NRS 433 Examine a problem you have seen in nursing
NRS 433 Examine a problem you have seen in nursing
Another nursing problem that is of great concern is the high rate of falls among older adults in hospitals and other healthcare settings. According to the World Health Organization, falls are a leading cause of injury and death in older adults worldwide (World Health Organization, 2018). Falls can cause physical injuries such as fractures, head trauma, and lacerations, as well as emotional trauma and loss of independence.
Nursing research can help identify risk factors for falls among older adults and develop effective interventions to prevent falls and improve patient outcomes. A review of fall prevention programs found that multifactorial interventions, which address multiple risk factors, were the most effective in reducing falls among older adults in healthcare settings (Cameron et al., 2018). Changes may include environmental modifications, such as removing tripping hazards and improving lighting, and as well medication management and physical activity.
Nursing research can also help identify the most effective strategies for implementing fall prevention interventions in healthcare settings. A study of a nurse-led fall prevention program found that involving patients and family members in the program improved adherence to fall prevention strategies and reduced the incidence of falls (Oliver et al., 2016).
Incorporating nursing research into clinical practice can help reduce the incidence of falls among older adults in healthcare settings and improve patient outcomes. However, implementing fall prevention interventions can be challenging due to various factors, such as inadequate staffing and resources, limited patient mobility, and resistance to change. One potential solution is to involve healthcare professionals, patients, and family members in fall prevention initiatives to increase adherence to fall prevention strategies and promote a culture of safety.
Falls in older adults in healthcare settings are a significant nursing problem that can have severe physical and emotional consequences. Nursing research can help identify effective fall prevention interventions and strategies for implementing them in practice. Incorporating nursing research and involving patients, family members, and healthcare professionals can help reduce the incidence of falls and improve patient outcomes.
Cameron, I. D., Dyer, S. M., Panagoda, C. E., Murray, G. R., Hill, K. D., Cumming, R. G., Kerse, N., & Crotty, M. (2018). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database of Systematic Reviews, 2018(9)
Oliver, D., Connelly, J. B., Victor, C. R., Shaw, F. E., Whitehead, A., Genc, Y., & Gosney, M. A. (2016). Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: Systematic review and meta-analyses. BMJ, 354, i3697. doi:10.1136/bmj.i3697
World Health Organization. (2018). Falls. Retrieved from https://www.who.int/news-room/fact-sheets/detail/falls
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Jacob’s discussion is very informative on the issue of falls in older adults in healthcare settings and how nursing research can help reduce the incidence of falls and improve patient outcomes. According to a study conducted by the Centers for Disease Control and Prevention (CDC) (2020), falls are the leading cause of injury-related death among older adults in the United States. The CDC (2020) also reported that falls are the most common cause of nonfatal injuries in older adults, accounting for over 3 million emergency department visits each year. These statistics demonstrate the importance of incorporating nursing research into fall prevention initiatives in healthcare settings.
In addition to the interventions discussed by Jacob, such as environmental modifications, medication management, and physical activity, there are other strategies that nurses can use to reduce the risk of falls in older adults. For example, nurses should assess the level of mobility of each patient and provide assistance as needed (Friedman, 2020). Nurses should also provide education to patients and families on fall prevention strategies, such as using assistive devices, improving balance, and avoiding potential hazards (Friedman, 2020). By incorporating nursing research and utilizing these strategies, nurses can help reduce the incidence of falls and improve patient outcomes.
Centers for Disease Control and Prevention. (2020). Falls among older adults. Retrieved from https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html
Friedman, C. (2020). Fall prevention in hospitals. Retrieved from https://www.nursingcenter.com/cearticle?an=01127110&journal_id=54036
A significant problem in nursing is the high rate of nurse burnout. Nurse burnout is a state of physical, emotional, and mental exhaustion resulting from prolonged exposure to stressors at work. This problem is prevalent among nurses, with studies showing that up to 40% of nurses experience burnout symptoms. The effects of nurse burnout on patient outcomes cannot be overstated. Burnout has been linked to poor quality of care, increased medical errors, patient safety incidents, and patient dissatisfaction. Burnout can also lead to decreased productivity, high absenteeism rates, and high turnover rates, which can have a significant impact on the healthcare system’s overall efficiency and effectiveness. Nursing research can play a crucial role in addressing nurse burnout by identifying its causes, risk factors, and effective interventions to prevent or mitigate it. Research can provide evidence-based strategies for reducing burnout, improving job satisfaction, and promoting well-being among nurses. This, in turn, can lead to better patient outcomes and a more positive work environment. For example, a study conducted by Laschinger et al. (2016) found that nurses who received emotional support from their supervisors and had a supportive work environment had lower levels of burnout and higher job satisfaction. This study highlights the importance of addressing organizational factors that contribute to burnout and promoting a positive work environment for nurses. Nurse burnout is a significant problem in nursing that can have adverse effects on patient outcomes and the healthcare system’s overall efficiency. Addressing this problem through nursing research can provide evidence-based strategies for preventing and mitigating burnout, promoting nurse well-being, and improving patient outcomes.
Laschinger, H. K. S., Fida, R., & Newburn-Cook, C. (2016). Factor structure and psychometric properties of the Maslach Burnout Inventory in Canadian nurse. Journal of Nursing Measurement, 24(2), 171-185. doi: 10.1891/1061-37126.96.36.199
Nurse burnout is a huge issue, especially since the pandemic. Worldwide one in every ten nurses suffer from burnout (Montgomery et al., 2021). Not only does it affect a nurse mentally but it can affect patient safety as well. When people feel rushed, stressed, or pressured it can lead to errors or shortcuts. This can lead to preventable errors. There are many social media sites that provide resources to nurses to seek help and provide ways of self-care and support.
Montgomery, A. P., Azuero, A., Baernholdt, M., Loan, L. A., Miltner, R. S., Qu, H., … & Patrician, P. A. (2021). Nurse burnout predicts self-reported medication administration errors in acute care hospitals. The Journal for Healthcare Quality (JHQ), 43(1), 13-23.
A problem that I have seen in nursing is the unfortunate hospital days that patients have to wait in order to have a procedure done, specifically when it is during the weekend. I have had patients during my experience who would be admitted on a Friday evening in atrial fibrillation, for example, waiting all weekend until Monday to come just to have a simple cardioversion. I see this as a problem because it increases a lot of risk for patients, and can also be expensive to occupy a bed for a couple of days just because the necessary staff and specialists are off on the weekend. Risks that patients can run into are central-line associated bloodstream infections the longer amount of days they have them in to run drips that may be vesicants, catheter, and other hospital-acquired infections, increased risk of falls due to IVs, hospital equipment, decreased physical mobility, etc. and many more. Studies have shown that patients who come in contact with hospital-acquired infections have an average of 10.4 days added to their stay (Jia et al., 2019). Nursing research should continue to be done to demonstrate how not having these procedures done as soon as possible, and waiting over a weekend until we have the in-house group to perform the procedures can be detrimental to the patient financially and physically the longer they stay on the hospital
Jia, H., Li, L., Li, W., Hou, T., Ma, H., Yang, Y., Wu, A., Liu, Y., Wen, J., Yang, H., Luo, X., Xing, Y., Zhang, W., Wu, Y., Ding, L., Liu, W., Lin, L., Li, Y., & Chen, M. (2019). Impact of Healthcare-Associated Infections on Length of Stay: A Study in 68 Hospitals in China. BioMed research international, 2019, 2590563. https://doi.org/10.1155/2019/2590563