Download or read book Validation and Documenting Hourly Rounding Reduces Falls on Medical Surgical Units written by Irene Ondieki and published by . This book was released on 2018 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls impact the elderly population in United States and can lead to minor or major injuries to patients. Hourly rounding is a systematic proactive nurse driven action where nurses are able to anticipate patients' needs and address them to prevent falls. The purpose of this quantitative correlational and descriptive project was to implement a standardized process of hourly rounding that required documentation and validation of hourly rounding by nursing staff to reduce falls on an adult medical surgical unit. In acute care medical surgical units, do units that validate and document nursing hourly rounds have a decreased rate of falls compared to units who do not validate and document hourly rounding? The theoretical framework which guided this quality improvement project was Donabedian's model of structure, process, and outcomes. A Pearson correlation measured number of falls and hourly rounding resulting in (r= -.035). The negative relationship between number of falls and hourly rounding indicated significance between the two variables. The statistical significance was (p=.823). The sample size was (N=109) for all patients admitted during the two weeks' time frame. This project was conducted in a 316 bed teaching hospital in the northeast United States. While this project showed a reduction in the fall rate from 3.52 per 1,000 patient days to 1.82 during project phase, additional time is required to support documenting and validating rounds helps in decreasing falls. Based on the findings of this project, documentation and validation of hourly rounding may be beneficial and applicable for future practice by increasing awareness of patient safety and accountability among staff.

Download or read book Impacting Patient Care Experiences Hourly Rounding written by Michelle R Johnson Hernandez and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Impacting Patient Care Experiences with Hourly Rounding My global aim consists of cultivating communication and staff responsiveness within a busy, nursing unit in an urban setting within a San Francisco hospital; thereby improving the patient's perception of staff responsiveness by reducing call lights and patient falls by 25% within three months. The patient population consists of cardiovascular and thoracic post-operative surgical patients of all ages primarily adults. The implementation of the evidence based practice of hourly rounding has been proven to increase overall patient satisfaction by improving staff responsiveness and increasing patient safety within many hospitals. The measurement of effectiveness and success will be evidenced by seeing an increase in patient care scores and a reduction of falls within the unit; when these metrics are met, there is data that proves that this evidence based practice will drive the results we are looking for. In this microsystem, there are many indicators that a more efficient workflow is necessary to be established. There is the constant sound of call lights ringing about an estimated 12-15 in an eight hour shift for non-urgent needs. Upon interviewing many staff, I found there was an inconsistent way and lack of education on how hourly rounds should be performed. Basic patient needs were not addressed within each visit from a staff member. By using a process map, timeline, PDSA, Lewin's Change Theory, SWOT analysis and graphs, I can show you my process of improving staff responsiveness within the nursing unit. In conclusion, as a Clinical Nurse Leader and patient advocate, I have utilized the information gained from the microsystem data and implementation of hourly rounding, thereby proving how to improve quality, safety and patient care experiences within the busy, medical surgical nursing unit with the evidence based practice of hourly rounding.

Download or read book Scripted Hourly Rounding to Improve Patient Satisfaction and Fall Rates written by Beth Gottier and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Increasing patient satisfaction and preventing falls in hospitalized patients are ongoing challenges that face inpatient nurses every day. Hourly rounding is a systematic practice of bedside rounding that includes specific actions and it is done on a predetermined time interval. A 32-bed medical/surgical unit at Eastern Connecticut Health Network's Rockville Hospital adapted a pilot program of scripted hourly rounding into their practice. Significant improvements were demonstrated in the above variables.

