An effective discharge instruction is one of the most important factors that enhances the health care system development and provides complete patient care satisfaction.Throughout the health care system there have been many studies and researches to find out what is the main cause of the negative patients outcome in acute health care system. The Quality and Safety Education for Nurses (QSEN) emphasis on finding out the lack and an adequate sources that affects the general out come patients in acute health care facilities. Currently the QSEN main goal and concentration is empowering and educating the future nurses of their knowledges, skills and attitudes to help improve the general health care outcome.This goal includes intergrading an effective discharge teaching in Patient-Centered Care. (Preheim, G. J., Armstrong, G. E., & Barton, A. J. 2009 p.694)
Following the QSEN Patient-Centered-Care guideline, the main goal of health care providers for patients during the hospital stay is to simplify the transitions from the hospital to the home http://qsen.org/competencies/graduate-ksas/>. The process includes offering the ultimate care in hospital and applying quality discharge teaching. Such care includes specific discharge instructions and training about how, when, what and why certain medications and other type of procedures must be followed. At my current clinical site, Bridgman Women's Faulkner Hospital nurses use computerized daily discharge teaching. On every shift nurses must reinforce and encourage patients to practice discharge planning during their hospital stay and document the response. However, due to the limited time nurses and patients interact, nurses can no longer find enough time to fully understand patients readine...
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...duces re-hospitalization. One must understand that providing a multi-cultural patient care center will promote patient satisfaction.
As a consequence, older adults also suffer from many disturbances in the transition from hospital to home. Many elderly patients suffer from not having properly understood their discharge planning and medication regimen, and having limited access to their health care providers (Bobay et al 2010, p.178). Older adults usually appreciate the high care they receive while hospitalized and mostly they fail to realize how much help they need with their daily activities until they arrive at home. They are usually timid to request more information from the nurse regarding discharge teaching because they want to avoid being perceived as ungrateful (Bobay et al, 2010, p.179). Bobay et al (2010) further claim that failure to evaluate elder adult
According to Statistics Canada Report 2013, “life expectancy in Canada is one of the highest in the world” and it is expected to grow, making the aging population a key driver to our health-systems reform. By 2036, seniors in Canada will comprise of twenty five per cent of the population (CIHI, 2011). Seniors, those aged 65 years and older are the fastest growing population in Canada. Currently there are approximately 4.8 million Canadians aged 65 or greater. It is projected that this number will increase to 9 to 10 million by 2036 (Priest, 2011). As the population get aged the demand for health care and related services are expected to increase. Currently, the hospitals in Ontario are frequent faced with overcrowding emergency departments, full of admitted patients and beds for those patients to be transferred to. It has been reported that 20% of the acute care beds in the hospital setting are occupied by patients that do not require acute hospital care. These patients are termed Alternate Level of Care (ALC). ALC is “When a patient is occupying a bed in a hospital and does not require the intensity of resources/services provided in this care setting (Acute, Complex, Continuing Care, Mental Health or Rehabilitation), the patient must be designated Alternate level of Care at that time by the physician or her/his delegate.” (Ontario Home Care Association, 2009, p.1).
The QSEN initiative is the progression of quality and safety of education for nurses that began in 2005 and has been continued over the past eight years. It is a multi-phase process that shows current and future nurses how to apply knowledge, skills, and attitudes to their everyday nursing activities(QSEN, 2013, 1). Nurses and student nurses can use their knowledge, skills and attitudes to help prevent never events such as hospital acquired conditions. Never events are medical errors that could have been serious and preventable. They could have been caused by poor communication, lack of proper nursing skills, or simply just negligence. QSEN can also be used to improve nursing outcomes for everyone involved in the healthcare field.
