all individuals who are involved in healthcare (Freegard & Isted, 2012).
Dealing with mentally ill patients highlights the peak of the issues faced by healthcare professionals in striving to remain within their required ethical conduct of keeping patient information private and addressing caregivers (MacVane, 2015). This is because mental ill patients are like normal patients whose health has deteriorated to the extent that they cannot make their own decisions. In such situations, the decisions making process and concerns are passed on to the carers or rather the family members. The case becomes difficult if a patient is not admitted but is being treated from home. The carers deserve a right to know what is happening in order for them to provide adequate care in the absence of a health professional (Philip, McIver & Komesaroff, 2008). Therefore, in my practice specialty area of dealing with mentally ill individuals, it is not a question of whether or not to provide health information to the family, instead, it is more concerned with the particular type of information that is passed on to the family of a mentally ill person. This is in line with Philip, McIver and Komesaroff’s (2008) perception. According to them, family members and carers of mentally ill patients have the right to patient information. However, the information shared should only be what is relevant in helping them to offer better care for the sick person.
Nursing Practice and Legal Obligations References
Bourgeois, F.C., Negron, D.J., Harper, M.B. (2015). Preserving Patient Privacy and Confidentiality in the Era of Personal Health Records. Pediatrics, 135(5), e1125-e1127. doi:10.1542/peds.2014-3754
Gold, M., Philip, J., McIver, S., & Komesaroff, P. A. (2009). Between a rock and a hard place: exploring the conflict between respecting the privacy of patients and informing their carers. Internal Medicine Journal, 39(9), 582-587. doi:10.1111/j.1445-5994.2009. 02020.x
Vezyridis, P., & Timmons, S. (2015). On the adoption of personal health records: Some problematic issues for patient empowerment. Ethics and Information Technology, 17(2), 113-124. doi: http://dx.doi.org/10.1007/s10676-015-9365-x
MacVane Phipps, F. (2015). Clinical governance review 20.2. Clinical Governance, 20(2), 101-104. Retrieved from http://search.proquest.com/docview/1696176716?accountid=45049
Module Three
Mental health refers to the state of being in balance, being well emotionally, knowing yourself, and being able to handle the day to day activities appropriately (McGrath & Forrester, 2006). Therefore, it is challenging to make a person who is not mentally well achieve proper mental health. Interactions with carers and other individuals near mentally ill individuals revealed an overwhelming perception that mental health is associated with the improper state of mind only. Few individuals seemed to see it in a positive dimension. Often, it was difficult to see a distinction between mental health and mental illness. This perception seems to be so high that even mental patients seem to feel that they are not normal. They see themselves as being unfit for the society. As a result, it is difficult for most mentally ill individuals to accept their status. According to Fuller et.al (2011), they tend to hang to the view that they are fine even if they see some changes in their characteristics. The fear of negative societal perception is too heavy for them to bear. The case is similar with some of mentally ill patient family members. They seem to hate the fact that one of their own does not have good mental health.
Health institutions and medical professionals face a difficult task of changing the perceptions of mental ill patients and their families regarding mental health. This has to include a psychological change of thoughts and status such as anxiety, depression, and stigma, in the health care system. As argued by Earnshaw, et.al (2013), the society places stigma to people who are mentally ill. This makes healthy individuals shun way from interacting with those who are unwell mentally. As a result, most mentally ill persons suffer from loneliness which affects them so much. Therefore, the relationship that is established between mentally ill people and the care givers helps a lot. They at least get to feel a sense of care and acceptance. However, despite this care and the new formed relationship, most of them still feel that they have little chances of becoming normal or rather being considered normal by the larger society, there will always be some alienation away from them. However, in line with Meehan, et.al (2013) arguments, concentrating on how to cure mental illnesses and giving adequate care to patients will help meet the complex needs of individuals who are unwell mentally.
Module Three Reflection.
This module involved learning the various ways that people perceive illness and other health related issues. It involved going through various health records, statistics, and publication that at some point explain the reactions that people shows towards a certain disease or an individual with that disease. This involved their perception of the danger a certain disease possess, thoughts on the ability of the current healthcare system in Australia to heal them, and their view on the causes of such diseases. Moreover, the studies during this module also evaluated the people’s perception of death and any possible effects death has on people (Alexander, Mettler, & Harvey, 2012). The study was important because it was aimed at helping us understand various opinions of patients so that we could be able to form our own opinions. My case being mental health, the study was in particular aimed at helping me to understand the way people react to mental health. From then, I could then deduce if their reaction is helpful for the patient or not. Moreover, evaluating how the patient in my care react to health related issues and how distinctively those related to the patient also react was aimed to helping me as nurses understand the relationship that exist between carers and their patients. There are various lessons that I gained through the study. First, I was able to understand that there are various misconceptions about certain health illnesses that most people without certain levels of health literacy believe. For instance, in the case of mental health, most people feel that an unhealthy state of mind cannot cause death and discomfort to the affected individual (McGrath & Forrester, 2006). However, they affect the surrounding people. Therefore, it is like a burden to the care givers of such individuals (Fuller, et.al, 2011). Also, I was able to distinguish the notion in most people that most mental sicknesses cannot be cured as they are some form of behavioural patterns. Overly, the module helped me to understand various differences that exist between the societal perception of diseases and how the disease means in a real sense. Therefore, there is a need to increase health literacy among people so as to enhance their understanding of various health issues and sicknesses.
