Solutions
evidence-based practice
- strategy to reduce the amount of time required to integrate new
healthcare findings into practice
- conscientious use of current best evidence in making decisions
about patient care
- increasing number of evidence-based nursing centers around
the world
shortage of nurses
- affects the cost and quality of healthcare
- driven by the aging population
- job growth projection of 7%
strategies to retain nurses
- adequate compensation
- flexible staffing
- allow professional autonomy
- good communication and interpersonal relationships
- work recognition
- adequate benefits
- professional pactice
- follow magnet hospital programs
recommendations of the IOM future of nursing report
,- remove scope of practice barriers
- expand opportunities for nurses to lead
- nurse residency programs!
- increase nurses with BSN
- double nurses with a doctorate
lifelong learning
to improve health care quality care must be
- safe
- effective
- patient centered
- timely
- efficent
- equitable
total patient care/private duty model
- when one nurse assumes responsibility for the complete care of
a group of patients on a 1:1 basis
- the nurse provides total patient care
- this is the prefered method
functional nursing
- breaks nursing care into a series performed by many people
- can result in fragmented impersonal care
- can lead to lack of accountability
- the ultimate accountability falls on the RN
- lack of psychosocial and spiritual care
Team nursing
, - groups of patients are assigned to a team headed by a team
leader
- must have good communication
What is primary nursing?
nurse plans a directs care of patient over. 24 hour period
- relationship based
patient-focused care
- traditional nursing interventions handled by ancillary workers
under direction of RN
- moves RNs to higher level of functioning
impact of staffing patterns on quality of care
low staffing = more adverse outcomes
things impacting quality of care
- more acutely ill patients, skill levels of nurses have declined
- higher acuity patients, increase in workload
What mechanisms of basic nursing education qualify to take the
NCLEX SATA
a. diploma
b. ADN
c. BSN
d. MSN
e. DNP
a. diploma
b. ADN
c. BSN