Nurses are key components in health care. Their role in today’s healthcare system goes beyond bedside care, making them the last line of defense to prevent negative patient outcomes (Sherwood & Zomorodi, 2014). As part of the interdisciplinary team, nurses have the responsibility to provide the safest care while maintaining quality. In order to meet this two healthcare system demands, the Quality and Safety Education for Nurses (QSEN) project defined six competencies to be used as a framework for future and current nurses (Sherwood & Zomorodi, 2014). These competencies cover all areas of nursing practice: patient-centered care, teamwork and collaboration, evidence-based practice, quality
Responsibilities of nurses in patient education are helping patients learn health-related behaviors to achieve the goal of optimal health and independence in self-care. It is also the responsibility of the nurse to assess the patients’ learning needs, readiness to learn, and learning styles. Needs and problems of individual patient and family are very important (Wingard, 2005). Some patients need information to understand more about their health condition and how to overcome or prevent the complication of disease. The others may interest in improving quality of life with current diseases. Patients’ problems include patients’ culture, race, ethnicicy, religious orientation, socioeconomic status, age, gender, educational background, literacy level, and emotional state (Wingard, 2005). Next, nurs...
Inadequate patient teaching: Can be difficult for the primary nurse when patients are admitted and discharged within 48
Nursing provides the best quality of care by exercising six models formulated by QSEN: patient-centered care, teamwork, and collaboration, evidence base practice, quality improvement, safety and informatics (Competencies, n.d.). Following the competencies set forth by QSEN decreases errors and gives patients the care they desire and
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
Over the past few decades, the necessity for this relationship between patient and nurse has increased immensely. In recent years, the health-care industry has emphasized on the provision of patient-centered care to generate effective care, to furthermore increase the satisfaction of the patient. The capability to convey patient centered care is recognized as a fundamental characteristic of expert nursing.
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
Education for registered nurses provides significant benefits to the nursing career and therefore, it is imperative. As a registered nurse, education has influenced my practice at the hospital considerably. One of the major areas influenced by education is caring for patients. As a nurse, caring for patients is one of their primary responsibilities. Education for nurses emphasizes the need to show care and empathize with the patient besides providing competencies and knowledge for the nurse clinician (American Associations of Colleges of Nursing, 2014). While care is something intrinsic, educators strategize on learning situations and teaching designs
older adults. Journal of Nursing Education, 47(6), 269-271. Retrieved from CINAHL Plus with Full Text database.
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
An important step to decrease an ageist attitude is to take a step back and recognize biases and preconceived ideas that one has about older adults (DeBrew, 2015). Recognizing biases in combination with furthering one’s education about the effects of aging and the specific needs of older adults will help increase compassionate care. To allow for effective interventions it is important that the nurse understand that illness and infection manifest differently in older adults than they do in the younger population (DeBrew, 2015). In addition, through ethnographic study it was found that when nurses spend time doing activities with older adults it helps strengthen relationships and sense of community between care providers and elderly patients (DeBrew, 2015). According to the article, “occupational therapists who worked with older adults felt ‘stigmatized’ by their peers because their work was viewed as less challenging and requiring less skill and intellect than caring for other populations” (DeBrew, 2015). To promote compassionate patient care it is important that nurses and other professionals get support from their peers to confirm that their work is not insignificant and looked down upon. Finally, include the older adult while creating the plan of care to show them that they are a valued part of their healthcare
... and nurses, have greatly improved in their efforts to provide quality care to patients, there are still important clinical components that need further improvement on. By being more efficient in resource utilizations and in the documentations of patient information, hospitals can be greatly benefited in terms of reduced costs, time, and errors, while increasing patient satisfactions. Furthermore, by incorporating indicators in assessing performance and taking steps to find opportunities in improvements, hospitals can decrease certain types of undesirable conditions and events that occur while further increasing the quality of care and delivering safer performance. Resolving the current gaps in care would lay the ways to excellence in clinical quality of care which leads to better patient outcomes, ultimately leading to better health of the community as a whole.
Nurses are one of the most valuable resources in any healthcare organization (Longest, Rakich, & Darr, 2006). Nurses play an important role as members of the multidisciplinary healthcare teams. Nurses help organizations to achieve its mission and vision and meet its goals and objectives. Nursing care is vital to the provision of the healthcare delivery system in promoting health and wellness, preventing illness, restoring health, caring for disabled, and helping dying patients and their families (Catalano, 2006). The promotion of quality of nursing care and the safety of nursing practice takes place through nursing education and ensuring clinical practices meet evidence-based practice, accreditation, and certification requirements (Ironside,