Nursing Practice and Legal Obligations References
Alexander, J.A., Mettler, L.R.H.J.N., & Harvey, J. (2012). Patient–physician role relationships and patient activation among individuals with chronic illness. Health Services Research, 47(3pt1), 1201-1223. doi:10.1111/j.1475-6773.2011.01354.x
Earnshaw, V.A., Quinn, D.M., Kalichman, S.C., & Park, C.L. (2013). Development and psychometric evaluation of the Chronic Illness Anticipated Stigma Scale. Journal of Behavioral Medicine, 36(3), 270-282. doi:10.1605/01.301-0022643876.2013
Meehan, Thomas, RN, BHSc, MPH, M. SocSc, PhD., & Robertson, Samantha, B. BusComm, B.A. Hons. (2013). The mental health nurse incentive program: Reactions of general practitioners and their patients. Australian Health Review, 37(3), 337-40. Retrieved from http://search.proquest.com/docview/1534982438?accountid=45049
McGrath, P. D., & Forrester, K. (2006). Ethico-legal issues in relation to end-of-life care and institutional mental health. Australian Health Review, 30(3), 286-97. Retrieved from http://search.proquest.com/docview/231756428?accountid=45049
Fuller, J. D., Perkins, D., Parker, S., dew, L., Kelly, B., Roberts, R., Fragar, L. (2011). Building effective service linkages in primary mental health care: A narrative review part 2. BMC Health Services Research, 11, 66-72. doi: http://dx.doi.org/10.1186/1472-6963-11-66
Making a Difference in Other Peoples Live as a Nurse I want to apply for nursing college to have a bachelor degree in nursing and they want me to write an essay to answer this question
Making a Difference in Other Peoples Live as a Nurse
(How will becoming a nurse
help you to make a difference in other’s lives?)
So i want the essay about the answer of this question.
This is a brief background about me: I’m a girl from Saudi Arabia and the nurses in Saudi Arabia are always foreign and they are not kind with the patient
they only care about the salary but that is wrong the nursing is about mercy not about money. Also, there are many medical mistakes so I want to have a good
education to be a professional nurse. Moreover, I am grown up in nurses family, my mother and my 2 sisters are nurses also, many of my aunts and cousins.
The Role of Nurse from a Health Promotion Perspective Order Instructions: The Role of the Nurse from a Health Promotion Perspective in Meeting the Needs of Aboriginal and Torres Strait Islander Population
The Role of Nurse from a Health Promotion Perspective
APA style
References 5
Key points community support, Smoking, health educations, alcohol, dialysis bus, diseases
The Role of the Nurse from a Health Promotion Perspective Sample Answer
The Role of the Nurse from a Health Promotion Perspective in Meeting the Needs of Aboriginal and Torres Strait Islander Population
The role of nurses is diverse and includes a wide range of nursing activities both preventative and curative, which particularly include consultation, patient health education, treatment follow-up as well as illness prevention. This has played a significant role in improving healthcare services’ availability, increased cost-effectiveness, reduced symptoms of diseases that are chronic as well as enhanced healthcare services’ experiences among patients (Whitehead, 2011). In addition, nurses have been playing an imperative role towards health promotion, which has contributed to significant positive health outcomes such as quality of life, adherence, and knowledge of patients concerning their illnesses as well as improved self-management (Tones & Tilford, 2011; Wise, 2012). In this paper, the focus will be on the role of the nurse from the perspective of health promotion in meeting current as well as future needs of Aboriginal and Torres Strait Islander population in Australia. According to Angus (2013), the concept of health promotion from the perspective of nursing care emphasizes on health promotion practice that is community-based, and which encourages community participation on basis of health and social policies. This approach is very vital because it ensures that the current and future health needs of a community or a population of people are satisfactorily met (Marshall, 2012).
The current and future health needs of Aboriginal and Torres Strait Islander population, who are the indigenous people in the country from a health promotion perspective, are an important health priority considering that this population has been highly disadvantaged in comparison to non-indigenous Australians in terms of healthcare services’ access. As a result, a nurse would play an essential role in meeting current and future healthcare needs of this population, especially from the perspective of health promotion. Gee et al. (2014) reiterate that the people of Aboriginal and Torres Strait Islander population have continued to suffer the greatest burden of illness compared to the rest of the population due to lower levels of healthcare services’ access. This means that a nurse would have to play a crucial role in order to satisfactorily meet the needs of this population.
