NSB231: Nursing and Midwifery Board of Australia (NMBA) –  Nursing Assignment

October 31, 2017 Celina Nursing Nursing Assignment No Comments

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Internal Code: MAS3033

Assessment is a key component of nursing practice, required for planning and provision of patient and family centred care. The Nursing and Midwifery Board of Australia (NMBA) in the national competency standard for registered nurses states that, “The registered nurse assesses, plans, implements and evaluates nursing care in collaboration with individuals and the multidisciplinary health care team so as to achieve goals and health outcomes.” The simulation scenario involved Mr Bright who had just undergone an angioplasty. A potential problem related to this procedure includes impaired tissue perfusion related to haematoma formation or bleeding.

Questions:

1. Review the Mr Harry Bright case study including the videos that set the context, the simulation prereading and the patient related 
documentation available in your Blackboard site under Week 5 Clinical Simulation and Assessment Task 1.. 
2. Review the knowledge and skills relating to:

a. Nursing Care implications: Coronary artery disease, Angioplasty (PTCI), Chest Pain.

b. Processes for patient assessment and patient assessment.

c. ISBAR framework for effective communication.

d. Vital sign monitoring.

e. IVT and infusion management.

f. BGL monitoring.

g. Clinical reasoning and decision-making.

Question:

Question 2:

National Safety and Quality Health Service Standards for Clinical Handover recommend that communication of patient information should be conducted in a standardised format using a structured process in order to transfer relevant patient information. In the simulation, ISBAR was the structured format used to communicate patient information.

Assessment phase of the nursing process in which data are gathered to identify actual or potential health problems Subjective Data data of s/s that include the client’s feelings and statements about his or her health problems Objective Data observable, measurable information that can be validated or verified Primary Source the client Secondary Source family, significant others, other healthcare professionals, health records, and literature review Intial Assessment assessment performed when the patient enteres a healthcare facility, receives care from a home health agency, or is seen for the first time in an outpatient clinic Problem-Focused/Focused Assessment assessment performed with the goal of obtaining data about a problem that has already been identified and consists of a more narrow scope and shorter time frame than initial assessment Emergency Assessment assessment performed that takes place in life-threatening situations in which the preservation of life is the top priority; time sensitive for rapid identification of and intervention for health problem Time-lapsed Assessment assessment performed after the initial assessment to evaluate any changes in the patient’s health; (weeks, months, years) Validation reexamining information to check its accuracy; ensuring subjective and objective data agree; used to ensure data consists of cues not inferences Nursing Diagnosis actual, potential, or possible health problem identified by the nurse that is amenable to nursing intervention; a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes. Basic Two-Part: Problem and Etiology (TCC’s requirement)

Basic Three-Part: Problem, Etiology, and Signs/Symptoms (NANDA’s requirement)The components of a basic two-part nursing diagnoses statement and the components of a basic three-part nursing diagnosis statement. Actual Nursing Diagnosis nursing diagnosis made when problem is present at time of assessment with associated s/s; three part statement including diagnostic label, related factors, and defining characteristics Risk Diagnosis nursing diagnosis made when the problem does not exist but the patient is at increased chances of developing a problem; two part statement including diagnostic label and related factors Wellness Diagnosis nursing diagnosis made when a patient has readiness for enhancement; one part statement Possible Diagnosis nursing diagnosis made when not enough evidence supports the problem but the nurse thinks that it is highly probable and wants to collect more information; two part statement stating potential problem followed by “unknown cause” NANDA-International currently accepted taxonomy of nursing diagnoses Prioritization decision-making process in which the nurse decides the order of the nursing diagnoses in terms of importance to the patient; to achieve this process follow the ABC’s then Maslows Hierarchy of Needs protocol Outcome Identification the formulation of goals and measureable outcomes that provide the basis for evaluating nursing diagnoses for the purpose of providing individualized care, promoting patient participation, planning realistic and measurable nursing care, defining collaborative care, establishing priorities, and establishing client goals and outcome criteria Specific, Measurable, Attainable, Realistic, and carried out in a specific Time frame, SMART

1. Subject (The patient will….)
2. Verb (verbalize, demonstrate)
3. Condition of modifier (pain relief)
4. Criterion of desired (AEB)the requirement for outcome criteria/goal statements Planning the development of nursing strategies designed to ameliorate patient problems; multidisciplinary; Implementation/Intervention refers to the action phase of the nursing process in which nursing care is provided; can be independent, dependent, or collaborative; must be safe and appropriate for patient; must be achieveable; in a care plan, this action must have one directive verb and be measurable. Evaluation the judgment of the effectiveness of nursing care to meet patient goals based on the patient’s behavioral responses; requires reassessment, effectiveness of nursing interventions, and patient goal achievement The goal was met, the goal was partially met, the goal was not met at all the three factors to determine the effectiveness of the plan of care Continue the plan of care, modify the plan of care, or discharge the plan of care the decision made by the nurse after the effectiveness of the plan of care is determined Maslow’s Hierarchy of Human Needs theory that states that all humans are born with instinctive needs, grouped into five categories, and arranged in order of importence from those essential to physical survival to those necessary to develop a person’s fullest potential; second tool used to prioritize patient needs Airway, Breathing, Circulation the first tool used to prioritize patient needs.

