Nursing Notes

July 30, 2010

Facilitating Critical Thinking in New Nurses

Filed under: Nursing — Shirley @ 5:44 am
Tags: , , , , , ,
US Navy 070918-N-7088A-100 Genie Lindsey, a re...
Image via Wikipedia

Here is another informative article from HealthLeadersMedia.com.  This article is about helping new nurses develop critical thinking skills, something every nurse must rely on to navigate the healthcare systems safely–both for the patient as well as for the nurse.

Read this article and let me know what you think about it, won’t you?

_______________________________________________________________________________________________

Excerpted from Briefings on Evidence-Based Staff Development, an HCPro publication, July 27, 2010

This article was adapted from one that originally appeared in the August 2010 issue of Briefings on Evidence-Based Staff Development, an HCPro publication.

Critical thinking is the ability to recognize problems and raise questions, gather evidence to support answers and solutions, evaluate alternative solutions, and communicate effectively with others to implement solutions for the best possible outcomes (Foundation for Critical Thinking, 2010). It is a skill that evolves over time and with experience.

Nurses beginning their first jobs after graduation need help developing critical thinking skills. Pamela Schubert Bob, MHA, RN, CPN, NE-BC, nurse manager at Children’s Hospital Boston, wanted to help facilitate critical thinking in new, or as she refers to them, “novice” nurses.

“I overheard one of my nurses tell a doctor, ‘I don’t know anything about that because I wasn’t here yesterday,’ ” said Schubert Bob. “I cringed because this was an unacceptable response. I felt that younger, newer staff weren’t seeing the big picture. They were looking at taking care of patients for a shift, instead of taking care of a patient as a whole.”

“I wanted to create an environment in which it was okay for the staff to ask and answer critical thinking questions,” she says. “So I started to create this environment quite informally.”

Creating a critical thinking program

Schubert Bob began by approaching a newly hired nurse whose patient had a history of seizures. “I asked her what she would do if her patient had a seizure. She wasn’t sure how to respond. We worked through things like what equipment should be at the bedside, what actions to take during a seizure, etc. At the end of those five minutes she felt much more confident.”

Schubert Bob continued these informal critical thinking exercises. After each report, she would interact with new nurses, asking critical thinking questions and sometimes using worst-case scenarios as a starting point.

The impact on nurses’ critical thinking skills was almost immediate. To help with mentoring, she developed a critical thinking program that relied on the expertise of available senior nursing staff. These experienced nurses were trained to interact on a one-to-one basis with new nurses in five-minute sessions.

Training nurses to stimulate others’ critical thinking skills

Schubert Bob points out that “not every experienced nurse can mentor and teach others. You really have to want to do it.” Most staff nurses “jumped at the chance,” she says. Schubert Bob provided the initial training, which consisted of a didactic component that included an explanation of critical thinking and its importance to nursing practice, the kinds of questions to ask new nurses for the purpose of improving critical thinking, and how to formulate and ask open-ended questions such as the following:

  • What is the worst-case scenario for your patient?
  • What are your plans for patient education?
  • How will your documentation help your peers to maintain continuity of care? (Schubert Bob, 2009)

These critical thinking sessions were designed to take about five minutes. After training, each senior nurse listened to a critical thinking session between a new nurse and Schubert Bob or another trained facilitator.

“Regular sessions for questions, direction, and support were offered until the senior nurses were comfortable facilitating critical thinking sessions,” says Schubert Bob.

The program in action

Once the program started, either senior or new nurses could initiate sessions. A list of trained critical thinking mentors was posted so new nurses could easily approach trained facilitators.

Both new and experienced nurses felt that this program improved critical thinking skills. In fact, additional tools were developed to facilitate critical thinking among all levels of staff. These included:

  • Bulletin boards. Case study scenarios were presented that offered opportunities for feedback and identification of best possible solutions to patient problems.
  • Independent study folders. Three-page folders were created that explained the critical thinking project, discussed what critical thinking is, and how all staff could be part of the critical thinking process.