Considering that the Aboriginal and Torres Strait Islander population has been marginalized over the last few centuries, a nurse would play a significant role in improving poor health by meeting the current and future healthcare needs. For instance, a nurse would help in community support, which would be essential in promoting advancement in the improvement of health through cooperation with the community (Marshall, 2012). This means that, since there are several social determinants of health among the Aboriginal and Torres Strait Islander citizens such as money, peaceful coexistence in the community, education level, working as well as connectedness to family and friends, the nurse will need to provide community support with regards to empowerment and partnerships. In particular, the empowerment of the population through community support will require the nurse to provide necessary information to individuals and groups concerning various diseases and health conditions so that they able to make informed healthcare choices. This would, in turn, determine their destiny through the acquisition of appropriate resources for supporting their decisions. In addition, the nurse could also enable community support by promoting partnerships with other healthcare providers as well as community and social workers (Whitehead, 2011). Consequently, the groups under the supervision of the nurse should work synergistically to ensure that healthcare equity is achieved among the Aboriginal and Torres Strait Islander population and appropriate healthcare outcomes with regards to policy, ethical and legal considerations are attained. Community support through the nurse can also be promoted by designing programs directed at health promotion as well as advocacy for the availability of important health services in remote and rural areas where the majority of Aboriginal and Torres Strait Islanders are located (Tones & Tilford, 2011; Wise, 2012).
Furthermore, health education is another vital role that a nurse can play from the perspective of health promotion in order to meet current and future needs of the Aboriginal and Torres Strait Islander population. This mainly concerns promoting awareness and accessibility of health services aimed at prevention illnesses and health promotion. Australian Institute of Health and Welfare (2013) definition of health promotion is that it is considered as a process through which people are enabled to increase their control over as well as improvement of their health. The nurse can facilitate this process through the provision of appropriate information to the people in form of health education. Nurses are better placed to provide health education because of their education and experience in healthcare and nursing practice, which make them a harbor of healthcare information. As a result, the nurse can disseminate this information, particularly that concerning preventive and management measures that can be fundamental in meeting the current and future needs of the Aboriginal and Torres Strait Islander population (Gee et al., 2014).
Additionally, since a considerable number of respiratory diseases are attributed to tobacco smoking, the nurse can play an important role in promoting smoking cessation in order to abate this trend. Considering that, a considerable population of the Aboriginal and Torres Strait Islanders smoke it would be necessary for the nurse to devise programs that promote smoking cessation. It is also imperative to note that it is not likely for this indigenous population to take alcohol compared to the non-indigenous. However, this requires the nurse to encourage those who take alcohol to either stop or refrain from taking it in harmful levels (Angus, 2013).
Furthermore, the Health Department of Australian Government (2013) reported that kidney disease among this population is a serious health problem. As a result, the nurse would organize for dialysis bus for the people requiring dialysis at home considering that the Aboriginal and Torres Strait Islander population has the highest prevalence of kidney disease compared to any other population in Australia. Moreover, the nurse will also play an important role in meeting the needs of the Aboriginal and Torres Strait Islander population from the perspective of health promotion by promoting treatment and management of chronic diseases such as diabetes, cancers, and heart diseases. Alternatively, the nurse should also champion for health promotion through the treatment of communicable diseases (Whitehead, 2011).
In conclusion, it is evident that the role of a nurse is inevitable in meeting the needs of Aboriginal and Torres Strait Islanders from a health promotion perspective. This is achievable through more programs that promote health advancement, better health conditions’ identification prior they become serious, more accessibility of primary healthcare services as well as enhancing greater cultural competence.
The Role of Nurse from a Health Promotion Perspective References
Angus, S. (2013). Global Health Promotion. Promoting the Health of Aboriginal and Torres Strait Island People: Issues for the Future, 4(2), 22–24.doi:10.1177/102538239700400313
Gee, G., Dudgeon, P., Schultz, C., Hart, A., & Kelly, K. (2014). Aboriginal and Torres Strait Islander social and emotional wellbeing. In: Dudgeon P, Milroy H, Walker R, eds. working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice, (2nd ed.). Canberra: Department of the Prime Minister and Cabinet, pp. 55-68
Marshall, B.J. (2012). School-based health promotion across Australia. Journal of School Health, 70(3), 251–252. doi:10.1111/j.1746-1561.2000.tb07430.x.
Tones, K. & Tilford, S. (2011). Health promotion: effectiveness, efficiency, and equity, (3rd ed.). Cheltenham, UK: Nelson Thornes. ISBN0-7487-4527-0.
Whitehead, D. (2011). Health promotion in nursing: A Derridean discourse analysis. Health Promotion International, 26(3), 17-127.
Wise, M. (2012). Health Promotion in Australia. Reviewing the past and looking to the future, 18, 497–508. doi:10.1080/09581590802503068.
The Future of Nursing Leading Change Order Instructions: 1. Read the synopsis of the IOM Report, “The Future of Nursing” at http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx
What does this report do for the image of nursing?
2. Access the following websites to examine the image of nursing as it is being portrayed by professional organizations in the media: ANA press releases at http://www.nursingworld.org/HomepageCategory/NursingInsider/ANA-Support-Johns-Hopkins-The-Patient-Promise.html click on The Patient Promise (www.thepatientpromise.org/) and view the video ;
View: Sigma Theta Tau International, The Nursing Honor Society at http://www.nursingsociety.org/.
How is nursing viewed? Do you think that the strategy behind these websites promotes a positive image for nursing?
3. Go to the website of the American Assembly of Men in Nursing at http://aamn.org.
How does this website portray nursing? Compare and Contrast with the ANA or Sigma Website
4. How do the above websites compare to the media’s portrayal of nursing in shows such as Scrubs, ER, Nurse Jackie, Grey’s Anatomy, Chicago MD, Code Black or others?
