DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

Grand Canyon University DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493 assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493                           

Whether one passes or fails an academic assignment such as the Grand Canyon University DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493 depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493                         

The introduction for the Grand Canyon University DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493 is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493                         

After the introduction, move into the main part of the DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493 assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493                         

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493                           

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493 Included After Question

Topic 2 DQ 1

During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

A Sample Answer For the Assignment: DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

Title:  DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

During my practicum the clinical problem that my organization is facing is the overwhelming nurse shortage. This is one problem that I have personal experienced and has affected my overall mental and physical health. The reasons for this shortage include lack of educators, high turnover, and inequitable workforce distribution (Haddad et al, 2022). As time goes on, the population ages and increases as a whole which increases the need for health services which directly increases the need for personnel, especially nurses. Many of the disease and conditions that were previously incurable have now been able to be treated with new technology, medications, and clinical trials which calls for the need for an increased amount of personnel to look after the patients’ health. This causes hospitals to work overtime to try and combat the increase of both patients and diseases. It has become very apparent that there is a necessity of nurses after the COVID-19 pandemic which showed how severely unprepared the nation is in terms of healthcare when there was limited access to hospital beds, ventilators, protective gear, masks, hand sanitizer, other life saving machinery etc. The overall nurse shortage has become a phenomenon that has become increasingly prominent in society over time, and this is due to turnover and dissatisfaction. Nurse turnover is what occurs when a nurse leaves an organization either voluntarily or involuntarily for a variety of different reasons ranging from wanting to retire to finding better benefits at other facilities. Nurse turnover is one barrier because it disturbs the well-functioning systematic process of the hospital, and the major consequence is that there are more patients than personnel leading to burnout in nurses that remain who must take on double or more of the responsibilities which debilitates nurses from being able to carry out evidence-based practice due to lack of time and resources (Dewanto & Wardhani, 2018). This debilitates the overall patient care quality given in the organization. The shortage of nurses is ironically what causes even more shortage in nurses. The lack of staff causes nurses and other personnel to gain double and triple the amount of patients and work that they typically do which causes burnout, stress, and overall dissatisfaction of the job due to difficult working conditions. Furthermore, in many instances, long shift hours are extended due to a lack of personnel coming in to take the next shift which may be due to staff calling in sick due to emotional exhaustion and the overload of work which makes them not want to come in to work. This issue has personally impacted me because the overload of work leads to more chance of mistakes and complications like injury which overall decreases the quality of care given to the patient.

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Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: a preliminary study at private hospitals in Indonesia. BMC nursing, 17(Suppl 2), 52. https://doi.org/10.1186/s12912-018-0317-8

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing shortage . National Library of Medicine. Retrieved May 5, 2022, from https://www.ncbi.nlm.nih.gov/books/NBK493175/ 

A Sample Answer 2 For the Assignment: DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

Title:  DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

I have noticed several issues happening with the clinic I am doing my practicum is facing. These issues include how their medications are stored and administered and the lack of handwashing stands available outside treatment rooms.

Effective handwashing practice has been seen to reduce hospital-acquired infections such as Clostridium difficile, Methicillin-resistant Staphylococcus aureus (MRSA), and Catheter-associated urinary tract infection (CAUTI), to mention a few (Jayasree and Afzal, 2019). The lack of handwashing stands outside of treatment rooms in the clinic will reduce the tendency for staff to wash their hands and lead to increased HAIs among nurses, other staff, and patients.

In addition, a medication error is one of the issues, especially with vaccination in the clinic. Medication error is a pertinent issue that needs to be addressed because of its implication for patient health and nurses’ legal matters. In the USA, the medication error-related deaths have been more than the deaths related to car accidents, breast cancer, and human immunodeficiency virus (Shahrokhi et al. 2013). It was observed that the storage of medication in the clinic, coupled with other working environments, can lead to a high incidence of medication errors. The oral medicines and other topical medications are stored on shelves and manually labeled under each medication. Vaccines are also stored in a cooler cabinet where nurses handpick them. The possibility of a medicine missing together is high and can lead to medication error which will cause harm to patients and legal issues for nurses.

REFERENCES

Jayasree, T., & Afzal, M. (2019). Implementation of Infection Control Practices to Manage Hospital Acquired Infections. Journal of Pure & Applied Microbiology, 13(1), 591–597. https://doi-org.lopes.idm.oclc.org/10.22207/JPAM.13.1.68

Shahrokhi, A., Ebrahimpour, F., & Ghodousi, A. (2013). Factors effective on medication errors: A nursing view. Journal of research in pharmacy practice, 2(1), 18–23. https://doi.org/10.4103/2279-042X.114084

A Sample Answer 3 For the Assignment: DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

Title:  DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

I have identified several clinical issues at the rehabilitation hospital in which I am doing my practicum. Due to insurance companies denying appropriate patients’, coupled with administration watching their bottom line, patients are being admitted with significant comorbidities and are often not ready for rehab (Themes, 2017). This causes two significant issues which are patient safety and acute care transfers of patients within 48 hours of admission. 

Patient safety is compromised when patients are not in the appropriate care setting. When things go wrong, the rehabilitation hospital is not equipped to handle acute situations and patients are at risk. For example, a patient may be admitted, post cardiac surgery, before blood pressures and fluid volumes are under control. Patient admits and upon initial assessment, patient is noticeably short of breath.  The next morning, we end up sending the patient right back to the hospital for a Lasix drip due to fluid overload. In this instance, had the nurse overlooked the presenting symptoms this patient could have very well had a seriously grave outcome.  