Locate a minimum of 15 peer-reviewed articles that describe the problem or issue and that support the proposed solution (My Problem: What is the result (O) of having BSN degree in nursing in comparison (C) to ADN degree nursing(P), affect the efficiency and effectiveness of the nursing care (I) on a daily basis (T)?) I want to show how having BSN degree in nursing versus ADN degree is better because of the lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. Due to further conventional training the BSN nurse is more of a sharp thinker proceeding in regular nursing duties and abstains from harmful mistakes. BSN nurses attend to view further into the disease process and critical thinking behind it in preference then simply doing a task as an AND nurse would. See attachment for further explanation
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Locate a minimum of 15 peer-reviewed articles that describe the problem or issue and that support the proposed solution (My Problem: What is the result (O) of having BSN degree in nursing in comparison (C) to ADN degree nursing(P), affect the efficiency and effectiveness of the nursing care (I) on a daily basis (T)?) I want to show how having BSN degree in nursing verses ADN degree is better because of the lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. Due to further conventional training the BSN nurse is more of a sharp thinker proceeding in regular nursing duties and abstains from harmful mistakes. BSN nurses attend to view further into the disease process and critical thinking behind it in preference then simply doing a task as an AND nurse would. Eight of the 15 articles must be research-based (e.g., a study which is qualitative, quantitative, descriptive, or longitudinal).Preview each of the 15 articles chosen by reading the article abstracts and summaries.Hint: Article abstracts and summaries provide a concise description of the topic, research outcomes, and significance of findings.Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question):How does each article describe the nature of the problem, issue, or deficit you have identified?Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?What are example(s) of morbidity, mortality, and rate of incidence or rate of occurrence in the general population?Does each article support your proposed change?

Assignment: The Impact of Intrinsic Motivation

Reflect for a moment on your nursing career. About what are you most passionate? When do you feel you are at your best? What brings you the greatest satisfaction in your work? Positive feelings in the workplace are usually fueled by intrinsic motivators: healthy relationships, meaningful purpose, competence, choice, and progress. As a nurse manager, it is helpful to recognize what motivates you to perform well in your own job. You should also take time to understand the motivations of employees. By speaking to staff about their interests and professional goals, nurse managers can build relationships and thus provide appropriate motivators.

For this Assignment, you examine your personal work experiences to determine which of the five intrinsic motivators are more influential in shaping your positive feelings about the workplace.

To prepare

Reflect on your work history, from your first job to your current employment.

Select one time period or situation in which you felt professionally happy, motivated, and fulfilled in your job. What do you remember most about this time period? What are, or were, the various personal and professional factors that helped to shape these feelings?

Select one time period or situation in which you felt professionally unhappy, disengaged, and unfulfilled in your job. What do you remember most about this time period? What are, or were, the various personal and professional factors that caused these feelings?

Review the selected pages from Chapter 7, “Coaching and Developing Others” in the course text, From Management to Leadership: Strategies for Transforming Health Care. Consider the potential influence of the five intrinsic motivators during your chosen time period or situation.

Which intrinsic motivators seem to resonate more with your own perceptions of job fulfillment?

Which motivators do you believe have greater influence on your professional well-being?

Review the media, “Fostering a Positive Workplace.” How can nurse leaders use their awareness of the five motivators to engage and retain nursing staff?

To complete

Submit a 3- to 5-page paper in which you do the following:

Appraise a time when you have felt professionally fulfilled. Describe the setting, your job title, and the roles and responsibilities in which you were engaged. Identify your own key intrinsic motivators and explain how these were evident in this situation. Cite specific examples.

Appraise a time when you have felt professionally unfulfilled. Describe the setting, your job title, and the roles and responsibilities in which you were engaged. Explain the motivator(s) that were absent and how this impacted your professional performance. Cite specific examples.

Discuss how you, as a nurse manager, might implement organization- or department-wide changes that would create an environment that engages staff through one or more intrinsic motivators.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.