Download or read book Taylor s Clinical Nursing Skills written by Pamela Lynn and published by Lippincott Williams & Wilkins. This book was released on 2018-10-05 with total page 1716 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher’s Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Taylor’s Clinical Nursing Skills: A Nursing Process Approach Fifth Edition Pamela Lynn, EdD, MSN, RN Confidently meet the challenges of person-centered nursing practice! From basic nursing processes to advanced clinical capabilities, Taylor’s Clinical Nursing Skills: A Nursing Process Approach helps you hone your cognitive, technical, interpersonal, and ethical/legal capabilities and master patient interaction, clinical reasoning, and communication skills essential to safe and effective person-centered care. Step-by-step, evidence-based guidelines walk you through common practices and simplify complex procedures, accompanied by key considerations for documentation, delegation, and other tasks you’ll encounter throughout the nursing process, from your first day on the job to every stage of your nursing career. Step-by-Step Skills are presented in a concise, straightforward, and simplified two-column format facilitating competent performance of nursing skills. Scientific Rationales accompany each nursing action to promote a deeper understanding of the basic principles supporting nursing care. Unexpected Situations highlight abnormal outcomes while providing explanations of how to react to provide the best care. Evidence for Practice boxes present current best practice guidelines and up-to-date research relevant to the skills. A Nursing Process Framework integrates related nursing responsibilities for each of the five steps. Skill Variations provide clear, start-to-finish instructions for variations in equipment or technique. Documentation Guidelines guide you through accurate documentation of skills and findings. Hand Hygiene icons alert you to this crucial step that prevents the spread of microorganisms. Patient Identification icons help you ensure the right patient receives the intervention and prevent errors. Delegation Considerations assist you in developing the critical decision-making skills needed to transfer responsibility for the performance of an activity to another individual.

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Download or read book Fundamentals of Nursing E Book written by Patricia A. Potter and published by Elsevier Health Sciences. This book was released on 2021-12-22 with total page 1542 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW content includes topics such as clinical judgment, COVID-19, compassion fatigue, gun violence, patient safety, the opioid epidemic, and device addiction. NEW! Next Generation NCLEX®-style questions with cases are provided on the Evolve website to prepare you for these challenging new question types. NEW! Nursing Process and Clinical Judgment steps are coordinated so that you can quickly understand how both models drive their nursing care. NEW objectives are clearly and precisely tied to content, making it easier to find relevant information.

Download or read book Integrating Evidence into Practice for Impact An Issue of Nursing Clinics of North America written by Debra Mark and published by Elsevier Health Sciences. This book was released on 2014-09-28 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue begins with an overview that distinguishes evidence-based practice (EBP) and translation science, followed by a description of Hawaii’s statewide EBP program that uses active and multifaceted translation science strategies to facilitate the rate and extent of adoption of EBP changes. With one exception, the remaining articles describe individual EBP projects from five different health care facilities that used the Iowa Model to guide their work. Each article includes an evidence summary, a description of implementation strategies, an evaluation of the innovation, and lessons learned. These completed projects were initiated between 2009 and 2012, address a variety of topical nursing issues, and, for the most part, focus on preventing complications (ie, blood sugar elevations, increased lengths of stay, extubation failures, noise-related injury, pain, surgical site infections, pneumonia, restraint use, delirium, and fever). An additional article describes the use of evidence to inform simulation-based learning, a possible strategy for ensuring competencies in and compliance with EBP interventions. Nursing leaders will come away with solid information about utilizing EBP to improve patient outcomes. The Hawaii program demonstrates that health care quality can be realized by employing the best available evidence and empowering the nursing workforce. It also offers a glimpse of the care that the future nursing workforce could provide to create a health system that provides accessible, affordable and quality care to everyone in the United States.

Download or read book Geriatrics Models of Care written by Michael L. Malone and published by Springer Nature. This book was released on 2024 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following the success of the previous edition, the second edition of Geriatrics Models of Care is the definitive resource for systems-based practice improvement for the care of older adults. Several new models of care have been published in the last eight years, new outcomes have emerged to better understand the impact of existing models, and with the rise of the Age-Friendly Health Systems movement, promoting organized efforts to prepare our health care settings for older individuals is of more importance than ever. The second edition is organized based on the practice setting along a continuum of care: hospital, transitions from hospital to home, outpatient settings, and the emergency department. This book also highlights long-term care models, which is an important part of the continuum of care for older Americans. Further, this edition features models that address the needs of vulnerable populations. This new section will describe a spectrum of programs for older adults who have Alzheimer’s disease or Parkinson’s disease. Other models describe best practices for older adults undergoing surgery or those who want to remain functioning independently in their home. A defining feature of this book is that each chapter follows a standard template: 1) the challenge which led to the model; 2) the patient population served; 3) core components of the intervention; 4) the role of interdisciplinary health professionals; 5) evidence to support the intervention; 6) lessons learned in the implementation and dissemination of the model; 7) implications for family caregivers, and communities (particularly underserved and diverse communities); and 8) how each model will provide care across the continuum during an entire episode of care. In addition, each chapter features a “call out” box with practical tips for implementing the model.

