The nurse is interested in educating patients to become active ...

[Destiiny22]

The nurse is interested in educating patients to become active participants in their own healthcare. Which information should the nurse review to develop a program for the hospital?
 
  1. Speak Up: Help Prevent Errors in Your Care.
  2. Crossing the Quality Chasm.
  3. To Err Is Human: Building a Safer Health System.
  4. Envisioning the National Healthcare Quality.

Question 2

Which statement about change in hospitals reflects the impact on nursing?
 
  1. Nurses need to gather more data about the positive effects that nursing care has on patient outcomes in the acute care setting.
  2. Nurses need to advocate for more unlicensed assistive personnel (UAP) to help nurses provide quality, low-cost care.
  3. Nurses need to be more assertive in obtaining longer hospital stays for patients who have not reached their expected outcomes due to complications.
  4. Nurses continue to provide patient education without difficulty despite changes occurring in hospitals.

[Laurenleakan]

Answer to Question 1

1
Explanation: 1. The Joint Commission initiated a program that the American Nurses Association supports. Speak Up: Help Prevent Errors in Your Care urges patients to ask questions, pay attention to the care that is being received, become knowledgeable about their diagnosis, ask a trusted person to be their advocate, know their medications, and use organizations that are accredited.
2. Crossing the Quality Chasm is a report focused on the quality of care.
3. To Err is Human: Building a Safer Health System is a report that focuses on quality of care.
4. Envisioning the National Healthcare Quality is a report focused on quality of care.

Answer to Question 2

1
Explanation: 1. Some studies support the positive effects nursing care has on patient outcomes in the acute care settings; nurses need data to demonstrate that decreasing nursing staff in hospitals will increase patient complications and affect outcomes negatively.
2. An increasing number of UAPs has increased staff stress and concern for errors and potential legal consequences.
3. Rather than advocating for longer hospital stays, nurses should be more focused on the prevention of complications.
4. Providing patient education in acute care has become even more difficult with the decreasing length of stay. Patients are sicker when they enter the system and their length of stay is shorter, so they are not able to absorb patient education information.