Agencies for Quality.

• 1. The Institute of Medicine,
• 2. The Agency for Healthcare Research and Quality,
• 3. The National Quality Forum,
• 4. The Joint Commission,
• 5. The Magnet Recognition Program,
• 6. The Institute for Healthcare Improvement,
• and, of course, the nursing student’s friend, Quality and Safety Education for Nurses (QSEN).

 Explore one of the agencies for quality improvement listed in this module’s lecture. Write a one-page summary of what the agency does, who it affects, and how it is utilized. 

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 Concepts for Clinical Judgement

Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below:

Link to article

In at least three pages, answer the following questions:

1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
2. In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?

Additional sources are not required but if they are used, please cite them in APA format.

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 Teamwork.

Think back to your most recent time in the clinical setting when another discipline (respiratory, physical therapy, nutrition, occupational therapy) was utilized.
Describe a form of interdisciplinary collaborative care you’ve seen on your current assigned clinical or work site. Then have a discussion about the following questions:

• Who coordinated that care? What was the nurse’s role in ascertaining that the care was provided?
• Was the patient’s outcome met? How or why not? What would you, a novice nurse-leader, have done differently to achieve the patient’s goals?

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 Intuition vs Experience in Nursing

Nurses promote a place of safety for the patients. We promote healing and wellness within the health care industry. The nurse advocates for safety, educates the patients and their family and even the community. They have a vital role in the medical field.Technology is constantly changing and is the medical field so is medicine. Always using evidence based practices, research studies and trials. There are NP’s, PA’s, doctors that walk around with a tablet in hand as they are doing rounds in a hospital, so they pretty much have everything at their finger tips versus how things were 10 or more years ago. I could see a robot or even an avatar greeting patients, checking them in at a clinic or hospital. It could be possible that the avatar may even collect patient information, provide discharge instructions to the patients. It all seems so far out however we have a machine which I believe is called “The Da Vinci” that is very similar to one playing a video game. I have seen this in action as the surgeon is not even touching the patient, it is the machines hands.
               Technology is constantly changing and we need to be up to speed with it. For example, when electronic charting rolled out, I am sure it was not a smooth transition. As with any new product that is trying to streamline things there will be some draw backs and even setbacks however in the long run it will make things run more efficiently . The nurses had to learn how to navigate through the new systems versus the old paper charting system.  In doing some research I found an article that discusses less invasive and more accurate tools for diagnostics and treatment which is to include a tattoo that will monitor blood glucose levels. The dye from the tattoo will light up when the levels get too high and when the blood sugar gets too low the colors will become dark (Huston, 2013). With changes like this it can make not only the nurses life easier but also the patient’s. They should be able to manage their diabetes easier.  With the changes in technology, nurses will be able to deliver better patient care which can contribute to a better outcome.

reference

Huston, C. (2013). The impact of the emerging technology on nursing care. The Online Journal of Issues in Nursing (18)2. Retrieved from https://www.ojin.nursingworld.org

Respond to the discussion above.

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Nurses play a crucial role in health care. Nurses have a major role to play in demonstrating that access to care and quality management are essential components in health care. Nurses lead efforts to redesign roles and restructure health care organizations. Nurse leaders and managers go beyond obtaining education in business techniques to gaining skill in adapting that knowledge to meet the specific needs of delivery of cost-effective, quality care. Leadership and management roles for nurses are proliferating in health care organizations that are developing or evolving in response. (Yoder-Wise, 2014). A robotic sytstem in nursing is a very complicating process.A RoNA is highly desired to enhance the efficacy and quality of care that nurses and their paraprofessional staff can provide. A robotic system can incorporate the clinical judgment used by nurses, by letting the RoNA assist while nurses make the clinical judgment. Such an assistant could improve a nurse’s working conditions by off-loading some of their most physically demanding duties. This would lead less stress and work for nurses so that nurses are able to come up with an a appropriate clinical judgment (Hu, Edsinger & Lim, 2011). Without nurses their wouldn’t be anyone to fill  roles that require knowledge and skills to coordinate the care of patients or communities with the many other disciplines. Also without nurses our society won’t have anyone who can engage in the political process of policy development and coordinate care across disciplines and settings (Yoder-Wise, 2014).

References:

Hu, J., Edsinger, A., & Lim, Y.-J. (2011). An advanced medical robotic system augmenting healthcare capabilities – robotic nursing assistant . Retrieved from https://ieeexplore.ieee.org/document/5980213

Yoder-Wise, P. S. (2014). Leading and Managing in Nursing (6th ed.). Elsevier Health Sciences.

Reply to the discussion above.

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