4-Proposed solutions to my project will be to revise post fall debriefing- such as doing a fall huddle to analyzed the fall and educate staff on what to do. Post fall huddle should be conducted after a fall as soon as possible involving all staffs and even the patient to debrief on the what, how and why and see how similar incident can be avoided (SE Alert, 2015) Next will be to increase number of staff at certain time of the day such as the noon to bedtime time because that is when patient get agitated more. Increasing staff will reduce the nurse to patient ratio and will enable staff to take care of patient properly and will reduce falls. Incorporate physical therapy or restorative therapy on the patient daily schedule to build their strength. Staffs need to do hourly rounding at night to take care of toileting and hydration needs.

After talking to some of the nurses, so far we have implement a 4 to 6hrs shift in the late afternoon to have an extra help for the patients and that is helping. Staff is able to walk with patient in and around the unit when they want to and they don’t feel like they are secluded in a particular spot. We have also educated CNA’s to do hourly rounding especially at night. This facility is alarm free which I get the reason why. Alarms can wake up others who might be sleeping and will increase agitation and confusion at night. For this reason, hourly rounding is necessary to make sure patients are in bed and safe. Families are appreciating the new process and I think it is going to help a long ways if it is fully implemented.

Reference

SE Alert (2015) Preventing falls and fall-related injuries in health care facilities: A complimentary publication of The Joint Commission Issue 55. Retrieved from https://www.jointcommission.org/assets/1/18/SEA_55.pdf

5-The current perspective and direction from the context of the nursing environment are to improve cleanliness from a medical perspective. Patients need to have the safest environment in which they can recuperate. It is imperative to ensure that nurses maintain hand cleanliness to avoid the spread of diseases from one patient to the next (Papanicolas et al., 2017). It is also critical to provide their sanitation because this pans out well for them from the context of the medical care environments. Nurses who ensure cleanliness have the propensity of increasing the overall outlook from the context of patients because they get to understand the medical care environment as a place they should visit whenever they have problems. They can also recommend a solution to their friends and family for similar results.

References

Papanicolas, I., Figueroa, J. F., Orav, E. J., & Jha, A. K. (2017). Patient hospital experience improved modestly, but no evidence Medicare incentives promoted meaningful gains. Health Affairs, 36(1), 133-140.

 
Reply  |  Quote & Reply 

6-My proposed solution involves extensive education that is personalized and individualized to each family or parent/child unit. This can vary depending on many different things such as perception of childhood obesity and the diseases that go with it, economic status, and other unforeseen circumstances that are as unique as the individuals themselves. When I started this project my plan was to make a pamphlet that was very brief and uniform. I am finding out that this method, albeit easier, would not address the needs of obese chidlren and their families and not accomplish what I am trying to get done. Personalized learning presents the opportunity to shift education by tailoring the learning experience to an individual’s needs and interests while helping them gain the knowledge, skills and experiences they need to succeed in college and career (Willingham, D. T., Hughes, E. M., & Dobolyi, D. G., 2015).

References

Willingham, D. T., Hughes, E. M., & Dobolyi, D. G. (2015). The Scientific Status of Learning Styles Theories. Teaching of Psychology, 42(3), 266–271. https://doi.org/10.1177/009862831558950

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

4-Technology play a very core role in the process of being able to implement projects. Further, through technology, projects can be sustained and maintained so that they are able to be achieved. Through the use of technology, implementation is easier and also more effective. Therefore, one has to look for the best form of technology that can help in the implementation or supporting the project to ensure that the implementation goes as smoothly as possible (Powell-Cope, Nelson, Patterson, 2008). The project that I will be handling looks to establish whether the involvement of healthcare facilities in nursing education can be able to help reduce the shortage of nurses that the country is facing currently. Technology in this project can be used in monitoring whether the involvement of healthcare facilities in nursing education will help to reduce the shortage of nurses in the country.

The best technology to use in the monitoring of the progress of this project is through use of data collection from every facility and the action they are making and the number of nurses it helps to bring to the workforce. The actions that facilities can take are very many, therefore one has to monitor which action results in a higher number of nurses to the workforce. The best action can then be selected through the evaluation and analysis of the data that is collected. However, there are barriers to the use of this technology. One of the barriers is the lack of sufficient information from the facilities on what actions they are taking and the number of nurses they are able to successfully help to bring to the workforce (Powell-Cope, Nelson, Patterson, 2008). Therefore, one of the barrier is the lack of sufficient information to help in monitoring.

