Results Overall, 74.9% met assessment expectations. Learning needs identified for nurses not meeting expectations included initiating independent nursing interventions (97.2%), differentiation of urgency (67%), reporting essential clinical data (65.4%), anticipating relevant medical orders (62.8%), providing relevant rationale to support decisions (62.6%) and problem recognition (57.1%).
Controlling for level of preparation, associate ( P = 0.007) and baccalaureate ( P. Introduction Concern for patient safety has grown worldwide as high rates of error and injury continue to be reported. A recent Commonwealth Fund international survey of six nations showed that between one-quarter and one-third of patients with health problems experienced medical, medication, or testing errors. A number of countries, including the United States of America, Australia, Canada, Germany, New Zealand and the United Kingdom, have identified a need for improvement in the coordination and delivery of care () and a reduction in preventable medical errors (). Patient safety can be directly affected by the critical thinking ability of a nurse. Nurses must have the ability to recognize changes in patient condition, perform independent nursing interventions, anticipate orders and prioritize ().
These actions require critical thinking ability, advanced problem-solving skills and the ability to communicate clearly (). Using root cause analysis, the Joint Commission on the Accreditation of Healthcare Organizational Standards (JCAHO) identified orientation, training, and competence assessment as top factors contributing to patient safety errors over the past 10 years (1995–2005) ().
Windows Xp Pro Sp3 Activated Sata Drivers Integrated. Windows 7 Ripristino Boot Loader Da Cd Di Installazione Program more. New graduate nurses practise at the novice or advanced beginner level (). They are at the early stage of developing a skill set and applying critical thinking. Nursing shortages and budgetary issues may mean that initial orientation periods for new graduates are shortened (), a potential factor prompting the increase in errors. One means of determining whether new graduates and more experienced nurses can demonstrate the critical thinking ability necessary to ensure patient safety involves asking them to complete a performance-based evaluation. Patient safety Patient safety is at the center of today’s healthcare system reform.
According to the Institute of Medicine (IOM), more than 98,000 people in the United States of America (USA) die and more than one million patients suffer injuries each year (). Thirty to 40 percent of every US dollar spent on healthcare is lost to inappropriate use, poor communication, and inefficiency (). The IOM aims for the 21st century healthcare system include providing safe, effective, patient-centered care that is timely, efficient, and equitable ().
Retrieved from www. Rigs Of Rods Monster Truck Pack here. Accessed December 29. From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley. From novice to expert. Accessed November 9, 2012.
Nursing competence plays a large role in assuring patient safety (). A majority of sentinel events occur in acute care settings, where new graduate nurses traditionally begin their professional careers (). According to the Joint Commission International Center for Patient Safety, over 70% of sentinel events reported resulted in a patient’s death and 10% resulted in loss of function (). The inability of a nurse to set priorities and work effectively and efficiently may delay patient treatment in a critical situation and result in serious life-threatening consequences (). Competence The definition of nursing competence has been extensively debated (). Competence can be the subject of objective evaluation which includes standardized measurement or subjective observational reporting. In the USA, the only universally accepted method of evaluating competence occurs at entry to practise via the National Council Licensure Examination-Registered Nurse or NCLEX-RN© ().