Download or read book Acute Care for Elders written by Michael L. Malone and published by Springer. This book was released on 2014-07-21 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care. Acute Care for Elders: A Model for Interdisciplinary Care is of great value to geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients.

Download or read book Lewis s Medical Surgical Nursing E Book written by Mariann M. Harding and published by Elsevier Health Sciences. This book was released on 2022-07-02 with total page 1829 pages. Available in PDF, EPUB and Kindle. Book excerpt: **American Journal of Nursing (AJN) Book of the Year Awards, 1st Place in Medical-Surgical Nursing, 2023** **Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Medical/Surgical** Gain the knowledge and skills you need to succeed in medical-surgical nursing with this leading textbook! Lewis's Medical-Surgical Nursing, 12th Edition uses a conversational writing style, a focus on nursing concepts and clinical trends, evidence-based content, and basic pathophysiology review to provide the solid foundation needed in a rapidly changing healthcare environment. Comprehensive chapters cover topics including nursing management and collaboration, health promotion, acute interventions, and ambulatory care. Summary tables and boxes make it easy to find essential information, and a building-block approach makes even the most complex concepts simple to grasp. In addition to three new chapters, this edition includes a stronger focus on the nursing process, clinical judgment, and preparation for the Next-Generation NCLEX® Examination.

Download or read book Ebersole and Hess Gerontological Nursing Healthy Aging E Book written by Theris A. Touhy and published by Elsevier Health Sciences. This book was released on 2021-04-07 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gain the nursing skills you need to provide wellness-based care for older adults! Ebersole and Hess' Gerontological Nursing & Healthy Aging, 6th Edition uses a holistic approach to describe compassionate care along a continuum of wellness. Designed to promote healthy aging regardless of the patient’s situation or disorder, this text provides best-practice guidelines in covering physical, psychosocial, spiritual, and cognitive health. New to this edition are Next Generation NCLEX®-style case studies, updates on measuring clinical judgment, expanded coverage of core competencies, and more. Written by gerontological nursing experts Theris Touhy and Kathleen Jett, this concise text provides a solid foundation in every aspect of healthy aging. Focus on health and wellness provides the evidence-based information and strategies needed to promote healthy aging. Key concepts, learning activities, and discussion questions in every chapter emphasize the information needed to enhance care. Recommended competencies from the AACN and the Hartford Institute for Geriatric Nursing are integrated throughout. Discussion of disease processes is placed in the context of healthy adaptation, nursing support, and responsibilities. Easy-to-use information on nursing techniques and communication appears with the associated disorders, symptoms, and situations. Tips for Best Practice and Resources for Best Practice boxes provide insight into proven methods of nursing care. Discussions of nursing and interprofessional actions help students learn to enhance wellness, maintain optimal function, and prevent unnecessary disability. Coverage of age, cultural, racial, and gender differences highlights these important considerations in caring for older adults. NEW! Updates reflect the NCSBN Clinical Judgment Model. NEW! Next Generation NCLEX® (NGN)-style case studies provide optimal preparation for the Next Generation NCLEX Examination. NEW! Specialized information addresses the unique needs of older adults such as atypical disease presentation, geriatric syndromes, neurocognitive disorders, quality of life with chronic illness, legal and ethical issues, and mental health challenges such as depression and substance abuse. NEW! Coverage of competencies of expanding nursing roles in the care of older adults addresses the continuum of care. NEW! Gerontological expertise is incorporated into nursing actions and complements other nursing texts (including med-surg, community health, mental health, and assessment books) used in programs without a freestanding gerontological nursing course. NEW! Expanded content includes information on COPD guidelines, medication use and misuse, Alzheimer’s Disease, wound care guidelines, diagnosis and treatment of sleep-disordered breathing, joint replacement, caregiver strain, hospice and transitional care, and more.

Download or read book Ways of Knowing and Caring for Older Adults written by Mary M. Burke and published by Jones & Bartlett Learning. This book was released on 1993 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: These are exciting and challenging times for gerontological nursing. N urses are at center stage for defining and improving health care for o ur nation's older adults. "Ways of Knowing and Caring for the Older Ad ult" is a powerful resource on the broad range of issues that face nur ses seeking excellence in this increasingly important specialty. Any h ealth care professional who works with the elderly will benefit greatl y from this outstanding collection of scholarly and experiential paper s.

