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Developing a patient education plan
Barriers to healthcare
Problems in the nursing field
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Chosen Scenario:
“Staff in the med-surg unit are told that they must now educate all patients and families on falls prevention on admission and document it, regardless of the patient’s reason for or severity of admission, and along with everything else that they are asked to do with patients when admitted”(Scenario 3).
Explain the difference between a barrier and an obstacle. (4 points)
In any given situation, obstacles and barriers are always present and are a challenge to the individual trying to overcome them. In the health care system, educating patients have not always been an easy task. Nurses and healthcare professional, in general, face a wide variety of barriers and obstacles when it comes to educating patients efficiently. Despite
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14).
Two potential barriers to teaching
After analyzing the scenario, I identify staffing issues as being the number one factor that will prevent a nurse from properly educate a patient. The admission process is for the most part very lengthy and time-consuming. Although important, taking the time to educate patients and family members about how to prevent fall can take additional time that nurses might not have.
Additionally, it has been found that nurses lack necessary teaching materials to be able to do these teaching efficiently. For example, some patients might not know how to read but would understand better if a video was provided to them." According to Jahromi (2016), “insufficient educational tools and resources and time limitation are the most significant barriers to patient education"(Jahromi 2016, p.473).
Two potential obstacles to
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(6 points).
To be able to educate patients effectively, additional staff must be provided so nurses can spend all the time necessary to make sure patients are understanding the topics and can follow the instructions. To help patients learn, a variety of teaching materials should be available to patients. The hospitals could have more teaching on television that patients are required to watch, and nurses will come later and discuss the issue with patients (Jahromi, 2016, p.474).
According to Jahromi (2016), “The best time for education is when patients are in stable conditions and have begun to adapt to their new lives"(p.474). Even after the first teaching, nurses should keep in mind that these patients might not have a real understanding of the teaching and the nurses should make an effort to reinforce these lessons as patients are getting better. Secondly, Nurses should assess patients’ readiness to learn. For the education to be efficient, the learner has to be ready to accept the information(Jahromi, 2016,
...s, K.D., London, F. (2005). Patient education in health and illness (5th ed.). New York: Lippincott.
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...
Studies show that patients forget at least half of the information explained to them (Tamaru-Lis, 2013, p. 268). In addition, low health literacy correlates with poor disease management, readmissions, and poor compliance to treatments (Eadie, 2014, p. 9). The goal of teach-back, therefore, is to improve recollection and increase health literacy. Nursing practice is aimed towards meeting these goals. Ultimately, nursing practice will improve as nurses are better able to deliver quality care, promote patient safety, and increase patient satisfaction. As a result, patient outcomes are optimized because teach-back minimizes communication errors and encourages participation. Participation allows patients to make appropriate decisions which direct health care professionals to provide patient-centered care.
Patient falls in the hospital is a serious issue and challenging problem that could lead to prolonged hospital stay, longer recovery time for patients, increased costs for hospitals, and a source of distress and anxiety for patients, nurses, and families. Patient falls can cause minor or major serious physical injury depending on the situation and the age of the client. In addition to the physical harms, patients can suffer from psychological injuries which make them lose their independence and confidence on themselves and build a lot of anger, distress and fears of falling.
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
It is important to evaluate which learning style your patients prefer in order for them to best understand what needs to be done for the maximum appropriate outcome. Licensed practical nurses are advocates and that’s someone who supports and supplies information to their patients. Advocacy often involves standing up in support of a patient and their rights. This is especially true when patients are not able to protect their own rights. When filling the role of counselor, Licensed Practical Nurses can help patients and families explore ideas and feelings towards healthcare and illness (8 Roles of the LPN). Some patients have a difficult time accepting a disease or its treatment options. As a practical nurse you consult with RN supervisors regarding patient care and assessments. In some settings LPN 's communicate directly to physicians. Communicating information to the proper people assists in increasing the effectiveness of care plans (Role). As practical nurses we are only one part of a patient care team. Other important members include RN 's, CNA 's, physicians, physical/occupational/speech therapists, dietitians, volunteers, and more (8 Roles of the LPN). With such a large team, every member has their own scope of
A fall is an “untoward event which results in the patient coming to rest unintentionally on the ground” (Morris & Isaacs, 1980). When it comes to patient safety in health care, there isn’t any subject that takes precedence. Patient falls are a major cause for concern in the health industry, particularly in an acute-care setting such as a hospital where a patient’s mental and physical well being may already be compromised. Not only do patient falls increase the length of hospital stays, but it has a major impact on the economics of health care with adjusted medical costs related to falls averaging in the range of 30 billion dollars per year (Center for Disease Control [CDC], 2013). Patient falls are a common phenomenon seen most often in the elderly population. One out of three adults, aged 65 or older, fall each year (CDC, 2013). Complications of falls are quite critical in nature and are the leading cause of both fatal and nonfatal injuries including traumatic brain injuries and fractures. A huge solution to this problem focuses on prevention and education to those at risk. ...
