Healthy People 2010 – is a guide to promote preventative care. Review primary, secondary and tertiary prevention and relate this to women and children at risk in your community. Identify those risk factors that a prevention program could impact the health of the group you identify.This video is the Healthy People 2020 initiative

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Group A:

Healthy People 2010 – is a guide to promote preventative care. Review primary, secondary and tertiary prevention and relate this to women and children at risk in your community. Identify those risk factors that a prevention program could impact the health of the group you identify.This video is the Healthy People 2020 initiative

Group B:

Please research medical technological advances that may be unique to the care of women and children. Discuss how this technology will improve care to women and children. (ideas may be: genetic screening, public health initiatives, mammography, cervical screening, Fetal monitoring, Electronic medical records, telemedicine).Which technological advances have been utilized in your local hospital? How has it impacted the care of women and children?

The post Healthy People 2010 – is a guide to promote preventative care. Review primary, secondary and tertiary prevention and relate this to women and children at risk in your community. Identify those risk factors that a prevention program could impact the health of the group you identify.This video is the Healthy People 2020 initiative appeared first on Infinite Essays.

STAFF SHORTAGE IN NURSING

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STAFF SHORTAGE IN NURSING

Research Critique Guidelines – Part II

Student’s name: Liliana Faura

University affiliation: GCU

Course: NRS-433V

Quantitative Studies

Article 1

Griffiths, P., Recio‐Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., … & Missed Care Study Group. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of advanced nursing, 74(7), 1474-1487. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033178/

Background of the study

This article is about the relationship between nurse staffing and the omissions in nursing care. This research tends to identify the nursing care which is missed in acute adult inpatient wards. Additionally, it seeks to ascertain the evidence that exists for the association of the missed care with nurse staff. Therefore, this is an indication that the problem being researched is the missed care in acute adult inpatient wards. The research has been able to establish an association between nurse staffing levels and adverse patient outcomes. The outcome of adverse patients includes in-hospital mortality. According to the article, low registered nurse staffing is associated with the missed reports of nursing care in hospitals. Missed care is a problem of nurse staffing adequacy. Basically, nurse staffing has the role of maintaining patient safety. Maintaining patient safety is one of the safe staffing guidelines for hospital wards. The guidelines are presented by the National Institute for Health and Care Excellence. In addition to that, the National Institute for Health and Care Excellence has been able to highlight the need for more evidence on the indicators that reflect on patient outcomes which are impacted by the nurse staffing. Therefore, according to this research, low registered nursing staff leads to the omission of essential care. Additionally, missed care is attributed to nurse staffing adequacy.

This quantitative study is significant as it supports the fact that hospitals are facing a major challenged due to low registered nursing staff. Therefore, this study presents a clear picture of how low registered nursing staff in hospitals affects the quality of care provided. The purpose of this study is to identify nursing care most frequently missed in acute adult inpatient wards and to determine evidence for the association of missed care with nurse staffing. Additionally, it establishes the relationship that exists between the nurse staffing levels and the adverse patient outcomes such as in-hospital mortality. The objective is to measure the missed care on the patient’s outcomes. The research questions that guided the study are; what are the nursing care tasks most frequently missed in acute hospitals adult inpatient wards, as reported by staff or patients or captured in administrative data? and What are the associations between missed care and nurse staffing levels or skill mix in acute hospitals adult inpatient wards?

How does this article support the nurse practice issue you chose?

This article will help in answering my PICOT question which is “How has staff shortage in nursing levels impacted nurse to patient ratios, patient safety, and quality of care in the last two years?” as it has been able to identify some of the impacts of the nursing shortage. The interventions and comparisons groups I identified and those in this study compare as they are both about the impact of the quality of patient care as attributed by the nursing shortage.

Method of Study

The method that was used in this study is an examination and review of literature on nurse staff. The second article has used a five-step for conducting a systematic review. The two methods are different as the first one has used the existing literature and study while the second one has used steps in undertaking research.

