Nursing Theory And Nursing Practice Essay

Making sure the needs of the patients are met. Making sure everyone is on the same page when it comes to making things better for the patients. Making sure the employees are happy, this will help them to give excellent care to the patients.

The evolution of this project cultivated from the need of improvement for patients suffering from sepsis at MacNeal Hospital. Sepsis is a potentially fatal host response to infection that occurs as a systemic inflammatory response syndrome (Schub & Schub, 2013). I felt it was very important to re-evaluate what I can do as a nurse to improve the expected outcomes of sepsis patients and decrease their length of hospitalization. If a patient is admitted with severe sepsis, it places the patient at a higher level of risk than if he/she was admitted with an acute myocardial infarction or acute stroke (Robson & Daniels, 2013). I became interested in sepsis as my project when I became informed that MacNeal had started a Patients With Sepsis Orders Daily Reports, I decided I could enhance and develop an educational tool to help the case managers, emergency room nurses, and staff nurses with early recognition of sepsis and decreasing the length of stay. Angus and Van der Poll (2013) stated that the United States reported 2% of patients that were admitted to the hospital suffered from severe sepsis.

The priority assessment for sepsis is identifying patients at highest risk for sepsis, although all patients should be monitored for clinical manifestations. Patients at increased risk include those with chronic illnesses, under one year old or older than 85 years old, the immunosuppressed, postoperative patients, and those debilitated or with poor nutrition (Bernstien 2013, pg 25). To identify sepsis early the nurse will need to look for a respiratory rate of >20, heart rate >90, temperature >100.4 or < 96.8*F, and a white blood cell count of >12,000 cells/mm3 or < 4,000 cells/mm3. Assessments after the resuscitation bundle has begun would include respiratory, cardiovascular, integumentary, urinary, and neurological systems, as well as laboratory values. Respiratory would be assessed for rate and oxygen saturation. Central venous pressure, mean arterial pressure, systolic blood pressure, pulse quality and peripheral pulses would be assessed for the cardiovascular system. Skin would be assessed for warmth, color, and whether it is clammy or dry. Skin would also be assessed for petechiae, ecchymosis, or bleeding of mucous membranes to ensure disseminated intravascular coagulation (DIC) has not begun. Urinary output would be monitored to ensure adequate perfusion to the kidneys and for signs of urinary tract infections. Neurological would be assessed for any changes from baseline mental status. The most important

Delirium in the Intensive Care Unit (ICU) has become a genuine phenomenon and can be problematic for the patient and the staff caring for them. Delirium occurs when a patient is placed in an unfamiliar environment and has to endure the stress of not just the hospitalization but the stimuli of the environment, which can cause disturbances in consciousness. Patients can become confused, anxious, and agitated; making this difficult for the staff to correctly diagnosis and care for them. Sleep deprivation and environmental factors along with neurotransmitters are strongly related to the occurrence of ICU delirium. ICU staff needs to become more educated on prevention, detection, and proper treatment for the patient experiencing this

The nurse manager stated that her vision for her unit was to have her entire staff be clinically sound and function confidently under adverse client load. She expects upmost teamwork from her staff and expects the unit to operate efficiently with upmost regard for staff and client safety.

Management is important in any environment, but especially so in the healthcare field.  As the health care system continues to evolve, sound management is critical to the survival of health care institutions (Johnson, 2005). The management team in a healthcare environment must always aim to improve the efficiency of the day to day activities and constantly plan for ways to improve the productivity and efficiency. Every manager’s main duty is to succeed in helping the organization achieve high performance while utilizing all of the organization’s human and material resources. On a daily basis health care managers must recognize performance problems and

Nursing should not be looked upon or practiced as a mere physical approach to healing. Nursing should encompass the aspect of restoring each individual patient to his/her maximum physical and emotional state of being. In order to achieve such a goal, a patient must be able to bond with her caregiver on a personal level (Blais & Hayes, 2011). Jean Watson’s caritas factors sets an environment where the patient can obtain optimum health benefits (Blais & Hayes, 2011). The goal of this paper is to state my philosophy of nursing, the important dynamics and values that led me to adopting this philosophy, and the reason why I choose nursing as a profession. I will further explain how Jean Watson’s principles of philosophy is

NOTE: You will create a new Word document for this Assignment instead of typing directly into this document.