Schubert Bob and her staff were able to initiate a critical thinking program that takes only five minutes to implement. Their efforts serve as a good example of education that is cost-effective and efficient.

References

Foundation for Critical Thinking (2010). “Defining Critical Thinking.” Accessed June 25, 2010, here. Schubert Bob, P. (2009). “Critical-Thinking Program for the Novice Nurse.” Journal for Nurses in Staff Development 25 (6): 292?298.

Enhanced by Zemanta

July 28, 2010

Nurses in the News

Filed under: Nursing — Shirley @ 3:56 am
Tags: , , ,

Here is an article I just found on a new site to me.  This is a site I will be following in the future because I found really useful and informative information there.  The article below is a synopsis of recent issues in the news that have nurses in the forefront.  Some of the stories I have posted here before, but this is still a good article with lots of pertinent information about nursing.

I really believe that we become nurses to help others, not to simply have a job.  Patient safety has to always be our number one priority and sometimes, it appears, we have to fight our own hospitals and the medical profession to make sure our patients are safe while being treated.  It even seems that in doing this, some nurses put their livelihood on the line.  That, I think, defines a calling.  Nurses are the center of patient care.  Without nurses there simply would be no patient care.  We need to start paying attention when all the nurses all around the world are yelling that it is no longer safe to be hospitalized due to staffing shortcomings.

Won’t you leave me a comment about your thoughts or feelings on this topic?

___________________________________________________________________________________________

Nurses. We have no healthcare without them. The majority of these caregivers are truly angels of mercy; others, not so much. We need nurses to set personal high standards for patient care (in spite of Blunt End mandates) and we need them to inspire others to do the same. Nursing is a calling, not a job, but I’m afraid some of the old professional luster has disappeared along with the symbolic white uniforms and those cute little caps. If you want a job go sell lottery tickets at the local gas station. If you want to make a difference in the lives of your neighbors, become a nurse.

I’d like to call your attention to a few stories I’ve been following. They all  have one thing in common; they feature nurses. First up is this story I saw in yesterday’s San Francisco Chronicle. Kristeen Klaas, a registered nurse for more than 30 years, was awarded $344,000 in damages last week by a jury after her employer, ValleyCare Medical System retaliated against her for filing patient safety complaints for more than two years. Instead of acting on the information, the hosptial targeted her as a pariah. Her  reports included surgical instruments being left inside patients, a collegue who brought a dog to the operating team’s break room, and a nurse who jumped rope with an electical cord in the O.R. Here’s hoping she finds work in a hospital that appreciates her diligence.

This is a follow-up to a story I covered a few months ago involving 2 nurses from the tiny town of Kermit, Texas. The saga included a physician working in Kermit’s hospital without privileges, the Winkler County Sheriff, the New York Times, and the American Nurses Association. The nurses were vindicated after a criminal trial, but the fallout is far from over.  Last week, the Texas Medical Board charged the doctor at the center of this mess, Rolando Arafiles, Jr, MD, with 9 instances of substandard care, witness intimidation, overbilling, poor medical judgement, and a host of other charges.  Pretty much confirmed everything reported by RNs Anne Mitchell and Vickilyn Galle. MedScape has the details. I smell a TV movie deal… who knows, I might even option this one myself.

A couple of posts ago I wrote about a patient death caused by “alarm fatigue.” Turns out, the Joint Commission has been aware of this phenomenon for almost a decade – aware, but that’s about it. As outrageous as it seems, ignored alarms are a recognized cause of death and injury in hospitals. Remember, it’s a ventilator or a heart monitor we’re talking about here, not a clothes dryer. NurseZone.com has this excellent piece on the whole alarm fatigue issue for those of you who want to know more.

