The Importance of Advanced Nursing practice field experience

The importance of Necessities of Advanced Nursing Practice Field Experience is to give health providers with the opportunity to perform their services in normal nursing practice. The experience gained is significant because it helps one to apply the knowledge gained in evaluating the quality of projects within a health center context. Currently, healthcare standards are always changing, while individuals continue to rely on the adopted and validated adjustments. Nursing consultants have found ways to assist their organizations in meeting their clients' medical needs in order to improve the efficacy, safety, and efficiency of services and care provided. Nursing consultants engage themselves in external and internal evaluation practices in their organizations so that they can learn better ways to serve and conduct assessments to the communities they serve.

Purpose and Summary of the Consultation

Nurses should always practice patient safety in their day to day activities in the healthcare setting. For instance, it is important for every nurse to know the primary purpose of a catheter tube. To be precise, a catheter tube is used by healthcare workers to insert substances, either blood or any other medication material to the large body vein that leads to the heart. The healthcare provider can decide to have it remain in the body of the patients for a while so that it can offer medications such as collecting blood and collecting lab materials. It is necessary to avoid the “Central line allied bloodstream illness” (CLABSI) in any health maintenance setting (Brown, Kim, Stichler & Fields, 2010). The “Central Line-Associated Bloodstream Illnesses” refers to the disorders that are acquired in the hospital through bacterial and fungal infection through the chief venous catheter.

Research conducted by Rich (2013) shows that any infection associated to the bloodstream can result in millions of deaths of patients and excess spending by the United States government on health care structure. However, most of these infections can be prevented (Rich, 2013). Information acquired from the Medicare Hospital Compare Website shows that there is enough information regarding how the hospital and official provide care to the patients. Any patient has the freedom to review his or her medical status for observation of their quality of care through the use of Hospital Comparing tools. The Hospital Comparing apparatus assist to demonstrate to patients in the healthcare setting how they can contract diseases as compared to other hospitals that are in a country.

Nurses can easily prevent the contamination of the bloodstream infections by establishing an evidence-based practice guideline. From this case, Allen Group Hospital is required to acquire hospital payments from Medicare where it should also come up with central reports associated with Central Line blood contamination through the National Healthcare Protection Network (Chan, 2003). The details regarding the reports are accessible to the community as offered by the Healthcare organization and the Human facilities that are from the Hospital care website so as to keep Healthcare secure. Data from the Hospital Comparison show that Allen Group Hospital has a rate that is below the international benchmark of patients with Central Line-associated Bloodstream contamination.

From an interview conducted with the quality assurance manager for the nurses at Allen Group Hospital, it is clear that the methods developed can assist in improving the score of the health care center for the central line infections associated to the bloodstreams (Joel, 2013). The quality assurance manager specialist was able to identify that Allen Group hospital did not only report details regarding the ICU patients with central line-associated bloodstream infections but also details regarding patients with the central line blood illnesses. No adjustments are required when reporting data from the International Healthcare Protection Network.

Describing the Organization

Allen Group Hospital is a health center that offers treatments that range from obstetric, medical care, neonatal care at the intensive unit and surgical operations for the adults. The institution is a nonprofit facility and consists of more than 1000 clinics in the United States as well as 300 more private centers with over 450 physicians and 45 specialists. The health organization consists of about 2000 registered nurses as well as 420 physicians.

Allen Group hospital consists of both society and health care administrators who are both good in business and offering health care. The board is supposed to provide services related to business supervision within the hospital so as to ensure that everything runs in order without fail. The members of the board of management are responsible for decision-making which are handled by the directors. All managers are responsible for foresting supervision within the organization. The primary responsibility of the administrators is to act as the core nursing official, chief information officers as well as financial heads. They should also serve as the Key operational officers.

All groups of Allen Hospital contain managers and supervisors who ensure that the patients are safe and secure within the organization. The administration officers have a responsibility of providing reliable and excellent services to the patients. There are also staff officers who are under the administrative officers who offer care directly to the patients. The other people within the organization who provide hands-on protection include laundry people, nurses, physical therapist and cooks. These people provide direct service at Allen group Hospital. The managers are in charge of the emergency room, Intensive care unit and the orthopedics. The managers directly report to the core organization managers who are also referred to as the directors. Assistants are however required in all the departments where they offer services such as environmental care, purchasing, and dietary assistance.

Primary Requirements of the Population

Allen Group Hospital provides medical services to all patients From Lakewood side. The complexity index within the organization appears to be greater than those of other society hospitals. The main areas covered by Allen Group Hospital include Lyon Township, Amy area, Allen County and Jefferson Middle School. The population area has significantly increased with a margin of about 340,500 with an annual growth of about 1%. Allen Group Hospital has been able to treat various patients who include the Black and the white Hispanic residents accounting for more than 40% of the entire population within Allen County. The other residents from the Islamic nations account for about 15% of the whole country while those from the Asian Pacific area account for 8% of the population (Polit & Beck, 2010). The distribution rate within the gender is quite even since males and females are equal in number. The people who visit the organization range between 15 years and above.