• Are Nurses as Characters on television and or in movies portrayed to have professional competence? (cite examples)
• Identify what television show and Nurse you are examining?
• If other health care providers are included in the program what differences are seen in their personality traits as compared with the nurse character? See page 43 (Black, 2017)
5. What can you do as a nursing student to promote a positive image for nursing? (refer to the literature)
The Future of Nursing Leading Change Sample Answer
The image of the nursing profession is viewed in different ways by different people, groups or organizations. The image of nursing changes and evolves with time. The IOM report gives a crucial analysis above the nursing profession. The report helps create the image of nursing as an autonomous, evolving and intellectual profession that requires focus and high level of commitment. Through the report, they enhance the perception that nursing is a top profession and important in nature thus they help promote it. Through the IOM challenges faced by the nurses are identified where recommendations are made to rebrand and shape the image of nursing and their future for the better (Vallina, 2012). The report also helps identify and promote nursing as the diversified profession by emphasizing on the need of recruiting men into the workforce. In accordance to ANA, Nursing is viewed as a dynamic profession with standards of practice and a well-established code of ethics. Nurses are recognized for expertise in various areas of clinical specialty. ANA views the images of nurses as caring and competent people with quality academic credentials.
The patient promise website views nurses as vital role models who shape the perspectives of others, especially in a work environment. The nurses are thus required to ensure they fulfill their promise of leadership to others. The Sigma website view nursing as a promising profession thus encourages people to join the profession since the career offers many opportunities. These sites have effectively helped in the promotion of a positive nursing image. These websites and broadcast media are used by organizations to explain the many good opportunities found in the nursing career. The websites have also branded nursing as a diversified profession and effectively raised the visibility of nurses of different roles, gender or ethnic background (Vallina, 2012). The promotional materials for the public as advocated by the websites have efficiently created a positive image for nursing.
The American Assembly for Men in Nursing views the nursing profession as a female dominated field where the men are faced with barriers hindering them from pursuing the career. The male nurse is faced by the misperception that identifies nursing as not appropriate for them. The nursing field is portrayed as consisting of under presentations and lack of diversity. The AAMN compares with the ANA website since both advocate for the diversity of the nursing field and eliminating the perception that one gender should dominate it (Vallina, 2012). Both sites are working towards shaping the image of nursing positively. AMMN has concentrated on the recruitment of men and diversifies nursing regarding gender thus contrasting with ANA and Sigma which considers all factors affecting diversity such as age, race, and gender.
There is a huge difference between the way the nursing profession is portrayed in the shows and the media. The television shows have overshadowed the nursing profession creating a negative perception to the viewers. While the websites have promoted a positive perception, the shows have undermined the profession and misrepresented it. The websites portray nurses as vital to the success of health organizations while the shows brand them as invisible to the extent that physicians are performing their roles. One of the characters known as Nurse Olivia in Grey’s Anatomy TV show does not professional competencies of nurses. The character concentrates on STDs and lover affairs which creates a negative perception that nursing is based on sex scandals. The weakened authority of nurses is created and the importance of the profession undercut. The inclusion of another health care providers would lead to an improvement in the performance of tasks and the creation of a better perception. Another healthcare provider to fit in the place of the character would ensure the ethical standards and regulations are adhered to thus not portraying the profession as full of unethical people not concentrating on the improvement of patient’s health (Vallina, 2012). The healthcare provider would also ensure a better presentation of the profession rather than represent nurses as people concentrating on the unnecessary thing while at work.
There are various ways that I can use to help in the promotion of the nursing image as a nursing student. Involvement in the forums that allow for personal interactions with the public would help in advocacy of nursing as a profession thus creating a positive image. Such initiatives would help educate people about the profession eliminating misconceptions. Effective communication and positive appearance while participating in public community activities creates a professional image of nursing. Exhibiting good practices and been a good example creates a positive image. In a nutshell, all nurses should ensure they adhere to recommended practices to promote the positive image of the nursing profession.
The Future of Nursing Leading Change Reference
Vallina, J. (2012). Teaching IOM’s new edition released with companion student volume. American Nurse, 44(4), 14.
Advanced Nursing Technological Development Skills Order Instructions: APA REFERENCES NOT OLDER THEN 5 YEARS OLD. ONLY AND ONLY JOURNALS AND ARTICLES, NO WEBSITES ACCEPTED.
Advanced Nursing Technological Development Skills
NMBA STANDARDS MUST BE FOLLOWED, FILE WILL WE ATTACHED IN THE ORDER. PLEASE READ THROUGH AND KINDLY FOLLOW IT.
Students will be required to develop an individual position statement related to the topic given below.?
Topic Reflective practice is more than just thinking about practice, it is an active process of reflecting, analyzing and learning. Reflection is a necessary attribute for the development of autonomous practice. Reflective practice should be a continuous cycle in which experience and reflection on experiences are inter-related.
Hint:?Clinically how is reflective practice applied? How does the patient benefit from reflective thinking of the nurse? What are the key components of reflective practice in nursing?
