NRS 433 caring for acute medical psyche geriatric patients

NRS 433 caring for acute medical psyche geriatric patients

NRS 433 caring for acute medical psyche geriatric patients

Patient falls is an important issue facing most of the health organizations in the modern world, including those in America. While the risk of falls among patient increases with patient’s age, patients from all age groups are vulnerable to it due to their health status. Falls increase the risk of both fatal and non-fatal injuries to the inpatients. It is the responsibility of the nurses to explore the most effective evidence-based interventions that can be used to address the issue of patient falls. Therefore, this project proposed the reduction of nurse-to-patient ratio as a way of addressing the issue of falls among hospitalized patients.

My experience with my leadership so far has been mostly positive. There was one instance that I will never forget when this executive leader, who is supposed to hold one of the highest positions in the hospital, came to visit our unit during our morning huddles. We discussed the new staffing method the hospital is about to implement, known as the NHPPD (Nursing actual Hours Per Patient Day) method. Of course, questions about patient acuities came up. Our unit is known for caring for acute medical psyche geriatric patients and is the designated acute medical-surgical- COVID unit. Our concern, of course, is patient acuities. The presenter did not answer many of our questions directly or clearly. Finally, the executive leader said, “If you are not happy with the staffing method, the door is open for you.” For us staff, it simply means shut up and suck it up, or you may be free to resign. I understand that being a leader is stressful, and you may not be able to please everybody, but still, you are being looked up to, and your knowledge, decisions, and attitude as a leader your subordinates are following as an inspiration. Patience is a virtue. A leader should be a force to calm down and bring balance. People look up to you for answers and solutions if there is an issue. Clearly, that leader did not show patience or compassion to her staff.

Organizational readiness assessment was performed using a tool developed by Resource Development Associates. The tool is effective in enabling organizations to gauge their abilities to implement EBPs in them. The tool examines six organizational areas that are important for the implementation of evidence-based practice projects. They include organizational culture, leadership, data collection, continuous improvement, technology, and collaboration. The assessment outcomes revealed that our hospital is ready to implement the proposed evidence-based project. The readiness can be seen in a number of areas. Firstly, leadership understands the importance of evidence-based practices. They communicate its use to the staffs on a regular basis. There is a shared vision that is communicated regularly to the staffs to ensure that they promote evidence-based practice. The organizational culture is also supportive of the proposal. This can be seen from the staffs that understand and have positive attitude towards evidence-based practice. They believe that evidence-based practice will enable them achieve enhanced outcomes of care for their diverse populations. The staffs are also well informed about new trends in healthcare and are highly flexible in accommodating new practices. The assessment revealed a few barriers that need to be addressed by placing more emphasis on organizational strengths. One of them was the lack of operational procedures that guide the staffs in using organizational data to improve outcomes of care. The staffs also reported to have limited understanding of the ways in which the existing organizational technology may be used to improve outcomes of care. However, these issues will be addressed by placing more emphasis on training them on technology use and optimizing collaboration as a way of improving the outcomes of the hospital.

Patient falls is an important issue facing most of the health organizations in the modern world, including those in America. Evidence has consistently shown that falls increase the risk of both fatal and non-fatal injuries to the inpatients. The risks are elevated in the elderly patients due to factors such as limited mobility and mental health problems that predispose them to confusion (An et al., 2019). Falls among patients is associated with significant adverse outcomes.  They include injuries, prolonged hospitalization, increased healthcare spending, and unintended medical and surgical therapies. Health organizations have constantly adopted different interventions in a bid to address the issue of falls among patients. For example, the use of call lights, bedside rails, and call lights have been utilized in hospitals. The use of regular rounds has also been explored in studies. Despite these initiatives, the rates of patient falls continue to rise in most hospitals. Limited focus has been placed on the effect of nurse-to-patient ratio in reducing the rates and risks of patient falls. Therefore, the proposed intervention seeks to determine whether a low nurse-to-patient ratio will reduce the rates and risk of falls among inpatients.

