Order ID |
3335299010 |
Subject |
Nursing |
Topic |
Annotated Bibliography |
Type |
Essay |
Level |
High School |
Style |
APA |
Sources |
3 |
Language |
English(U.S.) |
Description |
Goal
Compile an annotated bibliography. Your bibliography should be based on the Weekly Article Summary related to clinical practice from week 1 through week 6 and should include the following:
1. A template to document useful data.
2. A brief overview of each article, including the research type, major findings, and conclusions.
3. A description of relevance of each article for clinical practice.
Submission Instructions:
The bibliography should be original and logically organized.
The bibliography should follow current APA format for citing and documenting references.
The bibliography should be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
Incorporate a minimum of 3 current (published within last five years) references from peer-reviewed journals.
I am an ER nurse from South Florida.
Here is my previous work.
I have not finish Article 5 and 6 yet, I will send it when it’s done.
|
Spacing |
Double |
Pages |
3 |
NUR 416 Weekly Article Summary 1
I am an ER nurse, and one of the most common conditions that encounters our department in its work is drug overdose. Even with all the measures taken by the government to address opioid crisis, in the ER regularly admitted patients with overdose of opioids due to their nonmedical use, often in combination with alcohol or other illegal drugs. Therefore, for the article review through Google Scholar was found and selected an article “Emergency Department Visits and Overdose Deaths From Combined Use of Opioids and Benzodiazepines” by Jones and McAninch,, published in the US Journal of Preventive Medicine. Based on the article, may be concluded that rates of ER visits and deaths, associated with combination of analgetics and benzodiazepines, progressively increased between 2004 and 2010, and this issue required attention of the authorities and application of specific medical and legal preventive measures.
In the article shown results of the quantitative research on the rates of ER visits and rates of death due to analgetics and benzodiazepines abuse in the US between 2004 and 2010. Article presents results of the observational case report and case series retroy study in the ER departments of the US hospitals. It is an quantitative study, in which were studied overall trend in the number of ER visits and death related to combination of opioids and benzodiazepines, and death rates in different genders and ethical groups. In particular, in the research were included results for males and females, Hispanic and non-Hispanic populations (Whites and African Americans) and for different age groups, including 12-17-year-old children (Jones & McAninch, 2015). In the article described results of the quantitative observational study, which aimed investigating rates of ER admissions and deaths due to combination of two drugs between 2004 and 2010.
The research question of the study was: how has changed number of ER visits and death because of combination of opioids and benzodiazepines overdose among patients, admitted to ER, between 2004 and 2010, and what populations were the most affected? After statistical processing of the obtained data authors conclude that between 2004 and 2010 in the US ERs noted considerable increase in the number of overdose-linked deaths. Growing in the number of deaths noted among both genders, in all ethical and age groups. In particular, overall rates of overdose-related visits to ER surged from 11,0 to 34,5 per 100,000 in six years. In the same time frame, number of death raised from 0,7 to 1,4 per 100,000 (Jones & McAninch, 2015). One of the life-saving treatment options for opioids overdose is administration of Naloxone, Another study concludes that opioid antagonist Naloxone should be available for administration in all ERs and permission of its administration should have a variety of medical personnel (Faul, Dailey, Sugerman, Sasser, Levy & Paulozzi, 2015). This would result in quicker reversion of opioid effects and may help to avoid many complications. Article allows concluding that nonmedical use of combination of drugs is substantial public health issue which needs relevant preventive measures.
Overall, in the article “Emergency Department Visits and Overdose Deaths from Combined Use of Opioids and Benzodiazepines” by Jones and McAninch, given results of the observational retrospective quantitative study on the number of ER visits and death due to opioids and benzodiazepines abuse. Researchers conclude that number of visits and death considerably increased from 2004 to 2010. Basing on the results of the study may be taken new and reinforced previous preventive measures.
References
Jones, M. C. & McAninch, J. K. (2015). Emergency Department Visits and Overdose Deaths from Combined Use of Opioids and Benzodiazepines. American Journal of Preventive Medicine, 49(4), 493-501. https://doi.org/10.1016/j.amepre.2015.03.040
Faul, M., Dailey, W., Sugerman, D.E., Sasser, S., Levy, B. & Paulozzi, L. (2015).