Advanced Nursing Technological Development Skills Sample Answer
Introduction
With technological advancement and increase in patient acuity, the healthcare environment is increasingly becoming sophisticated. This implies a greater need for nurses to think critically and independently. Reflective practice is important for the continuous development of nursing skills in healthcare (Mansah et al., 2014). Reflection in healthcare practice involves focusing on their daily interactions with their environment and colleagues in order to get a clear picture of them. In addition, it helps develop professional practices that are aligned with personal values and beliefs. In addition, it helps uncover some assumptions, values or beliefs that construct the healthcare maps (Thompson & Pascal, 2012). With the dawning of reflective practice in healthcare, this paper will explore the concepts of critical reflection, its key components, and its benefits in clinical practice.
Advanced Nursing Technological Development Skills and Clinical Application of Reflective Practice
Errors in medical practice have been attributed to the lack of reflective practice among medical practitioners, particularly nurses. Although reflecting on medical practice is currently recognized as one that improves healthcare delivery, there is no one standard defining how it should be carried out. Nonetheless, incorporating reflective practice in healthcare is deemed effective in lowering failure rates in clinical reasoning, particularly in highly-complicated cases (IpAC Unit, n.d.). Technological developments in healthcare, alongside the greater need to become more attentive to patient, needs due to an increasingly aging population, have called on nurses to become more independent-thinking – reflective practice enables just that, given that it enables them to think about their past experiences on the job as a way of improving or rectifying healthcare delivery (Boykins, 2014; IpAC Unit, n.d.).
Clinically applying reflective practice should involve both positive and negative experiences, in that it such provides an impetus on how past successes can be replicated, even improved, in the future, as well as how failures can trigger necessary reforms to processes designed to deliver optimal healthcare (IpAC Unit, n.d.). Patient care, in the process, improves due to fortifications to clinical reasoning, as reflective practice remains expansive as long as its potential to further impact healthcare delivery is concerned (Caldwell & Grobbel, 2013). Reflective practice also serves to improve learning in the workplace, particularly when combined with leadership facets such as goal-setting and social learning (Matsuo, 2012). Furthermore, better analysis of impacts of healthcare decisions best describe the essence of reflective practice, particularly through debriefing – a process that involves a synchronized application of both theory and evidence coming from the fields of educational research and the social sciences, as well as experiences on the conduct and teaching of the field itself (Maestre et al., 2014).
Understandably, patients are at the center of reflective practices. Nurses practicing reflective practices are asked to take a good clear look at themselves to check on whether past experiences can teach them useful enhancements or solutions to any given medical procedure. Nonetheless, such shouldn’t be made as simplified and non-complex as the entire concept seems to be, given that healthcare delivery varies in intensity per every given situation (Thompson & Pascal, 2012). In that sense, it makes sense to provide a further discussion on how reflective practice is done – particularly through “reflection in action” and “reflection on action.” “Reflection in action” requires the use of past experience in crafting solutions when confronted with a specific medical problem, while “reflection on action” applies after the situation has passed, prompting nurses to think about what they’ve done to what happened and see for themselves if it’s suitable for repetition or needs to be improved for future use (IpAC Unit, n.d.). For that, the use of history is essential for making true professionals out of nurses. Applying reflective practice through the use of history is essential, particularly in providing thorough assessments on how nursing has contributed to several aspects of healthcare delivery (Smith et al., 2015).
Moreover, a theoretical approach to reflective practice is critical to improving healthcare delivery involving the nursing profession. The Interprofessional Ambulatory Care Unit (IpAC Unit) of Edith Cowan University (n.d.) cited two learning cycles – the Kolb’s Experiential Learning Cycle and Gibb’s Reflective Cycle, in order to explain reflective practice thoroughly. The Kolb’s Experiential Learning Cycle involves the following stages in a continuous cycle: concrete experience, reflective observation, abstract conceptualization, and active experimentation. Nurses under said learning cycle utilize reflective practice through absorbing experiences, taking note of their observations, conceptualizing on their experiences, and actively experimenting what they’ve learned when given a particular healthcare situation (IpAC Unit, n.d.; Osman & Koh, 2013). The Gibb’s Reflective Cycle, which similar to the Kolb’s Experiential Learning Cycle incorporates the following stages in a cyclical fashion: description, feelings, evaluation, analysis, conclusion, and action plan. Ultimately, Gibb’s Reflective Cycle seeks to create an action plan for a particular healthcare situation based on the nurses’ past experiences, as laid out by the five preceding stages (Husebo et al., 2015; IpAC Unit, n.d.).
Advanced Nursing Technological Development Skills and the Benefits of Reflective Practice to Patients
Patients, as emphasized earlier on, are at the center of reflective practice. The fact that reflective practice treats nurses as independent-thinking agents meant to deal with problem-solving situations with as less rigidity as possible only means that innovation formed with the help of past experiences is highly needed to make reflective practice an effective driver of excellent healthcare service. With that, foremost to the benefits reflective practice has on patients is the idea that it enables nurses to exhaust whatever knowledge they have in their profession as appropriated by healthcare situations confronting them, without entailing them to deal with unnecessary restrictions. As nurses are given the opportunity to reflect on their past experiences, they have the choice to tailor-fit or avoid specific processes within their knowledge in healthcare delivery. Patients, in turn, are afforded with the best possible form of healthcare they deserve (Boykins, 2014; Caliendo & Abraham, 2016; IpAC Unit, n.d.; Maestre et al., 2014).
