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Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Role of Communication in the Nursing Process II: Planning and Implementation01:25

Role of Communication in the Nursing Process II: Planning and Implementation

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Operant Conditioning Intervention01:24

Operant Conditioning Intervention

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Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
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Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
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Behavior Modification01:21

Behavior Modification

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Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
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Updated: Jun 27, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Implementing Behavioral Optimization and Outcomes Support Team in a Medical/Surgical Telemetry Unit.

Chikaodi Kay, Marilyn Miller, Brandon Buckingham

    Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
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    Implementing a Behavioral Optimization and Outcome Support Team (BOOST) effectively reduced staff assaults and injuries in a hospital setting. This initiative improved staff knowledge and satisfaction while enhancing patient care safety.

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    Area of Science:

    • Healthcare Quality Improvement
    • Patient Safety
    • Workplace Violence Prevention

    Background:

    • Hospitals face significant challenges with staff assaults and violent behaviors, leading to injuries, decreased job satisfaction, and increased healthcare costs.
    • In fiscal year 2022, one community hospital recorded 21 staff assaults with injuries and 242 emergency response code green calls for violent behaviors.
    • Exposure to workplace violence negatively impacts patient care, staff morale, and organizational finances.

    Purpose of the Study:

    • To develop and implement a Behavioral Optimization and Outcome Support Team (BOOST) within a medical-surgical telemetry unit.
    • The primary objective was to reduce the incidence of patient-to-staff assaults and injuries.
    • To enhance the safety and well-being of healthcare professionals.

    Main Methods:

    • A 15-week pilot project was conducted to evaluate the effectiveness of the BOOST intervention.
    • The BOOST team comprised registered psychiatric nurses, nursing supervisors, and security officers.
    • Data on staff knowledge, satisfaction, BOOST/code green calls, and assaults/injuries were collected and analyzed weekly using run charts.

    Main Results:

    • Survey data indicated a significant increase in staff knowledge regarding the behavioral response team.
    • Staff reported higher levels of satisfaction with the implementation and support provided by BOOST.
    • Crucially, zero staff assaults or injuries were reported during the BOOST implementation period.

    Conclusions:

    • The Behavioral Optimization and Outcome Support Team (BOOST) proved effective in de-escalating challenging patient behaviors.
    • The BOOST team successfully provided essential support to nursing staff, mitigating risks.
    • Implementing BOOST is a viable strategy for reducing workplace assaults and injuries in healthcare settings.