Analysis of Quality Improvement in Healthcare-Patient AdvocacyProblem Area and Current ProcessThe quality improvement project I am planning to implement will focus on patient advocacy. According to Nsiah et al. (2020), patient advocacy is the process by which nurses act on behalf of patients by becoming their voices so as to ensure that their rights are defended and their needs are met. Most nursing theorists agree that patient advocacy is essential in healthcare and it should be a priority in healthcare facilities. This is more so the case given that patient advocacy preserves and protects patients rights, empowers patients, and promotes positive health outcomes (Nsiah et al, 2019). To a large extent that lack of patient advocacy could lead to negative consequences in nursing practice. For instance, lack of patient advocacy leads to increased cases of hospital acquired infections. In addition, failure by nurses to advocate for patients could leads to…...
mlaReferences
Abbasinia, M., Ahmadi, F., & Kazemnejad, A. (2020). Patient advocacy in nursing: A concept analysis. Nursing Ethics, 27(1), 141–151. https://doi.org/10.1177/0969733019832950
Arfara, C. & Samanta, I. (2016). The impact of emotional intelligence on improving team-working: the case of Public Sector (National Centre for Public Administration and Local Government - N.C.P.A.L.G.). Procedia - Social and Behavioral Sciences, 230 (2016), 167 – 175
Dadzie, G., Aziato, L. & Aikins, A. d-G. (2017). “We are the best to stand in for patients”: a qualitative study on nurses’ advocacy characteristics in Ghana. BMC Nurs, 16(61). https://doi.org/10.1186/s12912-017-0259-6
Successful completion of a competency-based insulin pen administration checklist along with successful demonstration of a mock insulin injection would be required before a nurse could administer insulin to a patient using the insulin pen devices. During this training period, all pharmacists and pharmacy technicians would also need to be trained how to use, label, dispense, and store the insulin pens (Davis, Christensen, Nystrom, Foral and Destache, 2008).
Another option would be for hospitals to only use insulin pens that are equipped with a safety needle that provides a passive safety feature that automatically engages after an injection is administered. The safety feature helps to prevent accidental needle sticks and needle reuse and is locked into place throughout needle disposal. The safety needle complies with U.S. Department of Labor Occupational Safety and Health Administration (OSHA) guidelines and appears on OSHA's list of approved safety-engineered sharps devices (Davis, Christensen, Nystrom, Foral and…...
mlaReferences
Alert issued about use of insulin pens for hospitalized diabetic patient. (2009). Retrieved April
14, 2010, from Consumer Med Safety Web site:
http://www.consumermedsafety.org/alerts.asp?p=2009_2_AL52
Davis, Estella M., Christensen, Carla M., Nystrom, Kelly K., Foral, Pamela A. And Destache,
Stand/Being a Patient Advocate
Description of the role as a moral agent or advocate for quality and patient safety
The present times are challenging for healthcare workers. Exceptional healthcare system alterations, in the form of financial pressures, regulatory mandates for improving patient safety and care quality, uncertainty of healthcare reforms' direction, technological advances, patient population change and emerging workforce deficiencies, are affecting care in every practice setting. These changes may prove be a challenge to decisions pertaining to resource allocation, and may negatively affect work environment in the health sector (Chiarella & McInnes, 2008).
This paper deals with being a nurse advocate for regulatory agency mandates aimed at improving patient safety and care quality. The nurse advocate's roles here include: presenting to patients the patient rights code of the hospital; handing out the patient rights manual to them; confirming patient understanding regarding who must be approached with concerns or queries; preventing complaints…...
mlaReferences
Almidei, N. (2010). So you want to make a difference: Advocacy is the key. (16th ed.) Washington DC: OMB Watch.
Chiarella, M., & McInnes, E. (2008).Legality, morality and reality - The role of the nurse in maintaining standards of care. Australian Journal of Advanced Nursing, 26(1), 77 -- 83.
Olson, D.A. (2009). Are great leaders born, or are they made? Frontiers of Health Services Management, 26(2), 27 -- 30.
Page, A. (2004). Keeping patients safe: Transforming the work environment of nurses. Washington, DC: The National Academies Press.
