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Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Endocarditis IV: Nursing Management01:29

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

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Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
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Nursing Evaluation01:15

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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National Nursing Organizations II01:30

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Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
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Related Experiment Video

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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Evaluating and prioritizing antimicrobial stewardship programs for nursing homes: A modified Delphi panel.

Shaul Z Kruger1, Susan E Bronskill2,3,4, Lianne Jeffs5,6,7

  • 1Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Infection Control and Hospital Epidemiology
|July 7, 2020
PubMed
Summary

Antimicrobial stewardship programs (ASPs) in nursing homes can improve antibiotic use. Six key interventions, including prescribing guidelines and audit feedback, were prioritized by experts for feasibility and impact.

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Area of Science:

  • Geriatric Medicine
  • Infectious Diseases
  • Healthcare Management

Background:

  • Inappropriate antibiotic use in nursing homes contributes to adverse events and antimicrobial resistance.
  • Antimicrobial stewardship programs (ASPs) are crucial for optimizing antibiotic prescribing and reducing resistance.
  • Limited guidelines exist for implementing ASPs in nursing home settings.

Purpose of the Study:

  • To support nursing home providers in selecting and adopting effective ASP interventions.
  • To identify and prioritize key ASP interventions for nursing home settings.

Main Methods:

  • A modified Delphi method involving a multidisciplinary panel of 16 experts and resident representatives.
  • Assessment of 15 ASP interventions based on scientific merit, feasibility, impact, accountability, and importance.
  • Surveys and a consensus meeting were utilized to gather expert opinions.

Main Results:

  • Six ASP interventions were prioritized: prescribing guidelines, audit and feedback, communication tools, short-course therapy, reassessment, and decision support systems.
  • Several interventions, including antibiograms and educational programs, were not endorsed.
  • Limited nursing home resources may hinder the implementation of multifaceted interventions.

Conclusions:

  • Nursing homes should consider implementing six prioritized ASP interventions to improve antibiotic use.
  • While interventions show potential feasibility and impact, their scientific support varies.
  • A multifaceted approach is likely needed for sustained improvement but presents implementation challenges.