Importance of Nursing Informatics in Nurses Daily Practice

Importance of Nursing Informatics in Nurses Daily Practice Introduction Data is the basic and the fundamental concept that this study focus on. Since there is no information can be acquired without availability of data (Ahsan and Shah, 2006). The data that we are talking about in this context is the clinical data, which is the data that gathered about patients in practice by clinicians (Millar et al., 2009). Pressure ulcer (PU) data is one of these data that collected by nurses in clinical settings, these involve all the elements of PU data, like; prevalence, incidence, risk assessment, ulcer grading, and prevention data. Data is a concept being of high interest in the discipline of nursing informatics. (Graves and Corcoran, 1989) define nursing informatics as a combination of computer science, information science and nursing science to assist in the management and processing of nursing data, information and knowledge, to support the practice of nursing and delivery of nursing care. So, the nursing informatics as a speciality begins with the basic concept data, as the present research did. Indeed, nursing informatics can be applied in four areas, that are summarised in the word CARE; clinical, administration, research and education areas (Hannah et al., 2006). In this study, the nursing informatics concepts chosen to be applied in a clinical oriented subject, which is PU. PU as one of the important clinical areas has been selected due to the importance of this problem, in term of its size and the costs of preventing and treating such problem, from one side, and due to limited numbers of previous works that relate the concept of nursing informatics to PU field, from other side. More specifically, this research has related the concept of nursing informatics on PU data. Nursing informatics deal with the data, that processed to support nursing care, and PU data is one of these data that should be processed to support the delivery of patient care. In this thesis, the recording of PU data in recording systems, either paper or electronic was explored, and the uses of these data in these records were identified. As has been recommended, more researches are needed to realize what need to be recorded in the recording systems and how this will be used (Urquhart et al., 2009). Personal motivations toward the research The researchers interest in this subject arose from the importance of nursing informatics in nurses daily practice. The nursing informatics specialists have a special role in using the information technology (IT) to enhance the safety, effectiveness, and quality of health care (Murphy, 2010). It is acknowledged that all providers of healthcare assumed to be skilled in exercising the IT to make decisions that lead to better care (Saba and McCormick, 2006). PU topic investigated due to its great importance. As a nurse used to work in clinical practice caring for PU patients, and observing the magnitude of the physical and psychological impacts of this problem on patients and their families life, the researcher decide to choose this area to be studied. Noticing many patients die because complications of this problem is an enough motivation to start digging in this area. First, to understand how PU data is recorded and used in practice, in effort to understand the difference between recording this data on paper and electronic record. Then, to realise the size of this problem in the researcher country Jordan, to make a reference data for health policy makers to adopt prevention programs in Jordan, there is no one in action yet. Statement of the problem PU is one of the health problems that are very common and prevalent, without accurate portrait of PU data, the problem will continue to grow. Nurses in clinical practice collect and record large volume of PU data every day. This data should be recorded and used appropriately in practice. Taken into considerations that recording and utilising of patients data is the fundamental role of any healthcare provider (Millar et al., 2009). Further, and in the second study, urgent identification of prevalence and prevention data in Jordan is necessary, especially that there is no previous works have been located. So, the primary focus of this study was on the problem of PU, identifying its size, the preventive measure provided to PU patients, and how its data recorded and utilised in practice. Overall Research Aim The overall research aim is to explore how PU data are recorded and utilised in clinical settings. This is the overall aim of the study, with many other secondary objectives for each study and method of the research, but all these objectives are come under the main aim of the study. The objectives of each method will be presented in the methodology chapter (chapter 3). Definition of terms From the general aim of the study, the reader can note that many terms have been used in formulating the aim. The following represent the operational definitions of each term presented in the study aim: PU data: raw facts that related to PU concept, like prevalence, risk assessment, ulcer grading, and prevention data. For instance; a prevalence rate for a specific ward is 5%, Waterlow risk assessment score is 10, patients PU grade is 4, and patient repositioned on his bed every 2 hours. All these are clinical data related to the PU problem. PU Data recording: recording and documenting of PU data that specified above into patients medical record, either this record held on paper or electronic format. PU Data utilization: the uses of the collected and recorded PU data in practice, what they are make of this data, what they are benefit from it. Clinical settings: the different care settings that usually collect, record and used patients clinical data, including PU data. Most commonly, it is composed from primary and secondary settings. Background to the study problem Scope of the problem European Pressure Ulcer Advisory Panel (EPUAP), are group has been lunched to guide all Europe nations in preventing and treating PUs. They define PU as: an area of localised damage to the skin and underlying tissue caused by pressure, shear, friction and or a combination of these (EPUAP, 1998). These ulcers, regardless of their basis, represent negative outcomes for patients; these negative outcomes may include pain (Reddy et al., 2003, GÃ ¼nes, 2008), longer hospital stays, where it can add about 7 days to a hospital admission (Anthony et al., 2004), decreased quality of life (Price, 1998, Neil and Munjas, 2000), and increased the spending of care provider time and costs (Alterescu, 1989, Clough, 1994, Severens et al., 2002a, Bennett et al., 2004). PUs have been regarded as the most physically debilitating complications in the twentieth century (Burdette-Taylor and Kass, 2002), and it is the third most costly problem after cancer and cardiovascular diseases in the Netherlands (Shahin et al., 2008). In fact, there are many complications for PUs, including infection, sepsis, and osteomyelitis (Thomas, 2001). It has been found that more than half (51%) of long term care patients with PUs have Methicillin-Resistant Staphylococcus Aureus (MRSA) infection (Capitano et al., 2003). Furthermore, PUs are linked with two-fold rates of increased mortality, regardless of the origin of the ulcer (Brem and Lyder, 2004). This is consistent with Landi et al (Landi et al., 2007) study, who investigated the connection between PU and the risk of one year all reasons mortality in a community of very elder people, and found a significant difference between the PU group and non-PU group in mortality rate, 29% vs. 14% (p