Patient non-compliance with medication is a problem that can have adverse effects on patient outcomes. Non-compliance with medication can occur in the in-patient or out-patient setting. Leigh (2010) estimates as many as 50% of all prescriptions filled—between one and 1.5 billion—per year are not taken correctly (p. 1). Moreover, there are different types of non-compliance, including taking medications incorrectly, taking the wrong dose or at the wrong frequency, or not taking the medications at all. The causes of patient non-compliance with medication can be traced to miscommunication, requiring healthcare leaders to take a more active role in patient advocacy and education. Misunderstandings of how a medication should be taken, what the medication is for, and other issues related to patient education can be directly solved via direct intervention and improved communication. However, some of the causes of patient non-compliance with medication are due to structural issues including the costs of…...
mlaReferences
De Brincat, M. (2012). Medication adherence: patient education, communication, and behaviour. Journal of the Malta College of Pharmacy Practice 18(2002).
Hoesli, T.M. & Smith, K.M (2011). Effects of religious and personal beliefs on medication regimen design. Orthopedics 34(4): 292-295.Leigh, E. (2010). Teaching patients about their medications. The Center for Healthcare Communication. Retrieved online: Weiner, S. (2001). I can’t afford that! Journal of General Internal Medicine 16(6): 412-418.http://www.communicatingwithpatients.com/articles/teaching_about_meds.html
The Leadership ole of DNPs Today1) Advocating for patients comes in many forms. As a DNP leader, you will be in a position to influence the advocacy process within an organization. How are some ways a nursing leader can advocate for patients through the policies (organizations or government)?Although every organizational and governmental situation is unique in some fashion and will require different strategies, DNP leaders can leverage their expertise and influence to advocate for patients through multiple policy reforms. For example, engaging with policymakers to educate them concerning evidence-based solutions that would enhance clinical outcomes and access from nurses\\\' frontline perspective are central to DNP patient advocacy. Likewise, DNP leaders can ensure that patient voices are taken into account during policy discussions while also pushing for inclusion of nursing viewpoints on advisory committees.In addition, motivating broader nurse advocacy through voting initiatives, activism, and policymaker outreach can also serve as useful…...
mlaReferencesFrechette, J., Pugnaire Gros, C., B. Brewer, B., Kramer, M., Lavigne, G., & Lavoie, T. M. (2018). Essential Professional Nursing Practices in mental health: A cross?sectional study of hospital inpatient care. International Journal of Mental Health Nursing, 27(5), 1490–1500.How Nurses Can Shape Health Policy. (2023). University of North Carolina Wilmington. Retrieved from P., Ferrell, B., Virani, R., & Mazanec, P. (2018). Promoting Palliative Care Internationally: Building Leaders to Promote Education, Practice, and Advocacy. Journal of Pain and Symptom Management, 55(2S), S140–S145.Manning, M. L., & Grosso, D. (2011). Doctor of nursing practice students advocating for health care access, quality, and reform: from the virtual classroom to Capitol Hill. The Journal of Nursing Education, 50(1), 14–20.Risling, T. L., & Low, C. (2019). Advocating for Safe, Quality and Just Care: What Nursing Leaders Need to Know about Artificial Intelligence in Healthcare Delivery. Nursing Leadership, 32(2), 31–45.Trapani, J., Scholes, J., & Cassar, M. (2016). Dual agency in critical care nursing: Balancing responsibilities towards colleagues and patients. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 72(10), 2468–2481.https://onlinedegree.uncw.edu/articles/nursing/how-nurses-shape-health-policy.aspx#:~:text=Write%20to%20your%20legislator%20about,behalf%20of%20patients%20or%20nurses .Malloy,
Nurse as Patient Advocate
Persons who choose nursing as a profession do so because they have a deep sense that they want to help others. Most do not do it because of pay incentives. Those who choose nursing for that reason are soon disillusioned by the long hours, physical and mental fatigue that go along with it. People choose nursing because they have a need to help those in need. hen they become nurses however, the role that they play is often defined by a large, bureaucratic system and they sometimes find that they must choose between their sense of doing what is right for the patient and conforming to the rules of the system.
Nurses traditionally served as helpers to the doctors, performing mundane tasks to free the doctor for other things.. Doctors make the decisions and give the orders. Nurses follow the orders that the doctor gives. Sometimes the…...
mlaWorks Cited
Brophy, Mary S. Sheeran (2001). Nurse Advocacy in the neonatal unit: Putting theory into Practice. Journal of Neonatal Nursing. Volume 7 (1). p. 10-12.
