Nursing Shortage on Patient Outcomes
The objective of this study is to examine the effects of nursing shortage on the outcomes of patients. Towards this end, this study will conduct a review of the literature in this area of inquiry.

There is a severe shortage of nursing in today's healthcare workforce. This impacts the outcomes of patients in terms of their healthcare and their overall health. According to the 'Nursing World' website "Nursing is integral to patient care and is delivered in many and varied settings. The sheer number of nurses and their central role in caregiving are compelling reasons for measuring their contribution to patients' experiences and the outcomes that are attained." (2010, p.1)

AACN eport

According to a report by the American Association of Nurses "n an article published in Health Services esearch in August 2008, Dr. Christopher Friese and colleagues found that nursing education level was significantly associated with patient…...

mla

References

The Impact of Nursing Care on Quality (2010) Nursing World. Retrieved from:  http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Research-Measurement/Nursing-and-Quality.pdf 

Impact of the Nursing Shortage on Patient Care (2015 AACN. Retrieved from:  http://www.aacn.nche.edu/media-relations/nursing-shortage-resources/impact 

Buerbhaus, PI, et al. (2003) Impact of the Nursing Shortage on Hospital Patient Care: Comparative Perspectives. Health Affairs. (2007) Health Affairs. Retrieved from:  http://content.healthaffairs.org/content/26/3/853.full 

Keenan, P and Kennedy, JF. (2007) The Nursing Workforce Shortage: Causes, Consequences, Proposed Solutions. Retrieved from:  http://www.commonwealthfund.org/usr_doc/keenan_nursing.pdf

Nursing -- Measuring Patient Outcomes
Measuring Patient Outcomes

Measuring patient outcomes is crucial to evaluating the quality of healthcare since achieving positive patient outcomes is the most fundamental of all goals of healthcare in general (Hamric, Spross, & Hanson, 2009; Taylor, Lillis, & LeMone, 2008). In principle, patient outcome indicators should include seven objective elements or characteristics, namely: (1) they should be based on precise agreed definitions; (2) they should be sufficiently specific and sensitive to eliminate false positive and false negative findings; (3) they must be valid and reliable; (4) they must discriminate sufficiently for findings to be meaningful; (5) they must relate to clearly identifiable events for the targeted audience; (6) they must allow and promote useful comparisons; and (7) they must be strictly evidence-based (Mainz, 2003). Generally, the quality of healthcare is directly determined by many factors among which the specific roles of healthcare workers are some of the…...

mla

References

Hamric A.B., Spross, J.A., and Hanson, C.M. (2009). Advanced Practice Nursing: An

Integrative Approach. St. Louis: Saunders.

Mainz, J. "Defining and classifying clinical indicators for quality improvement."

International Journal for Quality in Health Care, Vol. 15, N. 6; (2003): 523-530.

Nursing and Patient Outcomes
Identify one area of nursing research that has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice?

As the field of nursing research continues to expand, the potential for improving patient outcomes has increased exponentially, with enhancements to efficiency and methodological innovation combining to provide modern nurses with an array of advantages. One area of nursing research which has proven especially productive focuses on the emerging concept of Magnet hospitals, which are "distinguished by their competent managers, decentralized decision making by direct caregivers, chief nurse executives who were directly involved in top management decisions, flexible nurse scheduling, investment in their employees & #8230; and supporting continuing education of the nursing workforce" (Cheung et al., 2008). These Magnet hospitals tend to thrive even during nursing shortages, and by studying the methods employed by managers of these institutions, it…...

mla

References

Carr, L.T. (1994). The strengths and weaknesses of quantitative and qualitative research: what method for nursing?. Journal of Advanced Nursing, 20(4), 716-721. Retrieved from nursing.com/The_Strengths_and_Weaknesses_of_Quant_and_Qual_Research.pdfhttp://www.ruth-s-coleman-college-of-

Cheung, R.B., Aiken, L.H., Clarke, S.B., & Sloane, D.M. (2008). Nursing care and patient outcomes: International evidence. Clinical Infirmary, 18(1), 35-40. Retrieved from  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856593/ 

Mason, G.M., & Attree, M. (1997). The relationship between research and the nursing process in clinical practice. Journal of Advanced Nursing, 26(5), 1045-1049. Retrieved from  http://www.ncbi.nlm.nih.gov/pubmed/9372412 

Hinshaw, A. (2001). A continuing challenge: The shortage of educationally prepared nursing faculty. Online Journal of Issues in Nursing, (6)1, Manuscript 3. Retrieved from www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/T ableofContents/Volume62001/No1Jan01/ShortageofEducationalFaculty.aspx

Picot Statement
P: Nurses and Nursing.