Finally, our friends at USAToday recently printed another outstanding resource for patients nationwide – a map showing states that participate in the Nurse Licensure Compact – a deal that allows a nurse licensed in one state to practice in other participating states. This multi-state license loophole allows bad nurses to leap from jurisdiction to jurisdiction without fear of their previous work record catching up. This piece comes with a coded map that shows which states put their nursing disciplinary documents online and available to the public. Kudos to Team USAToday and to nephew Nick for calling this one to my attention.

Please go to the original site by clicking here to see other articles and to leave them a comment.

Enhanced by Zemanta

July 27, 2010

Self-Care Program May Help Nurses Manage Stress

Filed under: Nursing — Shirley @ 3:49 am
Tags: , , , , ,

Here’s an interesting article about a study that was done to try to reduce stress in working nurses.  I say it is interesting because up until now no one really wanted to address this issue; instead job stress for nurses was always “the elephant in the room” that nobody ever talked about.  Maybe this issue is becoming important because of the push for better and safer staffing.  Maybe the thought is that if stress is decreased, then staffing would seem adequate.  Not so.  Nursing is a stressful job, period.  I also noticed that the title talks only about managing stress, not reducing it.  I hope you read this article and I would love to hear your thoughts on the topic.  This particular article comes from Modern Medicine.com.  Visit that site and leave them a comment if you feel like it.

________________________________________________________________________________________

Psycho-educational program appears to positively impact emotional exhaustion levels

MONDAY, July 26 (HealthDay News) — A psycho-educational self-care program that helps nurses develop stress management plans may be useful in improving emotional exhaustion levels, according to a study in the August issue of Applied Nursing Research.  Kate Kravits, R.N., of the City of Hope in Duarte, Calif., and colleagues evaluated a psycho-educational program for nurses that included discussion of nursing-specific risk factors, practice with relaxation techniques, and exploration through art. The researchers used the Maslach Burnout Inventory (MBI), Draw-a-Person-in-the-Rain Art Assessment, and wellness plans to examine quantitative and qualitative measures of stress and burnout before and after the program.

The investigators found that emotional exhaustion subscale scores on the MBI were high for 38 percent of the participants prior to the program, decreasing to 26 percent of the participants after the program. In addition, depersonalization scores were high for 13 percent of the respondents prior to the program, decreasing to 9 percent after the program. Pre-program perceptions of personal accomplishment scores were low for 45 percent of the participants, increasing to 52 percent of the participants after the program.

“Psycho-educational interventions, including discussion of nursing-specific risk factors, practice with relaxation techniques, and exploration of coping patterns via art, show promise as methods to promote positive self-care strategies,” the authors write. “Further research is needed particularly in the area of promoting enduring change in self-care behaviors.”

Enhanced by Zemanta

July 23, 2010

Transforming Care at the Bedside — a video

Filed under: Nursing — Shirley @ 6:34 am
Tags: , , ,

As a Seton nurse here in Austin, I was pleasantly surprised to find this video online about TCAB–Transforming Care at the Bedside.  I am on the TCAB committee at my hospital and want to share this wonderful process with all of you.

TCAB is a way for nurses to have a voice in what they do and how they do it.  Our TCAB has implemented numerous changes that make small differences in the way a shift flows; but even small changes add up over time.  We all want to go to our jobs and take care of our patients, not the computer, not the chart, not the doctors or pharmacists.  With TCAB, we are trying to make nursing about patients again.

Here is the video I found and I hope you enjoy it.  This is just a quick look at a really important concept for nursing.  Maybe you can bring this to your hospital, too.

July 21, 2010

Nursing’s Growing Role

Filed under: Nursing — Shirley @ 5:55 am
Tags: , , , , ,

Here’s a great article from HealthLeadersMedia.com that talks about the changes to come for nurses in the new health care arena.  What I like about this article is that the focus is on expanding what nurses today are already doing and placing emphasis on nurses be given credit for the things they are doing.