Secondly, patients benefit from the attitude of openness imparted by reflective practice unto nurses. Under reflective practices, nurses aren’t just restricted to whatever their past experiences tell them to do. In fact, the rigors of reflective practice – as seen in both the Kolb’s Experiential Learning Cycle and Gibb’s Reflective Cycle, train them to become more flexible in the name of their key purpose – to help save patients’ lives and lead them towards better health. In the process, nurses become more independent-thinking – reflective practice explicitly provides that their agency should increase as a matter of increasing their efficiency (Husebo et al., 2015; Osman & Koh, 2013).
Lastly, patients have a more therapeutic respite from reflective practice. Nurses using reflective practice constantly communicate with their patients, in a bid to provide them with immense psychological improvements that go well with their physiological well-being (Boykins, 2014; Mansah et al., 2014). Humor, for instance, is best delegated to patients by nurses as it allows them to experience lower problems with anxiety and stress (Tremayne, 2014). In that way, patients become even more interactive as they learn to forget about the fear and uncertainty brought forth by their respective illnesses.
All told, reflective practice stands to provide patients with healthcare from nurses with a more human touch. As nurses gain greater learning opportunities from reflective practice, patients benefit from the further expansion of their knowledge, them being the recipients. Protocols are by no means prevalent when it comes to reflective practice – nurses are therefore not limited to delivering healthcare according to a strict set of rules. What is expected of nurses in reflective practice is their prioritization of patient care. For that, one may regard reflective practice in healthcare as a truly pro-patient approach that also helps nurses – alongside other medical professionals, grow to their fullest (Jayasree & John, 2013; Thompson & Pascal, 2012).
Advanced Nursing Technological Development Skills and the Key Components of Reflective Practice in Nursing
Boykins (2014) aptly provided for the key components that characterize reflective practice in nursing. Firstly, recognizing patient differences is essential for nurses to adjust their healthcare delivery with the help of reflective approaches. Nurses can reflect on their multiple experiences in dealing with patients subject to differences brought forth by the nature of illnesses, physiological and psychological limitations, and other circumstantial elements are borne out of varying personal backgrounds (Asselin & Fain, 2013). Although nurses aren’t necessarily advised to be intrusive of their patients’ peculiarities, their reflective stance should allow them to keep an observing eye on crucial healthcare needs and details (Boykins, 2014; Parrish & Crookes, 2014). Secondly, a reflective perspective on patient care should focus on relieving pain and suffering. Nurses should always be attentive to their patients’ physiological and psychological needs, in a bid to help them ease the burden brought forth by their illnesses (Boykins, 2014; Mansah et al., 2014). Thirdly, nurses should help promote healthy lifestyles to their patients, subject to provided peculiarities of course. Patients should always receive treatment that promotes their overall well-being so that they’d be able to get out of their illnesses as they make sure to become healthier (Boykins, 2014). Fourthly, patient education should be thoroughly practiced by nurses, as part of their bid to promote healthier living. Constant communication with nurses helps empower patients with greater knowledge of how to treat themselves from their illnesses. Lastly, involving patients in decision-making is an approaching nurse should prioritize. That would entail the passage of reflectiveness from nurse to patient, with the latter becoming more empowered (Boykins, 2014).
Advanced Nursing Technological Development Skills Conclusion
There is sufficient empirical evidence which proves that reflective practice improves quality of care and patient outcomes. Nurses are encouraged to engage in reflection promotes critical inquiry because it enables the practitioner to learn through their experiences making the healthcare practice to be task oriented. Central to its values in nursing, reflective practice enables the nurses to develop clinical expertise towards attaining the desirable healthcare practice through collaborative research and aids in establishing a valid nursing knowledge that is grounded in a nurse personal knowledge. From this analysis, it is evident that critical reflection helps healthcare provider focus on effective strategies that improve their knowledge, cultural competence and nurse skills to meet the complex demands of this dynamic environment.
Advanced Nursing Technological Development Skills References
Asselin, M., and Fain, J. (2013). Effect of reflective practice education on self-reflection, insight, and reflective thinking among experienced nurses: A pilot study. Journal for Nurses in Professional Development, 29(3), 111-119.
Boykins, A. (2014). Core communication competencies in patient-centered care. The ABNF Journal, Spring, 40-45.
Caldwell, L., and Grobbel, C. (2013). Review Paper: The importance of reflective practice in nursing. International Journal of Caring Sciences, 6(3), 319-326.
Caliendo, J. M., and Abraham, J. (2016). Use of reflective practice to increase diagnostic accuracy: An integrative interview. Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care, 5(1), 134-139.
Husebo, S. E., O’Regan, S., and Nestel, D. (2015). Reflective Practice and Its Role in Simulation. Clinical Simulation in Nursing, 11(8), 368-375.
Interprofessional Ambulatory Care Unit (IpAC Unit). (n.d.). Reflective practice: A tool to enhance professional practice. Australia: Edith Cowan University.
