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NURSE interactions communication/interpersonal skills
NURSE interactions communication/interpersonal skills
NURSE interactions communication/interpersonal skills
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Need for Further Research
Grippingly, although research already has been done to examine the association between fall rates and call bell response time, further research is needed. Further studies utilizing larger samples would more accurately depict the association. The surveys utilized small samples. Also, the research reviewed utilized archived data or surveys. Furthermore, some of the studies utilized a call bell tracking system to determine the time range in which call bell activation was answered. However, a more accurate method needs to be utilized when drawing conclusions about the rate of falls and response time. For example, a call bell tracking system will not reveal what conditions existed on the unit and if nursing staff was in the room already when the call bell was activated. Further research is needed using a multi-hospital approach to demonstrate that the previous research findings conducted on a limited number of hospitals may be applied to hospitals universally. Additionally, research considering patients at risk for falls and those with altered mental status may be beneficial when studying fall rates and response time association.
Method and Design
Since further research is needed to better understand the association between the rate of falls and staff response time, choosing a method and design that will examine these variables specifically is very important. Therefore, the method that will be utilized in the study will be a quantitative study, which will be appropriate in measuring both response time and the rate of falls (Polit & Beck, 2011). Non-experimental research will be conducted. Because in the study researchers will examine the effect of possible causes, nursing staff response time, whi...
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...trieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No2May07/EnvironmentallySafeHealthCareAgencies.html
Theories of Florence Nightingale. (2012). Retrieved from http://currentnursing.com/nursing_theory/Florence_Nightingale_theory.html
Tzeng, H. (2011). Perspectives of patients and families about the nature of and reasons for call light use and staff call light response time. MEDSURG Nursing, 20(5), 225-234.
Tzeng, H., Titler, M., Ronis, D., & Yin, C. (2012). The contribution of staff call light response time to fall and injurious fall rates: An exploratory study in four US hospitals using archived data. BMC Health Service Research, 12(84), 1-14. Retrieved from http://web.b.ebscohost.com.ezp.sxu.edu/ehost/pdfviewer/pdfviewer?sid=347245fc-cc49-470d-ad0e-a3a610f40bba%40sessionmgr198&vid=2&hid=114
In over-all, 65 years and older suffer from many geriatric symptoms, due to psychotropic and anti-psychotropic medications, including Electroconvulsive therapy (ECT), mobility challenges, incontinence, poor balance, disorganization and confusion which all lead to high falls. According to a study in the International Journal of Geriatric Psychiatry, patients with the highest risk for falls presented with one or more of the following variables such as Parkinson’s syndrome, Dementia, female gender, mood stabilizers, cardiac arrhythmia, and ECT. Edmonson et. al established, “The Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT) specific to the psychiatric, geriatric population and found initial testing of EPFRAT to have higher sensitivity in assessing fall risk in the geri-psych inpatient population” (Edmonson, Robinson, & Hughes, 2011). This project purpose is to investigate and explore whether an Edmonson Fall risk assessment Toll decreases patient falls in inpatient geri-psych units. Stakeholders and Change
The National Patient Safety Goal (NPSG) for falls in long term care facilities is to identify which patients are at risk for falling and to take action to prevent falls for these residents. (NPSG.09.02.01). There are five elements of performance for NPSG: 1. Assess the risk for falls, 2. Implement interventions to reduce falls based on the resident’s assessed risk, 3. Educate staff on the fall reduction program in time frames determined by the organization, 4. Educate the resident and, as needed, the family on any individualized fall reduction strategies, and 5. Evaluate the effectiveness of all fall reduction activities, including assessment,
When the nursing team rounds on their patients hourly it is shown to have a relationship with a decrease call light use, falls, pressure ulcers, decrease in patient anxiety and increase in patient satisfaction rates (Ford, 2010). When hourly rounding does not occur on a hospital and patients cannot predict when the nurse will be available for physical and emotional assistance this can lead to patient consequences. When a patient cannot predict when the nurse will be available to assist or discuss can concerns that patient’s has can lead to an increase the patient’s anxiety level (Mitchell, Lavenberg, Trotta, & Umscheid, 2014). When a patient’s anxiety levels rises, the patient will try to compensate with inappropriate coping mechanisms such as, the patient trying to go to the
Hospitalized patients are often hooked up to monitoring devices such as heart monitors, which monitor the electric activity of the heart, or connected to a physiological monitor so their vital signs are constantly being measured. These monitors are intended to continuously assess the patients’ status, and alarm if the patients’ status drops below what is considered normal. The increased use of monitoring devices has created a new phenomenon known as alarm fatigue. According to the ECRI institute (2011), “alarm fatigue occurs when the sheer number of alarms overwhelms staff and they become desensitized to the alarms resulting in delayed alarm response and missed alarms-often resulting in patient harm or even death.” Alarm fatigue has become a major problem within the nursing community and has already had a negative impact on patient safety. Due to the adverse effects alarm fatigue is having on quality patient care, there has been a call to action to find solutions that may deter alarm fatigue. Evidence-based practices involving quality improvement initiatives have been put into effect. The problem has also gained national attention from such institutions as the Food and Drug Administration (FDA) and The Joint Commission (TJC).
