Nursing - Nursing
Please use only those 3 articles and the research statement to create 13-14 slides of PowerPoint to prove the statement.My Nursing issue is Nurses that make medication errors due to nurse to patients’ ratio. Facilities like Nursing homes have a high workload, and the time that was expected for the Nurses to complete their tasks is impossible, which I believe is the main reason for their high level of medication errors. How can we change the system to make sure Nurses are not burned out and their patients are safe?
Articles used for research.
Reference
1- Odberg, K., Hansen, B., & Wangensteen, S. (2019). Medication administration in nursing
homes: A qualitative study of the nurse role. Nursing Open, 6(2), 384–392. https://doi.org/10.1002/nop2.216
2- Qureshi, S., Purdy, N., Mohani, A., & Neumann, W. (2019). Predicting the effect of
nurse–patient ratio on nurse workload and care quality using discrete event simulation. Journal of Nursing Management, 27(5), 971–980.
https://doi.org/10.1111/jonm.12757
3- Kim, L., Giannitrapani, K., Huynh, A., Ganz, D., Hamilton, A., Yano, E., Rubenstein, L.,
& Stockdale, S. (2019). What makes team communication effective: a qualitative analysis of interprofessional primary care team members’ perspectives. Journal of Interprofessional Care, 33(6), 836–838.
https://doi.org/10.1080/13561820.2019.1577809
The presentation should be 12-14 slides power point
(Excludes a title slide and a reference slide).
1. Introduction (6 points) - Introduce yourself, your NPI, PICO, and resulting practice question. Discuss the rationale of why your practice question is important and why it interests you.
2. Sharing of Evidence (15 points) - Share highlights and pertinent aspects of the evidence you found to answer nursing practice issue question. (Use the information you compiled in the Article Matrix). Discuss legal and ethical implications the evidence has for practice related to your NPI.
3. Discussion (18 points) – a) Discuss how your NPI research may affect practice outcomes at the individual, population and/or systems levels. b) Include information on how your nursing practice has been or will be affected as a result of completing the research for your NPI. C) Discuss how you would use relationship focused nursing care and teamwork to implement your NPI in order to foster mutual respect, decision-making and healthcare outcomes. Be specific to your NPI project.
4. Conclusion: (3 points) - Summarize the main points/focus of your presentation.
5. Research Process (3 points) – Demonstrate use of the research process in the presentation. Throughout the course, you will complete a series of JH tools. Your paper will need to include information and feedback from these tools.384 | Nursing Open. 2019;6:384–392.wileyonlinelibrary.com/journal/nop2
1 | I N T R O D U C T I O N
Patient safety issues in primary health care are mainly related to di‐
agnosis and medication. It is generally acknowledged that adverse
events related to medication administration account for a significant
threat to overall patient safety (Kohn, Corrigan, & Donaldson, 2000;
Makeham, Dovey, Runciman, & Larizgoitia, 2008; Marchon & Mendes,
2014; Vogelsmeier, 2014). Medication administration involves an in‐
tricate mixture of various tasks and demands that temporally struc‐
ture the nurse’s workday (Carayon et al., 2014; Grigg, Garrett, &
Craig, 2011; Jennings, Sandelowski, & Mark, 2011; Moyen, Camiré, &
Stelfox, 2008; Odberg, Sætre Hansen, Aase, & Wangensteen, 2017).
Primary health care in the Western World reaches out to a broad
segment of the population and is the facet of the healthcare system
with which most people interface. Each municipality independently
governs Norwegian nursing homes, and there are local and re‐
gional variations in size, patient types and the style of management.
However, the basic principles of active treatment and ensuring the
basic needs of the residents are universal (Malmedal, 2014). Recent
reforms have led to increased collaboration between primary care
and specialist health care. Nursing homes experience increased pres‐
sure to receive more patients needing more complex active medical
treatment, compared with a few years back (Syse & Gautun, 2013).
2 | B A C K G R O U N D
The medication administration process consists of six stages: ordering
and prescription; transcribing; dispensing; preparing; administering; and
finally observing and documenting effects and side effects (Carayon et
al., 2014). Medication administration errors (MAE) may occur anywhere
Received: 20 April 2018 | Revised: 25 September 2018 | Accepted: 23 October 2018
DOI: 10.1002/nop2.216
R E S E A R C H A R T I C L E
Medication administration in nursing homes: A qualitative
study of the nurse role
Kristian Ringsby Odberg1 | Britt Sætre Hansen2 | Sigrid Wangensteen1
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium,
provided the original work is properly cited.
© 2018 The Authors. Nursing Open published by John Wiley & Sons Ltd.
All authors contributed equally.
1Department of Health Sciences, Norwegian
University of Science and Technology
(NTNU), Gjøvik, Norway
2Faculty of Health sciences, SHARE—Centre
for Resilience in Healthcare, University of
Stavanger, Stavanger, Norway
Correspondence
Kristian Ringsby Odberg, Department of
Health Sciences, Norwegian University of
Science and Technology (NTNU), Gjøvik,
Norway.
