Smith, N. H., Timms, J., Parker, V. G., Reimels, E. M., & Hamlin, A. (2003, January). The impact of education on the use of physical restraints in the acute care setting. The Journal of Continuing Education in Nursing, 34(1), 26-33.
Literature review of pain prevalence among older residents of nursing homes. Pain Management Nursing, 4(11), Retrieved from http://www.medscape.com/viewarticle/734065
References Chen, s, & Wang, h. (2007). The relationship between physical function, knowledge of disease, social support and self-care behavior in patients with rheumatoid arthritis. Journal of Nursing Research, 15(3),183-92. Makelainen , P, Vehvilainen-Julkunen, K, & Pietil, A. (2009).
In clinical experience, it is seen that many patients in the Intensive Care Unit (ICU) are on mechanical ventilation. These patients range from having head trauma, heart surgery and respiratory problems yet there is no clear, concise systematic standard oral care procedures noted on the different floors in the hospital. Oral care is a basic nursing care activity that can provide relief, comfort and prevention of microbial growth yet is given low priority when compared to other critical practices in critically ill patients. The Center for Disease Control reveals that Ventilator-Associated Pneumonia (VAP) is the second most common nosocomial infection that affects approximately 27% of critically ill patients (Koeman, Van der Ven & Hak, 2006). The purpose of this paper is to explore Lewin’s change theory in the clinical setting by implementing standard oral care on preventing VAP thereby improving patient care.
Anesthesiol Clin. 2009;27(3):377-389. Gretchen, R & Stephen, S. (2012). Polypharmacy in Older Adults at Home: What It Is and What to Do About It— Implications for Home Healthcare and Hospice, Home Healthcare Nurse, 30(8), 474-485. Retrieved from http://www.nursingcenter.com/ Iglarsh, H. (2013).
Contributing factors that perpetuate ineffective patient-provider communication include the lack of a systematic method for nursing assessment, evaluation, and monitoring of patient-provider communication needs and interventions and a lack of standardized training of healthcare providers” (Patak, 2009, p. 372). The authors have thoroughly reviewed research conducted on effectiveness of nurse communication with their colleagues with complex communication needs. Another study conducted by Case, & W... ... middle of paper ... ...(2007) Respite: Cultural Values in North American and Caribbean Caregiving. Canadian Journal of Communication, Vol 32 401-415 Jansen, J., van Weert, J., de Groot, J., van Dulmen, S., Heeren, T. J., & Bensing, J. M. (2010). Emotional and informational patient cues: the impact of nurses’ responses on recall.
Many nurses face the issue of understaffing and having too much of a workload during one shift. When a unit is understaffed not only do the nurses get burnt out, but the patients also don’t receive the care they deserve. The nurse-patient ratio is an aspect that gets overlooked in many facilities that could lead to possible devastating errors. Nurse- patient ratio issues have been a widely studied topic and recently new changes have been made to improve the problem. Identifying and maintaining the appropriate number of mixed nursing staff, RN/LPN/CNA, is critical to the delivery of quality patient care.
Cummings, Sherry M. “Adequacy of discharge and rehospitalization among hospitalized dementia patients.” Health & Social Work. Nov. 1999. ProQuest. Web. 20 Oct. 2011.
Overcoming burnout: how to revitalize your career. Journal of Continuing Education in Nursing, 37(4), 178-184. Hou, T., Wang, S., Lin, C., & Chen, C. (2009). A study of job stress, stress coping strategies, and job satisfaction for nurses working in middle-level hospital operating rooms. Journal of Nursing Research, 17(3), 199-211.