Missed Nursing Care free essay sample

Patient safety is a concern in the hospital setting. Missed nursing care due to high nurse patient ratios, or staffing issues leads to patient falls. Patient falls tend to be a big issue and expensive matter for hospitals nationwide. This paper will focus on a qualitative research article regarding missed nursing care, staffing, and patient falls. Included will be a summary of the research, methods and research used in the study, significance of the research findings, ethical considerations, and a conclusion. Summary of Research Problem Falls pose problems for many patients, such as death, fractures, functional need, and afraid of reoccurrence. Although, hospitals have set forth evidence based guideline strategies for de creasing the number of falls. Consistency and implementation of the strategies are limited. Data was gathered from 188 medical surgical units in 48 separate hospitals nationwide. Data revealed there was not consistent use of interventions to address specific risks. The findings go hand in hand with nursing care being regularly missed. We will write a custom essay sample on Missed Nursing Care or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Nursing care often gets missed due to staffing issues. Missing any nursing care or not fully completing tasks leads to patient falls (Kalisch, Tschannen Lee, 2012). Methods and Research Used in the Study A qualitative approach was used in the design of this research. The research project was conducted in smaller scale hospitals of 60 beds to larger scaled hospitals with 913 beds. The total number of units was 124, this was broken down to as little as 2 units in the smaller hospitals to as many as 22 units  in the bigger hospitals. Unit inclusion criteria were, an average patient length of stay of 2 days or more and, a patient population greater than 18 years. Exclusion criteria were short stay units and pediatric, womens health, perioperative, and psychiatric units. All patient care units in the hospitals that met the inclusion criteria agreed to participate in the study (Kalisch, Tschannen Lee, 2012). 3432 nurses were included in this study. In addition to nurses 980 nursing assistants were participants of this study. The surveys return rate was 57. 3%, some units was as high as 99.6% and as low as 34. 4%. (Kalisch, Tschannen Lee, 2012). Missed nursing care data was collected from the MISSCARE survey. This survey focuses on identifying the rate of missed care. (Kalisch, Tschannen Lee, 2012). The article states that the National Database of Nursing Quality Indicator standards was used as a guideline to describe Hour Per Patient Day (HPPD). The number of working hours by all nursing staff was to calculate these HPPD values (Kalisch, Tschannen Lee, 2012). Any witnessed or unwitnessed event that leads to a patient found on a floor is used as a definition for patient falls. A ratio of falls per 1000 patient days was used as the calculation of fall rates for this research. (Kalisch, Tschannen Lee, 2012). Significance of Research Findings Statistical analysis showed that there is a high correlation between patient falls and the factors of nurse staffing that were addressed in this study. This shows that nurse staffing is significant in preventing patient falls and safety concerns in the hospital. The findings in data collected reinforce previous findings that greater staffing leads to fewer patient falls in the hospital. There were several correlations between the data collected and patient falls. The correlation and data collected also support that the types of missed care can be predicted at different staffing levels(Kalisch, Tschannen Lee, 2012). Ethical Considerations After institutional review board approval from each of the contributing hospitals, study data was collected from November 2008 to August 2009. During the research process patient privacy remained protected. No ethical issues were listed to being an issue. Conclusion The findings from this research study emphasizes the significance of guaranteeing that required care is accomplished daily, to decrease the number of patient falls. Although, staffing may affect the rates of patient falls, the level of influence is lowered when care is finished entirely. Additional work must be done to help nurses in completing essential tasks such as ambulating patients, assisting patients with toileting, patient assessments, and answering call lights, which may mean more staff members. Techniques for helping staff members complete all portions of nursing care include lists, reminders, and engagement of the patient. Until it is completely understood that the process of nursing care and its relationships to patient outcomes are related, we will not be able to develop positive strategies to stop unfavorable proceedings such as falls. Staffing and nurse to patient ratios should be considered to help aid in nursing care completion.

