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Nurse staffing and patient satisfaction
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Patient Satisfaction and Nursing Visibility In order to review performance and improvement, data are compressed into an easily interpreted dashboard. A compiled dashboard with highlight the variances compares them to both historical institutional data and to benchmark a facility against similar facilities. Organizations are able to focus on areas of needed change by interpreting the raw data and analyzing trend (Brown, Aydin, & Donaldson, 2008). The purpose of this assignment is to review a provided dashboard and develop a nursing action plan that will remedy the deficit in the data Analysis of the data The provided dashboard shows a positive correlation between nursing hours and patient satisfaction scores. In the area of nurse sensitive …show more content…
When able to process internal dialogue and cues with acceptance, and is free from judgment, well being is achieved. The physical, psychological and spiritual enhancement allows the individual to impart the knowledge to their patients through nursing. Encouraging health promotion that is holistically focused, nurses can be actively engaged in self care behaviors and model positive outcomes for patients throughout daily encounters (White, 2014). The Mindful Nurse Pilot Study sought to gather specific date related to this through a quasi-experimental research study (Horner, Piercy, Eure, & Woodard, 2014). Conducting classes once a week, on dayshift and nightshift, voluntary participants attended 30 minute training sessions for 10 weeks. Management assisted allowing nurses to attend these classes. By learning how to be fully present during patient interactions through breathing exercises and awareness to internal thoughts and feelings, nurses consistently rated their stress level lower after participating in training sessions. Lower stress levels on the unit coincided with improved patient satisfaction scores, indicating that when nurses perceive a calmer environment, patients will benefit and find themselves to be more satisfied (Horner et al., …show more content…
Prepared ahead of time, patient’s are taught what to expect from report and know they will have an opportunity to present any concerns they have after pertinent information has been addressed (Evans et al., 2012). In addition to making introductions, time spent in the patients room can be an occasion to also visually check for safety, verify intravenous administration rates and review the plan of care over the next few hours. Making these introductions, and reviewing the plan of care, eases the anxieties of patients that may occur during the period of standard report in which staff not visible (Evans et al.,
Self-awareness enhances a therapeutic environment in the nursing practice (Rasheed, 2015). Nurses have taken an oath of treating all patients equally and with respect. In an article by Guadalupe R. Palos (2014) the writer emphasizes, “The most competent nurses are those who can appreciate the value…between the science and the art of nursing” (p. 248). Nurses must appreciate and find balance between the two phenomenon’s which drive the practice. As nursing professionals serving patients with respect and looking pass explicit or implicit biases will indeed create and environment for better health
... Through the demonstration of these values on a daily basis, the nurse is able to not only take better care of his or her patients, but is also able to take care of his or herself. Through self-care, the nurse is able to better understand the phenomena of the client, and is able to provide better client-centered care.
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
The Centers for Medicare and Medicaid Services (CMS) have recently begun requiring hospitals to report to the public how they are doing on patient care. Brown, Donaldson and Storer Brown (2008) introduce and explain how facilities can use quartile dashboards to transform large amounts of data into easy to read and understandable tool to be used for reporting as well as to determine areas in need of improvement. By looking at a sample dashboard for an inpatient rehab unit a greater understanding of dashboards and their benefits can be seen. The sample dashboard includes four general areas, including nurse sensitive service line/unit specific indicators, general indicators, patient satisfaction survey indicators and NDNQI data. The overall performance was found to improve over time. There were areas with greater improvement such as length of stay, than others including RN care hours and pressure ulcers. The areas of pressure ulcers and falls did worse the final quarter and can be grouped under the general heading of patient centered nursing care. The area of patient satisfaction saw a steady improvement over the first three quarters only to report the worst numbers the final quarter. A facility then takes the data gathered and uses it to form nursing plan...
