Tuesday, February 26, 2019
Nursing-Sensitive Indicators Essay
According to the American Nurses Association, breast feeding-sensitive indicators smooth the structure, process and outcomes of nursing address. (Nursing Sensitive Indicators, 2015) Understanding the indicators is an important pluck of nursing, not only to assist the enduring, but the long-sufferings loved ones as well, to come across quality patient care. In this particular case, had the take hold understood the argumentation and data behind the Pressure Ulcer Rate and Restraint indicators, and communicated the exigency to report any pertinent findings the CNA may disc everyplace in the nurses absence, the CNA would not have dismissed the reddened area over the patients lower spine and would have immediately sensible the nurse of the finding. Upon returning the patient to bed, the CNA would have as well hit the hayn not to place the patient buns in bed on his back and re-apply the restraints. Instead, would have had the patient lay to one side and stressed the importan ce, to the patient and family member, of frequent turning, to reduce the chance of contract ulcers. Quality patient care can only be achieved with teamwork and open communication. The discussion of blackmail ulcers in infirmaryized patients has become an increasing issue with more attention to the bar of such since the early to mid-1990s.The Centers for Medicare and Medicaid Services (CMS) state that stage III and stage IV twinge ulcers occurring during admission are considered preventable (Zaratkiewicz et al., 2010). trance the gentleman in our case scenario represented what would be considered a stage 1 pressure ulcer, with proper quality care and training, even this stage 1 ulcer could have been prevented or at the very least, the progression halted. If the nurse had a better dread of nursing-sensitive indicators, or the theory behind them, then peradventure he or she would take more ownership in the prevention of pressure ulcers. Harborview Medical Center in Seattle, Was hington, conducted their own study regarding pressure ulcers and ways to prevent them. Their study wasint terminate to track, prevent and improve skin-related outcomes (Zaratkiewicz et al., 2010). While the results of the study showed a large increase in minor pressure ulcers, it showed a huge decrease in stage III and IV ulcers, the most costly and reportable types. Education and staff reinforcement virtuoso to early detection and improvement in practice, ultimately faring better for the patient. by chance if the hospital in the scenario had communicated such important figures or conducted their own study, the nursing staff and even the CNAs would have a better understanding and ultimately provide better care. As far as ethical issues such as the request for a kosher meal that ended up not being kosher, we as nurses accept and agree to turn out by a code of ethics. If I were the nursing shift supervisory program and this case scenario occurred, there are a few different things I would use to discuss with my staff. First of all, I would remind all nursing staff of the code of ethics we all accepted the day we have nursing school and offer copies to each of them to serve as a reminder. Specifically, for this scenario, I would point out Human Dignity is respect for the constituent(a) worth and uniqueness of individuals and populations.In professional practice, concern for human haughtiness is reflected when the nurse values and respects all patients and colleagues (The Essentials, 2008). While I am not Jewish and not receiving a kosher meal does not seem to be a big deal to me, I know that it is important to my patient and an acceptable request, so it should be a antecedency for me. Secondly, I would start a monthly ethical education series, choosing a different topic to better educate my staff. In the world we choke in today, there are so many cultures and a requirement to be more aware of ethical treatment, that the staff should not be expected to ju st know it.This knowledge comes from on-going education and it is up to the hospital and staff to make sure they are kept as up to date as possible regarding ethical treatment of patients. I would also involve my Board of Ethics or ethical expert from the hospital to intervene and sincerely apologize to the family. While we wont be able to fix the meal that was already eaten, we can ensure the patient and family that steps have been taken to support special requests of patients from now on.ReferencesNursing-Sensitive Indicators. (2015). Retrieved from http//www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursi
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