21 Inspiring Quotes About Life and Our World

21 Inspiring Quotes About Life and Our World A whole new world; a dazzling place I never knew. These mellifluous words from the soundtrack of Aladdin say it all. The world, however absurd, dangerous, or harsh, is a fine place to live. The world is special because of its inhabitants. Cherish our world and protect it from destruction. Our planet is our home and we are its caretaker. Here are some world quotes that fill you with intrigue and fascination. If you think about it, our world is a rich tapestry of cultures, languages, people, landscape, colors and people. Technology has helped to diffuse boundaries, whether physical or cultural. We call our world a global village because though we belong to different countries, we are essentially a single race. Sarah Ban BreathnachThe world needs dreamers and the world needs doers. But above all, the world needs dreamers who do.Johann Wolfgang von GoetheThe world is so empty if one thinks only of mountains, rivers and cities; but to know someone here and there who thinks and feels with us, and though distant, is close to us in spirit - this makes the earth for us an inhabited garden.Saint AugustineThe world is a book, and those who do not travel read only a page.Albert EinsteinWhat really interests me is whether God had any choice in the creation of the world.BuddhaWe are what we think. All that we are arises with our thoughts. With our thoughts, we make the world. Albert EinsteinThe world is not dangerous because of those who do harm but because of those who look at it without doing anything.Mark TwainDont go around saying the world owes you a living; the world owes you nothing; it was here first.Albert EinsteinThe most incomprehensible thing about the world is that it is at all comprehensible.Oscar WildeIn the world there are only two tragedies. One is not getting what one wants, and the other is getting it.J R R TolkienThe wide world is all about you; you can fence yourselves in, but you cannot forever fence it out.Dave BarryThe world is full of strange phenomena that cannot be explained by the laws of logic or science. Dennis Rodman is only one example.Ernest HemingwayThe world is a fine place and worth the fighting for and I hate very much to leave it.Joseph CampbellParticipate joyfully in the sorrows of the world. We cannot cure the world of sorrows, but we can choose to live in joy.Hans HofmannThe whole world, as we experience it visuall y, comes to us through the mystic realm of color.Natalie KocsisThe world is a playground, and life is pushing my swing.Henry David ThoreauWhats the use of a fine house if you havent got a tolerable planet to put it on?Charles M SchulzDont worry about the world coming to an end today. It is already tomorrow in Australia.Carl Gustav JungThe only thing we have to fear on the planet is man.E E CummingsThe earth laughs in flowers.Helen KellerAlthough the world is full of suffering, it is full also of the overcoming of it.Oscar WildeThe true mystery of the world is the visible, not the invisible.

Can Regulation Of Tobacco Affect Health Care Costs Economics Essay

Can Regulation Of Tobacco Affect Health Care Costs Economics Essay The economic calculations associated with tobacco use are very complicated. For every savings, there are increased costs in other areas. Many productivity costs are subjective, while things like tax revenues are very definitive. These costs can be absorbed by various entities; public, private, and governmental. The tobacco industry has been viewed as the root of many of these costs. This industry has historically been exempt from oversight by any governmental agency, other than taxation. The Food and Drug Administration (FDA) has recently taken charge of overseeing and regulating many tobacco products, including cigarettes. Can the new regulations have any effect on health care costs? Why is tobacco use such a big deal? According to the World Health Organization (WHO), tobacco is the second major cause of death in the world, responsible for one in ten adults and the fourth most common risk factor for disease worldwide (2010). Costs (both public and private) associated with health ca re related to tobacco are astronomical. Productivity is reduced or lost when people are at their prime due to tobacco use. â€Å"A 1994 report estimated that the use of tobacco resulted in an annual global net loss of US$ 200 thousand million, a third of this loss being in developing countries† (World Health, 2010). This paper will look at the costs associated with tobacco use in the United States and the relationship regulation may have on reducing these costs. Compared to the length of time tobacco has been used, the health effects of its use are just recently becoming understood by the general public. Prior to this knowledge, the tobacco companies were free to advertise without any regulation. 1789 saw the first tobacco advertisement in the U.S for snuff. Communication, transportation, and manufacturing constraints of the time prevented any major branding and marketing successes. â€Å"The first strong national tobacco brand didn’t emerge until near the end of the Civil War, when both Union and Confederate soldiers in Durham, North Carolina raided a local farmer’s tobacco crop while waiting for a surrender to be completed. After the war was over, these soldiers began writing to the farmer, Mr. John Green, requesting more; Green went on to establish the successful Bull Durham Tobacco Company.† (Collins & Lapsley, 2010) The cigarette machine was one of the two major innovations that changed the industry and embedded tobacco into the minds of Americans. It was introduced in the 1880s and allowed companies to go from producing 40,000 hand-rolled cigarettes a day to over 4 million. The other major innovation came in the form of advertising. The color lithograph revolutionized advertising and packaging. These factors allowed companies to brand their products, searing them into the fabric of everyday life. Promotions, such as trading cards, were packaged with cigarettes and became collector’s items. World War II came and went wit h millions of soldiers and sailors addicted to nicotine courtesy of free cigarettes issued along with meals. Marketing remained pretty much unregulated throughout the 1950s. Advertisements promoted how healthy it was to smoke and how doctors (whom the public trusted) recommend one brand over another. Sponsorship of television shows, like The Flintstones and Gunsmoke, propelled cigarette smoking into a normal and expected part of life. â€Å"For tobacco companies, it was the Golden Age: cigarette ads featured endorsements from dentists, doctors, babies and even Yankees slugger Mickey Mantle† (Collins & Lapsley, 2010).

