Saturday, 15 September 2018

Five Transformations that will advance nursing’s future.

1. Interoperability

Although the development and implementation of the Electronic Health Record (EHR) revolutionized the healthcare industry, there’s an even loftier goal afoot: to create a system where useful data can be communicated and exchanged from one system to another. Take the patient who’s on vacation in Florida and comes to the ED for chest pain. What if the nurse can access a health record, view patient history, comorbidities, allergies and medications instantaneously? That is what the IT world calls interoperability. Although there are many challenges in implementing this kind of interoperable system, great efforts have been put forth to move towards that goal. Read more about the push for interoperability and the challenges being faced here.

2. 3D printing

3D printing is only beginning to demonstrate its clinical potential. Some of the uses currently being employed include:

  • In the OR, where surgical teams can rehearse procedures specific to the patient before operating
  • With the creation of prosthetic limbs
  • Pioneering innovations in soft tissue and organ development

3. Real time locating systems

Real time locating systems (RTLS) have the capability to reduce the amount of time nurses and other healthcare providers spend searching for equipment and supplies by making them easily trackable.

4. “Intelligent” medical devices

Smart pumps are one thing. But the use of intelligent infusion systems is a whole new ballgame. Imagine a PCA pump that is dialed into capnography and respiration rates, noting respiratory depression in a patient in its earliest stages. The implications for patient safety would be notable.

5. Personal Health Records

Patients are increasingly using tools called Personal Health Record (PHR). Much like the EHR, the PHR provides patients with access to certain portions of their medical records, such as diagnoses, diagnostic test results and communication with healthcare providers. Although research has yet to show just how far reaching the benefit of PHRs may be, programs such as the VA’s Blue Button show promise in improved information sharing, the promotion of active patient participation, and the facilitation of nurse-patient follow-up.

Friday, 3 August 2018

Nurses Life in the Digital Era

Nursing care is provided at an individual level with the aim to provide the best and safest care possible. The nurse-patient encounter forms the basis of a person-centered care. eHealth is a tool that can be employed to support person-centered care. To this end, it needs to be integrated into nurses’ professional practice, irrespective of role, function, and area of activity. eHealth can support healthcare processes in order to ensure quality, patient safety, a person-centered approach and continuity in the care process. Nurses frequently have a coordinating function in the organization, which among other things includes the handling of health-related information. This information should be available in the right format, on the right occasion and to the right person in the care process as a basis for decision-making, provision, and evaluation of health care. A prerequisite for eHealth to develop in that direction and to meet the patient’s care needs is that nurses, irrespective of their role, contribute with their knowledge and commitment.

eHealth influences many aspects of healthcare such as structure, processes, and outcome, encompassing prerequisites, delivery, follow up and development. The Swedish Society of Nursing’s eHealth Strategy is divided into target areas based on nurses’ perspective and the National eHealth Strategy. These areas are Information management, Communication and collaboration, Core ethical values, Learning and Competence, Leadership and management, Technical support and Research and development. Each area contains a number of specified targets within nurses’ areas of responsibility that must be met to benefit patients and their significant others. This, in turn, requires that politicians, decision-makers, and care providers contribute with the necessary eHealth infrastructure and other support.

Nurses are responsible for ensuring that nursing information is of such extent and quality that it contributes to a holistic picture of the patient’s health status and care needs. Ensuring high-quality and person-centered care requires that nursing documentation is an integrated part of the information that is systematically registered and compiled. Nurses’ interventions and nursing care constitute a substantial part of health care services but are seldom reported.

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Friday, 27 July 2018

Role of Nurses in Health Promotion

Public health nurses are a link between the government and the population concerning public health. With children, young people, and families as their main target groups, PHNs can contribute to changing and improving the quality of life and reducing inequality in the population. The concept of public health, which can be understood as “collective action for sustained population-wide health improvement”, has traditionally had a narrow view of public health. This biomedical disease model is based on a pathogen-risk focus, with attention given to problem-solving strategies.
Local communities are considered as arenas for health promotion. The population can be divided into two groups: a population-at-risk group, with a focus on disease prevention; and a population-of-interest group, with an emphasis on health-promotion strategies. This form of thinking was recognized in the former regulations for public health nursing and in the successor, a recent national professional directive for health promotion and disease-prevention work in public health nursing. It highlights the goals of PHNs’ work in child health clinics and school health services: to promote mental & physical health, good social & environmental conditions, and to prevent disease & injury.
As early as possible, the service shall screen children and young people, conduct an assessment, and make a referral if needed. This universal service shall target both individuals and the population. PHNs’ social mandate with an increased emphasis on population-based work and particularly health-promotion strategies, such as empowerment stimulated by meeting with service users in an open and respectful way and engaging in dialogue, thereby revealing their own resources has become more complex. However, a review of the international literature shows that nurses often misunderstand the concept of health promotion.
Their focus has been on changing individual behaviors; meanwhile, the population focus has been somewhat ignored. The role of expert as the traditional nursing position is a view shared not only by patients and service users but also by PHNs. The more complex PHN role may still be unclear and, thus, hard to manage and define. Drawing clear jurisdictional boundaries with other professions is of importance in establishing an autonomous profession; however, these professional borders can be renegotiated which might be the current case in public health nursing.