Please read this entire article.  I think you will enjoy it.  Leave me a comment and then go leave them a comment.  There certainly is an enthusiastic conversation going on in the comment section as well.

_________________________________________________________________________________________

Rebecca Hendren, for HealthLeaders Media, July 13, 2010
Are you a health leader?
Qualify for a free subscription to HealthLeaders magazine.

As nurses break out of anachronistic models, the new focus is on nurse-led care delivery systems and harnessing the economic power of nursing.

Not so many years ago, nurses wore white uniforms and stiff white caps. They gave up their chairs for physicians at the nurses station. They cared for patients who stayed in the hospital for days or weeks to recuperate from surgery. They received a technical education, often in a diploma program, and carried out task-based nursing duties. This picture is as antiquated now as today’s nursing model will be in 20 years.

Today’s non-cap-wearing, scrub-bedecked nurses are increasingly well-educated at colleges and universities that focus on care coordination and critical thinking, as well as clinical skills. They care for higher-acuity patients with more comorbidities and increasingly complicated care needs in the course of shorter lengths of stay. Nurses today are technologically savvy critical thinkers who coordinate care across a broad spectrum of healthcare. To be successful, they must be well-educated, well-trained, and able to lead patient care.

In 20 years, this picture will have changed again. Changes are in store for the provision of care; changes wrought by healthcare reform, increasing numbers of insured patients, an aging population, and the projected shortage of physicians.

Nurses will assume ever-greater leadership. Nurse-led primary care will be the norm, and advanced practice nurses will no longer have to justify their role. Physicians will be relieved of much of the burden of routine care coordination, allowing them to devote their attention to diagnosis and treatment of patients.

That is the tomorrow that healthcare leaders are building today.

Nurse leaders at the bedside
“In nursing, we have to get away from the task-oriented focus of bedside nurses who are focused on medication administration, activities of daily living, and so on,” says Jill Fuller, RN, president and CEO of Prairie Lakes Healthcare System in Watertown, SD, whose organization is trailblazing a system of nurse leadership at the bedside that may just be a model for the future.

Nurses providing leadership at the bedside is a critical part of the future of patient care and organizations committed to providing high-quality patient care. Patient safety associations have long recognized the importance of strong nursing leadership at the bedside as a way to prevent medical errors and ensure patient safety. Initiatives such as the Institute for Healthcare Improvement’s Transforming Care at the Bedside offer strategies to redesign nursing care to reduce non-value-added, non-patient-care tasks and improve nurse and patient satisfaction.

Although the recession has given us a respite from the nursing shortage, as the economy recovers, the shortage will reappear. To retain nurses and encourage nurse leadership, nursing processes need to be redesigned to remove petty timewasters from nurses’ days and help them focus on what we really need them to be: leaders at the bedside. Nurses are the ones who are with patients 24 hours a day. As healthcare becomes ever more complex, it needs nurses who are leaders. This means redesigning practice models to reduce burnout and dissatisfaction and to help nurses do what they really want to do: care for patients.

Fuller’s organization has been working hard to figure out how to do this and its revolutionary professional practice model is one for the future.

Prairie Lakes Hospital is located in rural South Dakota, 100 miles from the closest academic medical center. The 81-licensed-bed, nondenominational hospital sees all kinds of patients in its 50-staffed- and licensed-bed med-surg unit, from cancer patients to pediatrics. Nurses at the hospital have gone from concentrating solely on what they are going to do with their patients (task-based, narrow focus) to thinking about what the team as a whole will do (care coordination, broad focus).

The organization called for input from staff nurses and was intrigued by what they came up with. Rather than having a model of care imposed from above, nurses at Prairie Lakes designed their own model. They threw away the traditional model of care and created one that sets nurses firmly at the forefront of leading patient care in the hospital…[read more]

Enhanced by Zemanta

July 19, 2010

Cool job: Working to keep ‘hiccups’ out of surgery

Here’s an article from the great state of Oklahoma.  There is alot of good things to be said for that state, and this article only proves that they are more forward thinking than others.

