EBP and Research Forum
Surgical site infection (SSI) after pediatric surgery occurs at a considerable rate and increases morbidity and mortality in children (Rinke, Jan, Nassim, & Choi, 2016). In a study done by Cannon, Hersey, Harrison, Joy, Naguib, Galantowicz, and Simsic (2016), advanced practice nurses (APNs) played a key role in enhancing surveillance and prevention of SSIs in children who had surgery. This paper aims to: (a) differentiate research, Evidence Based Practice (EBP), and quality improvement (QI); (b) integrate the use of each into my practice setting; and furthermore (c) explain how they relate to my phenomenon of interest (POI) which is SSI in pediatric surgery.
APN Role
As a future pediatric nurse practitioner (NP), I will be providing a more comprehensive care to my pediatric patients in the perioperative setting. According to Guido (2004), APNs have demonstrated a key role in the ambulatory surgery setting and their existence has helped in increasing operating room efficiency. Moreover, Guido (2004) stated that NPs are valuable because they are well-trained in obtaining comprehensive health history, conducting advanced health assessment and physical examination, and they have the capability to specifically look for signs and symptoms that could possibly affect or obfuscate anesthesia or surgery.
Differentiate Research, EBP, and QI
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We usually have to look up articles regarding gene mutations when we encounter these patients so we know how to take care of them. EBP is utilized in various ways my practice setting. To prevent SSIs, we only use skin preparation products that are backed up with evidences that prove its effectiveness. Lastly, QI plays a very important role in perioperative nursing. Through QI, we can make changes in our practice and suggest changes to policies and procedures that do not apply any
Brody, Michael, and Donald Martin. “The Role of Anesthesiologists.” Physicians Protecting Patients. N.p. N.d. Web. October 21, 2015. An anesthesiologist is a physician who has received at least 8 years of schooling and has completed a residency program dealing with anesthesiology. Now, a licensed physician, an anesthesiologist deals with the administration of anesthesia during many medical procedures, including surgical or obstetric procedures, and pain management for acute and chronic illnesses, or cancer related pain. Anesthesiologists are also in charge of “anesthesia care teams” that include the anesthesiologist, an anesthesia assistant, certified registered nurse anesthetist, and an anesthesia technician. As the leader of the care team, the anesthesiologist is responsible for assessing the patient before, during, and after medical procedures, as well as developing and monitoring performance and quality of practices and standards in regards to administering anesthesia. The entirety of
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
Solutions for the nursing shortage beyond implementing safe nurse staffing ratios include: ongoing long-term workforce planning; institution of an education and practice system to promote more equitable compensation in the health care community based on a better understanding of the educational preparation required for different health care roles; implementation of specific strategies to retain experienced nurses in the provision of direct patient care, investigating the potential for using technological advances to enhance the capacity of a reduced nursing workforce; and advocate for increased nursing education funding under Title VIII of the Public Health Service Act and other publicly funded initiatives to improve
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
To improve my understanding of maintaining my capability for practice as a RN, I set a goal to learn in depth from my classes, related units, and through interacting with my friends and tutors. There were many setbacks on the way, but as I became more acquainted with the matter I began understanding better. In this reflection I’ll use Gibbs reflective cycle (Gibbs, 1988) to address my experiences as a student nurse in fulfilling the maintenance and capability for practice. Description Through tutorials, lectures and simulation classes every semester, our practice is enhanced and maintained so that the skills and knowledge we learnt is always nurtured while new ones are gained.
I am working as a staff nurse at one of the Integrated Management System (IMS) accredited hospital in Sarawak since 2014. I qualified as a Registered Nurse with a Diploma in Nursing in year 2007. My first year I have been working in a multi-disciplinary ward. We cover a range of specialties including minor and major surgeries. The health care team in my ward consists of 1 Unit Manager, 20 staff nurses and 15 care assistants.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
Maintenance and promotion of quality improvement initiatives are essential for the successful growth and development of the health care industry. Nurses are key to all quality improvement initiatives as they are in the frontlines and have the most contact with the healthcare consumers. Therefore, nursing professionals are good at putting in their valuable inputs for quality improvement efforts. On a daily basis nursing professionals strive to deliver safe, efficient, effective, patient-centered care in a timely manner. With the growth and development in the health care industry, there is an increased need to provide competent and high quality services. Nurses are equipped with distinctive proficiency required for delivery of patient care
Another strategy is working collaboratively with other healthcare professional. This informs the RN on what type of procedure is scheduled, how long it will last, and what type of anesthesia will be administered. This information will ultimately help the perioperative RN determine which equipment is best suited and recognize patients at high risk. According to Spruce, “as an advocate for the patient, the perioperative RN should question any chosen position if he or she believes it may compromise the patient’s safety.” (2014)
Nursing documentation is defined as the record of nursing care that is planned and given to individual patients and clients by qualified nurses. Nursing documentation is essential for good clinical communication (Blair & Smith, 2012). An appropriate, legible note provides an accurate refection of nursing assessment. Quality nursing documentation promotes effective communication between caregivers, which facilitates continuity and individuality of care (Koutoukidis, Stainton, Hughson & Tabbner, 2013). In addition, nursing documentation can be used for other purposes such as quality assurance, legal purposes, health planning, allocation of resources and nursing development and research.
Commitment to “knowing” the client from a holistic perspective (4.1) was salient to respecting and recognizing the uniqueness of each resident. In the nursing situation described, the lack of commitment from the staff to incorporate and consider S.A.’s differences and values resulted in the client feeling neglected. Therefore, to promote health from a holistic perspective, I needed to establish a therapeutic relationship with S.A. to understand the root of her behaviours. For example, while getting to know the client, I learned that in her Indian culture, modesty and privacy is an important aspect of life as it carries a meaning of honour within the family. Having gotten to know the client, I was able to incorporate her values and beliefs from