Traditionally, nursing staff active provides care depends on patient 's request communicated through the call bell system. However, hourly rounding method changed the nursing staff waiting to the call bell to the hourly rounding to meet the patient 's needs proactively. Hourly rounding Revealed by the Studer Group, it is another way of regulating existing work. The design is to meet the patients needs and ensure patient safety (Ford, 2010). By addressing the 4Ps that are assessing patient 's pain, reposition the patient, patient 's personal needs, placement of patient 's bedside items within reach (Ford, 2010). The history of the concept of rounding started in the late 1980s as a solution of the increasing in complaints from the patient and the physicians, in a medical center in Birmingham (Hourly Patient Rounding - ADVANCE for Nurses. n.d.). Currently, health care system facing the new challenge...
... middle of paper ...
...e practice. To implementation, the change also needs to improve the nurse’s knowledge of a situation, provide interpretation of practice dynamics, and develop problem-solving skills for clinical problems (Grove, Gray, & Burns, 2015).
The fifth phase is the evaluation. The impact of the implementation change on the healthcare institution, personnel, and patients are evaluated. The evaluating method can be formal and informal exercises led by administrators, nurse clinicians, and other health professionals. The Informal evaluations can be discussions with patients, families, co-workers, and other professionals. The Formal evaluations could be case studies, quality enhancement, and translation of the outcomes. The goal is to use the research evidence to facilitate the implementation the evidence-based plan of the change in nursing practice (Grove, Gray, & Burns, 2015).
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- Introduction Falls are a big concern for all employees in a hospital setting daily. The worst thing that can happen to a patient while being hospitalized is a fall, or a major fall, that could result in skin damage (i.e. wounds, skin tears, or abrasions), a fracture or break, thus limiting their independence. This student’s goal was to develop a way to educate staff members in ways they can help reduce the number of falls that occur. Developing a sample Fall Risk Prevention Policy as well as a Staff in-service on fall risk and Prevention achieved this goal.... [tags: Reflective Nursing Practice]
972 words (2.8 pages)
- Mr. Brown is a 45 year old male who has been diagnosed with type 2 diabetes mellitus (T2DM), peripheral arterial disease,(PAD), and hypertension (HTN). Mr. Brown requires immediate intra venous therapy of normal saline to re-hydrate and correct his electrolyte imbalance. Mr. Brown was admitted to the ward following a revascularization procedure on his anterior lower right leg, and has a history of Hyperosmolar Hyperglycaemic Nonketotic Syndrome (HHNS) which is a combination of hyperosmolality of extracellular fluid, resulting in dehydration of intracellular fluid, combined with hyperglycaemia, which is defined by a blood glucose level (BGL) over 11mmol/L (Berman, 2012).... [tags: Diabetes Management Plan]
2803 words (8 pages)
- The difficulty that may arise when addressing the principle of beneficence, lies in determining what exactly is “good” for another person, and who can best make that decision (Aiken, 2004). When determining whether or not an action is “good”, considerations must be made about outcomes and benefits, both present and future, and personal or communal, as well as rights and costs to the patient (financial, loss, etc.) (Ivanov and Oden, 2013). Sometimes the obligation of beneficence can conflict with respecting patient preferences and patient rights (autonomy).... [tags: Patient, Health care provider, Physician]
954 words (2.7 pages)
- A common healthcare acquired infection that is seen both inside and outside of the hospital is methicillin-resistant Staphylococcus aureus (MRSA). MRSA can have detrimental effects on the patient and is usually acquired within the hospital setting. The PICOT statement has many important aspects to include such as: population, intervention, comparison, outcome, and time, which is used to produce an evidence-based question. According to Schmidt & Brown (2012), the PICOT statement is used in evidence-based practice is to make decisions about patient care based on evidence with clinical expertise appraisal and current research while also considering patient preferences and values.... [tags: Health care provider, Patient, Health care]
1689 words (4.8 pages)
- SCHIZOPHRENIA BREAKTHROUGH or BEING IN THE CELL Balayan Alisiya Los Angeles Valley College Schizophrenia is a serious chronic and severe mental disorder that can affect person’s thoughts, behavior and feelings (NIMH, 2016). Schizophrenia also may affect person’s touch with reality, as well as hearing voices or seeing unrealistic images, which in a long-term can be problematic to cure. Although, schizophrenia is not very common mental disorder, only 200,000 cases per year in the United States, it still remains to be undiscovered fully in medical world (Mayo Clinic, 2016).... [tags: Schizophrenia, Mental disorder, Psychology]
1057 words (3 pages)
- Patient falls in the hospital is a serious issue and challenging problem that could lead to prolonged hospital stay, longer recovery time for patients, increased costs for hospitals, and a source of distress and anxiety for patients, nurses, and families. Patient falls can cause minor or major serious physical injury depending on the situation and the age of the client. In addition to the physical harms, patients can suffer from psychological injuries which make them lose their independence and confidence on themselves and build a lot of anger, distress and fears of falling.... [tags: Patient, Hospital, Health care provider, Nurse]
1329 words (3.8 pages)
- Physical injuries resulting from a fall can reduce mobility and increase morbidity. Falls that not result in an injury can also be harmful to the patient 's independence triggering fear of falling, anxiety, distress, depression, and decreasing physical activity (Leone & Adams, 2016). Injuries from impatient falls lead to prolonged hospital stay and additional resource expense. In United States, patients with fall injuries stay in the hospital an average of 6.3 extra days longer and their care costs an average of $13,000 more in comparison with patients who do not experienced falls during hospitalization (Huey-Ming, 2015).... [tags: Hospital, Patient, Patient safety, Safety]
1308 words (3.7 pages)
- Introduction The American Nurses Association (ANA) defined discharge planning as, "part of the continuity of care process which is designed to prepare the patient for the next phase of care and to assist in making any necessary arrangements for that phase of care" (Rose, 2010, P. 47). Discharge planning is a continued and ongoing process that allows the health care team to bring the patient to an appropriate level of care. Significant amounts of research supports that preparing the family for discharge has become more complex over the last several years.... [tags: care process, health literacy, nursing]
1720 words (4.9 pages)
- Introduction Different research article will be analyzed together with the appraised in an effective and proper manner would be discussed in this research paper. These research articles will focus on the specific evidence that supports the problem, and proposed solution. It should be noted down that from the analysis of different research article problem statement such as: At risk for falls hospitalized patients that would be represented in order to fully achieve the outcomes of this research paper.... [tags: Health care, Patient, Health, Public health]
3096 words (8.8 pages)
- “A lot of what we "know" about other nations ' approach to health care is simply myth.” (Reid, 2013) Mr. T Reid said this quote best. We simply do not know enough about healthcare to form a judicious opinion on it. Healthcare is the number one field that is always changing and the changes are so vast that most cannot keep up with them. Many American’s, myself included have a hard time understanding the altering healthcare field and are always struggling to keep up with the modifications. “Prior to 1800, medicine in the United States was a “family affair.” (Mark David, 1999) In the 1800’s when a family member was ill the family would band together to help the ill person with healing.... [tags: Health insurance, Health care, Health economics]
1768 words (5.1 pages)
- The Solution Of The Refugee Crisis
- What I Have A Successful Personality And Duplicate It
- Should College Professors Be More Like High School Teachers?
- William Shakespeare 's ' Nero ' Messalina And Agrippina The Younger
- Leadership Goals And Objectives Of Leadership
- Should Animals Be Used For Research?