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Importance of advocacy to patients
Effective communication skills in nursing
Importance of quality nursing handoff
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Recommended: Importance of advocacy to patients
In pediatrics, the patient’s cannot advocate for themselves or provide the information needed about their medical conditions, so nurses must advocate for them and ensure to relay all pertinent information (Weingart et al., 2015). Experience and knowledge in regards to safety during handoffs will increase the adequacy and completeness of the information communicated from nurse to nurse. In this paper I discuss the development of the research question I have proposed for my Capstone Proposal Project (CPP), extraneous and confounding variables pertaining to the project, and my proposed strategy problem solution.
Development of the Research Question
For my CPP I have projected to discover the answer to this particular research question that I have developed: Does having experience with nursing hand-off decrease adverse events that occur due to unsafe handoff practices in pediatrics? Once I began working in the pediatric float pool as a nurse, I had first-hand experiences with unsafe handoffs. There were many interruptions, distractions, and miscommunications that I did see lead to adverse events. The 30-Second Head-to-Toe Handoff Tool that Popovich (2011) developed caught my attention in a previous research class and I knew that it would be beneficial in my place of employment. “It offers both
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The participants will include nursing students, new graduate nurses, and nurses that are new to pediatrics and are on orientation. The participants will use the handoff tool to identify mistakes, misinformation, and information that was not communicated during handoff. Each handoff tool that is completed will then be turned into my mailbox. At the end of the nursing student’s rotation and at the end of a new nurse’s orientation, a short survey will then be provided to each participant that will provide feedback about the handoff
The adoption of clinical information systems is one way that healthcare organizations are making an effort to improve patient safety, provide a means to exemplify regulatory compliance, and facilitate exchange of patient information between care providers (Kirkley & Stein, 2004; Nadzam, 2009). To achieve this goal, Barnes-Jewish Hospital (BJH) recently implemented a new CPOE/clinical documentation system. One of the objectives of the new system was to give bedside clinicians a standardized electronic tool, known as the Clinical Summary, for bedside shift hand-off reporting. Soon after go-live, it was identified that the standard nursing Clinical Summary did not meet specialized the reporting needs of the nurses on the Women and Infants divisions. Consequently, an application enhancement request was submitted. The goal of this project is to synthesize the knowledge gained throughout this Masters Degree program to initiate, plan, and execute changes to the current clinical documentation system to provide a standardized Clinical Summary review screen to meet the specialized hand-off reporting needs of the nurses on the Women and Infants divisions at BJH. This paper includes project objectives, a supporting evidence-based literature review, project methodology, formative and summative evaluation criteria, and a graphical timeline with a narrative description for the Women and Infants Clinical Summary project.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work” (QSEN, 2017). The six QSEN competencies include patient- centered care, teamwork and collaboration, evidence- based practice, quality improvement, safety, and informatics. Two QSEN competencies that relate to MAS are safety, and teamwork and collaboration. The nurse needs to have the knowledge, skills, and attitudes regarding MAS to ensure the newborn’s safety. In order to keep the newborn safe, the nurse must have critical thinking skills to be able to recognize and communicate pertinent information, such as new
Introduction The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experience in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goals for each.
Nurses are key components in health care. Their role in today’s healthcare system goes beyond bedside care, making them the last line of defense to prevent negative patient outcomes (Sherwood & Zomorodi, 2014). As part of the interdisciplinary team, nurses have the responsibility to provide the safest care while maintaining quality. In order to meet this two healthcare system demands, the Quality and Safety Education for Nurses (QSEN) project defined six competencies to be used as a framework for future and current nurses (Sherwood & Zomorodi, 2014). These competencies cover all areas of nursing practice: patient-centered care, teamwork and collaboration, evidence-based practice, quality
In nursing school, nurses are taught to apply the nursing process to administer care safely and effectively. However, that value doesn’t always coincide with the employer. Instead it is about the e...
