Care of the Acutely Ill Adult

2020 ◽  
Keyword(s):  
Acute Care ◽  
Care Setting ◽  
Care Delivery ◽  
Clinical Signs ◽  
Current Evidence ◽  
Evidence Based ◽  
Acute Care Setting ◽  
Dynamic Nature ◽  
Timely Manner ◽  
Systematic Assessment

The new edition of Care of the Acutely Ill Adult enables nursing staff to develop an in-depth understanding of the knowledge required to care for patients whose condition is deteriorating. The book emphasizes the importance of systematic assessment, interpretation of clinical signs of deterioration, and the need to escalate the patient in a timely manner. Current evidence-based practice and up-to-date guidelines are included in each systems-based chapter and case studies are used throughout the book to enable nurses to apply knowledge to patient scenarios. In recognition of the dynamic nature of acute care delivery, new chapters have been included that focus on pain management and planning for care when recovery is unlikely. This book remains an essential purchase for any nurse working in an acute care setting.

A Successful Evidence-Based Practice Model in an Acute Care Setting

2011 ◽  
Vol 38 (5) ◽  
pp. 509-511 ◽  
Author(s):  
Dorothy Brockopp ◽  
Judy Schreiber ◽  
Karen Hill ◽  
Terry Altpeter ◽  
Krista Moe ◽  
...  
Keyword(s):  
Acute Care ◽  
Care Setting ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Acute Care Setting ◽  
Practice Model

Addressing the Health Care Delivery Needs in the Acute Care Setting by Developing a Postmaster’s Acute Care Certification Program

2016 ◽  
Vol 9 (1) ◽  
pp. 124-127
Author(s):  
Helen Miley ◽  
Courtney Reinisch
Keyword(s):  
Primary Care ◽  
New Jersey ◽  
Acute Care ◽  
Nurse Practitioners ◽  
Care Setting ◽  
Care Delivery ◽  
The State ◽  
Inpatient Setting ◽  
Acute Care Setting ◽  
Term Care

The state of New Jersey certifies nurse practitioners and clinical nurse specialists from all specialties as advanced practice nurses (APNs). There are more than 4,000 certified APNs in the state in 17 specialty areas. APNs in the state have the privilege of practicing in various settings such as ambulatory, inpatient, and long-term care. The state does not limit the setting where an APN chooses to practice. A trend is emerging in the state to address the concern of primary care–educated APNs to prepare them for the delivery of care in the acute care setting. Some institutions within the state of New Jersey are requiring their primary care educated and certified adult primary care APNs working in an inpatient setting to obtain an acute care certification. Recognizing the needs of these adult primary care APNs, Dr. Helen Miley developed a postmaster’s certificate program which has been approved by Rutgers School of Nursing faculty. Although the first cohort has not yet been admitted to the program, it will be implemented in the near future. Because it is important to address the educational needs of adult primary care APNs, this article describes the needs assessment and development plan used for this program.

A conceptual framework identifying sources of risk to patient safety in primary care

2012 ◽  
Vol 18 (3) ◽  
pp. 185 ◽  
Author(s):  
Logan McLeod ◽  
JoAnn Kingston-Riechers ◽  
Egon Jonsson
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Acute Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Care Delivery ◽  
Acute Care Setting ◽  
Primary Care Delivery ◽  
Potential Risks ◽  
Organisational Structures

The potential risks to patient safety in a primary care setting are different than the risks to patient safety in an acute care setting. The main differences arise from the organisational structures of primary care delivery and the greater involvement of patients in their care. To account for these differences, we present the Patient Safety in Primary Care Framework to conceptualise the sources of risk to patient safety.

Examination of the Use of Healing Touch by Registered Nurses in the Acute Care Setting

2016 ◽  
Vol 35 (1) ◽  
pp. 97-107 ◽  
Author(s):  
Joel G. Anderson ◽  
Mary Ann Friesen ◽  
Diane Swengros ◽  
Anna Herbst ◽  
Lucrezia Mangione
Keyword(s):  
Patient Care ◽  
Registered Nurses ◽  
Acute Care ◽  
Care Setting ◽  
Care Delivery ◽  
Acute Care Setting ◽  
Healing Touch ◽  
The Impact ◽  
Acute Care Nursing ◽  
Care Nursing

Acute care nursing is currently undergoing unprecedented change, with health systems becoming more open to nonpharmacological approaches to patient care. Healing Touch (HT) may be a valuable intervention for acute care patients. Research has shown that HT helps both the patient and the caregiver; however, no study to date has examined the impact that the education of nurses in and their use of HT have on daily care delivery in the acute care setting. The purpose of the current qualitative study was to examine the use of HT by registered nurses in the acute care setting during their delivery of patient care, as well as the impact of education in and use of HT on the nurses themselves. Five themes were identified: (1) use of HT techniques, processes, and sequence; (2) outcomes related to HT; (3) integration of HT into acute care nursing practice; (4) perceptions of HT, from skepticism to openness; and (5) transformation through HT. Education in HT and delivery of this modality by nurses in the acute care setting provide nurses with a transformative tool to improve patient outcomes.