The method identified in this study is an examination and review of literature on nurse staff. The benefit is that it provides greater in-depth information. The limitation is that some studies may not be scientific.

Results of Study

The finding of this study is that the relationship between missed care and nurse staffing levels in hospitals has been widely studied in many countries. This is an indication that nurse staffing levels have a greater impact on the care of patients. Most of the findings from the review of literature related to registered nursing staffing levels. The care that is reported mostly is that there have been missing factors such as talking and comforting patients. Due to the negligence of such factors, the quality of care provided may indicate prioritization of clinical care in staff shortages.

The implication of this study in nursing practice is that it shows the effects of nursing shortages in hospitals and patients. it also shows the implication of missed care in association with the nurse staffing levels.

Outcomes Comparison

The anticipated outcome for my PICOT question is to ascertain the effects that staff shortage has on the patient ratio, safety, and quality of care.

The outcome of this article compares to my anticipated outcomes as they both discuss the impact of the nursing shortage.

Article 2

Alshutwi S. (2017). The Influence of Supervisor Support on Nurses’ Turnover Intention. iMedPub Journals. Vol. 4 No. 2: 56 http://www.hsprj.com/health-maintanance/the-influence-of-supervisor-support-on-nurses-turnover-intention.pdf

Background of the study

This study is about the impact of supervisor support on the turnover intention of nurses. The problem identified by this study is the worsening of maintaining adequate nursing staff which is been a challenge facing many healthcare organizations. The significance of this study on nursing is that it provides more information about the impact of supervisor support on nurse’s turnover intention. It also provides some of the potential factors that may be attributed to the nursing shortage in hospitals.

The purpose of this research is to review and critique the published empirical research on supervisor support as an approach to reduce turnover intention and make recommendations for further research. The objective of the study is to focus on proximal support or supervisor support. The research question of this study is; what is the association between supervisor support and turnover intention?

How does this article support the nurse practice issue you chose?

The nurse practice issue that I chose is a staff shortage in nursing. This article will answer my PICOT question which is “How has staff shortage in nursing levels impacted nurse to patient ratios, patient safety, and quality of care in the last two years?” as it discusses how supervision as a factor impacts nursing shortage.

The interventions and comparisons groups I identified and those in this study compare as they both discuss the factors that impact nursing shortage and how this impacts the quality of care.

Method of Study

This method has used a five-step for conducting a systematic review. The first article used an examination and review of the literature on nurse staff. They both differ as the first one has used the existing literature while the second has followed a systematic approach.

The benefit of this method is that it provides a systematic map for a researcher to follow. Its limitation is that the researcher is limited towards following the given steps.

Results of Study

The key finding of this study is that nursing policies are needed to promote supervisor supportive behaviors such as training programs and workshops. Additionally, the researcher provides that supervisor support should be used as an innovative approach

The implication of this study is that it provides a framework that can be used in reducing the problem of the nursing shortage.

Outcomes Comparison

The anticipated outcome for my PICOT question is to ascertain the effects that staff shortage has on the patient ratio, safety, and quality of care.

The outcome of these articles compares to my anticipated outcomes as both provide a framework that can be used in reducing the problem of the nursing shortage.

References

Alshutwi S. (2017). The Influence of Supervisor Support on Nurses’ Turnover Intention. iMedPub Journals. Vol. 4 No. 2: 56

Griffiths, P., Recio‐Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., … & Missed Care Study Group. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of advanced nursing, 74(7), 1474-1487.

© 2019. Grand Canyon University. All Rights Reserved.

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: Choose an adult (over the age of 18) friend or relative and perform a holistic health assessment. Clearly document your holistic health assessment data

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Assignment Description

Signature Assignment Title: The Holistic Patient Assessment

Part 1: Choose an adult (over the age of 18) friend or relative and perform a holistic health assessment. Clearly document your holistic health assessment data

Your assessment should include the following parts:

  • Health History
  • Physiological Assessment
  • Psychological Assessment
  • Social Assessment
  • Cultural Assessment
  • Developmental Assessment
  • Spiritual Assessment

Part 2: Interpret the findings in your holistic health assessment data according to pathophysiologic disease states.