References

Powell-Cope G, Nelson AL, Patterson ES. 2008. Patient Care Technology and Safety. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); Apr. Chapter 50. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2686/

Williamson K., Fineout- Overholt E., Kent B., Hutchinson A. & MBioeoth B. (2015). Teaching EBP: Integrating Technology Into AcademicCurricula to Faciltate Evidence- Based Decision Making. World View on Evidence-Based Nursing. Fourth Quarter. Retrieved from.https://www.ncbi.nlm.nih.gov/pubmed/20456725

5-The use of technology is very necessary in this time and age. As healthcare continue to grow and improve, so do the use of technology need to change to improve the implementation process and the outcomes of EBP projects. In my project, I am going to be using the Electronic Health Record to collect useful data for my project. Accessing the HER will give me an overview of useful information about patient safety, evaluating care quality, maximizing efficiency, and measuring staffing needs (ANA, 2015) which are some of the issues related to fall. I will also implement the use of Information and Communication Technology to access adequate EBP evidence that pertain to my project. ICT will enable me to obtain lots of relevant information through the internet on my project.

Reference

American Nurses Association [ANA](2015.). Health Information Technology, Patient Safety, and Professional Nursing Care Documentation in Acute Care Settings. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No2-May-2015/Articles-Previous-Topics/Technology-Safety-and-Professional-Care-Documentation.html

6- it sounds like you are doing a qualitative research project and with that you will need the internet to gather material related to your study. The use of technology is essential for EBP as it help us learn new things through different ways. Before online and distant learning was not possible, today students are able to study anywhere anytime. Also we needed to go to the hospital for every little thing so the doctor or nurse can check us out; but today we can do everything in the comfort of our homes. This is amazing and I am looking forwards to see what the future holds for nursing with technology.

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

4- “The ability to successfully support a cause or interest on one’s own behalf or that of another requires a set of skills that include problem solving, communication, influence, and collaboration (Tomajan, 2012).”

Effective communication is essential in effective advocacy. Tomojan describes a 60 second approach in effective communication when it comes to advocating for a solution to a problem. This sixty-second approach includes the following:

-Share your name, where you work, and the department you are representing

-Describe the issue you are addressing

-Put a human face on your request. Paint a word picture or tell a story.

-Describe what you would like the person or group to do

-Distribute a fact sheet describing your request and including your contact information

Using this approach will grab your audience’s attention and provide all the necessary information in a short amount of time.

Reference:

Tomajan, K. (2012). Advocating for Nurses and Nursing. The Online Journal of Issues in Nursing,17(1). doi:10.3912/OJIN.Vol17No01Man04

5-Thank you for sharing. All I can say is wow. Put a human face on your request. Paint a word picture or tell a story. That is so very deep and relatable. This is definetly an advocacy strategy that can create change in the workplace. Great job? Have you ever used an advocacy strategy to create change? If so, when and what was the impact of that. I am interested in hearing how you may have change your facility. Thank you again for sharing some of your findings and insight with the class. Good luck in the rest of the program.

6-A good advocacy strategy is connecting patients to resources. I find this to be one of the most important advocacy strategies that I tend to use on a daily basis.  Helping patients find resources inside or outside the hospital to support their well-being can be extremely beneficial to them. Be aware of resources in the community that you can share with the patient such as financial assistance, transportation, patient or caregiver support networks, or helping them meet other needs. Many nurses think of advocacy as the most important role we play in patient care. We need to remember that to best serve patients, we must have our own house in order. That house includes the other healthcare professionals with whom we and our patients interact, as well as the organizations providing those services and the policies and legislation that influence them. As health care systems continue to evolve, patients are relying more and more on guidance from nursing advocates.

I was fortunate enough to attend a conference. At this conference many nurse spoke on different topics and I was able to attend a classs specifically about nurse advocacy and ways to get better at this skill. The class was filled with useful tips and insight. The one thing that stuck out to me the most was the resources. When patients leave the hospital, they no longer have nurses and doctors by their side 24/7 telling them what to do. They need to know where to find the help that they need. Educating them on topics and giving them resources is thought to be one of the best things you can do for a patient upon discharge. I agree with this whole heartedly.

