Prospectus for Creating a Nurse Suggestive Acuity-Based Staffing Model in Ambulatory Infusion Settings to Improve Patient Safety and Quality of Care

Prospectus for Creating a Nurse Suggestive Acuity-Based Staffing Model in Ambulatory Infusion Settings to Improve Patient Safety and Quality of Care
Author: Yongli Qiu
Publisher:
Total Pages:
Release: 2019
Genre:
ISBN:

Due to the lack of reliable and valid infusion nurse suggestive acuity-based staffing model, ambulatory infusion settings are burden with potentially compromised patient safety, poor quality of patient care with over-scheduling of unexpected complex patients, limited resources related to nurses and infusion chairs, the dissatisfaction of patients and family members, and infusion nurses' burn out. This project seeks to determine the appropriate nurse to patient acuity-based point ratio in staffing and scheduling factors that influence nurse staffing model, and established nurse staffing strategies. This three-month project was conducted with the infusion nurses, a nurse manager, a nurse supervisor, an assistant nurse manager, an infusion scheduling leader, and patient advisers to create a safe and high-quality of patient care in ambulatory infusion settings. Patients were classified by using both current existing staffing, scheduling system and nurse suggestive acuity-based points tool. Data analysis related to daily encounter numbers, daily nurse staffing, assignments comparison between nurse to patient's acuity-based point ratios and nurse to patient ratio, patient satisfaction, nurse over time, and job-turnover was collected by an infusion nurse who is enrolled in a clinical nurse leader (CNL) program through independent observation. A total of 1,218 patients who received care in two ambulatory infusion settings in May, were analyzed for this project. Based on the evidence-based practice and literature, on average, infusion nurse suggestive sixteen acuity-based points per nurse per day and appropriate levels of infusion nurse staffing are defined with minimal over time in ambulatory infusion settings. In conclusion, implementation of acuity-based staffing model provides consistent staffing, improves safety, quality, and efficiency, reduces nurse over time, and results in patients, family members, and staff satisfaction.

WHO Guidelines on Hand Hygiene in Health Care

WHO Guidelines on Hand Hygiene in Health Care
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 0
Release: 2009
Genre: House & Home
ISBN: 9789241597906

The WHO Guidelines on Hand Hygiene in Health Care provide health-care workers (HCWs), hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve practices and reduce transmission of pathogenic microorganisms to patients and HCWs. The present Guidelines are intended to be implemented in any situation in which health care is delivered either to a patient or to a specific group in a population. Therefore, this concept applies to all settings where health care is permanently or occasionally performed, such as home care by birth attendants. Definitions of health-care settings are proposed in Appendix 1. These Guidelines and the associated WHO Multimodal Hand Hygiene Improvement Strategy and an Implementation Toolkit (http://www.who.int/gpsc/en/) are designed to offer health-care facilities in Member States a conceptual framework and practical tools for the application of recommendations in practice at the bedside. While ensuring consistency with the Guidelines recommendations, individual adaptation according to local regulations, settings, needs, and resources is desirable. This extensive review includes in one document sufficient technical information to support training materials and help plan implementation strategies. The document comprises six parts.

Evidence-Based Geriatric Nursing Protocols for Best Practice

Evidence-Based Geriatric Nursing Protocols for Best Practice
Author: Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN
Publisher: Springer Publishing Company
Total Pages: 751
Release: 2016-03-28
Genre: Medical
ISBN: 0826171672

This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles

Advances in Patient Safety

Advances in Patient Safety
Author: Kerm Henriksen
Publisher:
Total Pages: 526
Release: 2005
Genre: Medical
ISBN:

v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Caring for People who Sniff Petrol Or Other Volatile Substances

Caring for People who Sniff Petrol Or Other Volatile Substances
Author: National Health and Medical Research Council (Australia)
Publisher:
Total Pages: 33
Release: 2011
Genre: Aboriginal Australians
ISBN: 9781864965223

These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances.

Essentials of Nursing Leadership and Management

Essentials of Nursing Leadership and Management
Author: Ruth M. Tappen
Publisher: F A Davis Company
Total Pages: 352
Release: 2004-01
Genre: Medical
ISBN: 9780803611245

This new edition focuses on preparing your students to assume the role as a significant member of the health-care team and manager of care, and is designed to help your students transition to professional nursing practice. Developed as a user-friendly text, the content and style makes it a great tool for your students in or out of the classroom. (Midwest).

Emergency Care for Children

Emergency Care for Children
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 360
Release: 2007-05-08
Genre: Medical
ISBN: 0309133769

Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems.