COVID 19 Cases and Health Organizations Involved Discussion
COVID 19 Cases and Health Organizations Involved Discussion
Review “Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice,” by Stillwell, Fineout-Overholt, Melnyk, and Williamson, from American Journal of Nursing (2010).
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Review “Evidence-Based Practice: Share the Spirit of Inquiry,” by Arzouman, from MEDSURG Nursing (2015).
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Read “Integrated Comprehensive Care – A Case Study in Nursing Leadership and System Transformation,” by Wheatley, Doyle, Evans, Gosse, and Smith, from Nursing Leadership (2017).
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Read “Educational and Community-Based Programs,” located the Healthy People 2020 website. In particular, look for examples of the integration of community health, leadership, and EBP for use in completing the topic assignment.
URL:
https://www.healthypeople.gov/2020/topics-objectives/topic/educational-and-community-based-programs
For additional information, the following is recommended:
Review the webinar information offered by the GCU Library. From the “Webinars and Workshops: Webinar Calendar” page, select the “Category” tab and scroll down to the Nursing and Health Sciences selection. Webinar participation is optional.
URL:
http://libguides.gcu.edu/webinars
DQ1
Jennifer Barnharst
2 posts
Re: Topic 2 DQ 1
I am working with the Infection Prevention RN at a rural hospital in WI. COVID is the rising topic at this time. There have more COVID Positive cases in the past week than there were in months. The increase in numbers is starting to overwhelm the community, health care workers and the patients themselves. At this time the Hospital is working through their process of initiating a surge capacity plan if needed as well as continuing to be cautious over the PPE used. They are treating PUI patients differently than Screening patients and of course the Positive patients as well. This is all information overload in many ways, therefore they are having frequent huddles in their inpatient departments, to help lessen the stress on all involved. There are emails, posters, and new signs placed throughout the hospital as well to help maintain the same procedure throughout. Another huge implications is the beginning of flu season. They are beginning to start their flu shot clinics for staff. The patients are questioned about the flu shot and if they are interested in having one while here in the hospital as an outpatient or inpatient when stable. Both of these topics will continue to be here throughout the fall and winter months and I appreciate learning from my preceptor on proper policies, procedures, and overall education for the work envrionment as well as the surrounding community.
DQ2
Shauna Thomas
3 posts
Re: Topic 2 DQ 1
My preceptor works for a rural community clinic in an isolated town in SouthEastern Alaska. There are many challenges that a rural clinic faces that are not unique to Nursing, but that may be on a scale that seems more manageable to overcome. One such problem is that of employee morale. Employee morale can cause a workplace to become unpleasant, disjointed, can cause communication to breakdown, can cause disengagement of the workforce, and can result, ultimately, in less efficient, more expensive, and poorer quality care delivered to the consumer; the patient.
To break the two largest Nursing issues down, one is a lack of engagement. This results in a disinterest in learning, keeping up with, and implementing EBP. The care of the patient declines as it becomes outdated, rushed, and employees are “just going through the motions” of their job. One possible solution to engage a workforce to upgrade skills and knowledge is to provide educational opportunities such as BSN tuition reimbursement, CEN, or other trainings and to pay for them, or to even take it a step further and to pay employees a raise when certificates or degrees are obtained or even to attend trainings. If opportunities are not in the budget, then employees can provide internal training based upon topics of interest, and can be paid during work to present learning and practice skills.
The second problem is that the workforce does not feel appreciated or heard. Employee needs may not be met on a daily basis by their jobs, maybe lunches are missed, management may be perceived to be out of touch, or the running of the facility may not be approved of by employees. This again translates to poorer quality outcomes for patients, increases communication breakdowns as trust is poor, and teamwork does not occur to create a cohesive unit. One way to increase employee engagement and satisfaction is with shared leadership. No matter how small or large a facility, leadership can involve faculty on all levels by creating a shared leadership model for the workplace. This allows employees to provide input in management-level decisions, feel as if they have a voice, and provide real-time feedback about day-to-day operations to improve it. (Shared leadership: Fundamentals, benefits and implementation, n.d.)