Monday, 23 July 2018

Pain Killer Shortage Hits US

US care facilities have run out of pain medication!
That startling situation is really happening now in hospitals across the United States. As of May 2018, 9 out of 10 emergency room doctors studied said that they didn't have access to the "basic" medications that they are expected to treat patients with.

For instance of exactly how desperate the circumstance is, the New York Times revealed that one hospital in Chicago has been out of morphine, a medication generally utilized for pain, since March. That is a staggering five months without a medication that is utilized each and every day in many hospitals for even minor cases. Likewise on the rundown of medications that have gradually disappeared with no desire for substitution are diltiazem, a medication utilized as a part of cardiac care, and painkillers. The FDA's website has a consistently refreshed rundown of medication deficiencies, which right now incorporate everything from sodium chloride injections to heparin and dopamine blends. Healthcare providers have been stated as saying that they presently need to empty off 900ml out of a 1,000ml pack with the aim to mix infusions. 1,000 ml NS packs are the only solution that they can get their hand on at present. This is a significant issue. This info was obtained from a tweet in January by Dr Jeff Jarvis, an ER doctor in Texas. And keeping in mind that medication deficiencies are just the same old thing new, the sheer volume of the present shortages are extraordinary.

Dangerous alternatives

As an answer for the medication shortage pandemic, specialists and therapeutic care staff have been managing by either furnishing patients with alternative medications, which may pose dangerous side effects or cause obscure responses or are sometimes unable to administer the necessary medication, when patients are in a state of torment. One specialist depicted the scramble to make sense of how to treat their patients without the proper medication as blind dancing that happens with each and every patient and in each and every shift. Also, tragically, the greater part of that dancing just prompts one thing — patients not getting the care that they require.

What's driving the deficiency?

Why are hospitals coming up short on basic medications that have truly been utilized relatively consistently throughout history? The appropriate answer is evidently really intricate. For one, a significant number of the medications that the doctors have come to depend on are both difficult to make while being sold cheaply, prompting low-net revenues for the drug market. With low-profit rates, a considerable number of drug manufacturing organizations just stopped making them. Furthermore, these kinds of medications have for quite some time been made in older facilities which most organizations have quit putting resources into, prompting the plants to have issues and to be closed down. Medication manufacturing was hard hit when Hurricane Maria raged onto Puerto Rico, which has been the home to many pharmaceutical manufacturing companies. In spite of the fact that the initial emergency has been sorted out, the tempest still exposed the shortcomings of America's therapeutic network.

The pack leader of responsible organizations for this drug shortage is the drug manufacturing goliath- Pfizer, which has been hit with many warnings from the U.S. government. Pfizer is the country's single largest maker of generic injectable medications and basically, with any lull in their production rate, the whole nation is influenced. Back in February of 2018, the FDA cautioned that one of the manufacturing units at a facility in Houston was in violation of FDA policies when foreign substances sound in IV arrangement packs ended up being bits of cardboard.

An invitation to take action

The medication draught has turned out to be so extreme, that in June, the American College of Emergency Physicians (ACEP), the American Society of Anesthesiologists (ASA) and the American Academy of Ophthalmology (AAO) all issued a joint proclamation encouraging the FDA to work with government divisions keeping in mind the end goal to offer suggestions to Congress on the most proficient method to settle the medication deficiency issue. 

The medication lack is turning into an emergency in America, yet sadly, patient care cannot come to a standstill while we wait for a resolution. So as legislators and specialists work to discover an answer, we as a whole need to do our part to promote and bolster the nurses and other healthcare staff who are watching over patients directly day in and day out — even without the medication those patients require and deserve.

For more insights on nursing care join us at the International Conference on Community Nursing and Public Health, November 19-21 2018, Cape Town South Africa.`
John Hunt | Program Manager | Community Nursing 2018
Phone +44-2088190774Email:

Monday, 9 July 2018

Suicidal Patient Handling

Mental Health nurses endeavour to disclose to individuals that as mental wellness nursing professional, the aptitudes they learn are regularly more dynamic – how to develop a helpful association with a patient, evaluation abilities and de-escalation abilities – yet they're generally left looking somewhat befuddled in the matter of what to do to handle a suicidal individual.
As the community has witnessed the death of two public figures over a span of seven days, and all of a sudden nurses were concerned about what do when a patient comes into a restorative ward saying they're thinking about suicide.
These tips are not an authoritative manual for evaluating a patient's self-destructive hazard. Be that as it may, these tips are for the general population who get themselves awkward around a self-destructive patient, who don't exactly realize what to ask, who aren't sure how they can improve the situation of their patient and how to start a conversation with the patient.

