Describe Clinical Situation Assignment Help: How to Answer This Question
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Original Question
Describe a clinical situation in which you were involved and what decisions were made to address the issue (e.g., high incidence of falls, infections, errors, etc.). What sources of evidence were utilized to make the decision (e.g., research, practice guideline, protocol, personal experience, expert advice, etc.)? World Health Organization. (2019). Patient safety fact file. https://www.who.int/ factfiles/patient_safety-patient-safety-fact-file.pdf?ua=1 This week we will work on gaining mastery of the following weekly objectives: Discuss the levels of research evidence available to nurses for practice. (CO 1) Identify sources of evidence that are available to guide clinical decision making. (CO 1) Assess the impact of evidence-based practice on standards of care. (CO 4) Discuss nursing research and its evolution. (CO 5) Value one’s own role in research as a professional nurse. (CO 5) Substantive Post Requirements: Integrate assignment readings/lessons AND outside professional/scholarly references in your posts. Utilize appropriate APA format -currently using 7th edition. Incorporate faculty grading feedback into future posts/assignments. Actively participate and engage in discussion. The use of only “I agree” or “Great points,” or “Good job” is not sufficient. The inclusion of explanations, additional thoughts, personal experiences, and the use of additional scholarly references are elements of a a great substantive post. Please use the attached Threaded Discussion grading rubric as a guideline when preparing your posts. Print out the rubric and review the requirements for full points. If you have any questions, please contact me. I will be grading using this rubric. Quotes are not allowed in Chamberlain CON discussions. This was presented in the announcements during preview week. All quotes used in the discussion forum will result in a significant point deduction (-5). Your readings, the weekly lesson, and participation in the discussion forum will work together to help you achieve these objectives. In this discussion, we will talk about a clinical situation that you can recall being concerned about and a decision had to be made to improve the situation. Below I have provided a hot topic in health care with ongoing concerns between patient safety and employee morale. Patient ratios are a public-health issue that has been an issue for many years and recently was recognized as a large problem during our pandemic. It is important not just for the caregiver, but also for the patients to have acceptable patient ratios. Patient mortality is affected by the nurse-to-patient ratio and does influence a patient’s outcome (Driscoll et al., 2017). Nursing burnout, more medication errors, and increased patient satisfaction- all occur with better patient ratios. On a federal level, there is a law that states that hospitals that participate in Medicare must have an adequate number of licensed registered nurses, along with other pertinent caregivers needed to provide nursing care as needed. The law also states that supervisory staff needs to be staffed well enough to allow for an RN to be immediately available to go to any bedside as needed. This includes federal recommendations for staffing ratios in the hospital, based on patient acuity. When I was working in the acute care setting, specifically in pediatrics, in the state of Michigan, there is a 1:3 ratio that is recommended (Michigan Nurses Association, 2021). The organization policies states 1:3-4, so it is similar the state recommendations. On a state level, there are only two states that have passed laws governing safe patient ratios, which are California and Massachusetts (Michigan Nurses Association, 2021). Twelve other states have introduced statewide regulations for ratios, but Michigan is not one of them (Michigan Nurses Association, 2021). According to the Michigan Nurses Association (2021), Michigan does not have a law that limits the number of patients a nurse can take. A bipartisan group of state legislators has put together an act called the Safe Patient Care Act in Michigan. Under this act, Michigan hospitals would have to set limits on patient ratios. (Michigan Nurses Association, 2021). With so many states starting to take the lead on making safe patient ratios a law, Michigan should also do the same. The overwhelming evidence shows that patients have better outcomes, nurses are retained longer and facilities save money in the long run with an adequate nurse to patient ratio. The policymakers in charge of this in Michigan appear to be the Michigan Department of Health and Human Services (MDHHS). In 2019, there was a revision made to the Level III Criteria Quick Reference Guide released by MDHHS. This guide does state nurse-to-patient ratios for an ICU setting (1:2), but does not list any other department. The concern is that without laws, policies, and procedures in place, patient safety becomes jeopardized! Considering the questions posed for this week’s discussion thread, as the writer, I could further discuss (a) sources of evidence that are available to guide clinical decision making and the (b) impact of evidence-based practice on standards of care as required for this week’s objectives. I provided a simple overview, however, I will be looking for a detailed overview of your clinical concern, do not forget to include evidence supporting the area of concern.
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