Disparity in Naloxone Administration by Emergency Medical Service Providers and the Burden of Drug Overdose in US Rural Communities. American Journal of Public Health, 105, 26- 32, https://doi.org/10.2105/AJPH.2014.302520
NUR 416 Article Summary 2
The article “Translating Leadership into Safe Nursing Practice” depicts the role of nurses in healthcare. It is also concentrated on leadership as a key to the success of nursing. The article provides a deep and interesting discussion that contributes to the understanding of such concepts as nursing practice, leadership, and error as a possible occurrence in the practice of nurses.
The purpose of the article “Translating Leadership into Safe Nursing Practice” is to depict the nursing role in healthcare that is constantly supervised with such concepts as leadership, mentoring, and problem-solving. The research question is how leadership affects nursing practice. The study type is qualitative research that is based on the analysis of literature. The publication includes the “Improving Communication” section that reveals the role of communication as the main tool in the prevention of errors that happen mostly as a result of a high workload. Sections “Improving Systems” and “Essential Learning” prove that technical skills are a must for leaders who follow either transformational or transactional styles. The last section “Balancing Act” reveals that ‘listen and learn’ skills are needed to provide nurses with trustworthiness and cooperative relationships with one another. The article is mainly focused on the role of leaders in nursing practice since they are responsible for teaching and assisting personnel from both technical and medical sides. They also should prevent error occurrence that mainly happens not due to negligence of a worker but because of a high workload, which must be regulated by management to prevent staff shortages in healthcare (Szczygiel & Mikolajczak, 2018). Thus, the article is divided into sections, and each of them mainly discusses the role of nurses in healthcare and the role of leaders as regulators of the working environment.
The main point of the author is the importance of team communication and culture, which should be maintained by a diligent and skillful leader. The most common problem a nursing team faces is a lack of communication among medical workers and manager’s unawareness of such a problem. There is a need to admit that effective communication among healthcare workers prevents them from making medical errors that affect the health condition of a patient. Moreover, the primary success in the workplace mostly depends on leadership methods. The author of the article under analysis emphasizes that a manager’s methods should be based on the code of ethics for nurses, application of evidence-based practice, and benefits from mutual support. Nurses should be diligent in their profession and perceive it not only as everyday routine but also as a mission that saves people. According to Kipper (2018), “poor nurse job satisfaction can be minimized by engaging staff members in developing a common mission and vision, along with practice goals, in any setting” (p. 49). It is another essential point that should be mentioned. In order to encourage nurses to fulfill their job properly, the authority should prevent them from emotional burnout (de Oliveira et al, 2019). For this, a schedule and workflow should be properly rationalized. Therefore, the main points of the author are the importance of communication among staff and proper leadership.
Overall, the article “Translating Leadership into Safe Nursing Practice” is focused on nurses and leaders as the main figures in healthcare practice. The main concepts which are discussed are leadership, errors, and problem-solving. The author is concerned with the problem of emotional burnout, which often happens if a schedule or workflow are not properly organized. Management should take care of their workers by providing them with proper working conditions. This will minimize errors occurring in practice. The analyzed article is well-organized and well-discussed, which makes it easy for reading and understanding. The article provides a sufficient analysis of nursing functions and the role of leaders in its regulation.
References
de Oliveira, S. M., de Alcantara Sousa, L. V., do Socorro Vieira Gadelha, M., & do Nascimento, V. B. (2019). Prevention actions of burnout syndrome in nurses: An integrating literature review. Clinical Practice and Epidemiology in Mental Health, 15, 64–73. https://doi.org/10.2174/1745017901915010064
Kiper, V. (2018). Translating leadership into safe nursing practice. Nursing Made Incredibly Easy! 16(3), 48–51. https://doi.org/10.1097/01.nme.0000531874.33036.2a
Szczygiel, D. D., & Mikolajczak, M. (2018). Emotional intelligence buffers the effects of negative emotions on job burnout in nursing. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.02649
Article Summary 3
Nurses of the emergency department (ED) are supposed to provide short-term care for the emergency patients including patients with traumas. The primary focus of nurses in the ED is the treatment of somatic injuries. However, it is known that patients who appear in the ED suffer from the psychological distress even if they obtain the minor physical injuries (Airosa et al., 2016). The study of Skogstad et al. (2015) investigated the effect of the psychological support of the patients provided by nurses. It is important to summarize the purpose, background, methods of investigation, and the results of the article.