Reference
Shared leadership: Fundamentals, benefits and implementation. (n.d.). Retrieved September 28, 2020, from https://www.ckju.net/en/dossier/shared-leadership-fundamentals-benefits-and-implementation
Rosseter, R. (2019, April 1). The Impact of Education on Nursing Practice. American Association of Colleges of Nursing. Retrieved September 24, 2020, from https://www.aacnnursing.org/News-Information/Fact-Sheets/Impact-of-Education
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DQ3
Elora Dunn
1 posts
Re: Topic 2 DQ 1
I am working with a Infectious disease nurse with my county department of public health. The topic is increased cases of perinatal Hepatitis B in our county. I am glad my topic isn’t COVID related, I am honestly COVID burnt out. Public Health is working to figure out what is the root cause as well as how to decrease numbers. The worst case scenario is the mother passing Hepatitis B on to their newborns. Ultimately it could cause a Hepatitis B outbreak if not caught early. Women of child bearing age in low income areas are at higher risk for contracting Hepatitis B. The focus of my topic is how can we intervene as nurses serving our community. Nurses can implement education as a priority to prenatal clinics and screenings for women of child bearing age.
DQ4
Kathleen Njau
3 posts
Re: Topic 2 DQ 1
An issue that widely seen throughout organizations is staffing shortages that result in high nurse patient ratios which ultimately leads to nurse burnout and difficulty retaining staff. This can affect the entire culture of the organization when their are negative feelings and poor workplace satisfaction. Another negative implication caused by issues with staffing and staff retainment are errors made due to these staffing issues causing increased morbidity and mortality rates. Professional nurses alongside nurse leaders play a key role in building a culture of collaborative interprofessional practice which enables cross-training and relationship-building amongst all interdisciplinary team members, reducing duplication of services and visits in the community while enhancing communication among team members. It is imperative to create a culture within the organization that promotes retaining trained staff while positively impacting the quality of patient care.
COVID 19 Cases and Health Organizations Involved Discussion
DQ5
Alexander Garcia
1 posts
Re: Topic 2 DQ 1
Over the past years, my organization has done a great job of having small numbers of health-acquired infections such as CAUTI and CLABSI. With the introduction and rise of COVID cases in the hospital, it appears that the number of HAIs are increasing as well. The organization I work for already has strong bundles but there has been a problem with nurses adhering to these bundles. Some of the challenges to adhering to EBP are a lack of resources, a lack of conducive teaching environment, the attitude toward research, and a lack of knowledge of research. Educating staff nurses about how our evidence-based practice has dropped is first. Nurses need to be aware that everyone as a whole is doing something wrong. Education modules or classes need to be offered about the bundles that need to be used to create better patient outcomes. Nurse managers and leaders need to keep count of how many foley catheters and central lines are on their unit. Infection prevention should be aware of all the patients who have central lines or urinary catheters and should have a conversation with the primary nurse as to why this patient still needs the catheter or central line.
Zeb, A. (2018, August 18). Barriers to Evidence Based Nursing Practice in Tertiary Care Hospitals of Peshawar, Pakistan. Retrieved September 29, 2020, from https://www.citationmachine.net/apa/cite-a-website/custom
COVID 19 Cases and Health Organizations Involved Discussion
DQ6
Joshua Holmes
1 posts
Re: Topic 2 DQ 1
My practicum site is an emergency department in a downtown urban city. The hospital is a level one trauma center that sees many patients daily. One of the major problems that I am seeing is the hospital capacity is reached almost every single day. When this is the case the admissions from the emergency become what is called holds in the ER. The hospital still accepts transfers from other facilities and ambulance patients almost never stop. What this does is cause a backup in the ER (ACEP, 2017). The holds are taken up ER beds so the ER is also full, this is causing higher wait times in the waiting room. The wait times recently have reach to the 12 hour mark. This is also causing the ambulance patients to have to sit on a stretcher in the hallway for long periods of time before a room comes available. The ambulances are getting backed up with calls because of the wait times at the hospital for an open room.
Nurses could help with situations like this by making sure all tasks are done in the appropriate amount of time. This includes the floor nurses, this will help get the patient ready for discharge sooner and make room for the admitted patient that have been waiting for hours in the ER. Nurses in ER can help by making the patient more comfortable with hospital style beds instead of stretchers. This has to be a collaborative approach from all units of the hospital.
Reference:
American College of Emergency Physicians (ACEP). (2017) Boarding of admitted and intensive care patient in the emergency department. Retrieved from https://www.acep.org/patient-care/policy-statements/boarding-of-admitted-and-intensive-care-patients-in-the-emergency-department/
COVID 19 Cases and Health Organizations Involved Discussion