RESUMEN
In recent years, discharge initiatives that aim to free up hospital beds have become commonplace. However, new systems, such as bed management, have left many nurses feeling disengaged from the management of patient admission and discharge. They feel pressurised into speeding up discharge by the increasing focus on bed capacity and patient turnover, which can make them feel distanced from their primary role of caring for patients. Although new roles and initiatives can be valuable, changing the way nurses engage with discharge is key. Ensuring that the process is nurse led will lead to a faster discharge and less frustration for patients who are waiting to go home. This article, the last in our series on the high impact actions for nursing and midwifery, looks at how nursing staff can respond to the issue of discharge planning.
Asunto(s)
Unidades Hospitalarias/organización & administración , Enfermería Maternoinfantil/organización & administración , Partería/organización & administración , Estudios de Casos Organizacionales , Alta del Paciente , Humanos , Personal de Enfermería en Hospital/organización & administración , Enfermería Pediátrica/organización & administración , Cuidado Terminal/organización & administraciónRESUMEN
Around half of the 500,000 deaths in England each year occur in acute hospitals, while around half of all complaints made to acute trusts relate to an aspect of end of life care. Howaver, research suggest that 40% of people who die in hospital have no medical need to be there, and that 55% of people with cancer would prefer to die at home while only around 25% do so. When people die in hospital despite having a preference to die at home and no medical reason to be in hospital, it causes unnecessary distress to patients and their familes, and is costly to the NHS. This article, the seventh in our series on the high impact actions for nursing and midwifery, looks at how nurses can help to improve end of life care.
Asunto(s)
Enfermería en Salud Comunitaria/métodos , Cuidados Paliativos/métodos , Prioridad del Paciente , Cuidado Terminal/métodos , Servicios de Atención de Salud a Domicilio , Humanos , Partería , Relaciones Enfermero-Paciente , Cuidados Paliativos/normas , Calidad de Vida , Órdenes de Resucitación , Cuidado Terminal/normasRESUMEN
Pressure ulcers can occur in any patient but are most commonn in high risk groups such as: older people; those who are obese, malnourished orwith continence problems; people with certain skin types; andthose with certain underlying conditions. Pressure ulcers increase morbidityand mortality, and represent a significant proportion of NHS expenditure, yet the vast majority are avoidable. This article, the fifth in our series on the high impact actions for nursing and midwifery, looks at how nurses can prevent pressure ulcers in their patients.
Asunto(s)
Partería/normas , Atención de Enfermería/normas , Úlcera por Presión/prevención & control , Femenino , Humanos , Casas de Salud/normas , Embarazo , Úlcera por Presión/cirugía , Piel/patología , Piel/fisiopatología , Trasplante de Piel , Cirugía Plástica/enfermeríaRESUMEN
There is significant variation in rates of Caesarean section between maternity units. Higher rates appear to be associated with older mothers and women from certain ethnic groups. However, taking these and other demographic factors into account does not explain the differences between trusts. This eighth article in this series on the high impact actions for nursing and midwifery looks at how midwives and nurses can help to avoid unnecessary Caesarean sections.
Asunto(s)
Enfermería Maternoinfantil/métodos , Enfermería Maternoinfantil/normas , Partería/métodos , Partería/normas , Parto , Cesárea/enfermería , Femenino , Humanos , Defensa del Paciente , Guías de Práctica Clínica como Asunto , Embarazo , Reino Unido , Procedimientos Innecesarios/enfermeríaRESUMEN
Four out of every five urinary tract infections can be traced to indwellng catheters. If the number of these infections is to be reduced significantly, nurses need to implement best practice for catheter care, and only catheterise patients when absolutely necessary.
Asunto(s)
Partería/normas , Atención de Enfermería/normas , Infección Hospitalaria/enfermería , Infección Hospitalaria/prevención & control , Femenino , Humanos , Embarazo , Cateterismo Urinario/enfermería , Cateterismo Urinario/normas , Infecciones Urinarias/enfermería , Infecciones Urinarias/prevención & controlRESUMEN
Approximately one in four patients in NIIS hospitals are either malnourished or at risk of malnurition and as much as 70% of malnutrition in acute hospital admission is unrecognised and unmanaged. Although most of those who are malnourished live in the community, malnutrition and dehydration are key challenges for NHS organisations. Well hydrated and nourished patients get better more quickly, have a shorter length of stay and a more positive experience of care. Ensuring patients receive all of the nutrients they need is vital to the delivery of good care. This article, the second in our series on the high impact actions for nursing and midwifery, looks at how nurses can reduce malnutrition in their patients.