This document summarizes a study examining the knowledge and attitudes of surgical nurses regarding pain management in three teaching hospitals in Ireland. The study found:
1) Nurses had inadequate knowledge about pain management, with a mean score of 65.7% on a pain assessment tool, and only 3% scoring 80% or higher.
2) Knowledge deficits were found across pharmacological and non-pharmacological pain management.
3) Nurses overestimated their own knowledge, though results showed widespread gaps.
4) Educational initiatives are needed to enhance nurses' knowledge and improve pain management practices.
Background: Nurse practitioners play a vital role in wound care and management because of the prevalence of wounds in the community and hospital setting. Aims and objectives: The purpose was to identify current knowledge and practices of nurses with respect to wound management. Method: A qualitative descriptive research was designed, nineteen nurses in wound care wards in Bingham University teaching hospital were recruited into this study. This was achieved with the aid of a self-administered questionnaire for a two-week period. Results: Three groups of nurses responded to this survey (73.7% males; 31.6% aged 31-40 years). Registered nurses dominated (68.4%), majority of them worked in male ward (36.8%) and private ward (36.8%). Almost on full-time (94.7%), more than half were diploma holders (57.9%) with 1 to 5 years of experience (47.4%). Majority (84.2%) were involved in wound treatment and management, there were significant association between years of experience and wound classification, wound treatment, treatment failure and treatment failure factors. Conclusion: Wound care practices require accurate knowledge and assessment skills, a better understanding of wound management provides comprehensible, rapid patient wound care and minimizes patient mortality as well as reduces health services financial costs.
Comparisonof Clinical Diagnoses versus Computerized Test Diagnoses Using the ...Nelson Hendler
The Diagnostic Paradigm from www.MarylandClinicalDiagnostics.com was able to help the former Dean of Los Angeles Chiropractic College detect medical diagnoses which he had overlooked, and he later confirmed.
Background: Nurse practitioners play a vital role in wound care and management because of the prevalence of wounds in the community and hospital setting. Aims and objectives: The purpose was to identify current knowledge and practices of nurses with respect to wound management. Method: A qualitative descriptive research was designed, nineteen nurses in wound care wards in Bingham University teaching hospital were recruited into this study. This was achieved with the aid of a self-administered questionnaire for a two-week period. Results: Three groups of nurses responded to this survey (73.7% males; 31.6% aged 31-40 years). Registered nurses dominated (68.4%), majority of them worked in male ward (36.8%) and private ward (36.8%). Almost on full-time (94.7%), more than half were diploma holders (57.9%) with 1 to 5 years of experience (47.4%). Majority (84.2%) were involved in wound treatment and management, there were significant association between years of experience and wound classification, wound treatment, treatment failure and treatment failure factors. Conclusion: Wound care practices require accurate knowledge and assessment skills, a better understanding of wound management provides comprehensible, rapid patient wound care and minimizes patient mortality as well as reduces health services financial costs.
Comparisonof Clinical Diagnoses versus Computerized Test Diagnoses Using the ...Nelson Hendler
The Diagnostic Paradigm from www.MarylandClinicalDiagnostics.com was able to help the former Dean of Los Angeles Chiropractic College detect medical diagnoses which he had overlooked, and he later confirmed.
A Study on Patient Satisfaction towards Cancer Hospitalijtsrd
A cancer diagnosis places considerable stress on patients and their families. They find themselves discomfort with the strange health system making serious decisions with long term consequences living with uncertainness about the nature, cause and indefinite progress of the disease living with a disrupted family, work, social life and facing the possibility of becoming increasingly dependent on others. Dhivya. S | Harshath. S "A Study on Patient Satisfaction towards Cancer Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29274.pdf Paper URL: https://www.ijtsrd.com/management/consumer-behaviour/29274/a-study-on-patient-satisfaction-towards-cancer-hospital/dhivya-s
Comparative evaluation of 2g single dose versus conventional dose azithromycin in uncomplicated skin and skin structure infections. Indian Journal Of Pharmacology. August 2015;Vol. 47; Issue 4
Homeopathic treatment of elderly patients - a prospective observational study...home
The severity of disease showed marked and sustained improvements under homeopathic treatment,
but this did not lead to an improvement of quality of life. Our findings might indicate that homeopathic medical
therapy may play a beneficial role in the long-term care of older adults with chronic diseases and studies on
comparative effectiveness are needed to evaluate this hypothesis.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.There are a total of thirteen hospitals included in this review. These facilities have implemented vitals capture and the MEWS scoring system.