References Essay Example | Topics and Well Written Essays - 250 words - 1

References - Essay Example Keep in mind that many of these tests are designed to test your intelligence, critical thinking skills, behavioral patterns and decision-making ability. These tests are not designed to test your potential IQ or examine your previous work history. Also, many employers will notice when a candidate appears to be nervous or stressed over a pre-employment test and immediately question whether you are an adequate fit for the stresses of the everyday work environment. Relax, take a deep breath, and concentrate on exuding as much confidence as possible when taking the pre-employment test. The personality test is probably the most common pre-employment test given by employers today. These tests are designed to test your answers to questions to examine your personality and test whether the personality type would be a good fit for the potential job. Employers can learn a lot about job candidates through these tests, but these are not tests that should cause you to worry. There literally is no right or wrong answers because the information is all about you. It is always best to answer these tests as honestly as possible because the employer will receive an almost immediate score report of the personality test. At this point, the employer has already begun a pre-test interview, so they have had a little time to get to know you. If your personality scores far different than what they know about you, this can raise serious concerns for the employers. Be honest at all stages in the application process, especially on the personality tests. First of all, you need to take your time and read every question completely. Follow the instructions exactly as they are written because many tests are also designed to test your ability to follow directions. Also, many pre-employment tests work on a rating scale usually around 1-5. Each rating system may be

The Gross Profit Margin of Mark Equipment Pty Ltd Essay

The Gross Profit Margin of Mark Equipment Pty Ltd - Essay Example The Gross Income Margin is a financial measure to evaluate an organization’s financial wellbeing by disclosing the percentage of cash left after considering the cost of goods sold into account. The gross income value of an organization serves as the basis for the payment of further expenses and future reserves. The gross income margin of an organization can be calculated as the ratio of its revenue less its cost of sales to its revenue value. i.e., Gross Income Margin = (Revenue – Cost of Sales)/ Revenue The cost of sales refers to the direct expenses involved in the manufacturing of the products sold by the organization. The cost of sales value includes the cost of resources utilized in the manufacturing of the products along with the labor expenses utilized in the production of the products. Thus, the cost of sales can be computed as, Cost of Sales = Opening Stock + Purchases – Closing Stock The computation of the cost of sales of a company does not comprise of any indirect costs involved in the process of sale of the products. Thus, the repair and maintenance charges, costs of depreciation of tools and equipments, rent expenditure, wages and charges of water and electricity have been excluded from the calculation of the cost of sales and hence from the computation of the gross profit of the company . Therefore, the cost of sales of Mark Equipment Pty Ltd for the present year and the previous year would be, The assessment of the financial health of Mark Equipment Pty Ltd can be carried out by the examination of the financial ratios of the company. The analysis of the current ratio shows that it has increased from 1.28 in the previous year to 1.34 in the present year. Ideally, the company should have current assets by current liabilities ratio of 2:1, in order to be in a position to comfortably repay their short-term liabilities. Thus, though the percentage of current assets of the company is a little higher than that of the current liabilities, the company should try to improve its current ratio in order to enhance its liquidity. The company also needs to focus on its cash assets so as to improve its creditworthiness. The debt ratio and the debt to equity ratio indicate the financial leverage of the organization. Debt ratio signifies the relationship between the total liabilities and the total assets. The debt ratio of Mark Equipment Pty Ltd has slightly increased from 0.57 to 0.69 during the period. The debt to equity ratio helps in deriving a reasonable relationship between the debt and the equity value of a company . The present value of the debt to equity ratio also increased a little from 0.17 in the previous year to 0.21. Since the values of the mentioned ratios are moderately low, it can be implied that the company is in a position to raise long-term debts, in case it wants to, considering the moderately low interest rate. The fixed asset turnover ratio of Mark Equipment is 22.51 in the present year, whereas the fixed asset turnover of the company for the previous year has been 18.07. The total asset turnover for the previous year was 5.23, whereas it decreased to 3.63 in the present year. It implies that Mark Equipment had been able to generate more volume of sales in relation to the fixed assets it holds . Thus, the company had utilized and managed its fixed assets quite fairly, though it needs to improve the utilization of its overall assets.