  • Choose one physiologic abnormality and discuss possible pathophysiologic reasons for the abnormality.
  • Look at the abnormality on a holistic basis.
  • How does this abnormality impact the other areas of the patient’s life, especially those areas discussed in this course?
  • Discuss the client’s stress and coping mechanisms.
  • Are they healthy?
  • What improvements could be made?

Part 3: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed.

  • Describe at least one client goal for each of the categories (physical, psychological, social, cultural, developmental, and spiritual).
  • How will you teach the client about the goal?
  • How will you evaluate your teaching?

Part 4: Prepare a PowerPoint presentation for your patient teaching.

  • You should have at least six slides (one for each type of goal – physical, psychological, social, cultural, developmental, and spiritual), in addition to the title slide, objective slide, and references slide.
  • Please be sure to have at least one scholarly source in the PPT.

Assignment Expectations:

  • Length: Essay of 1500 words; PP of 12 content slides (and include a title, objective, and reference slides – these do not count towards the required content slides)
  • Structure: PP as noted above. Essay: Include a title page and reference page in APA format. These do not count towards the minimum word count for the essay part of the assignment. Your essay must include an introduction and a conclusion.
  • References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three scholarly sources plus the textbook are required.

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It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

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urgent

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your presentation should be 5–6 minutes in length and should include a video with you as presenter.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

By Day 2 of Week 11

Submit your Change Implementation and Management Plan with audio and video.

Rubric:

Create a 5- or 6-slide narrated PowerPoint with video that presents a comprehensive plan to implement changes you propose. Your Change Implementation and Management Plan should include the following:

·  An executive summary of the issues that are currently affecting your organization/workplace (this can include the work you completed in your Workplace Environment Assessment).
·   A description of the changes being proposed.
·   Justifications for the changes, including why addressing them will have a positive impact on your organization/workplace.

Details about the type and scope of the proposed changes.
·   Identification of the stakeholders impacted by the changes.
·   Identification of a change management team (by title/role).
·   A plan for communicating the changes you propose.
·   A description of risk mitigation plans you would recommend to address the risks anticipated by the changes you propose.

Include an audio/video presentation that is 5–6 minutes in length with you as a presenter.

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation

This is from the previous work we did , we can address this issue , or what you think.

Work Environment Assessment- this is my discussion

Using the Clark Healthy Workplace Inventory (Clark, 2015) my workplace ranks 90, or very healthy.  Why it ranks as healthy or civil is that between units of the hospital there is great communication between units, to the extent that is a need on one unit as far as staffing, another unit will offer to help, this is the norm, and not the exception for our hospital. We also feel supported by management during times of crisis, I work in two distinct areas where things can escalate very quickly, both in inpatient psych, and Children pavilion for adolescent psych patients. We know we will always get backup from other building staff and security if things get escalated where there is danger to patients or staff.

Success in an organization comes from hardworking people who have a strong mission and vision with great strategies in place. This depends greatly on the leadership, management, and the team. To put things in perspective, the introduction of the workplace health status would give a broader picture. To be discussed below is a brief description of the results of the Work Environment Assessment at Chicago Lakeshore Hospital and based on the results, the explanation of how civil is this place with the reasons behind the claim. Also, this discussion includes a description of a situation where incivility in the workplace has happened and how was it addressed.

Workplace health is the status of the workplace concerning the workers, how civil is the place, and the overall environment safety for the employees. Lack of civility at the workplace contributes to poor employees’ job satisfaction, lack of courtesy and respect among peers, and it leads to poor patient outcomes (Tips to Improve Civility in the Workplace, 2017). Incivility at workplaces has the potential to emotional and physical distress to the workers and that can cause poor quality care and patient outcomes (Armstrong, 2017). To assess the civility of the workplaces, researchers have discovered tools to help assess the workplaces and the Work Environment Assessment is one of the tools.