This is a journey of faith through Creation of Human…Allah says: " and see how (Allah) originated the creation, ... During this journey of faith, we will look at the stages of human’s creation by using the taken photos by scientists in the twenty one century and to look attentively at these stages as God told us about it in the Qur’an fourteen century ago
A Study on Patient Satisfaction towards Cancer Hospitalijtsrd
A cancer diagnosis places considerable stress on patients and their families. They find themselves discomfort with the strange health system making serious decisions with long term consequences living with uncertainness about the nature, cause and indefinite progress of the disease living with a disrupted family, work, social life and facing the possibility of becoming increasingly dependent on others. Dhivya. S | Harshath. S "A Study on Patient Satisfaction towards Cancer Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29274.pdf Paper URL: https://www.ijtsrd.com/management/consumer-behaviour/29274/a-study-on-patient-satisfaction-towards-cancer-hospital/dhivya-s
Comparative evaluation of 2g single dose versus conventional dose azithromycin in uncomplicated skin and skin structure infections. Indian Journal Of Pharmacology. August 2015;Vol. 47; Issue 4
Homeopathic treatment of elderly patients - a prospective observational study...home
The severity of disease showed marked and sustained improvements under homeopathic treatment,
but this did not lead to an improvement of quality of life. Our findings might indicate that homeopathic medical
therapy may play a beneficial role in the long-term care of older adults with chronic diseases and studies on
comparative effectiveness are needed to evaluate this hypothesis.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.There are a total of thirteen hospitals included in this review. These facilities have implemented vitals capture and the MEWS scoring system.
This is a journey of faith through Creation of Human…Allah says: " and see how (Allah) originated the creation, ... During this journey of faith, we will look at the stages of human’s creation by using the taken photos by scientists in the twenty one century and to look attentively at these stages as God told us about it in the Qur’an fourteen century ago
Standardized Bedside ReportingOne of the goals of h.docxwhitneyleman54422
Standardized Bedside Reporting
One of the goals of healthcare is to ensure that the patients get the best service possible while not compromising on the satisfaction and goodwill of the nurses and other healthcare professionals. A key aspect of ensuring quality healthcare is the consistent handling of patient information from nurse to nurse during shifts; information handled wrongly can jeopardize the patients’ health (Baker, 2010). It is important to implement procedures that ensure consistent and smooth handling of patient information from nurse to nurse to increase patient safety and improve nurse satisfaction. This paper will explore the merits of standardized bedside reporting as opposed to board reporting in ensuring a positive outcome and consistent quality healthcare.
Change model overview
A key aspect in determining whether bedside shift reporting has any merits over board reporting is the John Hopkins Nursing Evidence-Based Practice Process (JHNEBP). The John Hopkins Nursing Evidence-Based Practice Process is a framework for guiding the translation and synthesis of evidence into valid healthcare practice. JHNEBP has three cornerstones that include research, education, and practice; the framework ensures that research evidence is the basis of clinical decision-making. (Dearholt & Dang, 2012) The implementation of the John Hopkins Nursing Evidence-Based Practice Process has three key phases, the first phase is the identification of an important question, the second phase involves the systematic review of research evidence, and the third phase is translating the results into action. Nurses should use the JHNEBP process because it provides a clear way for healthcare professionals to translate research results into healthcare practice.
Practice Question
The team includes several key stakeholders who will benefit greatly from my research. Among the team members include myself as ER nurse, charge nurse, ERT ( Emergency room tech), nurse case manager, nurse supervisor, physician and hospital manager.
The evidence-based practice question that the team members will explore is "Does the use of a standardized bedside report versus board reporting help increase patient safety, nurse satisfaction, and positive outcome?" The evidence-based practice question assesses the ability of bedside shift reporting to improve healthcare provision. The practice area of the question is clinical. The practice issue came about because of assessing risk management concerns in ensuring good health practices. To answer the question, the team members gathered evidence from patient preferences, peer-reviewed journals, and clinical guidelines. The team members searched peer-reviewed journal databases to gather relevant information from previous research that could affect the results.
Understanding the merits of bedside shift reporting as opposed to board reporting is important as most healthcare organization use either strategy in collecting and passin.