I know that I, personally, do not wish to pursue this avenue of nursing, but I think others may want to take a real look at this opportunity.  Nursing is about to become the linchpin of healthcare, finally.  It’s taken quite a long time, but it seems that finally the population at large is beginning to see the benefit of a well-trained nurse in the hierarchy of health care.

Please enjoy this article and don’t forget to visit the original site to leave comments.

________________________________________________________________________________________

CRNAs are very valuable assets to health care teams, said Gary Loving, interim associate dean of academic programs at the University of Oklahoma College of Nursing.

BY PAULA BURKES Oklahoman

Published: July 18, 2010

When he describes his life’s work, Don Mordecai talks about takeoffs, landings and airways. But he’s not a pilot. He’s an advanced practice nurse who administers anesthesia to hospital patients.

Multimedia

More Info

Career spotlight

Certified Registered Nurse Anesthetist (CRNA)
• History: Nurses have administered anesthesia since the Civil War; formal education for the profession was introduced in 1887 at what is today the Mayo Clinic.

• Demographics: 41 percent of CRNAs are men, compared with 10 percent of RNs overall.

• Education: A master’s degree in advanced nursing; doctorates will be required of students entering programs on or after Jan. 1, 2022. Current programs run 24 months to 36 months and combine academic education in pharmacology, chemistry, bio-chemistry, anatomy, physiology and pathophysiology with an average of 1,595 hours of clinical experience.

• Accredited programs: 108 nationwide including several in Texas; Oklahoma has none.

• Prerequisites: Bachelor’s degree in nursing and at least one year of experience in critical care, an emergency department or operating room.

• Certification: After passing national board certification licensure, CRNAs are required to complete 40 continuing education hours every two years.

• Median annual salary nationwide: $158,000, according to the American Association of Nurse Anesthetists (AANA). Malpractice insurance, which sometimes is paid by employers, runs between $7,000 and $10,000 annually.

• Necessary traits: Good coordination, critical thinking, detail-oriented, ability to remain calm in pressure situations, vigilance.

ONLINE
• More information: http://www.aana.com and http://www.oana.org.

“Just like takeoff and landing is the most important part of a pilot’s job, the most important parts of mine are induction, or the start of an anesthetic, and emergence, when a mask or tube is removed,” said Mordecai, who practices at the VA Medical Center in Muskogee. That’s when patients’ airways are the most vulnerable, he said.

According to an Institute of Medicine report, anesthesia is nearly 50 times safer than it was in the 1980s, with about one death in every 250,000 to 300,000 cases. The dramatically lowered risk is thanks mostly to better drugs and technology that monitors oxygen and carbon dioxide during surgery, Mordecai said.

“But with anesthesia, you can never take any case lightly,” he said. “No matter how good you are, there can be hiccups.”

President of the Oklahoma Association of Nurse Anesthetists (OANA), Mordecai is among some 500 health professionals in the state and 44,000 nationwide who are certified registered nurse anesthetists (CRNAs).

Nationwide, about 80 percent work as partners in care with physician anesthesiologists, while 20 percent are self-employed sole providers who work and collaborate with surgeons and other licensed physicians. In largely rural Oklahoma, that’s roughly 50-50.

CRNAs are very valuable assets to health care teams, said Gary Loving, interim associate dean of academic programs at the University of Oklahoma College of Nursing.

“They have a long documented history of providing safe care,” Loving said. Studies, he said, show there’s no difference in patient outcomes whether anesthesia is provided by a physician anesthesiologist or nurse anesthetist.

CRNAs administer roughly 70 percent of anesthesia in the state, said Victor Long, government relations chair of the OANA and a self-employed nurse anesthetist who practices in Lindsay, Purcell, Oklahoma City and Norman.