The best advice that mentors give is not to avoid the word "suicide".

There is no use beating about the bush but is advice able to come directly to the point and ask them if they are having thoughts about self-harm as a patient is more likely to give a yes or no answer to this question.

Gaining Further Information

Once the patient has affirmed their self-destructive musings, one needs to get more data about this from them.

Asking them, "to what extent have you been feeling along these lines?" or "have you at any point felt thusly previously?" gives you some setting to their low state of mind, and will ideally prompt a discussion about what set off the self-destructive contemplations, and what's happening in their life that has lead them to this point.

Validating their emotions

The dread of conversing with self-destructive patients originates from feeling like you have to settle it.

At the point when a patient comes in with a broken arm, one realizes what to improve. Be that as it may, you can't dispose of self-destructive contemplations with gauze or an IV. One needs to lighten yourself of that duty.

In the event that a patient comes to you with self-destructive considerations, you can't settle it in one discussion. What you can do is enable them to feel tuned in to, and give them the chance to discuss what's irritating them.

It is tied in with giving them a chance to talk. Basic expressions, for example, "that’s probably been very troublesome" and "sounds like you've been having a tough time" approve what the patient is feeling and give you something accommodating to state in case you're feeling ungainly or awkward.

Distinguish the protective factors

Defensive elements are parts of a patient's life that will prevent them from hurting themselves. This may be a pet that they have to take care of, or youngsters who require their parent.
To discover this data, you can inquire as to whether they have any family, who is in their group of friends, who shares home with them or how they spend their day. This will feature any interests, friends and family or objectives that will remain between a patient and their self-destructive musings.

Try not to endeavour to brighten them up

It is totally in our tendency to attempt to locate the positive in this circumstance. At the point when a patient comes to you with self-destructive ideation, it feels completely normal to reveal to them that they have a ton to live for, that things will show signs of improvement and that they have their entire future in front of them.

In any case, the patient has most likely heard this all previously, and when you're feeling self-destructive, it's hard to feel idealistic.

Telling the patient anything like this has a tendency to close down the discussions and smother their emotions – it can influence them to feel like they can't discuss what they're feeling, and that they ought to centre around the positive.

You need to make a space where it's alright for them to discuss their darkest mind-sets, in light of the fact that occasionally, that is the thing that somebody needs a large portion of all.

For more insights on nursing care join us at the International Conference on Community Nursing and Public Health, November 19-21 2018, Cape Town South Africa.`

John Hunt | Program Manager | Community Nursing 2018
Phone +44-2088190774

Sunday, 1 July 2018

Here's your top 10 Nursing videos for the month

1. Head to Toe Nursing Assessment

2. Cardiac Rhythm Interpretation

3. Glasgow Coma Scale Assessment

4. Newborn Assessment

5. Blood Transfusion and Intravenous Infusion Skills

6. Laboratory Values for NCLEX-RN Examination

7. Blood Flow Through the Heart

8. Maternal Assessment

9.Different Hoyer Lift Procedures

10. Donning Hospital Protective Equipment

For more such interesting overviews join us at the International Conference on Community Nursing and Public Health, November 19-21 2018, Cape Town, South Africa.

John Hunt
Program Manager | Community Nursing 2018
Phone +44-2088190774

Sunday, 24 June 2018

Pediatric VS Adult Nursing

1. Age isn't only a number

Remember the names Erikson, Freud, and Piaget? Adult nurses reading this are recoiling a little and feeling very pleased that those names are a distant nursing school memory. Paediatric nurses would not recall those exact theories on advancement, but rather treating patients in light of age is a consistent thought in the paediatric populace. The main contrast amongst grown-up and paediatric nursing is the part age plays in nursing care.
As a pediatric nurse, you could have 3-5 patients of totally separate ages. As an attendant, this implies 3-5 diverse thinking methodologies to persuade them to take medicines, distinctive adapting capacities for trauma care systems, distinctive physical aptitudes in view of motor development, distinctive psychological capacities, and different lab value and vital sign normal ranges … the rundown goes on. That is the dilemma in paediatric nursing – such a wide assortment in developmental stages. With grown-ups, the greater part falls inside extremely steady expected intellectual, enthusiastic, physical, and clinical information ranges.