The Female population bearing rate varies between 15 years to 44 years. Most of the patients who were able to receive medical care at Allen Group Hospital at Jefferson School appear to be frequent than those from Allen County. Majority of the people admitted to the hospital seem to have a high quality of education. From the Amy area, most households have reported a total of 25% of the family income which is less than $25000. 21% of the entire population from Jefferson school has reported income that is less than $25000 (Brown, Kim, Stichler & Fields, 2010). From a recent research, the median value of the household income from Lyon Township was about $65728 which is approximate of the median income for Allen County that is $53928.

Some diseases are treated more than others at Allen Group Hospital. The conditions include Heart attack, HIV/AIDS, and cancer. The evenly ethnic and racial population serves as the core risk towards health issues within the area. Cancer illness appears to be more as a result of excessive use of tobacco, tobacco usage, and use of alcohol and as a result of obesity. Most of these risks have an impact on the society since most patients appear to suffer from stroke, breast cancer, hypertension, rectal cancer and skin cancer.

Most people currently fail to attend working sessions since they suffer from various illnesses. Other people from the society have been observed spending more money on medications for these diseases over the past few years. Most of the people originating from Jefferson School have never visited their physicians due to the high costs of treatment. Some of the risky activities that affect patients from Allen Group Hospital is that the patients are predominantly sick while some are in the final illness stages. The best precaution that can be conducted within the organization is to offer early treatment, prevention, and detection to cancer and HIV/AIDs patients.

Nurse Leader's Role

Every leader at Allen Group Hospital is devoted to service for all without discrimination. The primary purpose of the organization is “Offering Medical services to every soul so as to enhance a healthy community that has been educated, healthy and full of discovery.” It is the responsibility of the management to utilize quality nursing services which are important to every member of the community. The administration specialists from Allen group hospital require every employee at the hospital to have standard requirements that include accreditation, primary measures, quality metrics as well as registries (Chan, 2003). Section V of the nursing constitution at the hospital calls for the internal collaboration for professional improvement. The collaboration is between patients and the entire population that offers health results as well as preparing the nurse's excellent management for the specialists who function efficiently as leaders and members of the private expert group, consultants, societies and collaborators (Polit & Beck, 2010).

The collaboration role is in line with the basics of “The Essentials of Master’s Education in Nursing”, which ensures that the nurses are equipped with the skills of combating the ever-changing global health challenges. The essentials reveal the continuing role in the nursing practice that requires transformative thinking, evolutionary change, and imagination. Provision of quality nursing services is based on the strength of an employee in terms of transformative thinking to deal with arising global health challenges. Allen Group Hospital would boast of success in terms of the extraordinary nursing services they can provide to a patient (Polit & Beck, 2010).

However, the extraordinary nursing services would only be possible where creativity and transformative thinking is put into use. This creates the essence of a masters’ education in nursing. According to the essentials in master’s education, a nurse leader’s role prescribed according to the safety standard on the health center. These roles include enhancing change to improve quality outcomes in the health services, transferring evidence into practice after designing innovative nursing practices, modeling a culture of excellence throughout the practice, designing an interprofessional and collaborative care groups and navigating care operations across the healthcare departments (Joel, 2013. Masters in nursing education is one of the avenues where critical and transformative thinking is natured.

Characteristics of the Organization

The nursing class organization authorities at Allen Group Hospital have a vision as well as a mission to offer high-quality as well as safe care to the patients and their families. Allen Group Hospital is famous for its health alteration model strength. A medical adjustment model has a responsibility of making promises to patients that aim at offering professional care. The model is also a transition towards changing care which continually redefines the ability of clients, their family members and visitors. It also improves the capability of the physicians and the staff members (Polit & Beck, 2010). Allen Group Hospital has a cultural trait which aims at defining the Transformation Model of Care at the institution. They include sharing of decision-making, diversity, patient, and family positioned care, fair and just culture and openness.

The patient and family posted care aims at facilitating the families and patients in coming up with quick decisions, promoting cultural awareness and optimizing the outcome of the patients. Fair and just values within the organization assist the staff members to be secure and also support nurses to decrease the level of causing errors during the medication process. Sharing of decision-making involves various staff members and stakeholders (Polit & Beck, 2010). It is necessary to have every individual making their personal decisions during a care process. In various occasions, decision-making is shaped so as to promote transparency which assists the members of the hospital to be open to the ideas of other people (Chan, 2003). On the other hand, it is essential to have a disclosed policy so as to promote the admission of families and patients who contain any adverse outcome which is intended at improving care and significant treatment within the community.

