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NUR2100 Assignment

Question

Answered

The objectives for this assessment item are for students to:

  1. demonstrate the use of evidence for nursing practice from the nursing literature.
  2. increase skills in synthesising and analysing information.
  3. understand and demonstrate the nurse’s role in monitoring and intervening in response to patient’s needs.
  4. discuss the complexities of specific patient care issues (e.g. altered level of consciousness, neurological impairment)
  5. communicate synthesised information comprehensively and cohesively.
  6. demonstrate skills in academic writing.
  7. demonstrate skills in citing published material appropriately.

 

Background to the Essay

 

Nurses have a pivotal role in promoting optimal patient outcomes. The appropriate monitoring and assessment of patients in acute care settings is crucial to effective healthcare. Dresser (2012), state that ‘a turn of events unacknowledged by a nurse can markedly alter the course of a patient’s condition and outcome’. There is concern demonstrated in the literature around issues of patient safety and risk of harm when a patient’s physical condition deteriorates expectantly (Henneman, Gawlinski, & Giuliano, 2012; Odell, Victor, & Oliver, 2009). Australian Commission on Safety and Quality in Health Care (2010) have issued a national consensus statement that prioritises the goal of improving the recognition and response to clinical deterioration in hospitals and healthcare facilities.

 

Early response to changes in a patient’s level of consciousness is a nursing intervention which can positively affect patient outcomes and includes (Australian Commission on Safety and Quality in Health Care, 2010). Variations in a patient’s neurological functioning can be common in acute care settings, manifesting swiftly and leading to potentially fatal consequences. This is particularly true in elderly patients who can present with multiple comorbidities. Accurately assessing and recording the neurological function of patients is a primary part of nursing care (Ashcraft & Owen, 2014). Mismanagement of neurological decline can contribute to significant morbidity and mortality. However, effective clinical reasoning skills can help a nurse to recognise and manage patient deterioration early, thus preventing adverse patient outcomes (Levett-Jones et al., 2010). Time is a critical factor in the nurse’s clinical reasoning because patient problems need to be identified in a timely manner so that nursing actions can be instituted to act on abnormal findings (Levett-Jones et al., 2010). Dresser (2012) advises that the collection of assessment information and continual analysis and interpretation of that data is necessary to successfully monitor patient conditions. This is the responsibility of registered nurses.

 

Studies have shown that nurses are sometimes reluctant to act on adverse findings (Hogan, 2006; Preston & Flynn, 2010)

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COIT20248 Information Systems Analysis and Design

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