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Implementation of Coping Strategies for Compassion Fatigue Through Counseling
Get PDFMany healthcare organizations are struggling to retain nurses due to the recent COVID-19 pandemic. Understanding common reasons for decreased retention in nursing begins with evaluating job satisfaction and how it can be affected (Cuartero-Castañer, 2021). Compassion Fatigue (CF) and Burnout (BO) are two leading causes of decreased job satisfaction (Compassion Satisfaction (CS)). The Professional Quality of Life Scale (PROQoL) (see Appendix C) is designed to identify individuals at higher risk of CF and BO. Using this scale in conjunction with the Peer-Support coaches in the hospital setting allows nurses to have conversations and communicate effectively with coaches trained to have productive conversations after traumatic experiences in the workplace.
With no cost of implementation and existing staff to carry out the intervention, this project has the potential to drastically reduce the nurse turnover problem that is affecting the entire healthcare industry with only minor alterations to existing job expectations. Patient safety will always be the top priority in the hospital setting, and with CS playing such a significant role in BO and CF, hospital executives should be encouraged to implement this change as an early intervention for retaining nurses for safe staffing ratios. The PICOT question that will be used for the implementation of CF reduction strategies is as follows: In nurses struggling with compassion fatigue (P), how does attending counseling (I) as opposed to not attending counseling (C) improve their quality of life (O) in a 4-week period (T)
Improving Clinical Competence With Electronic Medical Record Training in Nursing Students: A Benchmark Study
Get PDFNursing students are required to do many clinical hours based on their program, the Board of Nursing and their accrediting body. During these clinicals, students are faced with challenges that cause safety concerns due to lack of exposure or knowledge regarding policies and procedures. What seems like a simple task, could be life altering because of inadequate competency.
Performing at an expected level of education and demonstrating integration of knowledge, skills, abilities, and judgement defines competency according to the American Nurses Association (ANA) (2018). Nursing programs are expected to produce competent students, and competent nurses upon graduation. Displaying competency in electronic medical record (EMR) systems is necessary for students to adequately participate in clinicals, and complete assignments. Barriers exist for students to have EMR access and training. However, the benefits of EMR training should be prioritized over barriers. Benefits are not limited to, but include accurate documentation, improved decision-making skills, and students report an increased confidence level (Forman et al., 2020). These skills can contribute to the students’ active learning and participation.
Documentation of patient assessments, interventions, care plans, and medication administration all occur in the EMR. The implementation of EMR training for nursing students will focus on these skills so that accurate documentation can occur. Patient safety will also be a focus point. Students will be able to review pertinent medical records in order to make the best decision for patients
The Impact of Evidence-Based Diabetes Self-Management Education in A1C Levels in Adults with Type 2 Diabetes
Get PDFDiabetes Mellitus II is a leading cause of death in the United States, imposing a significant healthcare cost. According to the Centers for Disease Control and Prevention (CDC, 2020), one out of every ten Americans have been diagnosed with diabetes, with 90 to 95% of them having type 2 diabetes (T2d). Effective management T2d is crucial to prevent clinical complications, expensive medical care, and a diminished quality of life. Uncontrolled diabetes can lead to severe medical complications including atherosclerotic cardiac cardiovascular disease, renal disease, and microvascular disease (American Diabetes Association [ADA], 2021). The economic burden of diabetes complications amounted to 730 per person in the US (CDC 2020).
Diabetes self-management (DSM) is centered on the primary goal and standard of care which is to mitigate diabetes-related complications by maintaining A1C levels below 7% (ADA, 2021). Diabetes self-management education (DSME) has been a crucial component of diabetes clinical management since the 1930s (Bartlett, 1986). It typically involves didactic presentations covering the skills and knowledge needed to make daily decisions and foster positive behavior changes. DSME strategies encompass a care plan, diabetic education, emotional support, and opportunities to seek guidance (CDC, 2020).