With the expected growth in the allied health sector in the coming years due to increased patient care demands, healthcare organizations in the United State will need to take steps to maintain a high quality of care. These steps will include ways to ensure that well trained staff are hired, adequate new staff on the job training and orientation, continuous review of policies for improvements in safety, care, risk management and quality assurance. In addition to focusing on the integration of the incoming allied health personnel, healthcare organizations are expected to review how care is currently provided, and find new ways to provide care and meet the great increase in demand for care.

Nursing goes beyond caring for a patient during their illness and managing their disease process. Nursing includes adapting to a patient’s and their family’s physical, social, spiritual, environmental and psychological needs. I believe in treating the whole patient and being supportive of the family’s needs as well. Shelly & Miller (2006) asserts “while critical thinking, decision-making, and leadership skills are extremely important, the characteristics nurses need most are compassion, competence, faith, integrity and responsibility” (p. 291).

According to McConell (2012), the difference in a leader and a follower determines the success of a person regarding leadership. This chapter helps explain the content of qualities and proficiency for healthcare managers to be effective. Once again, effective management skills or certain qualifications enhance a healthcare organization environment. Healthcare managers and supervisors must have the capacity to handle challenges while the organization objectives and regulations may change over a period of time. Effective healthcare management governs the success of a healthcare organization. There are many different skill sets and leadership styles to be effective as a manager. People are interested in knowing what strategies are effective

This author’s personal philosophy in practice is to provide holistic care to my patients and their families. This author feels that encompassing the whole family or the patients support framework in the plan of care is the best approach to returning the patient to their optimum state of health. It is important to this author to evaluate the all of the aspects of the patient’s lives that they will share. It is important to evaluate the patient’s learning style,

Nursing theories are the support of nursing practice today. They are significant to nursing practice, education and scientific research because they help to determine, what is already known, and what additional knowledge and skills are needed. Nurses are usually first exposed to nursing theories during nursing education and further exposure comes from hands on training. The gained knowledge, about nursing theories, through education and training enhances better outcomes for patients and caregivers, allows application of professional boundaries, and assists in decision making. In this paper I will attempt to analyze, in general, the importance of nursing theory to the nursing profession; discuss middle-range theory, furthermore Benner’s

Nursing theories, concepts or models are adapted from the theoretical frameworks of other discipline in healthcare. However, as nursing advances, new frameworks may arise, the nursing theories, concepts or models from the past or present may fuse, extinct or change donaldson (year). Hence, nursing is a discipline which is consistently reviewing and upgrading its theoretical frame works to provide the best quality of care to patients. (https://www.jacksonvilleu.com/blog/nursing/the-importance-of-nursing-research/)

Acute care is defined as the level of health care when a patient receives treatment for a short and severe illness. Usually the illness is due to trauma, disease, or after a surgical procedure. In all or most cases acute Care is provided at a hospital by different medical staff. According World Health Organization "the term acute care encompasses a range of clinical health-care functions, including emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical care, urgent care and short-term inpatient stabilization," in other words as I mentioned acute health care is used to treat sudden and urgent illnesses and injuries. The staff responds to life threatening injuries first, such as myocardial infarctions, strangulated hernias, car accidents, acute appendicitis, seizures, strokes and more.  Acute care staff will first make sure to treat acute needs before giving treatment to others. Acute care responds to patients based on their medical condition, regardless what caused their condition. Acute health care is very important because it a plays a huge role in preventing disability and death in patients, especially the first 24 hours of the illness.