Studies conducted in the past have demonstrated the effect of reduced nurse-to-patient ratio on clinical outcomes that include patient safety. A systematic review that used 35 articles to investigate the effect of nurse-patient ratio on sensitive patient outcomes was performed by Driscoll et al., (2018). The results of the review revealed that nurse-to-patient ration influenced sensitive-patient outcomes such as mortality and safety related issues. Montgomery (2019) revealed that low nurse-to-patient ratio lowers the workload for the nurses, which increases their sensitivity to the needs of their patients. The outcomes included a reduction in adverse outcomes such as medication errors and patient falls. According to Allen (2018), nurse-to-patient ratio has an effect on the retention and job satisfaction among nurses. An inverse correlation between nurse-patient ratio and quality outcomes was observed. A rise in nurse-to-patient ratio led to a decline in quality outcomes and vice-versa. This can also be extended to incidences of falls among patients.

The proposed solution in this evidence-based practice proposal is the reduction of nurse-to-patient ratio as a way of preventing and reducing rates of falls among adult patients. The need for the solution is attributed to the high risk of falls among patients admitted in hospitals. The falls could be attributed to the use of medications, patient’s age, and environmental factors such as inadequate monitoring from the nursing staff. The proposed solution aligns with current evidence. According to Aase and Schibevaag (2016), health organizations should prioritize the provision of care that promote safety, quality, cost-effectiveness, and efficiency. They should explore innovative ways in which issues facing them can be addressed. The proposal seeks to promote patient safety and cost effectiveness in care, hence, aligning with evidence. The practice of nursing in the modern world is highly dependent on the use of evidence-based practices. The proposed intervention is realistic in our setting. The rates of patient falls have risen significantly over the past few months. The hospital has been looking for effective ways of addressing the issue. As a result, it will adopt the intervention since it seeks to address its critical issues. The hospital also champions the use of evidence-based practices in the provision of care. The management understands the fact that evidence-based practice result in optimum outcomes of care. The proposed solution aligns with the organizational culture. The leadership of the organization understands and supports evidence-based practice. They encourage the staffs on a regular basis to explore innovative ways in which enhanced outcomes of care can be achieved. It is expected that the project will result in the reduction of falls among adult patients in the medical wards. It is also expected that it will result in improvement in quality of care. This will be seen in the reduction in rates of patient falls as well as other adverse events such as medication errors.

NRS 433V Week 5 – Evidence-Based Practice Presentation – Healthcare Associated Infections [12 Slides + Speaker Notes]

This is a CLC assignment.

Choose a nursing problem from your current practice setting, and identify a possible solution to that problem.NRS 433 caring for acute medical psyche geriatric patients

Conduct a search of the literature related to this problem.

Analyze and critically appraise evidence-based literature to support the solution to the identified problem. A minimum of (5) articles must be identified. This may include guidelines from the National Guideline Clearinghouse, Joanna Briggs Institute, or a review from the Cochrane Database of Systematic Review.

Prepare a 10-minute (8-10 slides; no larger than 5 MB) PowerPoint presentation related to the problem, evidence appraisal, and practice implications.

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Include the following components into the presentation:

  1. Present the nursing practice problem with the PICOT question.
  2. Discuss your appraisal of the literature that addresses the problem.
  3. Present the proposed practice changes from an integration of the findings.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Modern healthcare employs many types of invasive devices and procedures to treat patients and to help them recover. Infections can be associated with the devices used in medical procedures, such as catheters or ventilators.

These healthcare-associated infections (HAIs) include central line-associated bloodstream infections, catheter-associated urinary tract infections, and ventilator-associated pneumonia. Infections may also occur at surgery sites, known as surgical site infections. CDC works to monitor and prevent these infections because they are an important threat to patient safety.

Central Line-associated Bloodstream Infection (CLABSI)
Resources for Patient, Provider and State Health Departments, FAQ’s about Catheters, Monitoring…

Catheter-associated Urinary Tract Infections (CAUTI)
Guidelines, Resources for Patient, Provider and State Health Departments, Monitoring…

Surgical Site Infection (SSI)
What You Should Know Before Having Surgery, Resources for Patient, Provider and State Health Departments, Monitoring…

Ventilator-associated Pneumonia (VAP)
Resources for Patient, Provider and State Health Departments, FAQ’s, Monitoring…