Nursing leadership and patient outcome

eview of studies and literature that examine the association and relationship between nursing leadership practices and patient outcomes.

O: Evidence suggests relationships between positive relational leadership styles and higher patient satisfaction and lower patient mortality, medication errors, sentinel events, and hospital-acquired infections.

Over three months

Healthcare faces an economic downturn, stressful work environments, upcoming retirements of leaders and projected workforce shortages, implementing strategies to ensure effective leadership and optimal patient outcomes are significant.

The nursing shortage continues to be a serious concern for the healthcare industry as a whole. "According to the Bureau of Labor Statistics' Employment Projections 2012-2022 released in December 2013, egistered Nursing (N) is listed among the top occupations in terms of job growth through 2022. The N workforce is expected to grow from 2.71 million in 2012 to 3.24 million in 2022, an increase of 526,800 or 19%" (osseter 2014). Although certain…...

mla

References

Impact of the nursing shortage on patient care. (2014). AACN. Retrieved from:

 http://www.aacn.nche.edu/media-relations/nursing-shortage-resources/impact 

Nevidjon, B. & Erickson, J. (2001). The nursing shortage: Solutions for the short- and long-term.

Online Journal of Issues in Nursing, 6 (1) 4. Retrieved from: www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume62001/No1Jan01/NursingShortageSolutions.aspx

Nursing Education
The Impact of Nursing Education on Healthcare Quality

The percentage of registered nurses (Ns) with at least a baccalaureate degree was estimated to be 61% in 2013 (osseter, 2014a). While this statistic may indicate that the prevalence of highly educated Ns is considerable, the Institute of Medicine called for an increase in the number of Ns with a bachelor degree in nursing (BSN) to exceed 80% within 10 years. The rationale for this recommendation was that the healthcare system was changing is significant ways and BSN- and graduate degree-prepared Ns will be needed to usher in a new era in healthcare within the United States, one focused on improving patient safety. These statistics and recommendations were cited in a fact sheet released by the American Association of Colleges of Nursing (AACN) and recently updated in 2014 (osseter, 2014a). At the beginning of what can only be considered a policy statement…...

mla

References

Chang, Y.K., & Mark, B.A. (2009). Antecedents of severe and nonsevere medication errors. Journal of Nursing Scholarship, 41(1), 70-8.

Goode, C.J., Pinkerton, S., McCausland, M.P., Southard, P., Griham, R., & Krsek, C. (2001). Documenting chief nursing officers' preference for BSN-prepared nurses. Journal of Nursing Administration, 31(2), 55-9.

Oermann, M.H. (1998). Differences in clinical experiences of ADN and BSN students. Journal of Nursing Education, 37(5), 197-201.

Primm, P.L. (1987). Differentiated practice for ADN- and BSN-prepared nurses. Journal of Professional Nursing, 3(4), 218-25.

Ethics in EOL Decisions
Finding Common Ground in EOL Care Decisions

Churchill (2014) presents to readers a case study to highlight some of the ethical and moral issues that will occur during end-of-life (EOL) decisions. The case study is not a factual event, but represents the mean severity and complexity of the EOL struggles experienced by the typical stakeholders. In this example, the treating physician has unsuccessfully tried to convince the adult daughter that her father will never recover from a coma and would benefit the most by palliative care, while the daughter refused to give up on the hope that her father would recover. Churchill (2014) spent time with clinicians and family member to try and understand their perspectives, thereby fulfilling his duties as a clinical ethics consultant. He discovers the patient has a living will and durable power of attorney, which prevented the use life-sustaining interventions in circumstances just like…...

mla

References

Churchill, L. (2014). Narrative awareness in ethics consultations: The ethics consultant as story-maker. Hastings Center Report, 44(1 Suppl.), S36-9.

O'Mahony, S., McHenry, J., Blank, A.E., Snow, D., Eti Karakas, S., Santoro, G. et al. (2010). Preliminary report of the integration of a palliative care team into an intensive care unit. Palliative Medicine, 24(2), 154-65.

Shuman, A.G., Montas, S.M., Barnosky, A.R., Smith, L.B., Fins, J.J., & McCabe, M.S. (2013). Clinical ethics consultation in oncology. Journal of Oncology Practice, 9(5), 240-5.

Voigt, L.P., Rajendram, P., Shuman, A.G., Kamat, S., McCabe, M.S., Kostelecky, N. et al. (2014). Characteristics and outcomes of ethics consultations in an oncologic intensive care unit. Journal of Intensive Care Medicine, published online ahead of print 10 Jun. 2014.