The discussed study is the randomized controlled trial. The research aims at detecting the impact of the short-term nurse-led psychological interventions on the development of the posttraumatic stress symptoms (PTSS), daily functioning, and optimism/pessimism of the physically-injured patients (Skogstad et al., 2015). The research questions were not stated. However, it is possible to derive them from the research purpose. 1. Does psychological intervention affect the development of PTSS among traumatic patients compared to the standard care? 2. Does the psychological intervention improve the normal daily functioning of traumatic patients compared to standard care? 3. Does the psychological intervention affect the level of optimism of traumatic patients compared to standard care? Thus, the study is focused on estimating the impact of the psychological intervention of the patients’ well-being.
The study was conducted in Oslo, Norway. Patients included in the research were conscious adults aged between 18 and 65. The patients had acute physical injuries obtained as the result of the car accident, violence, falls, or other accidents. Eligible patients were tested with the Impact of Event Scale (IES). Those who had results over 20 were included to the research. The total number of patients was 145 persons. 66 of them were provided with the nurse-led intervention and 79 did not obtain the intervention. The control group patients obtained regular nursing care; while the intervention group patients were offered the nurse-led intervention (25 of 66 people declined the intervention). After the follow-up losses, the final number of clients was 33 in the intervention group and 42 in the control group. Self-reported data were obtained in the ED 1 month and 12 months after the ED visit. Five trained nurses provided the nurse-led intervention. Therefore, the comparison between the two groups of patients was conducted.
The authors demonstrated a significant reduction in the development of the posttraumatic symptoms between the intervention and control groups. However, no difference between groups was observed after 3 and 12 months. Still, the intervention resulted in a significantly higher level of optimism and returning to normal daily functioning in patients compared to the control group. The significant increase in daily functioning was demonstrated between 3 and 12 months in this group. Those clients who declined the intervention were more pessimistic and slowly returned to their normal daily functions. The authors also analyzed predictors of the development of PTSS measured with IES. They establish that the higher baseline IES score and lower life orientation test-revised score predicted the level of PTSS. Moreover, a better ability to return to normal functioning predicts lower PTSS. The authors concluded that the results demonstrated the effectiveness of the nurse-led psychological intervention in reducing the PTSS. It also positively affects the normal functioning and optimism level. The scholars discussed that nurse-led intervention might be an efficient and low-cost approach to reduce the psychological distress among traumatic patients.
Overall, the article that was analyzed is dedicated to the psychological condition of the patients with physical trauma. The authors conducted a high-quality investigation of the effectiveness of the short-term and low-cost nurse-led psychological intervention on the level of stress, daily functioning, and optimism of traumatic clients. It is possible to apply the proposed intervention in the ED care settings to improve the outcomes of the patients in the long-term perspective.
