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Search the U.S. Department of Health and Human Services National Guideline Clearinghouse website at http://www.guideline.gov / for a quality guideline that pertains to the area of nursing in which you are interested. Describe the guideline and how the information could be used in a process improvement project. Reference the website.
Quality Guideline: Pressure ulcer prevention. In: Evidence-based geriatric nursing protocols for best practice at http://www.guideline.gov/content.aspx?id=43935.
With the elderly segment of the American population growing more rapidly than any other, there are going to be a number of age-related infirmities that will require informed healthcare services in the future. This quality guideline sets forth best evidence-based practices for the prevention and care of pressure ulcers and skin tears for the clinical specialties of nursing, family practice and geriatrics with intended users including advanced practice nurses and nurses. The stated guideline objectives are to provide a standard of practice...
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Elderly patients that are identified at being at risk for pressure ulcers are the target population of the quality guideline. Risk factors include incontinence, being bed- or chair-bound, those with friable skin, under- or malnourished, darkly pigmented skin, impaired cognitive ability and older adults that are at risk for skin tears. Assessment protocols include a complete assessment of skin integrity and an evaluation of associated risk factors using three assessment instruments with known validity and reliability. The quality guidelines sets forth appropriate management, treatment and prevention methods, and well as associated optimal clinical outcomes. In addition, nursing strategies and interventions are also…
Agency for Healthcare Research and Quality. (2014). CUSP Toolkit. Retrieved May 11, 2014 from http://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/index.html
Safety in the workplace is everyone's responsibility and preventing the spread of increasingly resistant infectious agents represents a timely and valuable enterprise. One straightforward method that has been used to good effect to help coordinate the actions of all healthcare practitioners is the Comprehensive Unit-based Safety Program (CUSP) toolkit. This training program for healthcare providers is intended to promote teamwork and improve communication levels in ways that reduce the risk of infection and improve the safety of healthcare delivery systems.
One practice area that the CUSP toolkit can be used to plan a process improvement project in my workplace is through a reduction in patient falls. Currently, patients are allowed to fall up to three times before a fall flag was placed on their bed alerting healthcare providers of the patient's potential fall risk and placing a notice on the electronic and hard-copy medical records to this effect. In some cases, patients have been severely injured (in fact, one patient even died after his surgical wound became infected when it was contaminated by the contents of his colostomy bag that ruptured when he fell on it) before an medical record and fall flag alerts were posted. The current system requires improvement in order to reduce the prevalence of falls in this tertiary healthcare facility. Implementing the principles of the CUSP toolkit would provide a consistent approach to risk management for patients that are at risk of falling during the in-patient stay, including identifying better ways to conduct assessments and the number of falls that should be allowed before an alert is posted.
Nursing A pattern of personal success begins with a plan. Planning is, in fact, one of the core principles of leadership in any field. In Principle-Centered Leadership, Stephen Covey (1992) states, "careful planning helps us maintain a sense of perspective, purpose, and ordered priorities," (p. 77). Without perspective, purpose, and ordered priorities, one can become distracted, discouraged, and dismayed when their goals have yet to be met. Covey's flagship book The
Nursing Students Attitude Towards the Elderly: Literature Review The changing demographics in many of the populations in industrialized countries has changed the aggregate needs of the nursing workforce and this trend is expected to continue into the future as the population continues to age. One issue that has arisen is that the younger generation of nurses have demonstrated through various means that their preference for their nursing roles within organizations is
115). It seems many nurses or RN who prepare for the role of nurse practitioner are not fully informed of the demands that may be placed on them in their new role. This in turn may lead to job dissatisfaction later down the line and ultimately limit ones ability to succeed in their chosen field. Presently there is not enough research provided to provide conclusive evidence one way or another
Nursing Home Resident Agitation: Predictors and Interventions To critically review selected articles investigating and discussing predictors of nursing home resident agitation, and recommended interventions. Burgio et al., (2007, p. 642) provides a working definition of nursing home resident agitation "… as verbal, vocal, and motor activities that are repetitive, outside of social standards, and considered inappropriate by staff." Agitation can often involve physical and/or verbal aggression, which can increase the risk of
Evidence-Based Practice in Nursing Education Track Rubin (2009) defines evidence based practice (EBP) as “a process in which practitioners use the most rigorous scientific research evidence available as an important part of the basis for making practice decisions” (12). The process of EBP, as Rubin (2009) further points out, comprises of 5 steps. The first step comprises of formulating a question. On this front, a question that must be answered by
Nursing is not only a profession, it is a ministry. Nurses not only provide care for their patients, they oftentimes minister to them in order to provide comfort and in some cases, peace of mind. Nursing is a profession that the healthcare system cannot do without. We know that the profession of a physician goes back to even Biblical times, but even though nursing has been around for many years,