Tay-Sachs Teaching Plan
Desired patient outcomes

The patient to understand the genetic nature of Tay-Sachs disease.

Patient to understand the treatment options for Tay-Sachs disease.

Patient to understand the prognosis of Tay-Sachs.

Patient to know about support groups available and appropriate referrals.

Patient to understand information about Tay-Sachs in pregnancy.

Educational content

Genetic nature of Tay-Sachs

Tay-Sachs is a fatal genetic disorder that is related to storage of genetic lipids in quantities that are harmful leading to the tissues and nerve cells in the brain. The lipid involved is ganglioside GM2. Tay-Sachs is caused by insufficient action of beta-hexosaminidase A enzyme which is a catalyst for the biodegradation of acidic fatty materials, gangliosides. As the brain develops, gangliosides are generated and biodegrade rapidly in the early ages of life. It is extremely rare. However, it leads to death of infants with this disorder at an early age Melillo & Leisman, 2010.

Mutations that occur in the HEXA gene are responsible…...

mla

References

Melillo, R., & Leisman, G. (2010). Neurobehavioral Disorders of Childhood. New York City: Springer U.S..

Murray, S.S., & McKinney, E.S. (2006). Foundations of maternal-newborn nursing. Philadelphia: Elsevier Saunders.

Sherwen, L.N., Scoloveno, M.A., & Toussie-Weingarten, C. (1995). Nursing care of the childbearing family. New York, NY: Appleton & Lange.

Handoffs are essentially crucial elements that serve various functions including social bonding, team building, and coaching and teaching. In the health care setting, nursing handoffs play an important role with regards to information processing i.e. ensuring that essential information is transferred for patient safety. This implies that nursing handoffs are important in maintaining continuity of care during a patient's stay in a health care facility. Handoffs act as communication links between the various medical personnel or professionals providing patient care. Despite their significance in continuity of care and ensuring patient safety, nursing handoffs have recently been characterized by errors, care omissions, inefficiencies, increased costs, increased hospital stay, preventable re-hospitalizations, and unsuitable treatment (Halm, 2013, p.158). This is primarily because they are carried out in a substandard manner or are variable handoffs. This is major issue that requires examination in order to identify suitable measures for improving nursing handoffs with the…...

mla

References

Friesen, M.A., White, S.V. & Byers, J.F. (2008, April). Chapter 34: Handoffs -- Implications for Nurses. Retrieved from U.S. National Library of Medicine website:  http://www.ncbi.nlm.nih.gov/books/NBK2649/ 

Halm, M.A. (2013). Nursing Handoffs: Ensuring Safe Passage for Patients. American Journal of Critical Care, 22, 158-162.

Enhancing Postoperative Nursing Management to Minimize Postoperative Complications in Surgical PatientsIn the dynamic landscape of healthcare, the provision of exceptional postoperative care holds pivotal significance for fostering positive patient outcomes, particularly in the context of individuals who have undergone monitored anesthesia care (MAC). With the evolving nature of medical practices and advancements, nurses emerge as pivotal players in surgical patients' holistic recovery and well-being. Their role extends beyond mere procedural assistance, encompassing vigilant monitoring, timely intervention, and personalized care plans tailored to the unique needs of postoperative individuals. As the complexity of surgical procedures increases, the demand for nuanced and specialized nursing care becomes more pronounced, emphasizing the essential contribution of nurses in shaping the trajectory of patient recovery and ensuring the overall success of surgical interventions (Abaziou et al., 2020). This essay aims to articulate a comprehensive PICOT question that serves as the foundation for a capstone project change…...

mla

References

Abaziou, T., Tincres, F., Mrozek, S., Brauge, D., Marhar, F., Delamarre, L., Menut, R., Larcher, C., Osinski, D., & Cinotti, R. (2020). Incidence and predicting factors of perioperative complications during monitored anesthesia care for awake craniotomy. Journal of Clinical Anesthesia, 64, 109811.

Boulos, N. M., Burton, B. N., Carter, D., Marmor, R. A., & Gabriel, R. A. (2020). Monitored anesthesia care is associated with a decrease in morbidity after endovascular angioplasty in Aortoiliac disease. Journal of cardiothoracic and vascular anesthesia, 34(9), 2440-2445.