Hewitt, Jeanette (2002). A Critical Review of the Arguments Debating the Role of the Nurse Advocate. Journal of Advanced Nursing. Volume 37 (5). March 2002. p. 439-435.
Keffer, M. Jan. (1996). Nurse Advocate: Advocate for Whom? Nursing. Volume 5 (2) April 1996. p. 129-126.
Nurse Advocacy
After sixteen years of working as a nurse, I realized more fully the impact my profession and the people in it have on public health, public safety, social norms related to health, and public policy. This MSN program has effectively prepared me for the next stage of my career as a nurse advocate who actively participates in public policy development and public health initiatives. I have been strongly influenced by issues related to nurse advocacy throughout the course of my career. This program has highlighted areas in which nursing practice can be applied to helping members of my community empower themselves with knowledge, with the resources available to them to improve their health choices, and improve quality of life for all members of my community.
When I started the program, I was a nurse. I was an experienced nurse who was confident with my role in the hospital, and as…...
Developing a Personal Philosophy of NursingIntroductionThis paper focuses on the fundamental concepts within the field of nursing, particularly through the lens of the nursing metaparadigm which includes nursing, person, environment, and health. It begins by examining and elaborating on these key concepts, drawing upon definitions from renowned nursing theorists and literature. It then goes into how these concepts are mirrored in the philosophy, mission, and vision of a specific healthcare organization, Hackensack Meridian Health, highlighting the alignment between organizational values and nursing principles. The paper then transitions into a more personal interpretation of these concepts, with my own individualized definitions for nursing, person, environment, and health. Building upon this foundation, the paper culminates with my articulation of a personal philosophy of nursing. This philosophy integrates the previously defined concepts and is guided by values such as patient-centered care, ethical practice, and a commitment to continuous learning. It is informed and…...
mlaReferencesAlligood, M. R. (2018). Nursing Theorists and Their Work (9th ed.). Elsevier Health Sciences.Rogers, M. E. (1992). Nursing: Science of Unitary, Irreducible, Human Beings: Updated Edition. Springer Publishing Company.Marchuk, A. (2014). A personal nursing philosophy in practice. Journal of neonatal nursing, 20(6), 266-273.Nightingale, F. (1860). Notes on Nursing: What It Is, and What It Is Not. Harrison.World Health Organization. (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946.
Diabetes is a chronic and progressive disease that leads patients affected to seek the help of medical professionals throughout various stages and time frames. From surgery to patient education to physical therapy, diabetes treatment can be a daunting task that may require complex, multi-faceted effort. Such effort can lead to sever disparities in treatment and in prevalence of the disease. For example, if patient education is at the forefront of chronic disease management and prevention, then it stands to ask if patient education or lack thereof, is creating the kinds of health disparities seen in diabetes. The patients receiving the information on diabetes and lifestyle choices to prevent diabetes, may reduce their chances of developing diabetes versus those that do not receive the information. What kinds of health disparities arise in diabetes as a result of lack of access to information?
Lack of access to information can occur for several reasons.…...
mlaReferences
Abdool, R., Szego, M., Buchman, D., Justason, L., Bean, S., Heester, A., . . . Kaufman, H. (2016). Difficult healthcare transitions. Nursing Ethic, 23(7), 1.
Balogh, R. S., Lake, J. K., Lin, E., Wilton, A., & Lunsky, Y. (2014). Disparities in diabetes prevalence and preventable hospitalizations in people with intellectual and developmental disability: a population-based study. Diabetic Medicine, 32(2), 235 -- 242.
Gaskin, D. J., Thorpe, R. J., McGinty, E. E., Bower, K., Rohde, C., Young, J. H., . . . Dubay, L. (2014). Disparities in Diabetes: The Nexus of Race, Poverty, and Place. American Journal of Public Health, 104(11), 2147-2155. doi:10.2105/ajph.2013.301420
Lindberg, C., Fagerstrom, C., Sivberg, B., & Willman, A. (2014). Concept analysis: patient autonomy in a caring context. Journal of Advanced Nursing, 70(10), 2208-2221. doi:10.1111/jan.12412
Lewis, Cheek & Hendricks (2001) support developmental advocacy as a framework from which counselors can promote the health and well-being of patients in a dynamic forum. Kiselica & obinson (2001) point out the community outreach programs may be beneficial for clients but also the counseling profession. This notion is supported by other research including that of Myers, Sweeney & White (2002) who suggest that professional associations can create venues for counselors to share knowledge, training and standards, as well as provide advocacy advancement and help the profession remain credible (394).
