Nursing Care Plan

Nurse Bedside Shift Report Implementation Handbook Submitted by Manju Bhattacharya Table of Contents Introduction --------------------------------------------------------------------------------------------------------------------1 Overview of the Nurses Bedside shift Report strategy ----------------------------------------------------------------1 - What is the Nurse bedside shift Report tool? ---------- -------------------------------------------------------------------2

Task No. 1: The J Case A. The Role of Nursing-Sensitive Indicators in Identifying Interfering Issues in Patient Care Nursing-sensitive indicators (NSIs), particularly those listed in the National Database of Nursing Quality Indicators (NDNQI), identify care structures and processes that are influential to patient care outcomes (Montalvo, 2007). A robustly prepared indicator can accurately measure the structure or process it is designed to measure at a desired level of quality. Any deviation from this clearly defined outcome will hint on interfering issues in patient care.

Nurse Leadership Strategies to Facilitate Change during Informatics Initiatives Transformation Innovative changes are occurring in nursing practice due to the implementation of technology. Nurse leaders are awakening bringing new ideas to the practice that excite, inspire, inform, and engage nurses to become a part of the changes. These authors speak about building a relationship using communication; action plans to encourage change. Leaders need to embrace change is important to

Profound analyses focus most on data collection, analysis, and confirmation of potential examinations made. Nursing examinations as a step determine what symptoms identified deserves priority. All these steps aim at identifying problems and prioritizing those that need urgent medical attention (North American Nursing Diagnosis Association,

Background: Describe a nursing situation you encountered this week. Today we attended clinical for second time. Our main focus was patient with COPD or any gas exchange difficulty. We assessed the patients with gas exchange problems.

It is vital for the community nurse to obtain handover regarding on his/her status (Thomas, 2012). Before I use the action plan, I would always, notify and educate the patient about his or her situation and while gaining consent to perform management interventions (RCH, 2012). Everything that occurs the day will be documented, and when writing the integrated notes I would put an alert’ sticker (Ling, 2013).

CHANGE PROCESS Nurse-nurse handover or bedside handover has been proposed as to increase patient and their family involvement in their care. In carrying out the change to bedside reporting, the adaption of Spradley’s 8-step model in conjunction with Lewin’s 3-step model of unfreezing, moving and refreezing provides for a successful and smooth transition (Kassan & Jagoo, 2005). In part of the recognition of the existing problem, full understanding of issues undergoing patient quality care and satisfaction was communicated through with the Voice of the Patient Advisory Council and the Premier Patient Experience Steering Committee which reported lack of satisfaction of patients and their family members in regards to their knowledge of their

Marjorie A. Rutherford is more knowledgeable in implementing the Nursing Intervention Classification (NIC) and Nursing Outcome Classification (NOC) and has more than thirty years of experience in performing this terminology. It is interesting her about the role of nurses in the caring for the patient. She focuses on a statistically important issue of the standardized nursing language. She can also highlight the points of an impressive conclusion that excites the target audience. She additionally explains how standardized nursing language will improve patient care.

Nursing sensitive outcome measure demonstrates the sensitive need of the patient. Poor nursing care will have a negative impact on the quality of care the patient receives. According to Saul’s, nursing sensitive indicators are outcomes related to the quantity and the quality of care a patient receives (Sauls, 2013). Here in this situation, nurses must be aware of sensitive indicators, such as: pressure ulcers, a patient’s dignity, and quality of life. These indicators represent unfortunate nursing care, and reflect a negative outcome.

Nurse should ensure the use of objective data i.e. report exactly what happened and do not speculate avoid erasing a statement or writing over an entry. These helps us to maintain a high standard of practice in the current

Plan of care, risk factors, quality measures and categorization payment are all derived from this precious form. It is empowering to collect the data because the collection predicts many pertinent areas to the productivity of the client 's condition. A conference with the client and their family is planned around the completion of this assessment to discuss the patient’s goals and the current status. As the coordinator of the meeting, my role is primarily oversight to makes sure all regulatory compliance has been met and is documented. To step out of my box an advocate for a review of the chart with the IDT prior to the meeting would not only empower me as a nurse but my colleagues, as well.

Assessment of individual client needs A new client is assessed by the multi-disciplinary team (MDT). Common members of a MDT include a GP, Occupational Therapist, Physiotherapist, Staff Nurse, Dietician and Activities Co-ordinator. Once all the client’s needs are evaluated, a care plan is written up. This personal plan is specifically customized towards the

There are a few research studies and related pieces of literature that concerns disaster preparedness of nurses. This important due to the fact that nurses is a big chunk in health workforce. Moreover, nurses are considerably the first-line health professionals in giving health care services. As such in times of disaster, preparedness on a personal and professional level is important. As a result, it will enable nurses not only to ensure safety, health and well-being of their client or patients but also themselves.

The plan is specific to each patient and focuses on achievable out comes. Actions involved in the nursing care plan include monitoring the patient for signs of change or improvement directly caring for the patient or performing necessary medical tasks, educating and instructing the patient about further health management, and referring or contacting the patient for follows. Implementation can take place over the cause of hours, days, weeks, or even months.

Aim of the Study: This study aims to assess the effect of an Intervention program about Health Care Waste Management for Nurses working in Maternal and Child Health Care Centers At kalyubia Governorate on their knowledge and practice level, through  Determining the knowledge level of nurses regarding health care waste management before and after implementing the intervention program.  Assessing practice of nurses before and after implementing the intervention program. Research Hypothesis: The implementation of the intervention program will improve the nurse's knowledge and practice about waste management in MCH centers.