NR 361 Week 6 Discussion: Distractors in our Environments (graded)

Chamberlain University NR 361 Week 6 Discussion: Distractors in our Environments (graded)– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University  NR 361 Week 6 Discussion: Distractors in our Environments (graded)  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 361 Week 6 Discussion: Distractors in our Environments (graded)                        

Whether one passes or fails an academic assignment such as the Chamberlain University  NR 361 Week 6 Discussion: Distractors in our Environments (graded) depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 361 Week 6 Discussion: Distractors in our Environments (graded)                        

The introduction for the Chamberlain University  NR 361 Week 6 Discussion: Distractors in our Environments (graded)  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 361 Week 6 Discussion: Distractors in our Environments (graded)                        

After the introduction, move into the main part of the NR 361 Week 6 Discussion: Distractors in our Environments (graded)   assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 361 Week 6 Discussion: Distractors in our Environments (graded)                        

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 361 Week 6 Discussion: Distractors in our Environments (graded)                        

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 361 Week 6 Discussion: Distractors in our Environments (graded)

As a nurse, you have many responsibilities. Nurses are multitaskers they monitor the patients, medications, equipment, and much more while documenting everything that has been done.   “Most technologies are designed by people unfamiliar with nurses’ workflow, and they fail to appreciate the multitude of other devices the nurse is simultaneously managing” (Ruppel & Funk, 2018). Therefore, due to these designers not understanding what a nurse’s role is the technology that we use does not always fit well with the nursing roles. Multitasking is overwhelming and nursing is a hard job in general adding the two can cause errors. Bed alarms are designed to alarm when the patient is moving off the bed. The alarm can also go off when the patient makes certain movements not just moving off the bed.  For example, a nurse working a unit with several patients. One of the patients has a bed alarm and tends to make it go off on purpose multiples times. When the nurse arrives, the patient asks her about her day but does not need assistance. At the end of the night the nurse is busy when that patients bed alarm goes off, but the nurse ignores it because of what she experienced all day. “This alarm fatigue is compounded by the number of potential false alarms during a nurses’ work shift” (Hebda, Hunter, & Czar, 2019). The patient had called the nurse to ask for assistance to the bathroom. When the nurse did not respond the patient went alone and fell on the way and broke his leg. This is an ethical because there was a poor patient outcome due to unknown distraction and continuous false alarms. One of the nursing ethical guiding principles is “nonmaleficence: the obligation for doing no intentional harm” (Hebda, Hunter, & Czar, 2019).  The nurse did not do intentional harm but cause harm due to the intentional disregard of the bed alarm.

“Alarms are by intent interruptive. Interruptions are typically considered to have a negative effect on patient safety. However, interruptions have been associated with an increased risk of errors” (Ruppel & Funk, 2018). The evidence shows that alarms are used to help patients, but they are a risk for negative patient safety. There is still need for research on how to join the two worlds where they can work together. One way is the lessen the nurses workload so that she does not feel overwhelmed to the point where they ignore their patients.

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

Ruppel, H., & Funk, M. (2018). Nurse–Technology Interactions and Patient Safety. Critical Care Nursing Clinics of North America, 30(2), 203-213. doi:10.1016/j.cnc.2018.02.003

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Sample Answer 2 for NR 361 Week 6 Discussion: Distractors in our Environments (graded)

Nursing workflow is unique and it is very important that we have an input on any design that will impact our job’s workflow. A basic example we experienced at my hospital is when one of our telemetry units was remodeled and the nurses were not asked for any input. The flow of the nurse’s station was so dysfunctional, it was set up like a classroom. The computers were set up in rows so close together that it made it virtually impossible to respond quickly to alarms or any urgent situation for that matter. We had to practically climb over one another. This added to a decrease in response time to alarms which was an increase for patient risk of injury. It was a costly mistake and the unit was redesigned. Now the trend is to consult the individual unit to better understand the needs of the particular specialty in regards to its workflow. Luckily there was a lot of nursing input considered when my facility chose to go with a new operating system. We chose Epic.

   Bed alarm fatigue is also an issue at my workplace. One thing that helps, aside from making sure staff is deactivating the alarm prior to getting patients up, is the alarm sensitivity buttons. Our bed alarm sensitivity can be adjusted based on weight or increased risk. I can appreciate your suggestion of a decreased ratio however, I don’t believe I will experience that anytime soon.