Though advocacy programs in the past have focused primarily on the needs and abilities of school counselors and educational representatives, counselors must broaden their perspectives so advocacy may now include all branches of the counseling field. This may require additional training and resources, but will help strengthen the credibility and success of the profession. Advocacy efforts will also help raise community…...
mlaReferences
Akos, P. & Galassi, J.P. (2004). "Developmental advocacy: Twenty-first century school counseling." Journal of Counseling and Development, 82(2): 164
Hart, P.J., & Jacobi, M. (1992). From gatekeeper to advocate: Transforming the role of the school counselor. New York: College Entrance Examination Board.
House, R.M., & Martin, P.J. (1998). Advocating for better futures for all students: A new vision for school counselors. Education, 119, 284-291.
Kiselica, M.S., & Robinson, M. (2001). Bringing advocacy counseling to life: The history, issues, and human dramas of social justice work in counseling. Journal of Counseling & Development, 79, 387-397.
Patient safety is a very important element with the overall healthcare system. egulations and new initiatives set forth by the Affordable Care Act have created much elevated culture of safety. As a result, facilities must now alter the manner in which they deliver and administer treatment to patients. A culture that once focused on transactions and bloated costs has now been replaced with one predicated on safety. Creating a culture of safety is no easy task however. In fact, it can be particularly difficult when older employee habits have been deeply engrained in the daily processes of work. To create a culture of safety, management must first communicate its expectations to all stakeholders involved. Communication is an integral aspect of patient safety. Communication is important because it sets the overall tone within the organization. Communication regarding expectations is particularly potent when top-level management is heavily involved. Consistent emphasis on quality…...
mlaReferences:
1. Clinton HR, Obama B (2006). "Making patient safety the centerpiece of medical liability reform." N. Engl. J. Med. 354 (21): 2205 -- 8
2. Kraman SS, Cranfill L, Hamm G, Woodard T (December 2002). "John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center." Jt Comm J. Qual Improv. 28 (12): 646 -- 50
Most advocacy groups can help the families of veterans also understand their legal entitlements to support services.
Congressional representatives can occasionally come to the aid of their constituents who are veterans. Lawmakers listening to the concerns of their constituents can bring special cases to the attention of their fellow congressmen and women in Washington to help advocate on behalf of veterans and veterans affairs. Some congressional representatives may be willing to serve on special committees that advocate for veterans affairs in Washington.
Social workers have an obligation to learn about the large-scale organizations that serve the needs of veterans as well as smaller scale community organizations. Even social workers that do not specialize in veterans affairs should become familiar with the unique legal situation of their clients. For example, social workers should familiarize themselves with the specific medical, social, occupational, and psychiatric needs that veterans have, especially the veterans that live…...
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Introduction
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures vs. patient load;…...
mlaREFERENCES
More Nurses Make the Difference. (February 2012). The Lamp. 69 (1): Retrieved from: http://search.informit.com/au/documentSummary;dn=045435426132502;res=IELHEA
Safe Nurse Staffing: Looking Beyond the Numbers. (2009). Vantage Point, CNA. Retrieved from: -_Looking_Beyond_the_Raw_Numbers_2009-pdf&folder=pdfs/db/newslettershttps://www.nso.com/pdfs/db/newsletters/Safe_Nurse_Staffing_-_Looking_Beyond_the_Raw_Numbers_20094.pdf?fileName=Safe_Nurse_Staffing_
Aiken, L. (2001). The Hospital Nurse Workforce: Problems and Prospects."Draft
For the Council on the Economic Impact of Health System Change. Retrieved from: / Council-Dec-14-2001-Aiken-paper.pdfhttp://council.brandeis.edu/pubs/hospstruct
"[4] (Bernall, 1992, p. 19)
Though historically this role could have strained the nurses professional relationships with other health care professionals, and especially doctors the modern medical industry has afforded a new way of understanding the role, including an emphasis of such a nursing role in medical school. (Bernall 1992, p. 22)
As this belief has proven to be a long-standing one, it is therefore important to explore a greater understanding of the application of its use in patient care. The particular example of the mentally handicapped / epileptic patient is important as the complicated nature of these possibly debilitating diseases often leaves patients feeling helpless to contribute to their own general health and wellness. In one study the application of a nurse, for the specific role of advocacy was used to study it effects of the patients health and wellness outcomes.
