Reply to these 4 discussions with at

Reply to these 4 discussions with at least 7 sentence each 1-Where can Maria find more information about nursing-sensitive indicators and about best practices in other hospitals? Maria needs to find more information about nursing-sensitive indicators and about the best practices in other hospitals. This can cause Maria to be in a predicament and where to go for data and answers from other hospitals. Maria can use her resources with her nursing collegues, old professors, and any nurses she has met through networking or in nursing school. It is great to keep connections and use them from time to time. Nurse managers are a great resource, national quality forum, credible medical and nursing organizations, nursing databases, and possibly the American Nurses Association. Maria is a new graduate nurse so she has a new input and fresh mind in the nursing field, this has many positives that come along with it. She is just out of school and knows the most up to date information by the textbook and can educate others and use her knowledge to an advantage. Since she is a new nurse she needs to proceed with her ideas, understanding that she is a novice, but providing additional information while understanding she has a lot more to learn as well. I believe since she is new to nursing she can have many ideas of what can be put into this field and the things that can be tailored to make this profession more admirable. 2-Maria would be able to access this information online at the National Database of Quality Indicators (NDQI). Hospitals are able to get information regarding these topics broken down from unit to unit. The information collected can be used by organizations to develop practices that improve patient outcomes and satisfaction along with nurse satisfaction. Maria is able to contribute by providing her input regardless of her recent graduate status. Maria would be able to encourage her co-workers to any necessary surveys. Additionally, Maria comes with a new fresh perspective. Maria is also bringing any new EBP information she learned while recently in school to the table to address any of the shortcomings identified at her facility. 3-the nursing-sensitive indicator of patient falls. It is very important that all healthcare professionals understand the risk factors to falls within the hospital/healthcare setting. Fall risk patients need to have specific precautions in place to ensure their safety. The job of the nurse is to provide the best possible care to their patients, and patient safety is part of that care. Your provided the most common risk factors for patients in the hospital/healthcare setting with the one factor being previous falls. Depending on the unit or the setting that the patient it in, the nurse can provide specific precautions to help ensure the patient’s safety. For example, if a patient is on a unit or in hospice where they are receiving higher dosages of narcotics or mind-altering substances, bed rest maybe implemented to keep the patient safe. Another very common circumstance that your mentioned is new incontinence or (increased) frequency of urination. Many patients should be placed on a toileting schedule/protocol to ensure that staff are available to assist the patient to toilet – this helps in avoiding falls and helps the patient to maintain their independence of using the toilet rather than having to be catheterized or diapered (more common in the assisted living facilities). There are many different strategies that can be implemented to help prevent falls – your list in your presentation is very thorough. There is only one thing that I could think of that was not mentioned; placing the patient in a room close to the nurses’ station (Turner et al., 2020). I have noticed that many new hospitals or in the intensive care units, there are windows and nursing dock stations that sit between two rooms so that the nurse has the ability to monitor their patients while charting. I find this to be something that should be more commonly utilized for all units or rehab facilities. Obviously, this would have to be something implemented during a remodel of a unit or a new building facility; but it would help tremendously in the nurse’s ability to help patients and ensure they are safe and preventing falls from occurring. 4-( nursing turn over ) The action of nursing staff leaving or transferring within their profession is known as nurse turnover, and it is a significant issue. This was particularly significant during COVID because many individuals in the medical field, primarily nurses, became so burned out that they quit their jobs. Many of the nurses were so overburdened and overworked that they couldn’t take it any longer and left. Unfortunately, the pandemic destroyed the passion that many people formerly had for their field of work. When I brought up this topic with my preceptor today, she told me what a terrible time COVID was for her and the staff. The staff was frightened since they had witnessed a lot of COVID patients pass, they were frequently understaffed, and they were exceeding their ratio. You guys did a great job on your presentation. I like how aesthetically appealing this was, and I had no idea that the price of losing one registered nurse was $46,100. I agree with your reasons for nursing turnover, which include travel nursing, burnout, and retirement. One of the biggest factors motivating nurses to leave their positions is burnout. Burnout can be caused by a variety of factors, including overworking, inadequate personnel, exceeding ratios, poor self-care, an undesirable work atmosphere, lack of leadership, etc (Magbity et al., 2020). Many nurses leave the hospital they are working at to work at another hospital because the pay is higher. I’ve encountered several local traveling nurses while at work.

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