References
Airosa, F., Arman, M., Sundberg, T., Öhlén, G., & Falkenberg, T. (2016). Caring touch as a bodily anchor for patients after sustaining a motor vehicle accident with minor or no physical injuries – a mixed methods study. BMC Complementary and Alternative Medicine, 16, 106. https://doi.org/10.1186/s12906-016-1084-2
Skogstad, L., Hem, E., Sandvik, L., & Ekeberg, O. (2015). Nurse-led psychological intervention after physical traumas: A randomized controlled trial. Journal of Clinical Medicine Research, 7(5), 339-347. https://doi.org/10.14740/jocmr2082w
Article Analysis
Selected Article: Dobbe, A. S., Stolmeijer, R., ter Maaten, J. C., & Ligtenberg, J. J. (2018). Titration of oxygen therapy in critically ill emergency department patients: A feasibility study. BMC Emergency Medicine, 18(1), 17. http://doi.org/10.1186/s12873-018-0169-2
Summary
The article by Dobbe et al. (2018) explored the use of oxygen therapy in the emergency room (ER) for the patients that present therein while critically ill and in need of breathing support. The administration of oxygen therapy needs to follow the standard procedure where the patient ought to be placed in oxygen support at 100% commonly described as PaO2.In the event that this standard rate is exceeded, the patient is likely to suffer from a condition medically known as hyperoxia. Scholars and research scientists have managed to demonstrate that hyperoxia poses considerable effects of toxicity, which may result in the death of the patient (Page et al., 2018). Therefore, it is important for the healthcare professionals, especially the ER nurses, administer oxygen to critically ill patients at normoxia.
The study was a prospective cohort that was undertaken in the emergency department (ED) of University Medical Center in Gronigen. The facility is a tertiary healthcare center that is also a teaching hospital. The study aimed to understand how critically ill patients with breathing challenges are administered the oxygen therapy at the ED. Wepler et al. (2018) reiterate that oxygen therapy remains to be one of the most important emergency procedures in the ER. In this regard, the study focused only on patients that arrived at the ED and were in need of oxygen therapy. Most of such patients included those admitted for cardiac intervention, pulmonary complications, and internal medicine, while the scholars ensured that all patients, who were recruited as participants in the study, were those above the age of 18 years. The standard oxygen therapy, or normoxia, was defined as administration of oxygen with a saturation of between 94-98% and at a pressure of between 70 and 100 mmHG.
A total of 221 patients were involved in the research, and the ED physicians and nurses were educated about the importance of this study and the necessity to follow the guidelines on normoxia protocol for the target audience. Data was collected and recorded accordingly for all of 221 patients. The key metrics focused on such outcomes as following the protocol and reaching normoxia, as anticipated. The data showed that only 86% or 140% of the included patients received oxygen therapy at a normoxia rates. The administration of the therapy was done within one hour after the arrival of the patient in the ED. This indicator was serious because of that 22 patients did not receive the oxygen therapy at normoxia-expected standard, that is, an issue that exposed them to a wide range of health complications. One of the factors that contributed to the failure of oxygen therapy at normoxia rates was the need to lower or raise saturation among the patients having chronic obstructive pulmonary disease (COPD). However, in some of the patients, there was neither valid nor good explanation as to why the ED nurses and attending healthcare professionals failed to administer the therapy at normoxia standard rate of 100%.
According to the findings, there is a need for ER nurses to adhere to the recommended standard of oxygen therapy in the ER. Performing oxygen therapy below and above the recommended rates exposes the patient to further complications and also may deny him or her chance for admission. Oxygen therapy is needed to stabilize the patient before he or she is admitted. Additionally, it is necessary for healthcare facilities to ensure that all ED nurses have the competency to perform oxygen therapy by maintaining the standard at the normoxia rate. The study revealed that not all patients were subjected to an oxygen therapy at normoxia rates as a clear breach of patient safety goals.
References
Dobbe, A. S., Stolmeijer, R., ter Maaten, J. C., & Ligtenberg, J. J. (2018). Titration of oxygen therapy in critically ill emergency department patients: A feasibility study. BMC Emergency Medicine, 18(1), 17. http://doi.org/10.1186/s12873-018-0169-2
Page, D., Ablordeppey, E., Wessman, B. T., Mohr, N. M., Trzeciak, S., Kollef, M. H., … & Fuller, B. M. (2018). Emergency department hyperoxia is associated with increased mortality in mechanically ventilated patients: A cohort study. Critical Care, 22(1), 9. https://doi.org/10.1186/s13054-017-1926-4
Wepler, M., Demiselle, J., Radermacher, P., Asfar, P., & Calzia, E. (2018). Before the ICU: Does emergency room hyperoxia affect outcome? Critical Care, 22, 59. https://doi.org/10.1186/s13054-018-1980-6