A nurse functioning as patient advocate for 21 epileptic mentally handicapped…...
mlaReferences
Baribeault J.J. "Clinical advocacy for persons with epilepsy and mental retardation living in community-based programs." Journal of Neuroscience Nursing, Dec 1996 28/6 pp. 359-67.
Bernal E.W. "The nurse as patient advocate." The Hastings Center Report, July-August
1992. 22/4, pp. 18-23.
The Hastings Center Report, July-August 1992 v22 n4 p18(6)
.....nurse assigned to care for this patient, I would strongly advocate on behalf of the patient's autonomy. The clash between patient autonomy and the healthcare system and its representatives like nurses can only be resolved by being honest in this situation. The patient is under a high degree of stress, not only because of his health condition and the fear that brings out in him, but due to other stressful life events including his financial situation. He was also supposed to get married immediately before the bypass surgery was scheduled, and this is bound to add to his level of stress. The primary issue here is providing what the patient needs to keep him safe during the procedure, and if he insists on using his own pump, which he has successfully used for the thirty years he has lived with the disease of diabetes, then he should use his own…...
1. The Impact of Crohn's Disease on Quality of Life
Explore the physical, emotional, and social challenges faced by individuals living with Crohn's disease.
Discuss the impact of symptoms such as abdominal pain, diarrhea, fatigue, and weight loss on daily life.
Examine the role of social stigma, isolation, and anxiety in reducing quality of life.
2. The Role of Diet and Nutrition in Managing Crohn's Disease
Describe the dietary and nutritional challenges faced by patients with Crohn's disease.
Discuss the efficacy of elimination diets, low-FODMAP diets, and specific nutrient supplementation in managing symptoms.
Explore the importance of individualized dietary plans and....
1. The impact of the Affordable Care Act (Obamacare) on access to healthcare in the United States
2. The effectiveness of Medicare and Medicaid in providing affordable healthcare to low-income and elderly populations
3. The future of universal healthcare in the United States
4. The role of pharmaceutical companies in rising healthcare costs
5. The importance of mental health coverage in healthcare policies
6. The debate over the privatization of healthcare services
7. The impact of electronic health records on patient care and privacy
8. The implications of genetic testing and personalized medicine on healthcare policy
9. The role of preventative care and public health initiatives in reducing....
I. Athletic Injuries and Rehabilitation
The Role of Sports Medicine in Preventing and Treating Athletic Injuries
Advancements in Surgical Techniques for Rotator Cuff Repair
Rehabilitation Protocols for Anterior Cruciate Ligament (ACL) Injuries
The Impact of Concussions on Long-Term Cognitive Function
II. Sports Nutrition and Performance
The Role of Macronutrients in Enhancing Athletic Performance
Supplements and Ergogenic Aids in Sports: Benefits and Risks
Hydration Strategies for Athletes in Extreme Environments
Nutritional Considerations for Female Athletes
III. Exercise Physiology and Biomechanics
The Effects of Interval Training on Cardiovascular Fitness
The Biomechanics of Running: Injuries and Performance Optimization
The Impact of Muscle Morphology on Athletic....
1. The Transformative Role of Leadership in Nursing: Inspiring Excellence and Patient-Centered Care
2. Leadership in Nursing: A Compass Guiding Innovation, Empowerment, and Patient Advocacy
3. The Essence of Nursing Leadership: Balancing Patient Care, Collaboration, and Organizational Success
4. Empowering Nurses Through Effective Leadership: A Key to Enhancing Patient Outcomes and Professional Satisfaction
5. The Vital Role of Leadership in Shaping the Future of Nursing Practice: Meeting the Challenges of a Transforming Healthcare Landscape
6. Leadership in Nursing: A Catalyst for Change and Continuous Improvement
7. The Impact of Transformational Leadership on Nursing Teams: Fostering a Culture of Excellence and Patient-Centeredness
8. The Qualities and Competencies of....
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