Using the Work Environment Assessment tool to assess Chicago Lakeshore Hospital revealed 90 which is a moderately healthy place. This means, in this organization, people live by the shared mission and vision, there is trust and respect among the workers, and communication at all levels is clear (Clark Healthy Workplace Inventory – americannursetoday.com. [n.d.]). The result assures the presence of teamwork and high levels of employees’ satisfaction. The workload is distributed equal and the organization offers competitive salaries. Based on my hospital workplace assessment results, the majority of the employees would recommend the place as a good place to work and overall there are high levels of employee satisfaction, therefore better outcomes (Clark Healthy Workplace Inventory – americannursetoday.com. [n.d.]).

Incivility incident at the workplace

Courtesy and respect are not only meant for people of a certain rank within the organizations. These basic values and others are for everyone. Clark (2017), emphasizes all nurses have the obligation to foster healthy workplaces with an atmosphere of dignity, professionalism, and respect. Unfortunately, studies reveal incivility at workplaces, bullying, and lack of mutual respect (Armstrong, 2017). Incivility at the workplace has been linked to poor performance which impacts patient safety and the quality of patient outcomes (Armstrong, 2017). Marshall and Broome (2017) state that “workplace violence, incivility, and bullying are barriers to developing safe environments for providers and can occur in any setting” (p.261). The American Nurses Association (ANA; n.d.) defines incivility as “one or more rude, discourteous, or disrespectful actions that may or may not have a negative intent behind them” (para.2).  This brings back the memory of my former workplace. Doctors were very much valued and respected, but the nurses did not receive the same respect from the doctors. At times, nurses were hesitant to call the doctors for notification of patient condition change simply because of the fear of the expected response. There was no mutual respect. I am not sure how did this problem resolve after leaving the place but a few years down, the hospital was sold out to another company.

Conclusion

Civility at the workplace is not only important for the workers’ feelings it also influences overall performance, productivity, and patient outcomes. The consequences of incivility at workplaces “can result in life-threatening mistakes, preventable complications, and harm or even death of a patient” (Clark, 2017). It is with that intensity that the workplace health assessment should be one of our priorities. Despite the individual differences, we must find a way to improve civility at our workplaces. The first step towards improvement is to assess the current status and the Work Environment Assessment is a great tool.

References

Armstrong, N. E. (2017). A Quality Improvement Project Measuring the Effect of an Evidence-

Based Civility Training Program on Nursing Workplace Incivility in a Rural Hospital Using Quantitative Methods. Online Journal of Rural Nursing & Health Care, 17(1), 100–137. https://doi-org.ezp.waldenulibrary.org/10.14574/ojrnhc.v17i1.438

Clark, C. M. (2017). An Evidence-Based Approach to Integrate Civility, Professionalism, and

Ethical Practice Into Nursing Curricula. NURSE EDUCATOR, 42(3), 120–126. https://doi-org.ezp.waldenulibrary.org/10.1097/NNE.0000000000000331

Clark Healthy Workplace Inventory – americannursetoday.com. (n.d.). Retrieved from

https://americannursetoday.com/wp-content/uploads/2015/11/Clark-Healthy-Workplace-Inventory.pdf.

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New Tork, NY: Springer.

Tips to Improve Civility in the Workplace. (2017). AACN Bold Voices, (1), 18. Retrieved from

https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=edsovi&AN=edsovi.01436852.201701000.00025&site=eds-live&scope=sit

References:

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

  • Chapter 8, “Practice Model Design, Implementation, and Evaluation” (pp. 195–246)

https://medcom.uiowa.edu/annsblog/wp-content/uploads/2012/10/JONA-FINAL-Cullen-2012.pdf

https://wdhb.org.nz/contented/clientfiles/whanganui-district-health-board/files/rttc_leading-change-by-j-kotter-harvard-business-review.pdf

http://www.ijhpm.com/article_3183_5015382bcf9183a74ef7e79b0a941f65.pdf

The post It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival. appeared first on Infinite Essays.