Presently, the health care system delivers diabetes management through one hour diabetes education sessions, usually conducted by a nurse. These sessions cover various aspects including exercise, nutrition, foot care, self-monitoring, blood glucose, smoking sensation, and medication regimes. However, despite the DSME efforts, only one out of eight Americans achieve their target A1C levels (Harris et al., 2010). This raises questions about the effectiveness of the distribution method and duration of diabetes education. The PICOT question developed is: Amongst adults with T2d (P), how does a 4-week evidence-based diabetes self-management education program (I), compared to a one-hour, in-person traditional diabetes education program (C), affect A1C values (O) within three months after the DSME (T)
The Effects of Education on Influenza Vaccination Uptake
Get PDFInfluenza is a viral illness that occurs internationally and peaks in prevalence during the months of October to May. There are several types of influenza viruses: Influenza A, B, C, and D (CDC, 2023). Vaccines are available in the United States as early as the start of the flu season to those who wish to receive it. The influenza virus types covered by the annual flu vaccine include Influenzas A and B types (CDC, 2023). The influenza vaccine is recommended by the CDC with the intent to limit the occurrence and spread of influenza each year. Symptoms of influenza consist of fever, malaise, cough, nasal congestion, fatigue, and in some individuals can lead to respiratory compromise. Despite the availability of the flu vaccine, year after year many adults either become ill, are hospitalized, or die from the flu virus. As a healthcare provider, every flu season I hear remarks such as “The flu vaccine made me sick,” or “That vaccine doesn’t work!” Hearing these statements year after year has prompted me to investigate how many adults actually receive the vaccine each year and if proper education in regard to this topic can improve adherence rates. During the 2018- 2019 flu season, more than half of Americans did not receive the annual flu vaccine (Block, 2019). This is an alarming statistic given that it is a CDC recommended vaccine and still majority of Americans did not opt to receive it. There are many Americans suffering from influenza related complications each year possibly because of their choice or inability to get vaccinated to prevent these complications. During the 2019-2020 flu season there were an estimated 56,000,000 flu illnesses, 26,000,000 flu related medical visits, 740,000 flu related hospitalizations, & 62,000 flu related deaths (CDC, 2020a or b). Therefore, it is recommended that all of those eligible to receive influenza vaccination each year receive the proper education necessary to make a more informed decision to receiving vaccination
Staffing Effects on Nursing Medication Errors
No full textThere is a growing population of sickly people that are being taken care of in the hospital. The number of staff working to help with patient care greatly impacts the outcomes of patients. Nursing staffing shortages is causing longer work hours sometimes under hectic conditions. This can lead to fatigue, injury, and lack of motivation. These nurses then begin to feel burnout which can lead to nurses quitting their jobs. Replacing staff causes companies to invest more money. Nurses who suffer in these environments are more prone to making mistakes. As a result of units not being appropriately staffed medication mistakes are happening. An increase in staffing levels have been shown to result in better patient outcomes compared to lower nurse staffing levels(Garrett, 2008). Medication errors are one of the most common medical errors. There are nurses who have to take care of six patients at a time and that can be overwhelming when each patient has different needs. For each patient a nurse is assigned to there are scheduled medications that need to be given. In addition there are new orders that are constantly being updated by physicians for nurses to perform. Due to the heavy workloads a large amount of medication administration mistakes are made and can have adverse effects on patients. By creating a standard staffing guideline can help alleviate this issue. If hospitals can make a set standard for med-surg units of having five patients max to one nurse
Impact of Strokes: The Burden of Care, Post-CVA Fatigue & Caregiver Role Strain
Get PDFStrokes and cerebral vascular accidents (CVAs) and related disease events are an unfortunate circumstance that inflicts individuals around the world and impacts people every day as individuals and their caregivers. The consequences of these strokes or CVA events are life-changing for all those involved. As a result of long-term disability related to strokes, the caregiver may undergo many emotional, psychological, and physical factors that impact their daily lives. There is a relatively short period of time to react to the necessary change and as a result there may be differences in coping associated with these unexpected health circumstances. Many stoke victims experience motor, cognitive, emotional, and psycho-social deficits and their caregivers may not be prepared for these abrupt life altering effects. The impact for caregivers, factors impacting strokes, and solutions for care will be addressed in the paper. Evidence suggests that post fatigue stroke (PFS) may be triggered by a dysfunction of the stress system. Family caregivers with a low level of social engagement may be more likely to perceived stress, and increased risk for caregiver role strain
The Semiconductor Industry: A Revolutionary Market in America
Get PDFIn this issue of the Hibbs Brief, we discuss current and expected aspects associated with the semiconductor industry in the world and the United States. Also, we provide reasons why we believe this industry could become a great economic development opportunity for East Texas
Lean Six Sigma Body of Knowledge for Healthcare Industry Administrators: Implementation of Lessons Learned in Applied Engineering
Get PDFThe purpose of this paper is to propose a Lean Six Sigma (LSS) course curriculum for healthcare administration and management majors. It identifies the relevant opportunities and challenges for the application of LSS within the healthcare industry. The paper also discusses the cultural changes necessary to provide an appropriate climate for its long-term success. This work contains a comprehensive description of the body of knowledge in LSS, which were successful in applied engineering. Additionally, the paper describes how LSS may be applied in the hospital setting to improve processes in patient-care services. Upon successful completion of the course, the healthcare administration managers would not only acquire comprehensive understanding by learning theory and but also completion of term projects by applying it to case studies. While obstacles to LSS implementation exist, the process improvements and resulting cultural changes are worthwhile and noteworthy. The paper serves as a guide for how LSS methodology can be utilized in the healthcare-education setting. It may not touch all the aspects of LSS. Other researchers and practitioners may use the paper as a practical orientation to LSS in the university setting
Sepsis Work-Up and Treatment Interdisciplinary Approach
Get PDFSepsis affects millions of Americans annually. Oncology patients are at greater risk for infection which in turn makes them higher risk for sepsis. In order to address sepsis bundle compliance a interdisciplinary team with distinct roles can be created out of current staffing with the end goal to provide better patient outcomes. The interdisciplinary teams involved include: nursing, pharmacy, physicians, lab technicians, and patient care technicians. Mobilizing all of these people and giving an assigned role along with early notification with the goal to improve compliance to sepsis bundles to 90% a month among all patients diagnosed with sepsis
The value of economic freedom in cross-border mergers
Get PDFThis study examines the impact of economic freedom in mergers and acquisitions (M&A) using a global sample of 6159 takeovers involving acquirers from 56 different countries and foreign targets from 130 countries. The results reveal that acquirers with an economic freedom advantage over their targets experience higher short-run and long-run abnormal returns after controlling for other important country and merger characteristics. At the same time, the level of economic freedom in the target country relative to the bidder country positively impacts target shareholders’ announcement wealth effects and merger premiums. The results are robust to various control variables, industry, year and country fixed effects, modifications to the target sample, and changes to the merger announcement window. These findings add to the institutional theory and suggest that differences in institutional quality, captured as economic freedom advantage, benefit bidders and targets in cross-border M&A