Lee, S.-W., Lee, S., & Hahm, K.-D. (2021). Postoperative pulmonary complications after transcatheter aortic valve implantation under monitored anesthesia care versus general anesthesia: retrospective analysis at a single large volume center. Journal of Clinical Medicine, 10(22), 5365.

ole of Technology in Patient Education
The patient care is improving in most health facilities because of the interactive technology that supports learning. Inventions and innovation are shaping health care because of new approaches to patients care in the health centers. The technology and research have helped in educating patients regarding the essence of personal care. The nursing practice is improving because of the use of objective experience and research-based evidence to solve complex problems. The evidenced-based research has helped improve decision-making and has brought desirable change in the nursing. esearch in the nursing practice helps in improving patient outcomes. Patient education is important as it helps the patient understand tips for healthy living, self-management, and comprehend their health care needs.

In many hospitals, patient education helps the patient understand processes of treatments and be able to participate in their health management (Cook et al., 2014). Literate patients appreciate the efforts…...

mla

References

Bastable, S. B. (2016). Essentials of patient education. Jones & Bartlett Publishers.

Cook, D. J., Moradkhani, A., Douglas, K. S. V., Prinsen, S. K., Fischer, E. N., & Schroeder, D. R. (2014). Patient education self-management during surgical recovery: combining mobile (iPad) and a content management system. Telemedicine and e-Health, 20(4), 312-317.

Nursing Schedules, Patient Outcomes
The title of this article suffices, although it could stand some improvement to make it even better. It certainly identifies the pivotal variables elucidated within this study, which include nursing scheduling, staffing, and patient morality. It is succinct enough. However, it does not allude to the study population at all. There is also a slight degree of redundancy in the title, as the focus of the research is more on the schedule concerns for nurses than for staffing in general.

The abstract is probably one of the better features of this research study and its ensuing write-up. It certainly is concise in its summary of the primary features of the report. It is also detailed in that it provides the problem, methods used, results, and conclusions -- although it does not not necessarily deploy those particular terms in doing so. It provides a high level synthesis of the…...

mla

References

Trinkoff, A.M., Johantgen, M., Storr, C.L., Gurses, A.P., Liang, Y., Han, K. (2011). Nurses work schedule characteristics, nurse staffing, and patient morality. Nursing Research. 60(1), 1-8.

CPOE and CDSS
A CDSS (decision support alerts) Embedded in a CPOE (Prescribing Order Entry) for Intravenous HEPAIN

ODE ENTY

Weight, last heparin dose, and related laboratory tests displayed on the screenDirect by Test Doctor at 13th September 2016-1512

** Wt 94.0 kg (206 lbs) 25 Aug 2247

**Plt

** IN

**aPTT

**Hgb

**Hct

**Preg **Lact

**Hep IVP

**Med Alrg nkda 25 Aug 2247

HePAIN Drip New Order

Platelet Warning:

Low platelet count warningECOMMENDATION: STOP HEPAIN AND SEND HEPAIN INDUCED THOMBOTCYTOPENIA ANTIBODIES (PLATELT FACTO 4). Pt

Platelet count has dropped by more than 50% or is less than 100 10^9/L.

Wt Consideration:

Weight Alertrecommendation: E-TAKE WT. Wt was taken over 72 hours ago.

Baseline Labs:

Missing baseline laboratory results warningECOMMENDATION: Obtain baseline aPTT, Platelet Count and IN lab values prior to proceeding with order.

x & Lab Trend:

Suggested IV Dose:

Suggested weight-based dose1.395 Units/hr (wt (kg) * 15 Units/kg/hr)

Max Dose Alert:

ECOMMENDATION: MAX DOSE 1.000 UNITS/H. MAX ATE 10 ML/H.

The ationale behind Your Design Development

CPOE- Computer Provider Order Entry, along with Clinical Decision…...

mla

References

Berner, E. S. (2009). Clinical Decision Support Systems:State of the Art. AHRQ Publication No. 09-0069-EF.

Charles, K., Cannon, M., Hall, R., & Coustasse, A. (2014). Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events? Perspect Health Inf Manag, 11.

Kuperman, G. J., Bobb, A., Payne, T. H., Avery, A. J., Gandhi, T. K., Burns, G.,... David W. Bates. (2007). Medication-related Clinical Decision Support in Computerized Provider Order Entry Systems: A Review. J Am Med Inform Assoc, 14(1), 29 -- 40.

Niazkhani, Z., Pirnejad, H., Berg, M., & Aarts, J. (2009). The Impact of Computerized Provider Order Entry Systems on Inpatient Clinical Workflow: A Literature Review. J Am Med Inform Assoc, 16(14), 539 -- 549.

