please, write response to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

Regulation

      The healthcare profession has numerous regulatory bodies ensuring patient safety is maintained at a high standard.  One such organization is The Joint Commission (TJC), an organization established in 1951 that provides voluntary accreditation through a very in-depth evaluation of compliance with standards of care of an organization (Wrzesniewski, 2017).  Continued accreditation establishes an organization’s determination to provide evidence-based, safe, quality care.  In 2001 TJC introduced a new requirement of a formal patient safety program (Huber, 2018).  The continuously elevated level of standards and safety measures required by TJC ensures safety is always at the forefront of health care.  Although medication administration error goals can be to keep errors to a minimum, it is impossible to avoid errors where the human element exists (Wang et al., 2015).  Hospitals can establish the building blocks needed to provide care of the highest standards through the safety framework required by TJC accreditation.  However, to assure continued safety and compliance it is important as a hospital culture to maintain standards and not push staff compliance before inspections (Wrzesniewski, 2017).  The standard of care and safety measures should be instilled in healthcare workers.  Policies and procedures should be adhered to and followed to the letter to avoid staff confusion and straying from the goal of safety.  Safety in an organization is a culture and must be preserved at its highest form. 

As nurses, we follow organizational policies and procedures, question when necessary, and advocate for change when applicable. Nurses are the last line of defense in medical errors.  This responsibility should not be taken lightly and a conscious continuous effort should be made to apply evidence-based practice when providing care to patients.  Patient safety should be the number one priority in any health care and to any given healthcare provider as we have all taken an oath to above all not do any harm to our patients.       

https://ed.ted.com/on/hj5pWxkQ

Watch the TED-Ed video on Mission & Vision statements. Then find the mission and vision statement of the organization you are presently working in. If you are not currently employed please choose an organization you worked at or an organization you would like to work for. 

Answer the following:

1. State the Mission and Vision of the organization.
2. Comment on if what is stated in the mission and vision is truly practiced in the organization. Cite specific examples if they do or do not practice this. 
3. Look at the organizational structure (TO-Table of Organization or organizational chart) and roles within the organization. Comment on the Advantages and the Disadvantages of the structure in your organization. Pay close attention to where nursing is in the organizational table and discuss if it is on a level that is equal to other departments.
4. Does Nursing have its own Mission and vision statement? If so, how is it similar or different from the overall organizational statement?

Please make sure that you use APA style when citing and/or referencing this post. 

 

Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management

Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.

Education

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.

Research

1. Increase the integration of evidence-based care across the dimensions of end-of-life care.

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.

Administration

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.

4. Support the development and integration of palliative care services for all in- and outpatients and their families.

 

Visit this https://www.mentalhealth.va.gov/suicide_prevention and complete a CARE PLAN for a patient with suicide risk.

The six steps of the nursing process required

1- assessment

2- diagnosis

3- outcome identification

4- planning

5- implementation

6- Evaluation

Nursing diagnose approved by NANDA International http://www.nanda.org/ Include a list of all references used to support your answer.

4 postsRe: Topic 2 DQ 1

There are many factors that influence the heath of an individual or the population. In a broad term one of this factor is termed Social Determinants of Health (SDOH). SDOH are the complex circumstances where people are born, live, grow, play learn, worship, work and age (heathy people. Gov, 2018a; World Health Organization, n.d.). In order words, these are broad range of personal, social, economic and environmental factors. The determinants are about individual place in society, this includes income level, educational level and type of employment. Over the years group of people have experienced racism, discrimination and historical events such as the black people. These experiences have detrimental effects on the health care needs of these group of people. SDOH is the main factor responsible for today’s major health problems in society including depression, hearth disease, diabetes and obesity (What are the Social Determinants of Health? 2018).

There are complex interactions between the SDOH. For example, low income will have direct impact on the individual or community accessibility to proper health care, lack of good food and thus increasing the burden on the individual or family. This burden is often translated into poor coping mechanism in the form of drug use and sometimes comfort eating of unhealthy food. Poor health can reduce the individual opportunities to have meaningful employment which in turn impact on the individual’s income. These factors interplay with each other and have a positive or negative effect on the overall health of the individual or population.

A communicable disease chain is the process by which pathogen of infectious agent is transmitted to another organism (Green, 2018). This model of communicable disease chain is presented by six links, infectious agent, susceptible host, reservoir, portal of entry, mode of transmission and portal of exist (Break the Chain of Infection, n.d.). All these elements most be presence for the spread of communicable disease in a population. To stop the spread of disease is by breaking the chain at any link.

Nurses are in better position in breaking the chain of infection because they are involved at all levels of prevention (Institute for Work and Health, 2015) The nurse can use preventive measures or health education that are aimed at breaking the chain and reducing the risks of infections in other people. These measures include adhering to proper hygiene measures (WHO, 2018). For example, in the case of contact precautions, nurses should always use the appropriate personal protective equipment disposed of immediately after attending the patient to protect the nurse and other patients from getting infection.