Nurses hate it when patients are constantly turning their call lights on. The nurse feels like they are continuously in and out of that room for every little thing. Patients hate it when they wait a long time for someone to show up after pressing their call light. The patient begins to feel that they are not being take care of well and are being ignored. Patient satisfaction surveys state that one of the top complaints from patients were call lights not being answered in a timely manner. There has been evidence to prove that if facilities implement hourly rounding into their daily routine patient satisfaction goes up and call light use is greatly reduced. It is also proven if patient satisfaction goes up more nurses are satisfied with their job performance and can take care of their patients better.
When the nursing team hourly rounds on their patients it is shown to have a unique relationship. There is a decrease call light usage, decrease in falls, decrease patients developing pressure ulcers, and decrease patient anxiety. With hourly rounding patient
Theis, J.L., & Finkelstein, M.J. (2013). Long-Term Effects of Safe Patient Handling Program on Staff Injuries. Rehabilitation Nursing, 39, 26-35. DOI:10.1002/rnj.108
A fall is an “untoward event which results in the patient coming to rest unintentionally on the ground” (Morris & Isaacs, 1980). When it comes to patient safety in health care, there isn’t any subject that takes precedence. Patient falls are a major cause for concern in the health industry, particularly in an acute-care setting such as a hospital where a patient’s mental and physical well being may already be compromised. Not only do patient falls increase the length of hospital stays, but it has a major impact on the economics of health care with adjusted medical costs related to falls averaging in the range of 30 billion dollars per year (Center for Disease Control [CDC], 2013). Patient falls are a common phenomenon seen most often in the elderly population. One out of three adults, aged 65 or older, fall each year (CDC, 2013). Complications of falls are quite critical in nature and are the leading cause of both fatal and nonfatal injuries including traumatic brain injuries and fractures. A huge solution to this problem focuses on prevention and education to those at risk. ...
Wu, A. W. (2011). The value of close calls in improving patient safety: Learning how to avoid
Nurses play an important role to facilitate these programs successful. Fall can have happened to any patient’s at any age or due to physiological changes such as medications, medical conditions. It is very important that nurses to follow evidence- based fall prevention management initiative- purposeful rounding to reduce fall in hospital
Fall prevention needs to be the target of many hospitals. Falls occur each year in hospitals and can be detrimental to the patient, especially the elderly patient (Peel, Travers, Bell, & Smith, 2010). Falls can lead to broken bones, longer stays in the hospital and potentially can lead to death. Falls are expensive to both the patient and the hospital (Trepanier & Hilsenbeck, 2014). This paper would like to take a look at a strategic action plan that would help to prevent falls. This plan of action will includes organizational changes that are geared towards fall prevention. The second part of this paper will include an evaluation plan that is designed to measure and monitor the plan.
Patient falls is one of the commonest events within the healthcare facilities that affect the safety of the patients. Preventing falls among patients requires various methods. Recognition, evaluation, and preventing of patient falls are great challenges for healthcare workers in providing a safe environment in any healthcare setting. Hospitals have come together to understand the contributing factors of falls, and to decrease their occurrence and resulting injuries or death. Risk of falls among patients is considered as a safety indicator in healthcare institutions due to this. Falls and related injuries have consistently been associated with the quality of nursing care and are included as a nursing-quality indicator monitored by the American Nurses Association, National Database of Nursing Quality Indicators and by the National Quality Forum. (NCBI)
Nurse staffing is a complex issue. There are many factors which need to be considered when staffing a nursing unit. Evidence shows an association between Registered Nurses (RNs) having decreased workloads and better patient outcomes, including a decrease in patient mortality (Aiken et al., 2011; Needleman et al, 2011; How Lin, 2013; Patrician et al., 2011; Wiltse-Nicely, Sloane, Aiken, 2013). A small percentage of patients expire during their hospitalization as evidence suggests that a portion of these deaths can be attributed to RN staffing levels (Shekelle, 2013). As the reimbursement system for hospitals today emphasizes quality outcomes, this has an increase in the importance of the nurse’s role in patient care (Frith, Anderson, Tseng, & Fong, 2012). The quality of care is effected when there are higher RN-to-patient ratios. Mortality rates can be decreased by 50% or more when there is a lower RN-to-patient ratio. The morale of nursing staff and the hospital’s reputation are effected when there is a large nurse turnover and poor patient outcomes (Martin, 2015; Knudson, 2013). Having adequate nurse staffing levels saves lives (Martin, 2015). The purpose
The population is the patient amount. The direct outcome is a decreased mortality rate. A higher nurse to patient ratio would be the dependent variable. The specific question regarding a qualitative res...
Historically, the nursing profession has been actively involved in the health promotion and disease prevention among the general public. However, while caring for others, nurses often neglect their personal safety, which ultimately results in the high level of work-related injuries. Failure to timely address risk factors for nursing can have dire consequences for patient outcomes, since it is often associated with increased medication errors and patient falls, poor quality of care, and permanent disability of the nursing staff (Stokowski, 2014).