Jayasree, J., and John, S. S. (2013). Learning to become a nurse: Nursing student’s perceptions of reflective practice. International Journal of Nursing Care, 1(1), 33-38.
Maestre, J. M., Szyld, D., de Moral, I., Ortiz, G., and Rudolph, J. W. (2014). The making of expert clinicians: Reflective practice. Revista Clínica Española (English Edition), 214(4), 216-220.
Mansah, M., Coulon, L., Brown, P., Reynolds, H., and Kissiwaa, S. (2014). Tailoring dementia care mapping and reflective practice to empower assistants in nursing to provide quality care for residents with dementia. Australian Journal of Advanced Nursing, 31(4), 34-44.
Matsuo, M., (2012). The leadership of learning and reflective practice: An exploratory of nursing managers. Management Learning, 43(5), 609-623.
Osman, G., and Koh, J. (2013). Understanding management students’ reflective practice through blogging. The Internet and Higher Education, 16), 23-31.
Parrish, D., and Crookes, K. (2014). Designing and implementing reflective practice programs – Key principles and considerations. Nurse Education in Practice, 14(3), 265-270.
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APA REFERENCES NOT OLDER THEN 5 YEARS OLD. ONLY AND ONLY JOURNALS AND ARTICLES, NO WEBSITES ACCEPTED.
NMBA STANDARDS MUST BE FOLLOWED, FILE WILL WE ATTACHED IN THE ORDER. PLEASE READ THROUGH AND KINDLY FOLLOW IT.
Evidence based practice (EBP) is the clinical decision making process which is based upon the best available evidence, new research findings, clinical experience and patient preferences. Nurses are expected to implement research findings into their practice, but many are not trained on how to do this. Therefore, it should not be expected that nurses are at the forefront of EBP implementation in the clinical setting.
Hint:?
How does evidence based practice improve patient outcomes? ?How is evidence based practice applied theoretically and clinically? ?Is it feasible to expect RNs to implement EBP in the clinical setting without training / support?
SAMPLE ANSWER
Evidenced Based Nursing Practice
Introduction
Over the years, evidence based practice has become commonplace in as far as nursing profession is concerned. In Australia, Nursing and Midwifery board of Australia provides standards which advocate for utilisation of evidence based practice by nurses in provision of care (NMBA, 2013). Researchers believe that utilisation of evidenced based nursing goes a long way in improving patient’s outcomes. Moreover, nurses have come to a realisation that collaboration of research findings in clinical practice has led to major improvement in the field of nursing. Nurses have been able to identify the significance of evidence based practice in growth of the nursing profession as well as increased credibility of nursing practice (Pooler, 2014).
Implementation of the best evidence requires that nurses should have relevant skills and resources to enable them carry out proper appraisal and evidence synthesis. It is important to note that implementation of evidence based research has proven to be a challenge since most often than not, the evidence based practice are either partially successful or not successful at all (Polit & Beck, 2013). However, it has become a challenge for the healthcare sector to implement new findings in day to day practice due to limited funds. Therefore, it calls for the healthcare sectors to have funds which will help in endorsement of these research findings.
Impact of Evidence based practice on patient outcomes
Nurses who play part in research, utilise the NMBA standard 7 which calls for utilisation of research findings in evidence based practice (NMBA 2013). Evidence based practice has contributed to achieving significant changes in healthcare profession. Through utilisation of this practice which calls for respect of patient’s culture, patients tend to recover quickly when their culture and beliefs are recognised. Research has it that, recognition of a patient’s cultural beliefs in provision of care has a great impact on the treatment outcome (Godshall, 2016). In addition, research indicates that proper documentation of the assessments, diagnosis and interventions on patient help in continuity of care provided to patients (Melnyk & Fineout-Overholt , 2011). Nurses ensures proper documentation of any activity carried out on a patient and this ensures positive outcomes from the patient through continued care.
Through this practice, relevant strategies including effective health programs, quality services and efficient interventions have been put in place (Burns & Grove, 2011). All these result into positive patient outcome and cuts on cost. Nursing practice based on research evidence goes a long way in optimizing patient outcome and providing safe and cost effective healthcare (Burns & Grove, 2011).
EBP has led to improved information in the health sector. This is so because, in its utilization, health organisations are forced to source out new information and synthesise it properly. Health providers are there able to keep abreast with current trends by utilizing new research information and embracing new changes with efficiency (Burns & Grove, 2011). Health organisations therefore continue to evolve without stagnation. Moreover there has been increased funding in the health sector. Governmental agencies have been funding to heath organisations based on how these organisations have implemented evidence based practice (Stevens, 2013). When the health sector is funded, more resources including the human resources, pharmaceuticals and non-pharmaceuticals are made available for the utilization by the patient, hence better outcomes.
Evidence based approach has also promoted technological development in the health sector. Through technological advancements, patients are in a position to acquire better services (Godshall, 2016). For instance, through technological advancements, there has been invention of a 3D CT scan machine which helps in better diagnosis of some conditions. Furthermore, new radio therapy machines have been brought in to enhance management of cancer, therefore producing better patient outcomes. Organisations have made significant upgrades as well as substantial improvements (Godshall, 2016). Health providers should seek to apply the modern technologies in the broadest way possible in order to improve the quality of their services. Re-evaluation which is basically essential for EBP makes organisations retain relevance in a time when changes are encountered every other day.