Evidence-based nursing practice is continuously on the rise at Allen Group Hospital. The management has been consistent in ensuring nurses get a better picture of what they should be actually doing. Allen group of hospitals run a print media which they use to facilitate breakthroughs made in the field of nursing practice. This is also transmitted to the nurses in terms of training sessions and engagement through questionnaires. Evidence-based healthcare practices are available for various conditions including heart failure, diabetes, and asthma. The practices are supported by quality initiatives for instance on services offered to those with heart failure there are additional discharge instructions given to the patients. Finally, Allen Group Hospital continues to provide a sensitive and inclusive environment which is equal to all employees, family members and to the patient (Joel, 2013.

The team responsible for offering quality nursing management services in the hospital, however, experienced various problems. First, most of the staff members did not allow the class group to monitor their activities (Joel, 2013). Secondly, most of the new nurses did not attend the training sections while those who attended forgot fundamental issues like washing their hands. Allen Group Hospital also uses old-fashioned guidelines related to bloodstream illnesses.

Recommendations to assist in Organizational Change

The first recommendation is to urge the patients and the members if the family for the clients to help in preventing “Central Line-Associated Bloodstream illnesses” (Chan, 2003). The patients, as well as the family affiliates, can take part in watching the hospital management in ensuring that they clean their hands before and after they work with any tool related to central line illness. The family members can also question the administration on various issues such as: Which vein should be inserted into the line vein of the patient? How will they clean the skin of the patient? Which precautions are of preventing the disease? It is the responsibility of the patients and the members of the family to ensure that the healthcare providers are keen while addressing the issue of Bloodstream contamination (Chan, 2003).

The other recommendation is to have Allen group hospital proceeding with practices that prevent the disease of any infection so as to ensure that evidence-based practices are considered in the hospital. It is the responsibility of the quality staff members to ensure that data related to evidence-based practice is updated on regular occasions. The updating of the information assists in offering suitable evidence detailed recommendations that prevent any catheter-related illness. In a recent research conducted in the United States, results suggest that nurses should be keen on areas related to the use of antibiotic, the replacement of the catheter at the central nervous system and while using any skin antiseptic that contains alcohol ((Brown et al., 2010). Evidence-based practices need to emphasize the need for implementing reports related to the improvement of performance within the society.

Rationale for Recommended Alteration

The nursing quality management professional suggests that the implementation of “Central Line-Associated Bloodstream Illness” contains various benefits. The infections are costly, but they can be prevented. The quality group at Allen Team Hospital was able to gain information regarding patients with the disorder where they stated that most of these patients could stay for seven days in the hospital and spend an approximate of $4500 to $50000 (Brown, Kim, Stichler & Fields, 2010). They suggested that it is necessary to have an improved “Primary line-associated bloodstream illness” evidence-based practice guidelines that can prevent patients from staying for an extended time in the hospital, death and also readmission of patients in the hospital. Most of the money used in these cases can be utilized in society based projects which promote health in the community.

Measures to Assess

Various steps have been put in place to address the efficiency of any upcoming evidence-based guidelines through the use of Improvement models. The primary goal of this objective is to come up with measures which result in the development of practices that eliminate bloodstream illnesses. It is also necessary to assess the results obtained from the patients, conducting of small tests from patients and well as the correct and incorrect results found. The nursing specialists and quality managers suggest that it is necessary to refine and test various cycles that the quality group obtains from the hospital. It is important to get information related to this disorder so that the information can help in monitoring whether the patients suffer from any infection within the hospital. Data will be obtained n monthly basis so as to evaluate how the healthcare professional take part in following any incoming evidence-based practice in the organization. Summing up, it is necessary to improve the rate of meeting the ratio on international benchmarks on the bloodstream disorder so as to advance the value of health care in society. This will also assist in improving the patient and management score of satisfaction, as well as meet the organizational goals.

References

Brown, C. E., Kim, S. C., Stichler, J. F., & Fields, W. (2010). Predictors of Knowledge, Attitudes, Use and Future use of Evidence-based Practice among Baccalaureate Nursing Students at Two Universities. Nurse Education Today, 30(6), 521-527.

Chan, D. S. (2003). Validation of the clinical learning environment inventory. Western Journal of Nursing Research, 25(5), 519-532.

Joel, L. A. (2013). Advanced practice nursing: Essentials of role development. FA Davis.

Polit, D. F., & Beck, C. T. (2010). Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins.

Rich, K. L. (2013). Philosophies and theories for advanced nursing practice. Jones & Bartlett Publishers.