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Historical development of nursing
Historical development of nursing
Nurse fatigue puts patient at risk
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Promotion of Back Safety Among Healthcare Providers Historically, the nursing profession has been actively involved in the health promotion and disease prevention among the general public. However, while caring for others, nurses often neglect their personal safety, which ultimately results in the high level of work-related injuries. Failure to timely address risk factors for nursing can have dire consequences for patient outcomes, since it is often associated with increased medication errors and patient falls, poor quality of care, and permanent disability of the nursing staff (Stokowski, 2014). According to the statement issued by the United States Department of Labor, work-related musculoskeletal disorders are a leading cause of pain, suffering, …show more content…
6). Workplace health promotion designed to improve lifestyle, and ultimately enhance health, the ability to function, and productivity (Rongen, Robroek, van Lenthe, & Burdorf, 2013, p. 406). Over the years, various theoretical models have evolved to “articulate variables involved in health behavior to predict participation and engage would be non-participants” (Galloway, 2003). Health Belief Model was one of the first theories of health behavior developed in 1950s by a group of social psychologists, who sought to explain what motivates public to participate in programs designed for wellness promotion and disease prevention (Nursing Theories, 2013). According to this model, preventative behaviors depend on the individuals’ beliefs, including their vulnerabilities to the disease, the effect of the disease on their lives, and the effect of health activities on reducing the disease severity and susceptibility (Sharafkhani, Khorsandi, Shamsi, & Ranjbaran, 2014, p. …show more content…
The three-month intervention targeted the following areas: improvement of worker health through the involvement of unit managers, implementation of unit-wide safety changes, and worker education. The intervention agenda included three themes: 1) improvement of unit ergonomics and safety, 2) practicing safe patient handling, and 3) enhancing staff physical fitness. Floor safety champions were appointed to guide staff during the implementation of the safe patient handling activities. The program included mentoring sessions with an ergonomic specialist, which focused on increasing awareness of strategies to reduce the risk of injury to the worker and patient. Expanded knowledge, readily available supervisor support, and the improved work environment were associated with reduced worker stress and increased consistency in the implementation of safety techniques among workers (Caspi et al.,
The Quality and Education for Nurses (QSEN) project has set several goals for future nurses to meet in terms of knowledge, skills, and attitude (KSAs), one of which is safety (2014). The definition of safety according to QSEN is minimizing risk of harm to patients through system effectiveness and individual performance (QSEN, 2014). Since falls are such a huge occurrence in health care, preventing falls is critical for patient safety. The Joint Commission (2011) has also noted fall prevention as a National Safety Patient Goal (NPSG) 09.02.01 requiring hospitals to reduce the risk of harm resulting from falls.
Safe staffing issue has been identified as one of the problem in health care. The problem resulted from the inappropriate ratio between the nurse and the number of patients a nurse takes care within a shift. Patients and nurses well-being are being at risk because of the inappropriate safe staffing because of nurses feeling overwhelmed and stressed with their job. It was learned from the previous papers that the issue with staff level can be intervened by applying the theory of Health Promotion Model as a framework in assisting nurse leaders in creating policies that ensure healthy and appropriate work practices, determine the appropriate number of nurse to
Integrating safety into nursing practice, education and research has a lot of significant implications for the instructor, practitioner, patient and the facility’s management. These are discussed below in detail.
Working as a nurse, patient care associate, or any other health care professional is not an easy job. Nursing profession has the highest rate of back and other injuries related to lifting, moving and transporting patients. Hospitals and other nursing facilities were experiencing increased numbers of injuries, which meant many lost work days, worker’s compensation costs and patient safety at risk.
Patient safety is a major issue in health care, especially in the public sector. Studies show that as many as 10 patients get harmed daily as they receive care in stroke rehabilitation wards in hospitals in the United States alone. Patient safety refers to mechanisms for preventing patients from getting harmed as they receive health care services in hospitals. The issue of patient safety is usually associated with factors such as medication errors, wrong-site surgery, health care-acquired infections, falls, diagnostic errors, and readmissions. Patient safety can be improved through strategies such as improving communication within hospitals, increasing patient involvement, reporting adverse events, developing protocols and guidelines, proper management of human resources, educating health-care providers on the need for patient protection, and commitment of the leadership to the task. This paper talks about patient safety and how it can be improved in stroke rehabilitation wards of both public and private hospitals.
In recent years, research has established that there is a growing prevalence of dementia among people aged 65 years and above. A study by Prince, Prina and Guerchet (2013), established that the global prevalence of dementia has been increasing at a rate of 7%, especially among the adults who were aged over 60 years old. Research has also shown that a great number of the minority communities especially those of immigrants are having a high incidence of Alzheimer's disease. Similarly, high incidence has also been seen in Caucasian people. In this same study, Native Americans showed to have lower rates of the Alzheimer disease compared to the whites (Anderson & Egge, 2014).
