Integration of Nursing Practices Discussion

Integration of Nursing Practices Discussion

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1 Knowledge Assignment: Alarm Fatigue Lena Hiyrik West Coast University NURS 498L Integration of Nursing Practices 202011FAII 27 Professor David Osipov December 1, 2020 2 Knowledge Assignment: Alarm Fatigue With technology development, which is incorporated in healthcare, many devices’ alarms sound is becoming an issue to healthcare members, especially nurses. Clinical alarms are meant to grab the medical staff’s attention when something wrong is going on, or the patient’s condition worsens. However, too many alarms are causing a new hazard problem. According to previous studies, there were no more than six types of alarms from one critically ill patient in 1983; however, there were at least 40 types of clinical alarms in 2011(Cho et al., 2016). The constant sounds of alarms and noises from blood pressure machines, ventilators, and heart monitors causes a “tuning out” of the sounds due to the brain adjusting to stimulation. This issue is present in hospitals, home care providers, nursing homes, and other medical facilities. The Joint Commission’s sentinel event reports 80 alarm-related deaths and 13 alarm-related serious injuries over the course of a few years (The Joint Commission, 2013). The large number of alarms, especially false alarms, has led to several unintended outcomes. Some consequences are a disruption in patient care, desensitization to alarms, anxiety in hospital staff and patients, sleep deprivation and depressed immune systems, misuse of monitor equipment, and missed critical events. One solution to this issue for the organizational level could be to use centralized alarms. In this approach, alarms do not fire at the bedside but fire at a central monitoring station where a trained healthcare provider for every unit evaluates each alarm and alerts the bedside clinician to intervene or evaluate the patient. As far as unit level, one strategy could help change alarm sounds to be softer and friendlier to improve the identification of alarms by sound alone. This could help nurses by alleviating the fatigue of hearing the same loud noises every time. Another strategy that could help individual caregivers is adjusting the parameters and delaying the alarms to match the patient’s traits and status according to their medical condition. 3 References Cho, O. M., Kim, H., Lee, Y. W., & Cho, I. (2016). Clinical Alarms in Intensive Care Units: Perceived Obstacles of Alarm Management and Alarm Fatigue in Nurses. Healthcare informatics research, 22(1), 46–53. https://doi.org/10.4258/hir.2016.22.1.46 The Joint Commission. (2013). Sentinel Event Alert Issue 50: Medical device alarm safety in hospitals. Retrieved from https://www.jointcommission.org/-/media/deprecatedunorganized/importedassets/jcr/assets/sea_50_alarms_4_5_13_final1pdf.pdf?db=web&hash=5E82688C2EB0B 3039476443B834CCF10 …

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source. Integration of Nursing Practices Discussion

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Integration of Nursing Practices Discussion

Integration of Nursing Practices Discussion