Download or read book Evaluating Research for Evidence Based Nursing Practice written by Jacqueline Fawcett and published by F.A. Davis. This book was released on 2008-08-22 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Where is the evidence in a nursing research study? What is the evidence? How good is the evidence? And, how is it relevant to providing evidence-based nursing care? Ensure that students can meet the AACN’s (American Association of Colleges of Nursing) goal of identifying valid research findings and using them to determine if they are providing care that is supported by evidence.

Download or read book Evidence Based Geriatric Nursing Protocols for Best Practice written by Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN and published by Springer Publishing Company. This book was released on 2024-09-26 with total page 671 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for previous editions: "The evidence-based protocols are designed as a primary reference and are useful, substantive, and timely....The broader contributions of useful format and succinct review of the evidence make it likely that this text will continue to be the leading resource in nursing education and practice." --The Gerontologist "As a gerontological clinical educator/research nurse, I will often use this as a reference. The format and the content are good, and the explanations of how to best use the evidence simplify the process of sifting through mountains of information to figure the best practice." Score: 97 --Doodys The result of a collaboration between expert practitioners and educators in geriatric nursing, the seventh edition of this acclaimed reference has been updated and revised with new information on chronic conditions and emerging models of care presented in 10 completely new chapters. It provides the most current, evidence-based protocols for improving both quality of care and patient outcomes when caring for older adults in multiple disciplines and settings. As in past editions, the seventh edition is distinguished by its use of a rigorous systematic method (AGREE: Appraisal of Guidelines for Research and Evaluation) to improve the validity of the book's evidence-based content. Chapters provide assessment and management principles, clinical interventions, and information on specialty practice and models of care. Included in most chapters are protocols developed for each clinical condition by experts in that specific area. Evidence is current and derived from all settings of care, including community, primary, acute, and long-term care. Protocols include an overview and evidence-based assessment and intervention strategies. Illustrative case studies with discussion are presented in most chapters, along with chapter objectives and references with evidence ratings. Instructor's resources include an AACN Mapping Grid, Course Cartridge, Transition Guide, PowerPoints, and Test Bank. New to the Seventh Edition: Updated to encompass the latest trends in older adult care, chronic conditions, and emerging models of care New chapters on care and management of diabetes and respiratory care New chapters on issues surrounding nutrition and dementia, and mental illness New chapter on care and comfort at the end of life New chapters on adopting principles of diversity, equity, and inclusion and an age-friendly health system into practice New chapters on models of care in long-term, community-based, and primary care Key Features: Delivers easy-to-follow geriatric protocols for best practices Updates evidence regularly to reflect current practice standards Encompasses a broad scope of content including detailed information rarely covered in professional literature Offers case studies and discussions to illustrate application of protocol to practice Written by renowned leaders in geriatric nursing education and practice Use of AGREE (Appraisal of Guidelines for Research and Evaluation) to improve the validity of evidence throughout the text

Download or read book Study Guide for Medical Surgical Nursing E Book written by Sharon L. Lewis and published by Elsevier Health Sciences. This book was released on 2014-03-14 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare for success in the classroom! Corresponding to the chapters in the 9th edition of Lewis' market-leading Medical-Surgical Nursing, this study guide offers a complete review of content and a wide range of activities to help you understand key nursing concepts. Alternate item format questions reflect the most current NCLEX test plan. To make studying easier, answers for all exercises are included in the back of the book. A wide variety of clinically relevant exercises and activities includes NCLEX examination-style multiple-choice questions, prioritization and delegation questions, case studies, fill-in-the-blank questions, anatomy and physiology review, critical thinking activities, and more. Answers to all questions are included in the back of the book, giving you immediate feedback as you study. Additional alternate item format questions incorporating prioritization and delegation are included to better prepare you for the most current NCLEX exam. Attractive two-color design ties the study guide to the textbook.