Sample Answer 3 for NR 361 Week 6 Discussion: Distractors in our Environments (graded)

When I imagine a hospital, I picture bright white lights in the halls and patient rooms, the smell of Clorox wipes or germicidal wipes, and then the sound of never-ending beeping alarms. Even my patients have complained about the sound IV pumps make when alarming about downstream or upstream occlusions, or when an infusion is complete. I do believe alarms are useful in preventing harm to patients. In my time as a nurse, I have noticed many situations in which alarm fatigue or lack of alarms has caused poor outcomes for patients. One example that comes to mind, is when a patient who appeared to be medically stable, suffered an Anterior ST segment elevation myocardial infarction. The patient’s telemetry monitor did not alarm to the change in heart rhythm. The patient used the call light to ask for help because he became symptomatic of the MI he was experiencing. Upon review of the telemetry strips, the patient’s ST segment had changed for 12 minutes before the patient called for help. The patient did unfortunately pass away, but there were no legal repercussions since the patient’s death was not due to negligence. Had the telemetry monitor alarmed, and been silenced by a medical professional, then that would be considered negligence. This death took a toll on all of the healthcare team members including the physicians, nurses, CNAs, and telemetry technicians involved. At our hospital, the telemetry monitors have the same constant alarm sound for VTACH as for when the patient’s oxygen saturation decreases. The same rhythmic alarm sounds when a lead has been removed as when the monitor detects a PVC. Our textbook mentions how a nurse may experience alarm fatigue during their shift because of the high number of potential false alarms they hear (Hebda, Hunter, & Czar, 2019, p.12). I believe the solution to alarm fatigue is to change the sounds made by these alarms for different kinds of alerts. A deadly cardiac rhythm such as VTACH or severe bradycardia should have distinctly different alarm sound than the alert for an oxygen saturation of 88%, especially if the patient has COPD or another disease that may cause the patient to have consistently low oxygen saturations. According to the article, Alarm fatigue a top patient safety hazard, “85%-90% of alerts are false or nuisance alarms, indicating conditions that don’t require clinical interventions” (Jones, 2014, p. 178). In my opinion, 1 single PVC should not warrant a sound alarm, but it should show a visual alarm. Changing alarm sounds and tones may also be useful, such as verbal commands or different sounds for critical alerts vs routine alerts.

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

Jones K. (2014). Alarm fatigue a top patient safety hazard. CMAJ : Canadian Medical Association journal = journal de l’Association medicale canadienne, 186(3), 178. https://doi.org/10.1503/cmaj.109-4696

Sample Answer 4 for NR 361 Week 6 Discussion: Distractors in our Environments (graded)

Studies have shown that false alarms can greatly harm the patient’s health. Some patients freak out or get panic attacks when they hear a sound of alarm. (Jones, 2014).

Normally, if we hear the sound of the alarm of the ambulance, we tend to move faster than we are not able to know we can damage some things along the way. If we face this kind of event, we are likely be alarmed about what is happening around us. 

False alarm can greatly harm our patient’s inner peace especially to those elder ones. They are the most sensitive patients; they can be very meticulous sometimes and can hear even the slightest noise that they could possibly take notice of. (Jones, 2014). Also, if a nurse or a physician hears an alarm, they sometimes thought that it is a false alarm and would every so often think that it is not something important. This is one of the main causes of huge problems that make come up. (Bach et al., 2018).

False alarm could cause a serious damage to patients if ignored due to excessive and confusing alarms. This can trigger the patients mind and can cause serious consequences. False alarm, improper list of medications and not attending to the patients’ needs are one of the most common problems. (Bach et al., 2018).

These false alarms should be immediately fixed to avoid misconceptions and problems that could cause serious injuries to patients and other patient not involved in the case.

It would cause serious troubles to patients, doctors and nurses if this issue is not resolve without more ado.

References

Jones K. (2014). Alarm fatigue a top patient safety hazard. CMAJ: Canadian Medical Association journal de l’Association medicale canadienne, 186(3), 178. https://doi.org/10.1503/cmaj.109-4696Links to an external site. Bach, T. A., Berglund, L. M., & Turk, E. (2018). Managing alarm systems for quality and safety in the hospital setting. BMJ open quality, 7(3), e000202. https://doi.org/10.1136/bmjoq-2017-000202Links to an external site.