Lennie is mourning the death of his puppy Essay

At the beginning of the extract, Lennie is mourning the death of his puppy – by his own hand – when Curley’s wife enters the barn and attempts to comfort him and she allows Lennie to stroke her hair. When ‘Lennie’s big fingers fell to stroking her hair’ we see that something is going to happen as the mood changes and the tension is heightened. We have an inclination to what is about to happen as we have seen the inevitability of the scenario with Lennie’s strength and Curley’s wife’s desire for affection and attention. When Curley’s wife tells Lennie not to ‘muss it up’, Lennie strokes ‘harder’, as he is overcome with the pleasure of the experience, this shows that Lennie doesn’t listen to anyone except from George, thus reinforcing what we already know. Curley’s wife says ‘ you stop it now’ and ‘jerks her head sideways’ and Lennie then panics and automatically his ‘fingers close on her hair and hung on’, this is because it is the only thing he can think to do, this emphasises his child-like mentality as his reaction is physical as opposed to psychological. ‘Lennie was in a panic’ and ‘his face was contorted’, these two short simple sentences portray the innocence and naivety of Lennie’s actions as well as reflecting the way Lennie’s mind works, short and simple. He ‘begs’ Curley’s wife to stop screaming because ‘George’ll be mad’ and ‘ain’t gonna let him tend no rabbits’ showing that he has a one-track mind, much like a child. Lennie then gets angry and tells Curley’s wife ‘I don’t want you to yell’, this again shows his child-like mindset and his anger leads him to shake her. So he’s shaking her, not in an aggressive manner, but to protect his part in the dream, ‘her body flopped like a fish’ and ‘she was still, for Lennie had broken her neck’. At this point we see Lennie, not just kill Curley’s wife, but kill the dream too. Lennie does not realise he has killed her as he continues to speak to her, he ‘lifts her arm and lets it drop’ and is, for a moment, ‘bewildered’. His mind can’t capacitate why she is not responding, all he thinks he did was shake her, showing just how unaware he is of his own strength. Animal imagery is used to describe how Lennie ‘pawed up the hay until it party covered her’, this connotes Lennie’s clumsiness and density. In the concluding paragraph of the extract we see Lennie become ‘conscious of the outside’ ‘for the first time’, he recalls what George told him to do if he gets into trouble and goes to ‘hide in the brush’, taking the dead puppy with him to ‘throw it away’ because ‘it’s bad enough like it is’. Here we see Lennie make a decision himself, be it the right one or not, he seems to have matured slightly because of the situation at hand and this event could be something that changes Lennie’s childish behaviour. Throughout the death of Curley’s wife, we still feel more sympathy for Lennie, because he is so unaware of the danger his actions can cause and he is still a naive and innocent character, despite the unintentional harm he has brought to many things. Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE John Steinbeck section.

Relationship Management Strategies in Dells Supply Chain

Executive Summary This paper discusses, using the multinational corporation Dell, Inc, existing and suggested Relationship Management Strategies applied to both Upstream and Downstream members of a supply chain. It also examines and gives an analysis of, using several diagrams, tables and models, Dell’s product range – and the customers who buy them. This paper also examines several Key Issues associated with maintaining positive relationships with supply chain members, and how they may be worked out, besides providing an in-depth analysis of the relationships between Dell and its suppliers, customers and competitors. Dell’s customers are many and come from many segments, but for this paper the focus will be on its biggest and most†¦show more content†¦Due to its exemplary business practices, Dell Incorporated has been the subject of many case studies and reports ranging from Customer Service to Human Resources to Logistics. 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Gender And Gender Inequality - 1084 Words

For ages it was believed that the different characteristics, roles and status accorded to women and men in society are determined by sex, that they are natural and therefore not changeable. Gender is seen closely related to the roles and behavior assigned to women and men based on their sexual differences. As soon as a child is born families and society begin the process of gendering. The birth of the son is celebrated, the birth of a daughter filled with pain; sons are showered with love, respect, better food and proper health care. Boys are encouraged to be tough and outgoing; girls are encouraged to be homebound and shy. All these differences are gender differences and they are created by society. The society/media has put an image in†¦show more content†¦In childhood a female must be subject to her father, in youth to her husband, when her lord is dead to her sons; a woman must never be independent. Womens lives are shaped by customs that are centuries old. May you be the mother of a hundred sons is a common Hindu wedding blessing. Statistics reveal that in India, males significantly outnumber females and this imbalance has increased over time. The sex ratio according to 2001 census report stands at 933 per 1000 males. Out of the total population, 120 million are women who live in abject poverty. The maternal mortality rate in rural areas is among the worlds highest. From a global perspective India accounts for 19% of all live births and 27% of all maternal deaths. The deaths of young girls in India exceed those of young boys by over 300,000 each year and every 6th infant death is specifically due to gender discrimination. Women face discrimination right from the childhood. Gender disparities in nutrition are evident from infancy to adulthood. 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