It will seek to demonstrate the appropriateness in supporting the patient and their family, whilst reflecting upon personal experience, and how literature may influence the healing effectiveness. The factors that enhance and inhibit the learning environment will be explored and suggested techniques to improve clinical learning will also be discussed. Finally the nurse-patient learning relationship will be explored along with the application of teaching and learning strategies will be examined.
...ches indicate how nurses can ensure prevention and mitigation of the problems experienced due to falls. There are various strategies that can be used to enhance the safety of individuals from falls. In order to be able to deal with these issues within the healthcare facilities, nurses must be involved in the effective policy making so that the risks of patient falling can be amicably dealt with. On the other hand, the nurses must be placed at the forefront of the implementation process of the designed interventions. Leaders must engage the nurses in applying the evidence-based therapies so that they can ensure good safety for the patients. Nurses are important in ensuring advocacy, education and the management of the facility environment. The nurses will therefore apply various necessary interventions that guarantee safe environments for the patients and the nurses.
The purpose of this paper was to correlate the relation between patient falls and implementation of STEEEP, safe, timely, effective, efficient, equitable, and patient-centered (Institute of Medicine, 2014). Safety was first addressed through assessment of patients to recognize those at an increased risk for falls and implementing interventions as outlined by hospital policy. The intervention must be timely in that it is implemented upon admission of the patient to the facility to ensure effectiveness. Following the hospital policy in regards to application of an armband for fall risk, identifiable socks, utilization of equipment such as bed alarms and appropriate signage provides a checklist to maintain efficiency of the prescribed interventions. Education about falls and its prevention assists patients in understanding the importance of alerting staff prior to ambulation to reduce the potential to fall. This includes the patient in the plan of care and provides patient-centered care.
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
It prepares a novice to be able to perform basic skills throughout their career. Learning is related in the classroom by simulation labs and clinical instructors. Educators consider nursing education to be serious. Their role in preparing nursing students is to convey safe practice for patients. They focus on educating students to learn the knowledge of essential care for different patients. New graduates who learn the sufficient knowledge and skills will be able to understand aspects to protect and design for the nurse and patient. Students are taught to recognize safety threats and will understand the significance of reporting errors for future prevention.
Nurses have both learning and teaching responsibilities. Continuing education for nurses is very important in order to maintain their knowledge and skills among the health care development. If it is true, that the ability of teaching is a complex process, one fundamental part of this process is the ability of the learner to receive information, process the information and carry out in practice. Learning, is a change in human ability or capability of willing to learn and act on the learning (Blais, Hayes, Kozier, & Erb, 2006); is a transformation of behaviors, existing knowledge, ability and values to change an area of need to become better as individual. When teaching how to use the EpiPen, the following components are applied and planned: detailed assessment of the learner, learner objectives, defined topic and outline for the learner, materials and teaching methods, teaching sessions with focus on an interpersonal process recording, and finally an evaluation of the teaching plan provided by return demonstration.
Communication in the nursing practice and in healthcare is important because when talking with patients, their families, and staff, the nurse and the nursing student needs to be able to efficiently express the information that they want the other person to understand. “Verbal communication is a primary way of transmitting vital information concerning patient issues in hospital settings” (Raica, 2009, para. 1). When proper communication skills are lacking in nursing practice, the chances of errors and risks to the patient’s safety increases. One crucial aspect of communication that affects the patient care outcome is how the nurse and the nursing student interacts and communicates with the physicians and other staff members. If the nurse is not clear and concise when relaying patient information to other members of the healthcare team the patient care may be below the expected quality.
Hall, N., & Mast, M. (2015). We want you: Nurse Educators. Nurse Education in Practice, 15(5), 339-340. doi:http://dx.doi.org.cuw.ezproxy.switchinc.org/10.1016/j.nepr.2015.05.003