A nurse is able to achieve this great balance, with the patient and self, by being conscious of the environment that surrounds them and through self awareness. For example, in the scene of an emergency, first and foremost, a nurse must check the environment before started emergent care. Both the patient and nurse must be safe for treatment to be effective. The environment is what surrounds us; our workplace, home, communities, issues we think about, the people we interact with, and the emotions associated with these interactions. The nurse knows that all of these components play an integral role in maintaining stability in a person’s life and health. The nurse assumes care of not just a disease process but of a human being as a whole; a family, a livelihood, a spirit, a person. A nurse knows that in order for holistic care to be effective, the care taker themselves should be at a point of stability as well. A true nurse knows that in order to excel you must know your limits and understand that while your main goal is to help the patient regain their strength, identity, and independence, that goal does not have to be achieved by compromising your own self, identity, and
mindfulness techniques daily in both my interactions with my patients as well as my patient
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
The act of self-awareness is built through emotional intelligence which is an important factor in building therapeutic relationship. Nurses should built an understanding of clients health situation considering social, cultural, emotional, physical spiritual and psychological conditi...
Holistic nursing provides a personal, caring, and respectful relationship between the nurse and the patient. Holistic nursing has concepts that allows the patient to feel like their values and opinions are heard and respected. This field of nursing focuses on open communication, alternative treatment as well as comprehensive care. All three of these components are attracting patients to get care in this field, when today’s health care is increasing becoming impersonalized. Holistic care is growing
An activity report can provide operational statistics such as occupancy rate, average daily census, and average length of stay (Finkler, Jones & Krover, 2013). Though these numbers are important and have a great influence on the operational budget, a nurse leader needs more information in order to justify staffing. Nurse leaders can obtain additional information from workload reports. Patient classification system measure workload by assigning each patient a classification level based on his or her unique care needs and then determine the number of care hours required per patient per day. Many organizations express this in hours per patient day (HPPD) or relative value units (RVU) (Finkler et al., 2013). Workload reports are useful because they can identify changes in patient mix that can increase or decrease the need for nursing personnel. Bi-weekly fulltime equivalent (FTE) reports are also useful because they convey to nurse leaders exactly how many man-hours were used by each FTE (Liberty University, 2015). Furthermore, the report provides a breakdown of productive time; contract hours, paid time off (PTO), and overtime. It also accounts for nonproductive time such as time spent on education, training, and orientation (Liberty University,
The ongoing education and training which supports the nursing as a profession must be maintained. The self-concept of nurses is enormously important in maintaining a professional identity.
The nurse recognizes and connects his or her inner spirit and energy through authentic presence and being in the moment when having a caring moment (Jesse, 2010). Caring qualities are consisted of transpersonal caring and the carative factors, which helps to fulfill the needs of the patient (Jesse, 2010). The nurse’s ability to connect with the patient in a spiritually healing environment, which also provides purposeful caring qualities, includes using words, body language, senses, and touch (Jesse, 2010). Successful caring not only promotes health but it also promotes growth in the patient (Jesse,
The nursing process helps a nurse determine which self-care needs are unmet by the patient and what roles the nurse needs to fill to meet those needs. It is important to know the self-care needs of your patients in order to present adequate nursing care. A limitation of the Self-Care theory is that the theory mainly focuses on the physical aspects of the patient. A nurse should not only include self-care, self-care deficits, and nursing systems to correct the self-care deficit, but should also include the patient’s emotional and psychological needs to give holistic patient-centered
To me, nursing means providing holistic care for a patient 's absolute health - the body, mind, and spirit. Nursing does not represent merely seeking to provide optimal physical health, but rather assiting an individual in reaching his or her utmost health status. Too often, health care concentrate on a patient 's diagnosis, disregarding his or her culture, family roles, values, beliefs, and motivations. Behind every diagnosis stands an individual with personailized concerns and lifestyle. Rather than purely converging on a diagnosis, a nurse must consider why a diagnosis occured - addiction, chronic diseases, motor accidents, coping
In the medical field, particularly nursing, our main goal/focus is to get the patient to a well or functional state of being. This is popularly believed as the absence of physical disease when in reality it is the wellness of the physical body, mind, and spirit all together. Some health care workers tend to negate the utter importance of a healthy mind as well as a healthy body for the patient and the nurse to achieve healthcare goals. Since the nurse in particular is the person that spends the most time with the patient and has the most patient interaction, this should be predominately implemented by the nurse. There are many different ways the nurse may aid in tending to a patient’s psychological and emotional needs in addition to physical.