UNIVERSITY OF THE SOUTHERN CARIBBEAN
MARACAS ROYAL ROAD, MARACAS, ST. JOSEPH.
PROPOSAL
An Assignment
Presented in Partial Fulfilment of the Requirement for the Course
A literature review that critically debates the current evidence in relation to two clinical nursing Problem from your area of nursing practice (general nursing)
INSTRUCTOR: Mrs. Sasha Samaroo-Burgos
By
Tracey Williams
Date
19TH October 2017
Approval…………………
Question
Conduct a literature review that critically debates the current evidence in relation to two clinical nursing problem from your area of nursing practice (General nursing)
Patricia’s Benner
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A sound educational foundation expedites the acquisition of skills through experience (Benner, 1984). Without background knowledge, nurses risk using poor judgment and lack the tools necessary to learn from experience.
Theory and principles enable nurses to ask the right questions to hone in on patient problems to provide safe care and make good clinical decisions. Bonner 's (2003) research on nephrology nurses showed expert and non-expert nurses differed based on types of learning opportunities
(both formal and informal) rather than years of experience. In a literature review on the relationship between nursing education and practice, Kovner and Schore (1998) reported mixed findings regarding whether and in what ways bachelor of science in nursing (BSN) prepared nurses ' skills and abilities differ from those of associate degree and diploma-prepared nurses.
The collective education level of staff may impart a unique contribution to the development of expertise in the clinical setting. Few researchers have focused directly on the aggregate educational composition of the staff with whom a nurse practices as a factor affecting individual clinical nursing expertise. There are, however, examples where researchers have examined
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In this way, the model must be adapted to fit the needs of individual patients.
The environmental factors affect different patients unique to their situations and illnesses, and the nurse must address these factors on a case-by-case basis in order to make sure the factors are altered in a way that best cares for an individual patient and his or her needs.
Workload expectations of nurses in today’s health care settings often exceed staffing levels and capacity. (32) In addition, their work environments are characterized by higher levels of patient/client acuity, a more sophisticated public with respect to care expectations, augmented use of technology-based interventions, a plethora of new evidence that affects care, and a more complex, interdependent and diverse health care team. These factors all contribute to an ever more stressful and unpredictable environment for the entire health care team, including nurses.
The comprehensive nature of nursing roles has added further challenges that have made staffing allocation or decisions about the optimal number of nurses required to meet
There are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,
State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety.
The details of the study included literature review, purpose, method, data analysis, results, discussion, limitations, nursing implications, recommendations for future research and conclusion. The results were clearly presented. Study limitations were identified. The conclusion was based on study results. This review was of good quality.
This in turn can cause fatigue and stress levels to rise amongst patient care workers and as a result may have adverse effects on their patients including increasing risk for errors, failure to rescue, and increased risk of mortality. To put this into reality a study was done regarding how much patients are at risk when a nurses’ patient workload exceeds what is considered safe based on the acuity of the patients the nurse is caring
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
Further research stated that the American Nurses’ Association have guidelines for making decisions on staffing, which “suggest that the number and acuity of the patients, the level of staff working
Incident-Based Peer Review Peer review is a process established to evaluate individual standards and quality of care issues (Harrington & Smith, 2015, p. 1). According to the Texas Department of State Health Services (DSHS), all hospitals are required to implement a program of incident-based peer review and comply with the reporting requirements established by the Texas Board of Nursing (BON) (Bearden & Shelton, n.d.). According to Haag-Heitman & George (2011), “the primary purpose of peer review is to help ensure the quality of nursing care through safe deliverance of standards of care and newly discovered evidence-based practices (p. 48).
n her Nytimes Op-ed article “we need more nurses” Writer Alexandra Robbins reveals that while nurses plays a very important role in improving the health care system of the country, most hospitals and medical establishments are understaffed with nurses. nurses are often one the least recognized group of people who are long due overstretched with the service they provide. Inadequate staffing has become one of the major problems across the country, with the exception of state of California, no other state has set up a standard minimum nurse to patient ratio.many studies has shown that when more patients are assigned to a nurse, the higher for the risk of death, infection,complication, falls and longer hospital stay. the author quoted
The analyzing, evaluating and critiquing theories is helpful and important when using particular theory and will apply it in specific area. The purpose of analyzing, evaluating and critiquing theories is to determine the weaknesses and strengths of a particular theory, to determine the need to theory improvement and to assess the theory relevance and applicability to particular filed. In nursing dripline, analyzing, evaluating and critiquing theories is assist to determine if the selected theory is works and useful or not in nursing practice (McEwen & Wills, 2014). Also, to assess the applicability of the theory to the nursing education and practice and research. There are a big different between grand theories and middle range theories.
A heavy nursing workload can influence the care provider’s decision to perform various procedures. A heavy workload may also reduce the time spent by nurses collaborating and communicating with physicians, therefore affecting the quality of nurse-physician collaboration” (ncbi). This is important because it tells us that nurses wouldn 't have enough time to perform tasks that can affect the patients’ care. If nurses are being overworked because of a nurse shortage, then patients’ would not have the best quality care they would need, which can be a
Panagiota Copanitsanou, Nikolaos Fotos, and Hero Brokalaki mentioned that negative effects may lead to poor patient outcomes due to the increased mortality, complications, and readmissions. With that being said, it is vital for nurses to work in an environment that is well staffed and trained without the use of having nurses work more hours than they already are required to. It is known that having good management, balanced work schedule, and a safe environment all contributes to nurses with less patient burnout which then can provide a higher quality of
This occurs when nurses provide care to more than the assigned patients, thus increasing patient workload. It affects the patient’s quality of care, increasing the risk for NSOs and other patient complications. Not only are patient outcomes affected, but nurses are experiencing increased burnout and fatigue. A safe nurse is necessary when providing care to ensure a safe and stable patient outcome. These concerns can be preventable by implementing and assigning the necessary tools to minimize effects on nurses and patient
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective.
This theory defines nurses developed skills and the understanding of patient care over the years, with a combination of educational background and personal experiences in the clinical area. This theory has five levels of Nursing; Novice, Advanced Beginner, Competent, Proficient, and Expert. . A novice-is a beginner with no experience, they are bound by rules to assist in performing tasks.