Evidence-Based Practice Beliefs and Behaviors of Nurses Prov.docxturveycharlyn
Evidence-Based Practice Beliefs and Behaviors of Nurses
Providing Cancer Pain Management: A Mixed-Methods
Approach
Linda H. Eaton, PhD, RN, AOCN® [project director],
School of Nursing at the University of Washington in Seattle and a postdoctoral research fellow in
the College of Nursing at the University of Utah in Salt Lake City
Alexa R. Meins, BS [PhD student],
School of Nursing at the University of Washington in Seattle
Pamela H. Mitchell, PhD, RN, FAHA, FAAN [Professors],
School of Nursing at the University of Washington in Seattle
Joachim Voss, PhD, RN, FAAN [Professors], and
School of Nursing at the University of Washington in Seattle
Ardith Z. Doorenbos, PhD, RN, FAAN [Professors]
School of Nursing at the University of Washington in Seattle
Abstract
Purpose/Objectives—To describe evidence-based practice (EBP) beliefs and behaviors of
nurses who provide cancer pain management.
Design—Descriptive, cross-sectional with a mixed-methods approach.
Setting—Two inpatient oncology units in the Pacific Northwest.
Sample—40 RNs.
Methods—Data collected by interviews and web-based surveys.
Main Research Variables—EBP beliefs, EBP implementation, evidence-based pain
management.
Findings—Nurses agreed with the positive aspects of EBP and their implementation ability,
although implementation level was low. They were satisfied with their pain management
practices. Oncology nursing certification was associated with innovativeness, and innovativeness
was associated with EBP beliefs. Themes identified were (a) limited definition of EBP, (b) varied
evidence-based pain management decision making, (c) limited identification of evidence-based
pain management practices, and (d) integration of nonpharmacologic interventions into patient
care.
Copyright 2015 by the Oncology Nursing Society
HHS Public Access
Author manuscript
Oncol Nurs Forum. Author manuscript; available in PMC 2015 May 07.
Published in final edited form as:
Oncol Nurs Forum. 2015 March 1; 42(2): 165–173. doi:10.1188/15.ONF.165-173.
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Conclusions—Nurses' low level of EBP implementation in the context of pain management was
explained by their trust that standards of care and medical orders were evidence-based.
Implications for Nursing—Nurses' EBP beliefs and behaviors should be considered when
developing strategies for sustaining evidence-based pain management practices. Implementation
of the EBP process by nurses may not be realistic in the inpatient setting; therefore, hospital pain
management policies need to be evidence-based and reinforced with nurses.
Keywords
evidence-based practice; evidence-based practice beliefs; evidence-based practice behaviors;
cancer pain management; mixed methods
Satisfactory pain management remains the single most important challenge to managing
quality of life for patients with cancer (Dray, 2010).
This presentation has the measures to be taken for the safety of patients. It covers the 6 goals
Goal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
final project (nursing major) najah universitymahdyvika
The knowledge of nursing toward the role of them in End of life care in Intensive care units and oncology units in Nablus hospitals- Cross sectional study.
Contents lists available at ScienceDirectApplied Nursing RAlleneMcclendon878
Contents lists available at ScienceDirect
Applied Nursing Research
journal homepage: www.elsevier.com/locate/apnr
Original article
Optimize patient outcomes among females undergoing gynecological
surgery: A randomized controlled trial
Kari Johnson (PhD, RN, ACNS-BC, Hartford Scholar)⁎, Sherry Razo (M.A.-L., BSN, RN, NEA-BC),
Jeannie Smith (BSN, CMSRN), Alex Cain (RN), Kathi Soper (BSN, RN-BC)
Honor Health Thompson Peak Medical Center, 7400 E. Thompson Peak Parkway, Scottsdale, AZ 85255, United States
A R T I C L E I N F O
Keywords:
Gynecological surgery
Enhanced Recovery After Surgery (ERAS)
Hysterectomy
Bundle components
Institute of Healthcare Improvement
Length of stay
30 day readmission
Patient satisfaction
Randomized controlled trial
A B S T R A C T
Background: Optimizing early education in gynecological procedures utilizing an Enhanced Recovery after
Surgery (ERAS) program and a bundle concept may optimize patient outcomes after surgery.
Purpose: Evaluate whether an ERAS bundle compared to standard education can affect length of stay, 30 day
readmission, and patient satisfaction among patients undergoing gynecologic surgery.