In addition to compromised patient safety, the rehab hospital ends up losing money in the end for acute care transfers of patients within 48 hours of admission. A reported 23.5% of Medicare patients discharged to rehabilitation facilities are readmitted to acute hospitals within 30 days resulting in an estimated $4.3 billion in excess costs (Axon, Gebregziabher, Craig, et al, 2015). 

References 

Axon, R. N., Gebregziabher, M., Craig, J., Zhang, J., Mauldin, P., & Moran, W. P. (2015). Frequency and Costs of Hospital Transfers for Ambulatory Sensitive Conditions. Am. J. Manag. Care, 21(1), 51. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4521764 

Themes, U. (2017). Safety in the Rehabilitation Setting: A Nursing Perspective. Musculoskeletal Key. https://musculoskeletalkey.com/safety-in-the-rehabilitation-setting-a-nursing-perspective 

A Sample Answer 4 For the Assignment: DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

Title:  DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

I enjoyed reading your post. Patient safety is one issue that bears significant outcomes in all types of care settings. This is because lapses in patient safety have several adverse impacts on patient outcomes. First, poor patient safety will most definitely lead to adverse patient outcomes (Ead, 2017). Furthermore, the adverse outcomes experienced by patients are bound to lead to higher costs of care, which are most likely going to be insured by the facility. This contributes to the increasing cost of care in general. That said, it is imperative to ensure that these issues are addressed as soon as possible, in order to avoid the potential of leading to adverse patient outcomes. In your post, you aptly indicate that these patient safety issues eventually lead to the rehabilitation program losing money and this further justifies the need for urgent solutions.

One potential solution to this specific issue is to improve the competencies of nurses within the institution, or to have a strict admissibility criteria when it comes to patient admission. Improving nurse competencies will empower the nurses to deal with the safety issues that emerge due to the patients’ conditions. Alternatively, the rehab center on the other hand, can evaluate its competencies. This entails ascertaining what its staff can do, and what its personnel is incapable of handling and then only admitting patients that can be well taken care off given the personal competencies of available. Both of these solutions will significantly improve the institution’s safety profile and also limit the costs borne by the organization.

References

Ead H. (2017). Patient Safety Consultants-Adding to Patient Care or Overhead Costs?. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 32(3), 267–268. https://doi.org/10.1016/j.jopan.2017.01.008

A Sample Answer 5 For the Assignment: DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

Title:  DURING YOUR PRACTICUM, DETERMINE WHAT CLINICAL PROBLEM OR ISSUE THE ORGANIZATION IS FACING NRS 493

Residents who live in long-term care facilities are more predisposed to experience falls than people who live in the community. Physical injuries and cognitive changes acquired from falls have implications for residents, their families, and healthcare expenditures. This clinical problem in nursing practice implies a comprehensive fall prevention program in the nursing facility that focuses on educational integrated fall-prevention guidelines, contributing to reducing falls in long-term care residents. The use of best practice strategies that improve fall risk assessment and the use of fall preventions program plays the goal to decrease the number of falls and increasing the positive transformation resulting in improvement of patient safety and quality of life (Aguwa, 2019). The lack of a poor comprehensive fall prevention program in the facility leads to high fall rates among the elderly. Developing a fall management program can be integrated with an interdisciplinary quality improvement initiative. Its role is to assist the facility in providing person centered-care, improving the fall care process and outcomes through educational and quality improvement tools. The consequences of falls reduce quality of life, increase fear of falling, restrict activities, and reduce the ability to function increasing the risk of death. The adverse results of falls for the facility include an increased level of care for fallers and increased work for the staff. Some of the significant causes of falls are the effects of a combination of risk factors illustrated by intrinsic factors (age, unstable gait, acute medical condition, chronic diseases, lack of activities, behavioral symptoms, and medication errors) and extrinsic factors such as environmental hazards, unsafe equipment, and personal care items (devices for ambulation). Approaches to fall management are immediate care intervention in the first 24 hours and long-term care management by developing care plan interventions. Staff will monitor and manage patient response, reviewing the care plan. The development of a culture of safety is an important step to ensuring the falls management plan is efficient and integrated into the environmental organization. Creating a plan for a culture of safety implies changes in staff attitudes and behavior and changes in the management of care. The process requires strong leadership, effective communication, new policy initiation, and integration of multidisciplinary teams to address areas of improvement. Interdisciplinary team implications are vital for success in the falls management program, addressing residents with a high risk of falls. Falls Nurse Coordinator implements programs and coordinates the fall assessment for each patient. The falls nursing assistant inspects the environment and equipment acting as a leader among staff. The Falls therapist assists the resident with transfer, mobility, W/C seating, implying occupational and physical therapy services. The Director of Nursing joins weekly meetings and participates in integration and reinforcing the strategies program for falls. Falls management program (FMP) assessment will enable staff to recognize strengths and weaknesses in the specific domain, developing the implementation success program (screening, assessment, care planning, monitoring) being practiced and documented. The implementation of best practices promotes health outcomes in the prevention of fall programs (Agency for Healthcare Research and Quality, 2017).

References:

Aguwa. (2019). Nursing Education to Prevent Resident Falls in Long-Term Care. Walden University. https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=8727&context=dissertations#:~:text=Falling%20and%20the%20fear%20of%20falling%20leads%20to,individuals%20who%20lives%20in%20the%20long-term%20care%20facilities%2C 

AHRQ. (2017a). The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities. Agency for Healthcare Research and Quality. https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html