A root cause analysis is necessary to investigate the causative factors that led to the sentinel event. The errors or hazards in care in the Mr. B scenario will be identified. Change theory will be utilized to develop an appropriate improvement plan to decrease the likelihood of a reoccurrence of the outcome of the Mr. B scenario. A Failure Modes and Effects Analysis (FMEA) will be used to project the likelihood that the suggested improvement plan would not fail. Lastly, key roles nurses would play in improving the quality of care in the Mr. B scenario will be discussed.A.
3 Running head: NURSING PRACTICE ACT Nursing Practice Act Laura Pasnicki ITT Tech NU/100 1. The definition of nursing practice is the analyzing of human stimuli to indicate the actual or potential health issues. The nurse should also support and provide therapeutic care; nurses should be a patient’s counselor and educator in their health. The nurse will work together under a licensed doctor, dentist, advanced practice registered nurse and etc. The nurse shall stay within their scope of practice without exceeding the doctor orders.
The synthesis level makes the nurse assess the data and draw a reasonable prediction. Here we ask ourselves questions such as based on the patient’s history what would the patient be at risk for. The final level of the cognitive domain is the evaluation.
Discuss the importance of nursing assessment in relation to the delivery of holistic care for a patient/client from your current practice experience For this assignment I will discuss the importance of an assessment tool in relation to a chosen patients holistic care needs. This will be done by exploring the significance of the tool and the strengths and weaknesses it imposes in terms of providing good care. Based on what the tool has informed the health profession I can then refer to what provisions would be put into place and how the care of the patient would be managed. To be able to fully understand what the assessment has provided for the patient, the effectiveness of it in meeting the care needs of the patient will be explored. I will focus upon the Braden Scale assessment tool throughout the essay with relevant literature included to support the meaning of the assessment and my understanding around it.
Interdisciplinary Case Management Amy E Plott RN Western Governors University Healthcare Issues and Their Importance Mr. Trosack has several healthcare issues that must be reviewed and addressed prior to discharge from the hospital. The case manager, and chosen interdisciplinary team, should evaluate and prioritize the issues found when providing a discharge plan of care. Mr. Trosack’s most pressing health issue is his recent hip fracture and subsequent total hip replacement (THR). Mr. Trosack is accustomed to being self-sufficient and will now have difficulty with mobility. This will affect his activities of daily living (ADL’s) therefore making it more difficult for him to care for himself without some type of assistance.
Indicators of structure are measures by the supply and skill level of nursing staff as well and the education and certifications of the nursing staff. Indicators of the nursing process are nursing assessments, interventions and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (e.g., pressure ulcers, falls, and intravenous infiltrations). (American Nurses Association, 2014) NDNQI: National Database of Nursing Quality Indicators. There are some patient quality and safety measures which have been shown through research to be significantly affected by nursing care or “nurse-sensitive” measures.
In this paper I will identify the key elements in the article Leadership Practices and Staff Nurses’ Intent to Stay: A Systematic Review (2011) and its potential on clinical practice. Key Elements Leadership practices can have a great effect on staff satisfaction and motivation in the work place. The looming threat of a future nursing shortage can have a direct effect on patient care, work place culture, and ultimately the decision to remain in a job. Leadership must be vigilant in retention efforts to keep nurses in the work place. This systematic review aims to gather information describing leadership techniques that have a positive effect on staff nurses decision to stay in the work place (Cowden, Cummings, & Profetto-McGrath, 2011).
RTT 1 Task 1 Julie Villa Western Governors University RTT 1 Task 1 The nursing profession has an obligation to advocate for patients and provide safe, quality care. By providing evidenced-based practice, nurses can improve care and create better outcomes for patients. In reference to the case study provided, I will be discussing how an understanding of nursing-sensitive indicators can assist nurses in identifying issues that may interfere with patient care, how analyzing hospital data on these indicators can advance quality patient care in the hospital, and how specific system resources could be utilized in order to resolve the ethical issue in this scenario. Having an understanding of nursing-sensitive indicators is beneficial to nursing professionals in order to provide quality care and improve patient outcomes. 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.
Furthermore, the way in which the holistic approach is utilised when delivering healthcare to a patient, will be discussed. For clarification, a brief definition of roles, skills and qualities will be provided. Principally, the various roles, skills and qualities of the nurse, other professionals, and non professional carers will be examined, and how each contributes to delivering effective health care under this holistic approach Lastly, possible barriers to the effective delivery of care that could occur will be discussed. Possible scenarios will be given as examples on how the quality of care can become compromised due to the highlighted barriers, following this; possible solutions to these barriers will be considered. The Greek word holos originates the word ‘holistic’, as it means, “whole” (Kenworthy 2002).
Section one deals with the moral foundations of decision making in nursing and includes portions devoted to exploring the role of the nurse as client advocate and the dynamics of the nurse-physician relationship. Section Two examines specific ethical issues across the life span. A valuable appendix cites several codes for nursing Practice as well as a sample living will. Ethical Dilemma Paper Grading and Instructions Please submit an 8-10 page typed paper on an ethical dilemma of interest to you. The case may be something you have encountered in your clinical practice or a nursing ethical dilemma that is of concern to you.