“In rural areas, it’s more like 85 percent,” Long said. Forty-one counties in Oklahoma have no anesthesiologists; only CRNAs, he said.

State law requires a CRNA’s anesthesia to be supervised by a licensed medical doctor, osteopathic physician, dentist or podiatrist where timely on-site consultation can be made, Long said. In negligence cases, the overseeing doctors aren’t necessarily held liable; it depends on the case.

According to the American Association of Nurse Anesthetists, 40 states don’t require supervising physicians and 15 also have opted out of the Medicare requirement for supervision.

Nurse anesthetist Dennis Bless practices in Minnesota, which is one of those states.

But the bylaws of the Minneapolis hospital where he works require physician supervision.

“But I’m the one in the room with the patient,” said Bless, Region IV director of the AANA. “There’s no anesthesiologist in there with me. So I have to be able to react to any severe reactions or airway issues. It’s minute to minute, beat to beat.”

Like Bless, Mordecai finds his career very rewarding.

“I have the opportunity to interact with patients and provide a quality service,” he said. “And they thank me for it.”

Read more: http://newsok.com/article/3477336#ixzz0u9qWEZrt
Related articles by Zemanta
Enhanced by Zemanta

July 16, 2010

The fight against hospital infection hits your PC

As a student in Microbiology class, we had an assignment to culture from various public areas around our home and school.  While my fellow classmates focused in on bathroom fixtures and doorhandles, I checked out public phones, public computers, public machinery.  My petri dish grew the most obnoxious specimens in the class.  It made me a believer in handwashing and wiping down public items prior to my own use.

I have always felt that telephones and computer keyboards, mice, etc. are simply gateways for bacteria in the hospital setting.  This article seems to replicate my own concerns.  Please do visit this site, SmartPlanet.com and read the comments and maybe leave your own.  This site has really great articles about technology, health and business that you will enjoy, so browse the site while you are there.

________________________________________________________________________________________

By Dana Blankenhorn | Jul 14, 2010

One of the best ways to save money on health care is to cut hospital infection rates.

It’s a lesson that goes back to the days of Lister. Yet it’s a lesson that has been ignored at many facilities out of simple laziness.

Efforts like Donald Berwick’s 100,000 Lives campaign, at the Institute for Healthcare Innovation, and Peter Pronovost’s work with checklists have proven that lives and dollars can be saved if people just pay attention to germ-fighting protocols.

But there remains a big problem, one that is likely to grow as more facilities get Electronic Health Records (EHRs).

PCs.

PCs are germ magnets. Everyone who types on one leaves possible disease. Regular hand-washing can help.

But so can washing the keyboard and mouse.

I wrote about this in March, at the HIMSS show. The Unotron washable keyboard turns out to be just part of an extensive line of computer peripherals created by the British company with a patented technology it calls SpillSeal. The whole unit is completely waterproof — even the USB port is protected.

The gear is made in China so it’s cheap as chips. There are mice and even SmartCard readers you can wash off in the sink, with anti-microbial barriers against infection. The keyboards you can roll up are pretty cool.

I don’t want to be the only person banging the table for this stuff. So here’s a study done at the Henry Ford Hospital in Detroit. The highest germ level in triage and registration areas of hospitals is on the computer keyboard.

Nasty, deadly germs like Methicillin-resistant Staphylococcus aureus (MRSA) can infect an entire hospital from that keyboard, that mouse, that registration desk. And the use of keyboards and mice is going to increase, dramatically, as emergency rooms see EHRs delivering the decision support needed to avoid lawsuits.

This is the biggest no-brainer in the history of Earth. Add washing the computer to your protocols for protecting patients from MRSA. You’ll save money, you’ll save lives.

