Application of Theory Paper Nursing theory is the framework that defines nursing practice, establishes standards of care and provides the information essential for functioning patient care. Theory presents logical and educated reasons for nursing actions, based on structured, written depictions of what nursing is and what nurses do (Rousell, 2010). When problems arise within the educational, research, administration and direct patient care settings; theory supplies a foundation for dialog. When using theory to facilitate resolution of a nursing issue it guides leaders in the direction of the common goal of affording superior patient care (Rousell, 2010). In this paper I will apply the Ida Jean Orlando’s Nursing Deliberate Nursing Process Theory to patient boarding in the Emergency Department (ED), a current issue at the facility I am employed.
It would be recommended that further research was performed to find out the effectiveness of the leaflets. An audit showing the effectiveness of good nutrition on wound healing would also be beneficial. Rationale During placement on a cardiovascular surgery ward I noted that there were several delayed discharges and readmissions due to poor wound healing. This clearly has implication for the patient’s own recovery and costs to the NHS. Poor nutrition has been shown to contribute to poor wound healing (Timmons, 2003) and is therefore, an aspect of patient care that needs to be addressed.
Doctors who lack proper training or those who have impairment problems tend to believe that their patients are honest about issues concerning prescriptions. These may include certain issues such as losing prescriptions, or early refills. This, however, only happens when the doctor fails to identify a drug abuse problem in the patient. Another ethical dilemma in the same field occurs when doctors do not disclose full patient history in the medical file of the patient. This may cause other doctors to prescribe the wrong drug thus putting the life of the patient at risk, either due to possible
Cultural differences number one may entail language barriers; that in itself can make communication difficult. Cultural difference not only is focused on the patient, but on the provider as well. Providers in the states are so diverse and come from all over the country. In my experience with working with different cultured providers, some do not understand the American demeanor and can be very frank and straight forward because caring for a patient is strictly work to them. It is not in their culture to build personal relationships with the patients, they are just respected for their work and that is what they do.
This same protocol inadvertently restricted phlebotomy personnel from drawing blood out of the heparin locks, forcing them to initiate another needlestick procedure. Needs Excessive needlesticks are leaving patients angry and bruised. By addressing this problem immediately, we can help restore patient confidence and staff credibility. We must reduce the number of needlesticks are patients are receiving and eliminate any protocol that inherently or inadvertently increases the number of needlesticks. Scope The proposed plan includes a detailed assessment of methods, personnel requirements, training (including costs), feasibility, and expected results.
The process is an unbroken continuation of actions. Therefore, the five steps in the nursing process may be used repetitively for the duration of a patient’s care (Lippincott, Williams, & Wilkins, 2013). The design of an assessment is usually determined by the healthcare facility. This step in the nursing process requires that data be collected objectively and subjectively from the patient. Patients must be asked questions that allow them to provide as much information about their health related issue.
If clients don’t like hearing the noise from the dental drill, they can place the noise-cancelling headphones over their ears. Other clients can have a manicure, pedicure, or foot scrub while they are getting their teeth worked on. Spa services are very complementary with dentistry as dentistry itself can be a very cosmetic procedure (Alsever, 2006). When new services are introduced to the market, three general factors must be considered: the similarity to current services, the similarity to current processes, and the financial justification for the new service. Spa services are very complementary to dental services as both essentially require the customer to stay very still while they’re being worked on.
Nursing-sensitive indicators were established by the American Nurses Association to identify structures of care and care processes, both of which in turn influence care outcomes (Montalvo, 2007, No. 3, Manuscript 2). The nursing staff caring for Mr. J could have provided better quality care had they had an understanding of these nursing-sensitive indicators. Due to Mr. J’s history of mild dementia and his drowsiness related to receiving pain medication, the nursing staff opted to apply restraints in order to keep Mr. J safe, which interfered with his care. However, with an understanding of nursing-sensitive indicators, the staff may have used evidenced-based practice in deciding the plan of care for Mr. J.
Nursing Knowledge Through Nursing Process Jeremy, Gina, Krystal, Pearl, Renee NUR/403 January 25, 2015 University of Phoenix Belen Malayang The nursing process is a system of exploration, evaluation and planning aimed at delivering individualized patient care. The goal is to identify the existing or potential health needs of the patient and the best way of providing care to overcome problems and promote wellness. The nursing process has five steps, assessment, diagnosis, planning, implementation, and evaluation. Today we will discuss the nursing process and how it applies to John’s case study on page 379. We will further consider the nursing skills needed by the nurse (RN) and the scientific basis in each part of the nursing process.
The methodology used will be described and the rationale for this choice. The recommended sampling, data collection and analysis will be discussed and an explanation of the approaches adopted. Trustworthiness and rigour of the study and ethical issues and considerations will be referred to within context of the proposal. Finally it will be concluded as to how the proposed piece of research would add to the knowledge of nurses and the benefit it would have on their practice as well as discussing the impact it could have on patient safety and the quality improvement of care. Literature review A literature review is undertaking to summarise all current literature on a selected topic.