A qualitative study of nurses’ perspectives of caring for children with intellectual disability and their families in a paediatric acute care setting

2019 ◽  
Vol 23 (4) ◽  
pp. 639-651 ◽  
Author(s):  
Peter Lewis ◽  
Nathan J Wilson ◽  
Hayden Jaques ◽  
Kate O’Reilly ◽  
Michele Wiese
Keyword(s):  
Intellectual Disability ◽  
Acute Care ◽  
Care Setting ◽  
Adaptive Functioning ◽  
Care Delivery ◽  
Hospital Setting ◽  
Acute Care Setting ◽  
Additional Time ◽  
Paediatric Hospital ◽  
Children With Intellectual Disability

Children with intellectual disability (ID) experience chronic and pervasive limitations across intellectual and adaptive functioning. They are also at risk of developing co-morbidities. They are likely to be hospitalised more frequently and for longer periods of time than other children. The purpose of this study was to understand the experiences of nurses when caring for children and teenagers with ID in an acute paediatric hospital setting. The aim of the research was to inform future directions for the delivery of equitable and effective care for this vulnerable population. This study used a qualitative thematic analysis of individual interviews conducted with eight registered and enrolled nurses who provided care to children and adolescents with ID in an Australian paediatric acute hospital setting. Themes which emerged from this analysis were (1) Recognising similarities and managing differences; (2) Nurse–parent relationships; and (3) Caring for children with ID requires additional time. This study highlights that navigating care delivery and relationships when working with young people with ID and their caregivers in an acute care setting is complex. Nursing children with ID in hospital requires sophisticated skills. To ensure quality healthcare for patients with ID, a range of strategies are proposed.

scholarly journals Experiences of nurses implementing evidence-based practice in an acute care setting in Nigeria: A qualitative study

2019 ◽  
Vol 7 (4) ◽  
pp. 54
Author(s):  
Jude N. Ominyi ◽  
David A. Agom ◽  
Chukwuma N. Anyigor ◽  
Aaron B. Nwedu ◽  
Simon N. Onwe
Keyword(s):  
Acute Care ◽  
Care Setting ◽  
Nurse Managers ◽  
Evidence Based Practice ◽  
Staff Nurses ◽  
Evidence Based ◽  
Acute Care Setting ◽  
Face To Face ◽  
Implementation Processes ◽  
Ebp Implementation

Background: Evidence-based practice (EBP) is widely recognised as being relevant in improving nursing care. However, its implementation in nursing practice has been difficult for nurses, particularly in the developing countries. Existing evidence suggests that bureaucracy in organisational governance impacts implementation processes, however, the nature of this effect is not yet explored. Objective: The study examined experiences of nursing staff implementing EBP in a bureaucratic acute care setting in Nigeria.Methods: A qualitative exploratory design was adopted. A purposive sample of 11 ward managers and 12 staff nurses from a large acute care setting in Nigeria participated in the in-depth, face-to-face interviews. Data was analysed using the thematic analysis approach.Results: Four key themes emerged: (1) top down managerial approach; (2) nurse and nurse manager relations; (3) managerial prerogatives; (4) managerial autonomy.Conclusions and implications for practice: The Nigerian bureaucracy limits professional and managerial autonomy that nurses require in driving EBP implementation. Nurse Managers require greater leadership visibility and structural empowerment to create enabling environment for EBP implementation in nursing.

Evidence-based practice for pain management for cancer patients in an acute care setting

2013 ◽  
Vol 20 (1) ◽  
pp. 60-69 ◽  
Author(s):  
Mona Choi ◽  
Hee Sun Kim ◽  
Su Kyoung Chung ◽  
Mee Jung Ahn ◽  
Jae Yong Yoo ◽  
...  
Keyword(s):  
Pain Management ◽  
Cancer Patients ◽  
Acute Care ◽  
Care Setting ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Acute Care Setting
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