Practicum Objective
There is a high degree of interrelation between theory, practice and research. esearch is the starting point. It involves the gathering of knowledge, and then this knowledge is used to build theories. The theories are then put to the test, first in the research process and then if that is successful theories are put into practice in the real world. eal world practice then becomes the basis for the next round of observation, theory development and is also utilized for research. The three end up being something of a cycle, where each of the three elements supports the others, in the next iteration of the cycle. The relationship is not linear, but more circular, and the different elements feed back into each other, and can do so at any time. Practice can reference research, which turns into theory, and that theory can be tested either with practice or research.…...

mla

References

Dhillon, B. (2008) Reliability technology, human error and quality in health care. CRC Press.

NATRI (2006) The role of theory and research in practice. NATRI. Retrieved December 6, 2016 from  http://natri.uky.edu/resources/reports/theory.html

Reducing Patient Waiting Time for Better Patient Outcomes Step 1
Most healthcare institutions start their day with the intention of perfectly managing their time schedules. While the expected outcome is excellent patient outcome many practices often end up bringing in more patients into a schedule that is already overloaded hence requiring more time to attend to the scheduled patients (Capko, 2015). The outcome of the busy schedules is inefficiency, bottlenecks, frustration, and more waiting time for the patients. Patients are forced to spend more time in the exam room or reception area waiting for an opportunity to be attended to (Capko, 2015). For the patient things appear to be moving in slow motion.
In order to overcome the scheduling problems it is important to address the foundation of this patient scheduling problems. It may seem easy but it is more complex than many would think. It takes a lot of dedication and time…...

Patient acuity system provides the nurses and other healthcare practitioners in health cares' information that can guide them in their attention towards the patients. The nurses track information and then weigh them in accordance to the urgency of assessment. The basis that the nurses use is the complexity of the level to which patients are unwell. An example is the determination of whether the patients immediately require ventilation and those who do not need any. The nurses are able to pick on the various patients in the healthcare and then record the data. In a single healthcare, there are many patients with different degrees of illnesses. As a result, they all require varying levels of evaluations from the nurses. It is, therefore, imperative that the nurses spread their attention appropriately to avoid any inconveniences. This system helps the nurses to determine the attention that patients require within a short period.…...

mla

References

Brennan, C., & Daly, B. (2009). Patient acuity: a concept analysis. Journal Of Advanced Nursing, 65(5), 1114-1126. doi:10.1111/j.1365-2648.2008.04920.x

Garza, A., Gratton, M., McElroy, J., Lindholm, D., & Glass, E. (2008). The association of dispatch prioritization and patient acuity. Prehospital Emergency Care, 12(1), 24-29.

Lewis, R. (2008). Comparison of a 5-level triage classification system with a 4-level triage classification system as it relates to acuity assignment and predictability of patient outcomes. Southern Online Journal of Nursing Research, 8(2),

Perroca, M., & EK, A. (2007). Utilization of patient classification systems in Swedish hospitals and the degree of satisfaction among nursing staff. Journal of Nursing Management, 15(5), 472-480. doi:10.1111/j.1365-2834.2007.00732.x

First, we want to reassure you that being confused about nursing worldviews puts you in some good company.  Many nurse practitioners find that the approach that place worldviews at the beginning of nursing inquiry may actually be hampering the development of nursing scholarship and keeping the profession from evolving as quickly and as efficiently as it should.  In addition, the material can become very confusing because different authors use the words paradigm and worldview interchangeably, though they distinguish them from metaparadigms. 

Broadly stated, an individual’s worldview consists of the beliefs and assumptions that the person uses to interpret....

Electronic medical records, which refer to medical records that are not only stored in electronic systems (which includes almost all medical records in the modern world, with the exception of some medical records maintained in non-industrialized nations), but that are accessible to multiple healthcare providers across different platforms.  The question is whether these records are able to improve quality of care by allowing healthcare providers to get a full picture of a patient’s medical history, as well as any presenting concerns or issues, as soon as the patient presents for medical treatment.  It would seem like the....

For several years, healthcare has been an important topic, not just in the world at large, but also in academia.  Healthcare has been one of the fastest growing sectors of our economy, has offered a boom in terms of employment, and is a hot button political issue since access to healthcare remains very class-based in the modern United States.  The COVID-19 pandemic and what it has meant about access to health care and the quality of healthcare that is being provided has only made it that much more important to focus on

What is the history of nursing in Ghana?

Many articles that explore the history of nursing are very focused on the evolution and history of nursing in the Western world, which leads people to mistakenly conclude that nursing evolved in the West and then was transported to other parts of the world, including Ghana.  On the contrary, Ghana has a rich tradition of nurses as healthcare practitioners and the profession evolved in Ghana alongside developments in other parts of the world. The history of nursing in Ghana may not contain any figures as....