The nurse is caring for a patient with an acute illness. the nurse is caring for which patient?

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The nurse is caring for a patient with an acute illness. the nurse is caring for which patient?

The nurse is caring for a patient with an acute illness. the nurse is caring for which patient?

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Abstract

Purpose

The purpose was to explore the experiences of nurses caring for patients with delirium in ICU in China.

Methods

Semi-structured qualitative interviews were conducted with 14 ICU nurses in Beijing, China. Audio recordings of the transcripts were coded and analysed thematically.

Results

The emergent themes reflected clearly similar experiences and were titled as follows: Internal and external barriers to care; Care burden: workload, psychological pressure and injury; Dilemmas in decision-making: balancing risks and benefits.

Conclusions

The results of this qualitative study have provided a rich description of the perceptions of a sample of nurses caring for patients with dementia in Beijing. Clearly, the nurses suffered from their work experiences in several aspects: they lacked the knowledge and skills required assessing and managing the patients as early as possible; they were physically and psychologically stressed while looking after the patients and faced with dilemmas and compromises in their decision-making.

Keywords

Delirium

ICU nurse

Experience

Qualitative research

Cited by (0)

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Tips to improve patient education

Preventing re-hospitalization is a huge responsibility, especially in consideration of costly penalties that are levied for early readmissions. To accomplish this, nurses need to constantly improve patient teaching and education prior to discharge. Some of the things nurses can do to advance patient education include:

  • Delegate more responsibilities to support staff and be more focused on patient education.
  • Begin educating patients with every encounter from admission.
  • Find out what the patient already knows. Correct any misinformation.
  • Feed patients information in layman’s terms. Utilize visual aids as often as possible.
  • Question their understanding of the care, and plan for the next lesson.
  • Use return demonstration when administering care. Involve the patient from the very first treatment.
  • Ask the patient to tell you how they would explain (step-by-step) their disease or treatment to their loved one.
  • Make sure the patient understands the medications as you administer them. Make sure they understand how and when to refill medications.
  • Provide patients with information about signs and symptoms of their condition that will require immediate attention.

Five strategies for patient education success

Teaching patients is an important aspect of nursing care. Whether teaching a new mom how to bathe a newborn baby or instructing an adult who is living with a chronic heart disease, a successful outcome depends on the quality of the nurse’s instruction and support. Consider these five strategies.

1. Take advantage of educational technology

Technology has made patient education materials more accessible. Educational resources can be customized and printed out for patients with the touch of a button. Make sure the patient’s individualized needs are addressed. Don't simply hand the patient a stack of papers to read, review them with patients to ensure they understand the instructions and answer questions that arise. Some resources are available in several languages.

2. Determine the patient’s learning style

Similar information may be provided by a range of techniques. In fact, providing education using different modalities reinforces teaching. Patients have different learning styles so ask if your patient learns best by watching a DVD or by reading. A hands on approach where the patient gets to perform a procedure with your guidance is often the best method.

3. Stimulate the patient’s interest

It's essential that patients understand why this is important. Establish rapport, ask and answer questions, and consider specific patient concerns. Some patients may want detailed information about every aspect of their health condition while others may want just the facts, and do better with a simple checklist.

4. Consider the patient’s limitations and strengths

Does the patient have physical, mental, or emotional impairments that impact the ability to learn? Some patients may need large print materials and if the patient is hearing impaired, use visual materials and hands on methods instead of simply providing verbal instruction. Always have patients explain what you taught them. Often people will nod “yes” or say that they comprehend what is taught even if they have not really heard or understood. Consider factors such as fatigue and the shock of learning a critical diagnosis when educating patients.

5. Include family members in health care management

Involving family members in patient teaching improves the chances that your instructions will be followed. In many cases, you will be providing most of the instruction to family members. Families play a critical role in health care management.

Teaching patients and their families can be one of the most challenging, yet also rewarding elements of providing nursing care. First-rate instruction improves patient outcomes dramatically.

The value of patient education resources

For further resources that will strength your organization’s patient-teaching, let Lippincott Advisor help. Our best-in-class, evidence-based decision support software for institutions includes over 16,000 customizable patient teaching handouts and content entries.

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