01 May Medical practice problems concern a medical condition and provide
Medical practice problems concern a medical condition and provide information about the patient’s pathophysiology. Whereas a nursing practice problem concerns the human response to an actual or potential health problems and life processes. An example of a medical problem would be a CVA or stroke and the physiological conditions that accompany that. In contrast the nursing practice problems for this situation can include impaired verbal communication, risk for falls, interrupted family process, or powerlessness. In addition the nursing practice problem can include multiple problems for one medical problem (Herdman, 2016.) An example of how medical and nursing practice problems differentiate is pneumonia and the physiological symptoms that accompany it vs the nursing practice problem associated would be knowledge deficit and potential for injury (Henry, 1995.)It is important that nurses recognize the difference between the two and are able to focus their research on nursing specific problems, because that is what can be brought to the bedside and implemented. As the textbook describes, “The nursing profession has always sought to improve care provided to patients to improve patient outcomes (GCU, 2018.” This is supported by the realization by hospitals within recent years that investing into nursing can improve patient outcomes and supporting nursing research results in EBP coming to the bedside in a faster manner. (GCU, 2018.) Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1Henry, S. B., & Holzemer, W. L. (1995). A comparison of problem lists generated by physicians, nurses, and patients: implications for CPR systems. Retrieved May 4, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579119/Herdman, H. (2016). What is the difference between a medical diagnosis and a nursing diagnosis?: NANDA International Knowledgebase. Retrieved May 4, 2020, from https://kb.nanda.org/article/AA-00266/0/What-is-the-difference-between-a-medical-diagnosis-and-a-nursing-diagnosis-.htmlThrough Evidence-Based Practice we find ways to deliver safe patient care and improve patient outcomes. (Helbig, 2018). “PICOT is A system for formulating a clear research question; P is for problem or population, I is for intervention, C is for comparison, O is for outcome of interest, and T is for time of study” (Helbig, 2018). When the PICOT is established the nurse will research what is needed to answer the question. (Helbig, 2018). PICOT is used to identify nursing and medical practice problems. A nursing practice problem deals with the response to the patient in contrast to the medical practice problem which deals with the actual medical condition.Nurses use the nursing process within their scope of practice to deal with health problems. An example of a PICOT nursing practice problem would be, decreasing central line infections in a hemodialysis clinic. P: Patient’s in clinic, I: using sterile technique when accessing CVC lines, C: in comparison to using aseptic technique, O: no infections in the clinic T: 3 monthsA medical practice deals with the medical condition and finding solutions to prevent or cure illness. For example, the physician may compare 2 iron medications to treat iron deficiency anemia. With efforts to see which medication works better. P: Patient’s in clinic I: using Venofer iron for patient’s in clinic, C: in comparison to using Ferrlecit iron, O: Venofer Iron will increase Iron percentages in blood by 5% in patients, T: 3 monthsIt is important for the nurse to practice PICOT within their scope of practice. Through nursing diagnosis, assessment, planning, implementation and evaluation. The nurse reports issues to the physician and carries out orders within their scope.ReferencesHelbig, J. (2018). History and process of nursing research, evidence-based nursing practice, and quantitative and qualitative research process. In Nursing research: Understanding methods for best practice. Retrieved from: https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/1 PICOT is Patients/Problem, intervention, Comparison, Outcome and Time (Helbig, 2018). These are the source of proving evidenced based practice (EBP) problems focusing on nursing solutions. A nursing practice problem will dedicate its attention on the aftermath of the holistic care of the patient while managing the disease. The nursing practice will focus on developing care plans on helping the patient manage the disease for example diabetes. While a patient is undergoing the management phase, the nurse will assist in meal plans as well as making sure the patient has access to meals that are appropriate for their health and if not making sure the patient is given resources. Medical practice problems are related toward the actual care of the patient on managing their disease medically by checking their labs, right medications, understanding of the disease and goal of managing the disease. By allowing PICOT to be used to prove evidenced based practice will allow nurses to gain the correct information to apply to their nursing care for patients. This is a very important practice that nurses should always challenge and use PICOT to support their