I think the most important quality for a NICU nurse is thorough knowledge, or the drive to obtain more. I want to share knowledge with parents to make it easier for them to learn and know everything they can about their child’s medical condition. I can help translate between the parents and the doctor’s medical jargon to make parents feel more as ease and understand their
This is directly related to my nursing major and current practice as an RN. I have a personal interest in making sure I am practicing in a way that is safe for my patients. What exactly is the problem? The problem, as defined in my argument research paper, is that to cut costs, hospitals have been steadily increasing the number of patients nurses must care for. In many areas, it's not uncommon for one nurse to have to assess, give medications to, and manage the care of as many as 12 patients.
As student nurses, I have many goals that would like to achieve upon completion of 150 hours of my capstone course. My plan is to use this opportunity to demonstrate competency skills, and knowledge gained through previous quarters. I have listed seven learning goals that I wanted to achieve during the capstone experience. On my first day of capstone, I have gone over each one with my preceptor and requested from her to provide me with feedbacks, so I can use them as stepping tool to work upon. These goals ranged from critical thinking decision making, culture, growth & development, legal and ethical to clinical competence safety/holistic care, evidence-based practice, and professionalism lifelong learning.
The nursing profession is a profession where people put their trust in you to provide care that is not only effective, ethical, and moral, but safe. Not all health situations are simple or by the book. Not all hospitals have the same nurse-patient ratios, equipment, supplies, or support available, but all nurses have “the professional obligation to raise concerns regarding any patient assignment that puts patients or themselves at risk for harm” (ANA, 2009). When arriving at work for a shift, nurses must ensure that the assignment is safe for not only the patients, but also for themselves. There are times when this is not the situation. In these cases, the nurse has the right to invoke Safe Harbor, because according the ANA, nurses also “have the professional right to accept, reject or object in writing to any patient assignment that puts patient or themselves at serious risk for harm” (ANA, 2009).
Like the general public, I assumed their only job was to aid doctors and perform routine medical procedures that they are trained to do. The purpose of this interview was to gain insight into how much more nurses do, and I was greatly surprised. Marks shared what it is really like to be a pediatric nurse, and all the other roles they must play in their patients’ lives. As someone who has never been admitted into a hospital, or have been in the care of a nurse, her stories were eye-opening for me. Marks gave me a new-found appreciation for all that nurses
Professor Cantu and Class, The first article is, Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Chapter 34 “Handoffs: Implications for Nurses”, this article is applicable not only to my unit, but to every nurse in the profession. It is imperative that the translation of patient information from one person to the next during shift change, patient transfer, or transfer to another facility is clear, accurate, understandable, and complete, conveying all pertinent information about that patient. The article discusses why we have problems with handoffs, and different methods for handoff styles.
Nurses are responsible for their own practice and the care that their patients receive (Badzek, 2010). Nursing practice includes acts of delegation, research, teaching, and management. (ANA, 2010). The nurse is responsible for the following standards of care in all practice (Badzek, 2010). The individual nurse is also responsible for assessing their own competence and keeping their practice within the standards of the current standards of care for the specialty which they are practicing and the state nursing practice acts (ANA, 2010). As the roles of nursing change, nurses are faced with more complex decisions regarding delegation and management of care (Badzek,
Also, includes examples of nursing hands off that will be implemented, such as including the patient at the bedside. Having small trainings to provide information that will be needed to implement this, being sure all the important parts are cover, such as vitals, assessment, labs, and medication. Using online aids to help assist, providing additional information to those who need it.
Luckily, I am very comfortable with patients, which made providing care very easy. I was not afraid to go into other patient’s rooms if they rang for help. I would try my best to help the patients; however, if I needed help I was not afraid to ask a fellow student or nurse on the staff. It is very important to be able to talk to patients and work as a team with fellow coworkers as it made the job easier. On the other hand, I need to go over mother and baby assessments to become more familiar with both. I was able to complete the assessments; I now need to do so in a timelier manner while ensuring I do not forget any key areas. Lastly, it is vital that I continue to go over patient teaching prior to clinical. Being comfortable with the patients made the teaching easier, though I need to become more familiar with all the material that needs to be taught.