(2018). Nursing Advocate: 5 Ways to Be a Better Advocate. Rx Nurse. Retrieved fom: https://www.nursesrx.com/nurse-news/nursing-advocate-five-ways-to-be-a-better-advocate-for-patients/

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

4-great post.  Working in a hospital setting, I come across many patients with diverse backgrounds.  I am not always familiar with the diverse backgrounds my patients have.  Therefore, when providing care for my patients, I always try to empathize and understanding what my patient’s going through.  I always try to put myself in their place and try to understand them. By providing compassionate care, I think they can see and appreciate the efforts that I make for them. 

5-Several prominent organizations have recognized the importance of spiritual care. The Joint Commission on Accreditation of Healthcare Organizations has a policy that states: “For many patients, pastoral care and other spiritual services are an integral part of health care and daily life. The hospital is able to provide for pastoral care and other spiritual services for patients who request them”

                                                                             Reference:

Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Comprehensive Accreditation Manual for Hospitals (CAMH): The Official Handbook (update 3) Oakbrook Terrace, Ill: JCAHO; 1999. Patient rights and organization ethics; pp. R1–15

6-Identifying your strengths and weaknesses before providing patient spiritual care can help identify your spirituality and assist in patients’ spiritual care satisfaction and patient outcome. As a nurse, listening is a good skill I must have to provide good spiritual care. I know that is important to respect patient’s beliefs, encourage the use of the use of their spiritual practices and display a genuine and caring attitude. Knowing that I need to open and comfortable to patient’s feelings and give them attention and time they deserve.

It is very important to manage perceived barriers to spiritual care because it can affect patient communication which can be considered a weakness. It is a challenge to set nursing interventions for a patient in spiritual distress and he or she may be questioning for the reason of his/her suffering. Planning continuing spiritual care can be helpful, but there is limited documentation process of spiritual care for continuity.

Reference

http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

4-Explain each sampling technique discussed in the “Visual Learner: Statistics” in your own words, and give examples of when each technique would be appropriate

The visual learner statistics learner statistics include five different types of sampling techniques. They are simple random sampling, systematic sampling, convenience sampling, stratified sampling and cluster sampling.

Simple Random Sampling: In a simple random sampling, individuals are chosen at random and not more than once to prevent a bias that would negatively affect the validity of the result of the experiment. Individuals in the sample are given equal opportunity to be selected.

Stratified Sampling: The population is divided into two or more groups called strata that share common characteristics and deriving a sample from each different group. Example: Collecting the same set of data from college educated individuals, individuals with some college education, and data from individuals with no college experience.

Convenience sampling: Sampling a group of people that are readily available, an easy or convenient way to collect a sample. Example: Collecting a data on a group of patients that have an appointment with their doctor in a single day

Cluster sampling: Is a simple technique where the entire population is divided into groups or clusters and then a random sample of these clusters are selected. Example of use of this type of sampling would be to find out about city taxes in Maryland. It would be too difficult to get a random sample in the state of Maryland, so the researcher could use cluster sampling to get data from certain cities in Maryland and that would basically give them an idea of city taxes in Maryland.

Systematic sampling: In systematic sampling, the member of the population is selected randomly at a particular starting number. Example a researcher has a total population of 100 individuals. From the list, the researcher randomly selects the first sample elements from the K elements of the population list, thereafter every K element on the list is selected.

Reference

Alvi, M. (2016). A manual for selecting sampling techniques in research.

Moore D.S &McCabe (2013) Introduction to the practice of statistics  (5TH edition) Freeman and company New York.

5-I defiantly agree with you, Nurses as researchers need to find the right mix of sampling type that would be most appropriate first to the patients involved, secondly as to the particular dialysis if involved and future treatments, they must also be looking at the future growth of the profession and best practices before embarking with any type of sampling decision. Sampling bias and error is the end product of poor decision making involving sampling types

6-You did a great job explaining the types and forms of visual learning provided, I also opine that because population keeps getting wider and wider and there is a need to streamline it into manageable parts, the idea for types of sampling was birth. And the choice on the type is dependent on the researcher, the research basis and the population itself. Dr. James Lani of Complete Dissertation defines sampling as a “statistical procedure that is concerned with the selection of the individual observation; it helps us to make statistical inferences about the population”

References

James L (n.d) Sampling. Retrieved from http://www.statisticssolutions.com/sample-size-calculation-and-sample-size-justification/sampling/

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"