Email: [email protected]
Abstract
Aims: The objective of this study was to expand the knowledge of the nurse role dur‐
ing medication administration in the context of nursing hoFull Terms & Conditions of access and use can be found at
https://www.tandfonline.com/action/journalInformation?journalCode=ijic20
Journal of Interprofessional Care
ISSN: 1356-1820 (Print) 1469-9567 (Online) Journal homepage: https://www.tandfonline.com/loi/ijic20
What makes team communication effective: a
qualitative analysis of interprofessional primary
care team members’ perspectives
Linda Y. Kim, Karleen F. Giannitrapani, Alexis K. Huynh, David A. Ganz, Alison
B. Hamilton, Elizabeth M. Yano, Lisa V. Rubenstein & Susan E. Stockdale
To cite this article: Linda Y. Kim, Karleen F. Giannitrapani, Alexis K. Huynh, David A. Ganz,
Alison B. Hamilton, Elizabeth M. Yano, Lisa V. Rubenstein & Susan E. Stockdale (2019)
What makes team communication effective: a qualitative analysis of interprofessional primary
care team members’ perspectives, Journal of Interprofessional Care, 33:6, 836-838, DOI:
10.1080/13561820.2019.1577809
To link to this article: https://doi.org/10.1080/13561820.2019.1577809
Published online: 06 Feb 2019. Submit your article to this journal
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SHORT REPORT
What makes team communication effective: a qualitative analysis of
interprofessional primary care team members’ perspectives
Linda Y. Kima, Karleen F. Giannitrapanib, Alexis K. Huynha, David A. Ganza, Alison B. Hamiltona, Elizabeth M. Yanoa,
Lisa V. Rubensteina, and Susan E. Stockdalea
aCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA;
bCenter for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, Menlo Park, CA, USA
ABSTRACT
Although numerous scholars have emphasized the need for effective communication between
members of interprofessional teams, few studies provide a clear understanding of what constitutes
effective team communication in primary care settings, specifically where patient-centered medical
home (PCMJ Nurs Manag. 2019;27:971–980. wileyonlinelibrary.com/journal/jonm | 971© 2019 John Wiley & Sons Ltd
1 | I N T R O D U C T I O N
Managing healthcare systems to achieve better quality of care,
while reducing cost is a global concern (Bragadóttir, Kalisch,
Smáradóttir, & Jónsdóttir, 2015). Contributing to fiscal pres‐
sures are an increased demand for healthcare services due to a
significant increase in an ageing population, the need for newer
and costly healthcare technologies, and the increasing complexity
of hospital care and treatment processes (Letiche, 2008). Amidst
these challenges, hospital managers are faced with the competing
priorities of improving cost efficiency in their operations while
improving care quality, patient safety and maintaining a safe work
Received: 29 June 2018 | Revised: 14 January 2019 | Accepted: 5 February 2019
DOI: 10.1111/jonm.12757
O R I G I N A L A R T I C L E
Predicting the effect of nurse–patient ratio on nurse workload
and care quality using discrete event simulation
Sadeem Munawar Qureshi MEng1 | Nancy Purdy RN, PhD2 | Asad Mohani BEng1 |
W. Patrick Neumann PhD, LEL,EurErg1
1Human Factors Engineering Lab,
Department of Mechanical and Industrial
Engineering, Ryerson University, Toronto,
Ontario, Canada
2Daphne Cockwell School of
Nursing, Ryerson University, Toronto,
Ontario, Canada
Correspondence
Sadeem Munawar Qureshi, Human Factors
Engineering Lab, Department of Mechanical
and Industrial Engineering, Ryerson
University, Toronto, ON, Canada.
Email: [email protected]
Funding information
The Natural Sciences and Engineering
Research Council of Canada (NSERC) for
their generous Discovery grant(s)—Grant #
341664 and Grant # 2018‐05956.
Abstract
Aim: A novel nurse‐focused discrete event simulation modelling approach was tested
to predict nurse workload and care quality.
Background: It can be challenging for hospital managers to quantify the impact of
changing operational policy and technical design such as nurse–patient ratios on
nurse workload and care quality. Planning tools are needed—discrete event simula‐
tion is a potential solution.
Method: Using discrete event simulation, a demonstrator “Simulated Care Delivery
Unit” model was created to predict the effects of varying nurse–patient ratios.
Modelling inputs included the following: patient care data (GRASP systems data), in‐
patient unit floor plan and operating logic. Model outputs included the following: nurse
workload in terms of task‐in‐queue, cumulative distance walked and Care quality in
terms of task in queue time, missed care.
Results: The model demonstrated that as NPR increases, care quality deteriorated
(120\% missed care; 20\% task‐in‐queue time) and nursing workload increased (120\%
task‐in‐queue; 110\% cumulative walking distance).
Conclusions: DES has the potential to be used to inform operational policy and tech‐
nical design decisions, in terms of impacts on nurse workload a
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