Pride and prejudice Coursework Letter Essay Example for Free

Pride and prejudice Coursework Letter Essay Dear Mrs Bennet, I hope that all your family is in good health. I am ashamed to confess that inquiring about your family is not the main reason of writing to you but it is nevertheless a matter which I believe is of great importance to your family. I believe that it is my duty to inform you about the recent events at Hunsford. I am sure that you will be delighted to hear that your daughter Elizabeth had been proposed to by Mr Darcy. However, it is regretful that I must inform you of Lizzys rejection of Mr Darcys marriage proposal. Yesterday in the afternoon, Mr Collins, Elizabeth and I were both invited for tea at Rosings. However Elizabeth could not accompany us because it was clearly evident that she had a migraine. At first Mr Collins was most perturbed by Elizabeths decision not to go to Rosings but I finally encouraged him not to press her anymore seeing that she was really unwell. Yet Mr Collins could not stop to remind her of how displeased Lady Catherine would be. However, on our return I went to check on Elizabeth and I was shocked to see her look paler than ever. She had dark red eyes with puffed up cheeks, as if she had been crying. When I asked her what had happened she burst into tears, and proclaimed that Mr Darcy had visited her in our absence and she then revealed that she had rejected his offer! The reason that Eliza gave for her rejection him was because of his abominable pride and conceited manner. Yet I do believe he sustains all of these ill features. However, on the contrary Mr Darcy is a secure man. His wealth is of immense amount, à ¯Ã‚ ¿Ã‚ ½10,000 a year! As we both know, Eliza has previously made mistakes, for example turning down Mr Collins, and now Mr Darcy! She has made some ill decisions in her life and we both know well of her that she can sometimes act foolish. Yet, Eliza is my best friend and so my purpose of writing to you is to ask you to advise your daughter to marry such a man of stature. How many men can she turn down? If she carries on the way she has she will lose a future of security and wealth. Mr Collins and I are financially stable and I am fully secure. Yet, I wish I could say the same for Eliza, if she gets married. Mrs Bennet, it is both familiar to us to get married as soon as possible and grasp every opportunity as it comes. When you are secure then there will be free time to fall in love. But Eliza contradicts these opinions which both to you and myself are so imperative. She wants to marry for love yet this cannot always be the case. She does not want to marry for financial security. Mr Darcy is such a wealthy and well connected man. It is up to you Mrs Bennet to advise your daughter to not regret making dreadful decisions. I thought that I had to write about this as Eliza is my good friend.

Graduation Speech: Sit Down and Shut Up :: Graduation Speech, Commencement Address

Hi everyone, and congratulations to all the seniors for successfully completing the first phase of your life. We are all now independent and must look to the future. Everyone will go their separate ways, whether that be attending college, getting a job or traveling the world. While the members of our senior class may be taking drastically different paths, one goal is common to us all. That goal is to achieve success. There is not a person graduating today who does not want to succeed in the rest of their life, at least I hope not. So we all want to succeed, but what is success? Some people look for success and happiness by achieving great things in their careers. Others look for it by amassing material wealth and money, finding the best-looking partner or gaining power and recognition. Still others attempt to gain a sense of happiness and well being by going to the best parties and living wildly. While these things might seem to be good, fun or rewarding at first, those feelings will always be temporary and leave you feeling dissatisfied. Picture this, two old men are lying in a hospital within hours of death. One man is a multi-millionaire and once seemed to be very successful in life. He lived the high life and got whatever he wanted, but now he has no family or friends with him in his final moments and he is scared to death of dying. The second man is not rich, but he was always kind and lived a life of integrity. Loved ones and friends surround him, and he faces death with no fear, since he is right with God and his eternal future is secure. While the first man might have seemed better off from outward appearances, it was the second one who experienced true happiness and success. In order for us to live life to the fullest, we must force ourselves to change our priorities. While it is natural to be selfish and put oneself first, true joy and love will be found only when God and others are treated more importantly than oneself.