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). Through the implementation of peer review, nurses should be able to demonstrate the credibility in …show more content…
(Texas Board of Nursing [BON], 2013).
Membership and voting guidelines are also established by the BON for the peer review committee. According to the BON, the committee must be comprised of at least three-fourths of the members being nurses. When a registered nurse (RN) is under review, then two-thirds of the committee must be RNs and only RNs vote. When the nurse being reviewed is a licensed vocational nurse (LVN), RNs and LVNs may vote (Bearden & Shelton, n.d.). The committee should also consist of a least one nurse who is familiar with the area of nursing practice in which the nurse being reviewed practices (BON, 2011). According to G. Matthews, Wise Regional Health Systems (WRHS) has an incident-based peer review committee as outlined by the BON (personal communication, October 19, 2015). The committee is an Ad Hoc committee with a chairman appointed by the Chief Nursing Officer (CNO). The CNO and the chairman appoint four other members to serve on the committee. Members of the committee do not have direct administrative authority over the nurse being reviewed. All peer review committee activities are considered confidential and may not be disclosed expect as outlined by the BON and the Texas Occupation Code (personal communication, October 19,
Throughout history nurses have been under appreciated, not to say its done on purpose. Luckily, the best nurses do not do what they do for praise or approval but because we care and want to see our patients improve. When I first read this article I was agitated at the fact that nurses werent even considered for a role in the Quality Alliance Steering Committee. Considering nurses play such a large rold in patient care and outcomes
I am writing this to follow up our various telephone conversations and emails. You’ll recall that I am seeking a registered nurse to review records, prepare a report and possibly testify in a hospital fault case. The plaintiff, Martin Alvarado, is a brittle diabetic of current age 79. He sustained a fall while under the care of a registered nurse at Newman Regional Hospital. The fall resulted in a foot laceration which then became infected.
Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.
Kentucky Board of Nursing mission statement: The Kentucky Board of Nursing protects the well-being of the public by development and enforcement of state law governing the safe practice of nursing, nursing education and credentialing. Law & Regulations: An APRN (licensed by the Board and certified by a national organization in an advanced practice role and population foci) must first determine whether the statutes (the Nurse Practice Act) prohibit the action in question. For example, an APRN designated as a Family Nurse Practitioner may not write a prescription for a Schedule II drug for 30 days. This action would be outside the APRN, designated FNP’s scope of practice. (KRS 314.011(8) (a)
With these changes, we as nurses are able to provide the best care possible for our patients. In the BSN program, I learned the importance of having peer reviewed research for validity. Also, I would like to one day take part in a research study at my facility in order to contribute to the advancement of the nursing field. Sound peer reviewed research is very important in the nursing field.
VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.
I enjoyed reading your discussion post regarding bedside reporting and agree bedside reporting is an excellent example of evidence-based practice. The SBAR tool was originally developed to improve communication between nurses and physicians (Cornell, Yates, &Vardaman, 2014). Moreover, given the impact SBAR had on nurse-physician communication, bedside reporting utilizing the SBAR tool is now evidence-based practice for nurses (Cornell, Yates, &Vardaman, 2014). Bedside reporting gives nurses and patients’ opportunity to set mutual goals.
The nurse’s ability to comprehensively assess the needs of patients and provide evidenced based practice benefits patients by improving outcomes. The use of evidenced based practices assists facilities with achieving accreditation requirements (Grove, Burns, Gray, 2013). Most importantly, nurses receive self-gratification for their
Nurse Practitioner Interview I spoke with a friend’s sister, a recent graduate DNP, who works as a women’s health NP at a public health clinic system in Utah. Role The role of the women’s health care nurse practitioner can vary widely depending on the setting. J. Yale sees patients for both annual visits as their main care provider and for gynecological issues (personal communication, September 9, 2016). “Many people don’t realize you can do annual visits,” she said, “for example, I can treat someone for high blood pressure in the clinic, in an office setting.”
1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
Before EBP was imbedded into healthcare, nurses relied in the advice of senior nurses and what they learned through education and trial and error. Floranc enightengal ……. However, it wasn’t until the mid-1800s that evidence-based medicine had its beginnings, but did not come into play until the year of 1972. Through many years different modifications, various groups of nurses have drafted their own versions of evidence-based practice guidelines into play.