Nursing Discussion Reply
Nursing Discussion Reply
To implement a change there must be a need for that change to occur. Bedside nursing is not a new concept,
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however to implement it is going to take backing from strong unit managers along with strong nursing staff (Coleen Ferris, 2013). In the unit that this nurse the only cost will be the paper that the actual bedside handoff requires. The indirect cost for printing the handoff offsets the overtime that is paid to the nurses coming on duty and those going off duty. This will also help with the Press Gainey scores where the patient satisfaction along with nurse satisfaction scores to increase. Bedside reporting has been proven to increase nurse satisfaction along with the patients view of their hospitalization. The patients feel that they are more involved in their plan of care. Indirectly there are those that feel bedside handoff take too long and don’t want to talk about the patient’s condition in front of them. No one like change, however in todays healthcare and the money they receive and lose if the patient must come back to the hospital in 30 days. Quality of care directly affects the patient’s outcome. If a nurse is not informed at the time of handoff that there are still testing to be run, or other orders have not been carried out properly. At the unit this nurse works on the all nurses have been included in the making of the template which has given them a sense of autonomy. The plan has been presented to the nurse educators, unit managers, and charge nurses. The template was given to some of the nurses on the floor for a trial run and the satisfaction scores are starting to pick up. Feedback from the physicians after they have made their rounds have stated that the patients have told them that they feel more involved. References: Coleen Ferris, B. R. (2013). Implementing bedside shift report. American Nurse Today, 8(3). Retrieved April 29, 2018 It is important to know when suggesting evidence-based practice change what the implementation costs will be (Nelson, 2014). One financial aspect that needs to be considered for this nurse’s capstone project is that, the site where the project is taking place is a government facility. This nurse must ensure that the project can be financially supported and sustained (Nelson, 2014). How will my proposal directly impact the financial aspect of my facility? Initially it may increase cost for the facility by having to buy the supplies needed (e.g., lotions, oils, diffusers, etc.). I believe indirectly, it will be affected in the long term by decreasing the use of pharmacological analgesics such as opiates and methadone, currently my facility uses methadone to treat our opiate addicted patients, according to (NIH, 2018) “methadone treatment, including medication and integrated psychosocial and medical support services (assumes daily visits): $126.00 per week or $6,552.00 per year)”. I have not done a lot of research on cost for aromatherapy yet, however just browsing some websites I have found that a 12 oz bottle of massage lavender lotion is about $9.99, and I’m sure better deals can be found on larger orders. The institute of medicine describes quality of care as “the degree to which health care services for individuals and populations increases the likelihood of desired health outcomes and are consistent with current professional knowledge” (AHRQ, 2017). Quality of care will directly be impacted by giving our patients more options to treat their pain. I feel that if given the option, they will choose the aromatherapy as a form of treating their chronic pain if they are properly educated on all findings of different research found for the implementation of the project. Quality will be indirectly impacted in my opinion, by giving these patients a resource for when they are released from custody, they will learn new methods of pain control which can be very inexpensive and non-addictive. These methods can be done at home and self-administered without prescriptions. The clinical aspect is impacted by now giving nurses a new protocol that can be used to treat pain in their patient. Nurses, will be learning of this technique to treat pain and all the research behind it. Indirectly, the clinical aspect is impacted by all the technology that has to be used to implement the change, such as creating the form that will be used to use the therapy the nursing assessment protocol (NAP). This form will probably need some nurse input during the development stages but primarily is IT’s duty to create it for us to use. References AHRQ. (2017). Understanding Quality Measurement. Retrieved from Agency for Healthcare Research and Quality: https://www.ahrq.gov/professionals/quality-patient-safety/qualityresources/tools/chtoolbx/understand/index.html Nelson, A. M. (2014). Best practice in nursing: A concept analysis. International Journal of Nursing Studies, 1507-1516. NIH. (2018). How Much Does Opioid Treatment Cost? Retrieved from National Institute on Drug Abuse: https://www.drugabuse.gov/publications/research-reports/medications-to-treat-opioidaddiction/how-much-does-opioid-treatment-cost
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