2023 150 250 words THIS IS A RESPONSE TO THE PEER DISCUSSION BOARD 1 REFERENCE NURSING JOURNAL WITHIN 5 YEARS MUST HAVE IN

2023 Nursing Response to nursing DB_sr

150 250 words THIS IS A RESPONSE TO THE PEER DISCUSSION BOARD 1 REFERENCE NURSING JOURNAL WITHIN 5 YEARS MUST HAVE IN 2023

150-250 words THIS IS A RESPONSE TO THE PEER DISCUSSION BOARD. 1 REFERENCE-NURSING JOURNAL WITHIN 5 YEARS. MUST HAVE IN TEXT CITATIONS

 

Often health care organizations form comities that have the sole focus of quality improvement. These comities perform studies and audits that ensure that the standards, within their organization, are congruent with guideless set by regulatory organizations, certification boards, and professional organizations (Melnyk & Fineout-Overholt, 2015). Examples of audit criteria may be the prevalence of intensive care unit (ICU) acquired pressure ulcers, prevalence of ventilator- associated pneumonia (VAP), or the number of patients who acquire blood stream infections from the insertion of a central line. The committee then follows up with the unit standards and guidelines to ensure they are in accordance with the national standards.

 

            This author will be focusing on the prevalence of ventilator associated pneumonia (VAP) in ICU patients. The standards currently set in this author’s ICU, to prevent VAP, include keeping patients head of bead (HOB) at 30 degrees, suctioning the oral and airway passages prior to laying down or turning the patient, the use of antiseptic mouth wash every two hours, and replacement of respiratory tubing daily. These guidelines were adopted by the organization after reviewing data that was collected from studies performed by accrediting bodies.

 

One of the accrediting bodies, that sets standards for health care organizations, is the American Association for Respiratory Care (AARC). Their guidelines are founded on evidence- based practice, and pertain to the management of ventilated patients and the prevention of VAP (Care of the Ventilator Circuit and Its Relation to Ventilator-Associated Pneumonia, 2013). Data collected via a systematic review of literature, obtained from PubMed, was used to collect data and form guidelines. In addition, a quantitative analysis was performed.

 

 Although the guidelines do not mention a specific number of days a closed ventilator circuit is good for, AARC recommends that the circuit be changed frequently (Care of the Ventilator Circuit and Its Relation to Ventilator-Associated Pneumonia, 2013). In addition, AARC states that passive humidifiers need to be changed every 48 hours to prevent bacterial growth (Care of the Ventilator Circuit and Its Relation to Ventilator-Associated Pneumonia, 2013). Finally, AARC states that closed suction catheters should be utilized and do not need to be changed daily, although the safe appropriate length of use is unknown (Care of the Ventilator Circuit and Its Relation to Ventilator-Associated Pneumonia, 2013). Given the information provided, it appears that this authors institution is in compliance with the standards set forth by AARC.          

 

Another way healthcare institutions can prevent VAP is by adopting a bundle that has been backed by an institution through evidence- based practice. Bundles are a set of guidelines and standards that are used simultaneously. This author reviewed another study that utilized a descriptive retrospective longitudinal study, using a quantitative approach, the determine the effectiveness of VAP bundles (Rodrigues, Fragoso, Beserra, & Costa Ramos, 2016). This particular study concluded that the bundle being used led to an increase in ventilator associated pneumonia and increased mortality rates by 50 percent.

 

This is an example as to why VAP bundles and guidelines need to be evaluated by an accrediting institution and appropriately modified.

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2023 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT BETWEEN150 200 WORDS You have an idea to improve patient

2023 Nursing Comment stephanie

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT BETWEEN150 200 WORDS You have an idea to improve patient 2023

 

  I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN150-200 WORDS

 

You have an idea to improve patient care that you would like upper management to support and fund. What type of communication tool would you use to present your idea and why?

My initial communication would start with a general meeting of involved parties and upper management, and deliver my idea to improve patient care through oral and visual means. I would present and support my idea using an attractive and eye-catching power point presentation, along with verbal emphasis. I would communicate effectively this way to build awareness about the need for the improvement and also the benefits this new idea would bring. By using a power point presentation, it creates a visual message which sometimes is more suitable to catch and keep the interest of your audience (Theriault, 2013). After the presentation is through, allow time for questions and feedback. A meeting can be beneficial and effective if well prepared, passionate, dynamic, and has focused engagement (Huber, 2014, p. 136).

References:

Huber, D. (2014). Leadership & nursing care management (5th ed.). St. Louis: Elsevier.

Theriault, M. (2013, November 25). 5 Principles For Making PowerPoint Slides With Impact. Retrieved July 10, 2017, from https://www.google.com/amp/s/www.forbes.com/sites/allbusiness/2013/11/25/7-principles-for-making-powerpoint-slides-with-impact/amp/

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2023 U1D2 What are the challenges and implications for patient safety when there is conflict within the interprofessional health care

2023 Nursing FOR PHYLLIS YOUNG

U1D2 What are the challenges and implications for patient safety when there is conflict within the interprofessional health care 2023

 

 

 

U1D2

 

  • What are the challenges and implications for patient safety when there is conflict within the interprofessional health care team?
  • How will these similar challenges impact clinical nursing practice in your specialty area related to patient safety?
  • What team-based and interprofessional communication strategies and skills would you suggest will be important in your specialty area related to patient safety? Why?

 

Your initial post should be at least 150 words and have at least one APA-formatted reference.

 

 

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2023 Select an article from the mass media newspaper that deals with an

2023 Nursing nursing

Select an article from the mass media newspaper that deals with an 2023

Select an article from the mass media (newspaper) that deals with an “environmental” health issue. Analyze and critique the article by answering the following questions:

  • What are the characteristics of the community involved?
  • What appears to be the sources of the problem?
  • What evidence is provided in the article to substantiate the cause?
  • Does the news coverage describe health effects?
  • What population is at risk?
  • Does the coverage provide adequate information for consumers to understand the problem and seek any needed assistance?
  • How would you improve this article for better public awareness?

2 pages this is a discussion 

 

 

m3d2

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