Download or read book Introduction to Medical Surgical Nursing written by Adrianne Dill Linton, PhD, RN, FAAN and published by Elsevier Health Sciences. This book was released on 2015-02-06 with total page 1411 pages. Available in PDF, EPUB and Kindle. Book excerpt: The leading medical-surgical text for LPN/LVN students, Linton's Introduction to Medical-Surgical Nursing, 6th Edition offers just the right level of information to equip today's students to effectively care for adults and older adults. Covering both medical-surgical and psychiatric mental health conditions and disorders, this comprehensive text addresses the LPN/LVN's role in a variety of care settings, including acute care and long-term care, with a special emphasis on assignment and supervision responsibilities. It also emphasizes culturally competent care and holistic nursing, while thoroughly covering all relevant NCLEX-PN test plan content No other resource offers the breadth of topics at a level that is so perfectly tailored to the LPN/LVN student. Foundational units on basic concepts related to the health care system, care settings, the nursing process, leadership, nutrition, the older adult, growth and nutrition, legal/ethical considerations, evidence-based nursing care, and many more essential topics, avoid repetition later in the text and create a foundation to build your understanding of disorders by body system. Safety alerts are highlighted throughout the text with a Safety Considerations icon. A separate unit on psychiatric mental health nursing covers psychosocial responses to illness, psychiatric disorders, and substance abuse - eliminating the need for a separate psychiatric mental health nursing text. Content related to the NCLEX-PN test plan is emphasized throughout the text, including health promotion, nutrition, legal/ethical issues, HIPAA, and prevention of medication/medical errors. Separate chapters on common, high-profile disorders (including hypertension, diabetes, and shock), provide an in-depth understanding for patient care. Focus on assignment and supervision helps you assign tasks to nurse assistants, patient care techs, and unlicensed assistive personnel, and makes sure they understand the difference between delegation, management, supervision, and assignment of tasks on the health care team. UNIQUE! In-depth pharmacology coverage includes: the Pharmacology Tutorial covering drug classifications, how drugs work, and nursing responsibilities; Pharmacology Capsules boxes providing medication information, precautions for use, interactions, and side/adverse effects; and Pharmacology and Medications tables including classification, use/action, side/adverse effects, and nursing interventions. A separate unit on gerontologic nursing provides comprehensive coverage of the care of the older adult and related disorders. No other LPN/LVN med-surg text offers as much coverage of this primary patient group. Diagnostic Tests and Procedures tables offer quick reference to MRI, CT, Doppler flow, lumbar puncture tests for neurologic disorders, and much more. Health Promotion Considerations boxes highlight timely wellness and disease prevention topics. Patient Teaching Plans provide bulleted lists of nursing instructions for patients, stressing the role and responsibility of the LPN/LVN to reinforce patient education. Nutrition Considerations boxes are spotlighted at appropriate points throughout the text to emphasize the role that nutrition plays in disease and nursing care. Nursing care plans reinforce the nursing process and focus on critical thinking. Cultural Considerations boxes discuss the importance of providing culturally-competent care related to various clinical situations. Put on Your Thinking Cap boxes allow you to pause and consider the practical implications of what you have just read. Get Ready for the NCLEX-PN Examination! sections at the end of chapters include key points, review questions, and case studies that address the various NCLEX Client Needs categories. NEW! Continued emphasis on evidence-based practice and the most current research findings include specific examples of how scientific evidence can justify and support patient care. NEW! Updated nursing diagnoses all reflect the most current NANDA listings for NCLEX compliance.

Download or read book Study Guide for Medical Surgical Nursing written by Susan A. Sandstrom and published by Elsevier Health Sciences. This book was released on 2013-12-02 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare for success in the classroom! Corresponding to the chapters in the 9th edition of Lewis' market-leadingMedical-Surgical Nursing, this study guide offers a complete review of content and a wide range of activities to help you understand key nursing concepts. Alternate item format questions reflect the most current NCLEX test plan. To make studying easier, answers for all exercises are included in the back of the book. A wide variety of clinically relevant exercises and activities includes NCLEX examination-style multiple-choice questions, prioritization and delegation questions, case studies, fill-in-the-blank questions, anatomy and physiology review,critical thinking activities, and more. Answers to all questions are included in the back of the book, giving you immediate feedback as you study.Additional alternate item format questions incorporating prioritization and delegation are included to better prepare you for the most current NCLEX exam.Attractive two-color design ties the study guide to the textbook.