Patient Falls and Nursing
PICO Question -- Among acute care patients on a Medical-Surgical Unit, does hourly rounding, as opposed to only setting the bed alarm, significantly reduce patient falls (at least by 50%)?
Modern healthcare and nursing are more complex than ever before. The nurse's role is far more than simply an assistant, and requires the understanding and application of a large toolbox to deal with many different situations within the course of any given time period. (Borkowski, 2011). More often than not, nurses tend to act as the "moral agents" within the system because they are the locus of communication between the physician, the patient, and the family. The modern nurse leader must act with moral courage and conviction since "nursing leaders are responsible for creating cultures that support acts of courage in nursing… [because] these acts have the potential to increase nurse retention, promote patient comfort, relieve patient suffering, and enhance the reputation of the organization" (Edmonson, 2010).
The costs of patient falls is estimated to reach almost $44B by 2020, increase insurance premium costs, increase staff pressure, and contribute to greater risk of accidental injury and death. In 1999, for instance, the Institute of Medicine issues a report that noted there were almost 30 safety events that were easily preventable in most healthcare organizations. Stakeholders, too, are increasingly concerned about the issue of patient falls to the point in which patient death or disability associated with a fall is now part of the lexicon of HAC (Hospital Acquired Conditions). Two major views are quite polarized regarding the use of hourly rounds as a preventive strategy for patient...
PICO Nursing theory informs nursing practice, and especially evidence-based practice. Theory offers a framework for decision-making and policy. Neuman's systems model provides the perfect theoretical framework with which to conduct my research and inform best practices. My PICO question is as follows: "For hospitalized patients who are susceptible to catheter associated Urinary Tract infection (CAUTI), if nurses and other assistive personnel develop an action plan with a systematic team approach of
PICO Question: Bariatric Surgery As the obesity rate continues to be an issue of great concern in America, the question arises as to the best ways to reduce the BMIs of individuals already suffering from the condition, as well as how to enact preventative means. Although the ideal is for people to never become obese at all, the fact remains that there is a need to develop proactive measures to facilitate
intervention for my PICO problem is changing the policies and procedures in hospital with the goal of reducing instances and severity of catheter-related urinary tract infections among affected patients. Although it is an administrative intervention, the outcomes are related to patient data. The independent variables in the research include structure of nursing staff teams; the specific policies that are implemented including catheter insertion and removal procedures and regulations; and finally,
Summations by Supreme Court Justices Brennan and Blackmun clearly express why the court voted in favor of the plaintiffs in this important case. First of all, Justice Brennan maintains that the case "does not involve textbooks, or indeed any books that... students would be required to read. The only books at issue are library books (which) are optional rather than required reading." What Brennan is attempting to say is that
Man? Giovanni Pico della Mirandola asks the question as to what is man's highest calling. He finds it in the deepest of religious beliefs and offers rational spirituality as the way to perfection. He believed that man was the greatest of God's creations, the highest form of life, even rivaling the angels. His reason was based on his firm belief in God and man's relationship with God as the creator
Evidence-Based Practice using PICO The question posed for this search activity will be, "Does early referral of terminally ill patients into a hospice program results in better patient outcomes, in particular, with regard to pain management?" The patient group in this question is terminally ill patients. The intervention is terminally ill disease. The comparison is time entered into hospice care. The outcome is reduced pain. The primary search terms for this
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