Safety is responsibility of the whole healthcare team. Any patient who enters a hospital or healthcare facility should be screened for fall risk upon admittance. Hicks (2015) states " Patient falls are recognized as a quality improvement through nurse-led safety strategies. These strategies include screening upon admission and implementing fall prevention strategies specific to the facility and nurse discretion. In order for the nurse to be successful at doing this a facility needs to have a protocol and proper training on fall situations. Nurses start with orientating to new environment by showing patient how to use the call light, rounding at least every 2 hours, any type of alarm that is needed or even a patient sitter. A study was done using evidence based practice to implement a safety team. "Successful falls prevention strategies included staff education about the fall-injury risk assessment tool, post-fall assessments, alarm device usage, side effects of medications, hourly rounding, and offering toileting frequently" (Godlock et al 2016). The whole healthcare team has to be engaged for team effort in reducing falls. A fall safety team should include nurses, medication aides, and certified nurses assistants and a universal or facility protocol should be part of handbook and annual training should be done to keep everyone current on training and any new changes. Godlock
The topic I have chosen for the Health Promotion Plan focuses on cerebrovascular diseases, mainly stroke. Since stroke is number forth cause of death in the United State, it appears as a clear choice for educating the population about this disease, risk factors, manifestation, and treatment. Stroke and heart diseases are both preventable and share many common risk factors, including high blood pressure, high cholesterol, diabetes, sedentary lifestyle, smoking and alcohol use, unhealthy diet, or stress. Working on neurology floor, one can tell that the general public knowledge about stroke is not sufficient, and the awareness about this problem needs to be addressed constantly in order to reduce the number of possible disabilities as well as the amount of money spent on treatment of the stroke patient. According to the Center for Disease
Purchasing the equipment to resolve this problem appears costly in the beginning, but the benefits of use substantially outweigh the purchase price. Musculoskeletal injuries are among the most common and costly injuries affecting hospital personnel. Injuries can lead to thousands of dollars in expense to the employer, per staff member injured, due to time off, temporary staffing, medical expenses, and compensation claims. According to a study by Aon, injuries such as these can cost the employer approximately 12,000 dollars, per employee, per incident (OSHA.gov). With studies presenting hospitals among the most injurious places to work, the actual expense is
Public health England has made an improvement to the nation’s health and has reduced health inequalities. They have done this by protecting the public’s health from infectious disease and other hazards to health also, through improving the public’s health and wellbeing and reducing health inequalities by improving population health through sustainable health care services and to build the capability of the public health system. Public health England has made the public healthier by encouraging discussions, advertising government and supporting action by local government, the NHS and other people organisations. Also, the public is supported so they can protect and improve their own health. Public health does this by sharing information with
Occupational health nurses require action for the “good” of the working community and their families; health and safety always comes before controlling cost and production (Rogers, 2012 p. 178). The working population is a valuable resource and providing access to quality medical care is a priority in caring for those who are injured or ill from a work incident or a personal medical condition. The occupational health nurse engages with supervisor teams to promote a caring and trusting community by identifying and eliminating workplace hazards to create a positive safety culture, provide access to medical care, and welcome workers back into the work community when they recover (Lancaster,
With increasing rates of harms, increasing efforts are required by all health care organizations to transform practices to reduce the risk of harms. Along with all other health care teams, nurses can play a significant role in ensuring patient safety by establishing care related policies and procedures, educating, disseminating and ensuring its compliance for patient care processes. Roger et al (2007) mentioned that procedural errors accounted for almost a third of total errors like vigorous suction in high intracranial pressure patients or head elevation to spinal surgery patient etc. Therefore, risk factors related to processes should be examined for their role in error prevention, discovery and correction. Further, we need to develop and implement some harm reduction program to attain international patient safety goals (IPSG) during patient care. There are various barriers such as lack of organization support and authority, lack of involvement in quality initiatives, interruptions during work, long working hours and fear of disciplinary actions etc. faced by nurses leading to decrease contribution of nurses in future harm prevention. Therefore, organization and nurses’ leaders need to establish some strategies to overcome these barriers. Organization needs to appreciate the role of nurses so they can also participate in detecting, reporting and preventing most of the hospital incidence. Organization
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher
This assessment project has been very beneficial to achieving and living a healthier lifestyle. This project allowed me to gain valuable insight to what I consume and how it affects my body. One thing I never really worried about throughout my life is my diet. Every since I was young I’ve always had a rather fast metabolism. Many people would consider me to be fortunate because it’s a blessing to have, but however I feel like it’s also been seen as a curse. Throughout my life gaining weight was a difficult challenge. I would have to consume about 6-8,00 calories daily just to maintain weight. No matter what I did I could never gain weight. This is until I was in the Marines. It was physically and mentally demanding. In addition to that with the help of my fellow Marines in weightlifting I went from being a scrawny 125lbs kid at age of 18 to a more solid 190lbs at the age of 23. It took a lot
A healthy lifestyle is usually picked up as we get older. However, think of how much more beneficial it would be for our bodies when we get older, if we would have learned and adapted to a healthier lifestyle when we were younger? Teaching your kids how important a healthy diet is, will help them maintain that lifestyle in their older years. Not to mention have lower health risks, higher self-esteem and it will give them the energy they need to keep up with their eating habits and maintain their body weight.