When you examine a methodology or a conclusion to a grown-up persistent, you can utilize intelligent clarifications to enable them to comprehend what's in store. You can address everybody in the room on the double, including other family and guests. With youngsters, you are disclosing in one way to the guardians, and altogether distinctively to the paediatric patient. It resembles taking in another dialect. Be that as it may, in light of the fact that grown-up patients are more established and evidently more developed; don't expect they're more independent than youngsters.
Individuals frequently consider paediatrics all play, and grown-ups as all genuine. Indeed, even grown-ups get a kick out of the chance to play once in a while. Who says grown-ups wouldn't appreciate a storybook and a Popsicle? What's more, for the impression of paediatrics being all play, bear in mind about the extreme shifts that accompany tending to youngsters – fits, new-born children crying, high school temperament swings, adolescence… there are a lot of upsides and downsides for both nursing populaces.

2. A 5 minute versus 1-hour clarification of past clinical history

It's nothing unexpected that grown-ups, by and large, have more entangled and broad restorative narratives than kids. Along these lines, grown-up nurses are substantially more worried about the interconnectedness of diseases inside the patient. It's especially critical to get a careful history for grown-up patients since comorbidities can clarify apparently irrelevant displaying manifestations, or medicine communications to treat distinctive conditions can be contraindicated.

Adult nurses, for the most part, have a decent comprehension of illness pathophysiology, and how one body framework influences another. Paediatric nursing is generally clearer. Kids regularly have less hypersensitivity, constrained to no medicinal history, no careful history, and a solitary restorative issue with a related aetiology. Be that as it may, on the grounds that youngsters have a tendency to have less mind-boggling accounts, does not mean they are any simpler to watch over therapeutically. Paediatric patients really crash faster, they have less holds and can remunerate ordinary vitals for broadened timeframes before a sudden decay. Youngsters don't present a similar route for sepsis, stroke, or heart conditions. Furthermore, in light of the fact that some are excessively youthful, making it impossible to talk, it additionally requires sharp appraisal abilities and dependence on instinct. At the point when grown-up patients are coding, it, as a rule, begins heart failure. In kids, codes quite often start from respiratory reason. In any case, if patients are grown-ups or youngsters, attendants have without a doubt idealized their style of history taking, evaluation abilities, and clinical care as needs are.

3. All in the family

Regardless of whether you're adult nursing or paediatrics, there's dependably family drama. Contingent upon how agreeable you are to people viewing behind you, it's remark when you pick your field of nursing. Grown-up patients have a lot of guests for the duration of the day, yet ordinarily, they are more independent. Their family and guests will absolutely fire huge amounts of inquiries at you, yet there is an added rule, a point of confinement to their impedance with your genuine nursing obligations.

Be that as it may, paediatric nurses must become accustomed to guardians breathing down their necks with each easily overlooked detail. What's more, it is absolutely justifiable and worthy – we are watching over their valuable infants after all – however, a few nurses truly don't care for the extra weight that guardians can add to effectively distressing circumstances. When you are beginning an IV on a one week old, you're imploring that you don't miss either.

On the opposite end of the range, now and again guardians have other kids to administer to or the two guardians work, and paediatric patients can be allowed to sit unbothered regularly on the off chance that they remain in the hospital for long times. That accompanies different difficulties as a Nurse – serving as the disciplinary, the parental figure, and the attendant. Now and again it's difficult to know your place and do not exceed limits with families in light of the fact that your part is parental-like in some ways.

Adult Nurses are likewise happy with talking about living will and restorative choices with patients. As paediatric attendants, it is important to talk about most treatment designs with guardians who are legitimately capable. It can cause moral situations for nurses once in a while if a tyke can't help contradicting the treatment their gatekeeper agrees to. Family contribution is a given with nursing, it's simply somewhat unique amongst paediatrics and grown-ups.

4. Body fluids liquids – tall, grande, or venti?

A few things are substantially more pleasant child size: crap, regurgitation, suppositories, and bowel purges. It may appear like paediatrics would be an undeniable inclination, yet it's not generally that littler is better. At any rate, grown-ups can clean out their own particular noses - snorty child noses can mean bulb suction for your whole shift. Grown-ups can be significantly simpler in certain ways. They, for the most part, have bigger veins for IVs, you can securely push medicines and run blood items rapidly. Everything in paediatric nursing is delicate and touchy. Little dosages of drugs run gradually on pumps, little chest tubes, and even the smallest nursing mistakes can have huge consequences. Consistent, cautious, and delicate hands for paediatric nursing are a must.

 Grown-ups can withstand significantly more. 

For more such interesting insights join us at the International Conference on Community Nursing and Public Health, November 19-21 2018, Cape Town, South Africa.
Last few speaker slots left!!

John Hunt
Program Manager
Community Nursing 2018
47 Churchfield Road, London, W3 6AY, United Kingdom
Phone +44-2088190774

Five Transformations that will advance nursing’s future.

1. Interoperability Although the development and implementation of the Electronic Health Record (EHR) revolutionized the healthcare i...