NR 449 Week 2 Discussion, Describe a Significant Clinical Issue (Two Responses)
Hello Professor and Class,
The topic assigned to my group is Nurse
... [Show More] Burnout during a Pandemic Related to Patient Safety. According to the World Health Organization (WHO), burnout is defined as a “syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed” and is now classified as a disease (Schmidt, 2020). The American Nurses Association (ANA) surveyed burnout, with results upwards of 62 percent of nurses reporting having burnout (Schmidt, 2020). As nurses, we dedicate our lives to helping sick people who cannot care for themselves either temporary or long term. We care for patients holistically, ensuring a patient's biological, social, psychological, and spiritual aspects are cohesive (Northeastern State University, 2017). The pandemic has exacerbated burnout for nurses, which affects mental and physical health, empathy, compassion, and decision making, which can lead to medical mistakes. Organizations must implement policies and programs that address the mental and emotional wellbeing of staff (Schmidt, 2020). Center for Healthy Minds and Practice (ChaMP) is a program at a local hospital in Jacksonville, FL. Its purpose is to meet the growing needs of the wellness and mental health of staff members (University of Florida, 2021). When this service started a few years ago, there were only two staff members, a Licensed Psychologist and a Licensed Mental Health Counselor; since Coronavirus disease (COVID-19), two more providers were hired to meet the demands of staff. COVID-19 has put a strain on not only nurses but ALL staff, who participate in caring for patients, no matter what their job title is. Organizations must be vested in their employee's overall health. Doing so reflects positively towards patient care, decrease, and adverse or sentinel effects.
Northeastern State University. (2017). What is Holistic Nursing. Retrieved from: https://nursingonline.nsuok.edu/articles/rnbsn/what-is-holistic-nursing.aspx#:~:text=Holistic
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%20holistic%20nursing%2C%20nurses%20foster,and%20spiritual%20aspects%20are
%20interconnected.
Schmidt, A. (2020). We need to talk about burnout the same way we talk about benefits. Retrieved from: https://www.aha.org/news/blog/2020-10-20-we-need-talk-about- burnout-same-way-we-talk-about-benefits
University of Florida. (2021). CHaMP Center. Retrieved from: https://bridge.ufhealth.org/jax- employee-wellness/champ-services/
from Week 2: Describe a Significant Clinical Issue
Hi
Hand hygiene is critical for all healthcare providers to diligently adhere, to prevent the spread of infection. According to Nies & McEwen (2019), around 500 BCE, the Hebrews formulated and
wrote into law hygiene code that governed personal and community hygiene as contagion, disinfection, and sanitation. Fast forward to our current time; there has been lots of research showing us how proper hand hygiene can help stop the spread of infection. Since COVID-19, hand hygiene has been stressed, not just to healthcare workers but also to the community to be diligent in observing. Hand washing, including alcohol-based hand rub (ABHR) is a simple, effective way to prevent the spread of pathogens and infections (Center for Disease Control and Prevention, 2020). Hand washing with soap and water for at least 20 seconds is
recommended when hands are visibly soiled, before eating, and after using the restroom (CDC, 2020). When using ABHR, make sure it contains 60-95% alcohol to be effective (CDC, 2020). As you mention in your post, public establishments have really stepped up in proving hand sanitizing to customers, however individual must be compliant in using to keep us all safe from contracting COVID-19.
References
Center for Disease Control and Prevention. (2020). Hand Hygiene Recommendations. Retrived from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/hand-hygiene.html
Nies, M. A., & McEwen, M. (2019). Community/public health nursing: Promoting the health of populations (7th ed.). Saunders
from Week 2: Describe a Significant Clinical Issue
Hello
Unfortunately, for many individuals, the effects of COVID-19 have left providers having to put patient of mechanical ventilation as a last resort. Ventilation is frequently used for hypoxia patients and those who are critically ill requiring transfer to the critical care unit. (Carter, Osborn, Agagah, Aedy, & Notter, 2020). Nursing caring for these patients must be skilled in managing patients on ventilators (Carter et al., 2020). According to Carter, Osborn, Agagah, Aedy, & Notter (2020), complications od intubation can include: right main bronchus intubation, lacerated lips, tongue, pharynx and trachea, vocal cord injury, chipped teeth, aspiration, infection, tube dislodgement, airway obstruction, pneumothorax, equipment failure, hypoxia, hypotension, and arrhythmias”. However, for those patients suspected or confirmed of COVID-19, intubation intervention should be managed electively rather than as an emergency (Carter et al., 2020). Another risk to take into consideration is the demand for patients to be on ventilation. The trouble is nurses caring for patients without appropriate training, supervision, and experience of using ventilators, which can adversely affect patient safety (Carter et al., 2020).
Regardless of how extreme the situation is for patients needing ventilation, having properly trained staff to care for ventilated patients is crucial for the patient's best outcome.
Reference
Carter, C., Osborn, M., Agagah, G., Aedy, H., & Notter, J. (2020). COVID-19 disease: invasive ventilation. Clinics in Integrated Care, 1, 100004. https://doi.org/10.1016/j.intcar.2020.100004 [Show Less]