QUESTION 1: Discuss how professional nursing organizations support the field of nursing and how they advocate for nursing practice. Explain the value professional nursing organizations have in advocacy and activism related to patient care.

QUESTION 2: (A) Discuss the importance of advocacy as it pertains to patient care. (B).What is the nurse’s role in patient advocacy? (C).Describe a situation in which you were involved with patient advocacy. (D).Explain what the advocacy accomplished for the patient, and what the repercussions would have been if the patient would not have had an advocate.

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1. Three general approaches recommended American Nurse Association (ANA) to maintain sufficient staffing is to have mandatory staffing committees in hospitals which would analyze the needs of the patients as well as how many admissions, discharges and transfers there are in accordance to the skills and experience that each staff member holds. Then there is specific nurse to patient rations that are required in regulations towards the hospital. The third approach is to have the hospitals disclose how much staffing is used and placed to the public.
2. There are not many peer-reviewed articles relating to the nurse to patient ratio, however the studies that have been performed cannot positively correlate patient outcomes to the nurse to patient ratio. Some say that having the proper nurse to patient ratios do help the patient outcomes, but this varies according to staffing experience which is not always on the same level. More importantly experts believe that communication among the entire staff lead to better results because while nurse to patient ratios are important, they can cause unwanted effects.
3. Mandatory nurse to patient ratios are considered to be useful by critics however, the skills of the staff must be on par with the staffing level in order to be effective. In addition, hospitals do not receive more reimbursement for patient care when they are expected to increase their staff numbers. In accordance it supposed that a different approach to the nurse to patient ratio is taken because it would not only assist with patient outcomes built it would assist with the hospital issue of reimbursement for patient care.

References:

(2019, July). Nurse Staffing: Health Care Advocacy: American Nurses Association. Retrieved from https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-advocacy/

Conway, P. H., Tamara Konetzka, R., Zhu, J., Volpp, K. G., & Sochalski, J. (2008). Nurse staffing ratios: trends and policy implications for hospitalists and the safety net. Journal of Hospital Medicine, 3(3), 193-199.

Welton, J. M. (2007, September 7). Mandatory Hospital Nurse to Patient Staffing Ratios: Time to Take a Different Approach. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/MandatoryNursetoPatientRatios.html

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Aromatherapy with Lavender Essential Oil

The current healthcare environment is fast-paced and faces myriad challenges. With this status, healthcare providers experience physical and mental exhaustion that increases the odds of committing medication errors.  Therefore, nurses serving in surgical units can greatly benefit from stress-relieving techniques. Aromatherapy is one of the alternative treatment interventions that use natural plant extracts to improve the health of the spirit, body, and mind (Takagi et al., 2019).   Although the holistic health benefits of aromatherapy are well understood, this intervention is not adequately employed by the nurses serving in the surgical unit to relieve stress and anxiety.

PICOT Question

Among med/surgical nurses does the use of aromatherapy with Lavender essential oil improve nurses’ anxiety and reduce medication errors as compared to no aromatherapy within six weeks? 

Workplace stress is a constant occupational hazard costing the United States more than 150 billion dollars annually in stress related problems (Khamisa et al., 2015). Stress is defined as a process in which environmental demands strain an organism’s adaptive capacity resulting in both psychological demands as well as biological changes that could place at risk for illness (Cohen et al., 1995).

In order to implement my PICOT question capstone project, I am going to utilize a pre and post aromatherapy survey among nursing staff, with the use of a convenience sample method. Furthermore, for a total of six weeks I will have a diffuser running nonstop with Lavender Essential oil at the nurse’s station of the medical surgical unit I work at Baptist Medical Center Jacksonville. Hence, data reporting nurse’s perceived stress will be gathered pre and post aromatherapy.

References

Takagi, C., Nakagawa, S., Hirata, N., Ohta, S., & Shimoeda, S. (2019). Evaluating the effect of aromatherapy on a stress marker in healthy subjects. Journal of pharmaceutical health care and sciences, 5(1), 18.

Khamisa, N., Oldenburg, B., Peltzer, K., Ilic, D., 2015. Work related stress, burnout, job satisfaction and general health of nurses. Int. J. Environ. Res. Public Health 12, 652–666.

Cohen, S., Kessler, R., C., Gordon, L., U. (1995) Strategies for measuring stress in studies of psychiatric and physical disorders. In: Cohen S, Kessler RC, Gordon LU, editors. Measuring stress: A guide for Health and Social Scientists. 

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Many evidence- based intervention have developed to manage usage through the phases of progress. Implementation is a significant advance in the proof-based practice (EBP) measure that is regularly overlooked and under-resourced, bringing about deferrals in utilizing proof in clinical practice settings. Usage models for advancing take-up of EBP through key endeavors and utilization of a tool compartment of methodologies can advance fruitful practice changes. Determinants structures underscore explicit components or attributes that will improve the take-up of proof into training. They intend to improve adherence to rules or EBPs by utilizing empowering factors and limiting hindrances (Tucker,2019).

Gastroenterology (GI) nurture regularly faces circumstances in which they experience a more noteworthy number of requests than answers: Questions about what works better, why things are done the way they are, or why sporadic things happen. Associating with clinical orderlies to present requests upholds duty regarding preparing and draws in them to turn out sure enhancements in getting care. I have had the option to watch the distinction of legitimate patient training when the medical attendant discloses bit by bit to the patient the directions for a right groundwork for the acknowledgment of a colonoscopy. The nurse’s obligation during colonoscopy envelops various undertakings to guarantee the wellbeing of the patient previously, during, and after the method. My PICOT question is: It is unknown if the implementation of an education program among Digestive Medicine nurses, will improve patient preparation for colonoscopy in comparison with patient preparation before the education program, over a period of 5 weeks?

Different usage techniques are deliberately chosen to keep up the training change energy. The method I am planning to use is power point presentation. Applying this method encourages your audience to pay more attention to you as the speaker, since you are the one explaining what is projected on-screen (Enrico,2020).This technique permits me to provide for the nurses a brief however justifiable messages inside a restricted time. The key is to comprehend and recognize your goal as a moderator. When you know this, you would then be able to choose what introduction style to utilize.

References

Enrico. (2020). 5 Effective power point delivery methods for presentations. Retrieved from https://www.slidegenius.com/blog/5-effective-powerpoint-delivery-methods-for-presentations

Tucker. (2019). Implementation: The linchpin of evidence-based practice changes. Retrieved from https://www.myamericannurse.com/implementation-linchpin-evidence-based-practice-changes/

Jack of all trades,” is the way I describe a public health/community health nurse.  Perhaps this is another reason why it seemed so difficult to describe their role working with elderly populations as well as all populations within the community.  Each case is different; the community health nurse must be able to recognize the needs of the patient.  This extends beyond the goals and perspective of the patient. Thoughts?