Enhanced by Zemanta

July 14, 2010

API Healthcare Issues Patient Check List: Five Things Every Patient Should Know Before Being Admitted to the Hospital

Filed under: Nursing — Shirley @ 8:35 pm
Tags: , , , , ,

Here’s an article I found that is quite interesting.  This is an API Healthcare news release that was posted on Sys-con Media’s website. This article is about how a patient should get himself prepared prior to admission; these questions make up some of the due diligence anyone should be doing before selecting a hospital to be admitted to for any reason.   It makes for very interesting reading and I recommend that you click over to the original to read the rest of the posting.

___________________________________________________________________________________________

HARTFORD, Wis., July 14 /PRNewswire/ — API Healthcare, the leader in healthcare-specific workforce management technology solutions, today released a list of five important check-list items that everyone should consider before a hospital admission.

“Patients need to be aware of all the changes taking place in the healthcare system and how those changes can impact their care,” said API Healthcare chief executive officer, J.P. Fingado. “Some hospitals under pressure to reduce costs are cutting back on labor, which can impact the quality of care. As nurses are required to care for higher numbers of more critically ill patients, hospital executives will need to focus on optimizing their talent pool to deliver high-quality care in a cost-effective way. Patients should understand how their hospital is addressing this challenge.”

Nurses are responsible for providing the majority of direct care to patients, but many hospitals have cut back on staffing levels during the recession. As a result, more attention is being given to safe nurse-to-patient ratios – a factor that contributed to the recent nursing strike in Minnesota. Yet, as healthcare reform is expected to bring 32 million new patients into the system, and nurses leave due to retirement, burnout and attrition, industry experts are expecting a critical shortage of nurses in the near future.

“Nurses play a significant role in ensuring high-quality patient care and can impact patient outcomes,” said nursing expert, Kathy Malloch, PhD, MBA, RN, FAAN. “Patients have a right to know who will be providing their care and how their care team will work together to manage their specific needs.”

Studies have shown that hospitals that commit to high-quality nursing care have lower mortality rates, fewer readmissions and shorter stays. API Healthcare recommends that patients consider the following before a hospital stay:

    1.   HOW SATISFIED ARE THE NURSES ON STAFF?
          Nurse satisfaction and turnover rates are important indicators of
           the quality of nursing care at a hospital.  Flexible scheduling
           and nurse empowerment can help prevent nurse burnout and result
           in a higher quality of care.  It is a plus if a facility is
           designated as a Magnet hospital, industry recognition for
           facilities with the highest quality of nursing care and high
           rates of nurse satisfaction.
    2.   HOW HIGH IS PATIENT SATISFACTION?
          Patient satisfaction can be an excellent measure of the quality
           of care patients receive. Individuals should ask if the hospital
           tracks patient satisfaction rates and if so, request to see the
           report.  Potential patients should also review Hospital Consumer
           Assessment of Healthcare Providers and Systems (HCAPHS) results.
           This national standardized survey tool measures adult inpatient
           perceptions of the quality of care at acute care hospitals.
    3.   HOW MANY NURSES ARE AVAILABLE?
          Many states have implemented legislation or guidelines related to
           safer nurse staffing, such as overtime restrictions and mandated
           nurse to patient ratios. A lower patient-to-registered nurse
           (RN) ratio indicates...[more]

Click here to read the entire article

Enhanced by Zemanta

July 12, 2010

Here’s a video from the Minnesota Nurses’ Assoc.

What are your thoughts about this?  What do you think about unionizing nurses?  What effect will this have on patient outcomes?  Any thoughts at all about this situation?

Enhanced by Zemanta

July 9, 2010

Here’s some nursing videos about nursing’s effect on patients

Filed under: Nursing — Shirley @ 6:59 am
Tags: , , ,

Here’s a great link to find seminars in your area.  Please click on the box to visit the site.

Educational opportunities from
nursing-education.com

Here are some videos about nurses from the patient’s perspective.  It’s really nice to see something positive about nursing, isn’t it?

Hope you enjoyed the videos and feel better about your chosen profession.

Next Page »