Theoretical and clinical application of Evidence based practice
Evidence based practice is based on the premise that healthcare professionals should not base their practices on traditions, belief or myths but on information based on research. The practice involves three entities, identification of a clinical problem, literature, evaluation of research evidence and determination of appropriate interventions (Sandström, Borglin, Nilsson & Willman, 2011). Thus, EBP integrates research findings, theory and practice. Through creation of awareness on EBP, it has renewed appreciation of linkages among research, theory and practice. Research findings and clinical data provide evidence for EBP hence generation of practice guidelines and situation specific theories (Sandström et al., 2011). Many evidenced based practice models have been put in place with the major goal being establishment of EBP protocols, procedures or guidelines with other models focusing on implementation in the healthcare setting or institution.
According to Melnyk & Fineout-Overholt 2011, Implementation of evidence based practice has contributed too many benefits in the clinical setting. The practice has provided interventions for diagnosis and management of diseases through implementation of scientific evidence. For instance, there has been an improvement in the management of conditions such as, tuberculosis, HIV/Aids as well as cancer. Drug regimen for treatment of tuberculosis has been changing from time to time based on clinical trials conducted (Burns & Grove, 2011). In addition, new methods of cancer treatment are innovated leading to better outcomes in management of cancer patients, therefore, the lager part of the world tend to adjust to management of cancer as well as change of medications for HIV and patients with tuberculosis.
It is also important to note that, through implementation of evidenced based nursing, nurses have in a position to use the most current research evidence to provide rationales for the quality of nursing interventions (Godshall, 2016). In addition, nurses are able to pass this to the students in the clinical area when guiding them. As a result, these students are able to develop knowledge and skills required to enhance quality of care provided for improved patient outcome through provision of rationales or reason why a care is provided in a certain way. This is in accordance with the NMBA standard 7.1 which calls for the evaluation, monitoring of patient care to help in achievement of expected goals and outcomes.
How Registered Nurses implement Evidence Based practice
In the nursing profession, nurses have a responsibility in making sure as well as providing evidenced based practice (Pooler, 2014). Furthermore, nurses should question practices currently being implemented and utilize care which is evidenced so as to make the care more effective. In order to provide quality care, nurses should base their care on research and knowledge rather than care that is out-dated or care based on traditions or myths ( Mackey & Bassendowski, 2016). Research has shown that through implementation of evidenced based nursing practice, there has been an improvement in the quality of care provided leading to improved life of the recipients of this care. In modern nursing, there are some models which have proven to be effective in nursing practice. For instance, there is the utilization of nursing care plans ensures provision of quality care through evaluation and documentation. In addition, nurses are educating students on research based practice as form of preparing the in the nursing profession in future. This is in accordance with NMBA 2013 standard 3.3 which calls for use of long life learning process for continuing professional development of self and others.
Many a time, nurses are faced with ethical issues during their practice. Utilisation of NMBA 1.5 which requires nurses to utilise the ethical framework in making decisions will go a long way in solving various ethical issues encountered during practice. For instance, there may be a conflict between two ethical principles when dealing with a patient who has given a do not resuscitate order. Through utilisation of the ethical framework which entails ethical decision making, theories and principles, the nurse is in a position to make a decision which is not based on emotions or intuitions (Polit & Beck, 2013). This therefore shows how evidence based practice is crucial in nursing practice. Furthermore, nurses contribute to evidence based practice through participation in carrying out research. During nursing practice, nurses encounter gaps existing between the reality and already existing theories. Thus, they are prompted to do research so as to bridge the gap that exists as well as provide solutions to existing health problems.
Conclusion
In conclusion, it is clear that nurses are significant in implementation of evidence based practice. It therefore calls for training of these nurses to add on their knowledge and skills. Furthermore, there should be adequate provision of resources in the health care setting to help successful implementation of these research findings in research. In addition, implementation of evidence based practice requires relevant changes to be made in the healthcare systems rather than changing the healthcare workers working in these settings. The world is evolving day in day out and therefore, the healthcare sector should as well embrace change through Implementation of evidenced based practice which will be significant in provision of high quality care. Therefore, all health care workers should embrace the evidence based practice to ensure an improvement in the health care sector more so, in improving patient outcomes.
References
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Pravikoff, D. S., Tanner, A. B., & Pierce, S. T. (2015). Readiness of US Nurses for Evidence-Based Practice: Many don’t understand or value research and have had little or no training to help them find evidence on which to base their practice. AJN The American Journal of Nursing, 105(9), 40-51.
Sandström, B., Borglin, G., Nilsson, R., & Willman, A. (2011). Promoting the implementation of evidence‐based practice: A literature review focusing on the role of nursing leadership. Worldviews on Evidence‐Based Nursing, 8(4), 212-223.
Schneider, Z., & Whitehead, D. (2013). Nursing and midwifery research: methods and appraisal for evidence-based practice. Elsevier Australia.
