Preceptor Works at A Rural Health Settings Discussion
Preceptor Works at A Rural Health Settings Discussion
write in total minimum 900 words based on the instructions
NO PLAGIARISM ACCEPTED!
Need help with my Nursing question – I’m studying for my class.
6 Student posts to respond 150 words per post no refs needed NRS493, please see attached for details. Thanks.
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).
URL:
Review “Evidence-Based Practice: Share the Spirit of Inquiry,” by Arzouman, from MEDSURG Nursing (2015).
URL:
Read “Integrated Comprehensive Care – A Case Study in Nursing Leadership and System Transformation,” by Wheatley, Doyle, Evans, Gosse, and Smith, from Nursing Leadership (2017).
URL:
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
J B
2 posts
Re: Topic 2 DQ 1
In a small hospital in Wisconsin, I assist the RN in charge of infection control. Currently, COVID is a hot topic. In the last week, there have been more COVID Positive instances than there have been in months. The community, medical staff, and patients themselves are beginning to feel overburdened by the population growth. Currently, the hospital is going through the steps necessary to start a surge capacity plan, if necessary, and is continuing to exercise caution while using PPE. In contrast to Screening patients and, of course, Positive patients, PUI patients are treated differently. 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
S T
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.
One of the two main problems in nursing is a lack of engagement. As a result, people lose interest in learning about, following along with, and using EBP. Because it is hurried, out of date, and staff members are “simply going through the motions” at work, patient care suffers. Providing educational opportunities like BSN tuition reimbursement, CEN, or other trainings and paying for them, or even going so far as to pay employees a raise when certificates or degrees are obtained, or even to attend trainings, is one potential way to encourage a workforce to upgrade skills and knowledge. 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
DQ3
E D
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.
Preceptor Works at A Rural Health Settings Discussion
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DQ4
K N
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.
Preceptor Works at A Rural Health Settings Discussion
DQ5
A G
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
Preceptor Works at A Rural Health Settings Discussion
DQ6
J H
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.
In cases like this, nurses could be of assistance by ensuring that all tasks are completed in a timely manner. This includes the floor nurses; doing so will speed up the patient’s preparation for release and free up space for the admitted patient who has been sitting in the ER for hours. The patient can be made more comfortable by ER nurses by using hospital-style beds rather than stretchers. The hospital’s various departments must work together on this.
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/