Design: Prospective, comparative, randomized design
Setting: 28 bed Medical Surgical Unit
Sample/Intervention: 50 patients undergoing hysterectomy, 25 who received post-operative evidence based
bundle/standard education, and 25 who received standard education packet. Bundle components included 1)
early mobilization, 2) early transition to oral pain medication, 3) early feeding, and 4) chewing gum. A follow-up
phone call was made in two to three days following discharge for both groups utilizing teach-back.
Results: 84% (n = 21) patients in the bundle group were discharged in one day. There were no 30 day read-
missions for both groups. Twenty two (88%) participants met the bundle components 100% of the time. For the
indicator “walking helped with recovery” 100% (n = 25) responded “very good to excellent” for bundle group
and 96% (n = 24) responded “very good to excellent” for standard group. Twenty three (92%) of the bundle
group felt that that overall nursing care received was very good to excellent and 24 (96%) of the general group
felt that overall nursing care received was very good to excellent.
Conclusion: Optimizing peri-operative education using a bundle approach to provide evidence based interven-
tions can minimize risk and enhance early recovery for females undergoing gynecological surgery.
1. Introduction
A hysterectomy is a common gynecological surgical procedure with
minimally invasive methods including vaginal or laparoscopic proce-
dures. Studies have shown that preoperative patient education can
improve patient outcomes after surgery, including reduced length of
hospital stay, decreased post-operative complications, and increased
patient satisfaction with the surgical experience (Modesitt et al., 2016;
Steiner & Strand, 2017; Wijk, Franzen, Ljungqvist, & Nilsson, 2014).
Enhanced recovery p ...
Effectiveness of the nursing educational program upon nurse's knowledge and p...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
Effect of Clinical Supervision Program for Head Nurses on Quality Nursing Care iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
NR505 Advanced Research Methods Evidence-Based Pract.docxvannagoforth
NR505 Advanced Research Methods: Evidence-Based Practice
Evidence-Based Practice Change Project Proposal Template
Nursing Practice Concern/Problem
PICOT Question
Key Stakeholders
Theoretical Framework
Literature Review
Data Collection Methods
Analysis
Expected Outcomes
NR 505 Week 7 Assignment _7/24/2019JPTS
1
Chamberlain College of Nursing NR 505 ADVANCED RESEARCH METHODS – EVIDENCE-BASED PRACTICE
Research Summary Assignment
Chamberlain College of Nursing
NR 505: Advanced Research Methods: Evidence-Based Practice
Dr. Hellem
Sept. 2019
NR 505: Research Summary Template
PICOT QUESTION: In patients, what is the effect of bedside report in comparison to phone report on patient outcomes in a period of six weeks?
Full reference for article (APA Format)
Purpose
Research Method
Participants
Data Collection
Study Findings
Limitations
Relevance to PICOT
Rush, S. (2014). Bedside reporting: Dynamic dialogue. Nursing Management,43(1), 40-40. doi:10.1097/01.NUMA.0000409923.61966.ac
The study focused on increasing patient satisfaction and safety
through bedside reporting at Catholic Healthare West (CHW).
Qualitative Research
Participants included hospital staff, leaders, and patients.
Nurse supervisors observed bedside reporting at change of shift. They then filled out a questionnaire that had to be checked off to ensure bedside reporting was done correctly.
Bedside reporting made a positive impact in the hospital. Its success was witnessed by nurse leadership rounding on patients in the hospital.
The sample of participants was small and only one department of the hospital was used.
The findings conclude the positive outcomes on patient satisfaction with bedside reporting.
Lu, S., Kerr, D., & McKinlay, L. (2014). Bedside nursing handover: Patients' opinions. International Journal of Nursing Practice,20(5), 451-459. doi:10.1111/ijn.12158
Evidence proves bedside reporting is beneficial. This study tries to develop a protocol for nurses to follow when shift report is given at bedside.
Qualitative research.
A sample of 30 admitted, consenting patients were used. The patients were admitted to one of the three departments where the process of bedside report had been implemented for at least one year.
All data was collected from the answers from the patients through audio-recorded interviews. A research assistant and a registered nurse were present in the interview.
Four essential components came out of the study. Some regarded patient feelings and some regarded possible changes. Patients felt bedside reporting was ‘effective and personalized’ (1). They felt empowered in their care (2). Some felt their privacy was at jeopardy (3), thus allowing for training (4) in this sensitive matter.
The study was limited to three departments in the hospital and no clear generalizability came out of it. Sample collected was small.
Patients ...