EBP. Helbig, J. (2018). History and process of nursing research, evidence-based nursing practice, and quantitative and qualitative research process. In Nursing research: Understanding methods for best practice. Retrieved from: https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/1The difference between a nursing practice problem and a medical practice problem is the focus of the patient is not the same. A nursing practice problem, the focus is on the patient as a whole such as caring for the patient’s physical health and emotional health. The nursing practice problem centers on the many ways to improve the all-inclusive care as well as the patient’s outcome (Helbig, 2018). A medical practice problem focuses on treating a medical condition, disease or injury by using medication or surgical procedures. For example, I work in obstetrics, the doctor’s goal is to deliver the baby either vaginally or by cesarean section and then prescribe medication for pain or other treatments for maintaining comfort. The goal of the nursing practice is to prevent complications after the birth, pain management, provide emotional support, education and collaborate with other health care team members such as lactation consultants or social workers. Most nursing interventions use Evidence-Based Practice which help nurses to provide improved quality of care for patients (Helbig, 2018). It is important to ensure the PICOT question is based on a nursing practice problem because it helps the nurse to identify a problem regarding a patient which requires attention. By following the PICOT outline, P-patients/problem, I-intervention, C-comparison, O-outcome and T-time, the nurse can develop a plan of care, interventions and make sure they are evidence-based.ReferencesHelbig, J. (2018). History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process. In Nursing Research:Understanding Methods for Best Practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/home A problem in nursing at this current time frame is the lack of Personal protective Equipment in this COVID19 pandemic. According to Rowan (2020), “there is growing international concern regarding the shortage in supply chain of critical one-time-use personal and protective equipment (PPE).” This is an active issue in the nursing profession where nurses quiet like ourselves are risking our lives to save others and are not being given the appropriate equipment to deliver a critical job. There isn’t enough N95 mask, face shields, gloves, protective gowns, and possibly shoe covers to help nurses fight this new virus, which, employers are making staff reuse their same PPE. Now given that this issue is a new understandable economic 101 problem, it should be followed and researched. This problem should be studied in the sense of how many nurses are being exposed with reused PPE or just due to the lack of PPE and endangering themselves of catching this deadly virus. A study should be proposed in which we gather statistical analysis to find out how many nurses are being found positive and critically ill up to including death due to this pandemic issue where manufacturers are not able to meet the demand unfortunately.Rowan, N. J., & Laffey, J. G. (2020). Challenges and solutions for addressing critical shortage of supply chain for personal and protective equipment (PPE) arising from Coronavirus disease (COVID19) pandemic – Case study from the Republic of Ireland. Science of the Total Environment, 725. https://doi-org.lopes.idm.oclc.org/10.1016/j.scitotenv.2020.138532Nursing research has the potential to influence future nursing practices and improve patient outcomes by acquiring knowledge through research. The nursing profession has always sought to improve care provided to patients, patient outcomes, and clinical practices. These goals can be reached through continuing education and performing research (Helbig, 2018). One problem that we are facing today is nursing shortage. For example in the hospital I work in there has been about 2 floors that have been closed due to COVID-19, on top of this we had a recent exposure in our unit where employees were exposed to the virus and got sick and had to leave work and be placed on quarantine. The closing of the other units has affected those nurses unable to work on their floor and have to be floated to other floors where they may not feel comfortable taking care of such patients. One case is the oncology floor that closed down and now those nurses are being floated to telemetry floors and many of those nurses don’t feel comfortable taking care of patients with drips or other issues. This has caused a great deal of dilemma in the units. With this going on and people getting exposed and sick with COVID-19 nursing shortage has definitely been an issue. It is important this problem is studied as this can affect patient safety and the nurses well being. Being in an unrecognized environment and not feeling comfortable is not how any employee should feel when walking into work. It can cause a great deal of stress, which can lead to errors and increase patient care and safety.Reference:Helbig, J. (2018). History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/1
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