The Correlation between Basic Care and Comfort and Nursing Practice Essay

The Correlation between Basic Care and Comfort and Nursing Practice Essay

The Correlation between Basic Care and Comfort and Nursing Practice Essay

Basic care and comfort are basic things that each one would want to feel at any point in life. Nurses in any healthcare institution promote health and wellness for clients while offering comfort and competent care to increase safety (Langhammer et al., 2018). “Basic comfort and Care” are one of the priority concepts I have identified for my ATI. This concept is in the category of the physiological identity on the NCLEX-RN test plan. This assignment will focus on basic comfort and care using the NCLEX-RN test plan in the nursing practice. The purpose of this paper is to highlight the effective application of basic comfort and care to impact the patient outcome, patient care, identify barriers to effective care, evidence-based practice, and interdisciplinary team.

Importance of Basic Comfort and Care to the Nursing Practice

Nurses always assess the needs of patients to aid in developing an effective plan of care and provide basic comfort and care that would reduce risks (Choi et al., 2020). This concept is essential in the nursing profession as it allows nurses to develop customized care and comfort depending on patients. Nurses must help the patients use assistive devices and help in the patient’s daily activities. This duty implies that nurses need to be close to their patients and design effective care that improves patient outcomes. Basic comfort and care include various activities such as managing pain, assessing the condition of the patient daily, assessing the skin integrity, and identifying the need for further medication with the help of other healthcare workers.

Increased care and comfort are required in caring for older adults. These adults are prone to various physiological changes such as poor eyesight, reduced hearing, poor judgment, increased risk of infection, and a special diet (Yamada et al., 2015). These activities require increased attention among the nurses to offer basic comfort and care to these adults. The physiological conditions need to be considered in planning for adult care. EBP shows that prioritizing patient care as it improves patient outcomes. Nurses need to adhere to the provided evidence-based practices in optimizing the quality of care. Limited comfort and care given to older adults would put them at increased risk of health complications (Groves et al., 2021). For example, they would have an increased risk of falls, malnutrition, and infection, among other health complexities. Therefore, nurses need to prioritize comfort and care to heighten patient outcomes.

Healthcare Disparities, Inequalities, and Interventions

Disparity and inequality are issues that the healthcare systems have fought since time immemorial. These issues are influenced by various factors such as gender, age, race, and economic status. Racial prejudice affects the care offered to patients as nurses would tend to offer quality care to patients of their race while offering poor care to those of different races (Yamada et al., 2015). The ANA nursing codes of ethics are in place to govern the conduct of nurses and eliminate inequality and disparity. These codes act as the principles of justice in healthcare, ensuring that each patient gets quality care irrespective of race, gender, or ethnicity. The language barrier is potential inequality and disparity related to basic comfort and care. The difference in language between the nurse and the patient might warrant a patient less care because of the compromised communication.

The solution to these barriers needs to start by training the nurses on the legal impact they would face by violating the ANA codes. Educating nurses on disparities in healthcare delivery has an impact on them learning effective measures of meeting the needs of all clients irrespective of their age or ethical background (Choi et al., 2020). Nurses should as well be trained to keep their own beliefs at the minimum and follow the standards of nursing practice. In cases of a language barrier, nurses need to request a translator to facilitate effective communication. Educating patients on their rights would also be important in designing the quality of care offered by the nurses.

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Legal and Ethical Considerations and Intervention Challenges

Prejudice can cause a nurse to treat a patient differently, violating the ethical principle of justice in healthcare. Beneficence is a principle of ethics that prompts one to be doing good always. Beneficence is applicable in the nursing practice as it requires nurses to be doing to patients (Langhammer et al., 2018). If a nurse fails to meet the needs of the patient may result in various complications and harm, leading to the violation of the beneficence principle. Besides, if a nurse performs an activity that would improve the health condition of a patient and that leads to injury or even death of the patient, the nurse would face legal implications. They could face disciplinary action for negligence, lawsuit, and revoking of their operating licenses.

Nurses sometimes face an ethical dilemma where the family of the patient or the patient refuses to undertake standard care that would have a positive impact on their health. For instance, patients and their families might choose to withhold tube feeding, which is a basic comfort and care required to the patient (Choi et al., 2020). In such cases, the nurse needs to find a professional directive from the interdisciplinary team on the decision to be made in such a dilemma. Seeking expert opinion in such cases also limits nurses from participating in an activity that would affect their entire nursing profession.

Participants and Interdisciplinary Approach

Effective care and comfort across healthcare organizations require the input of the healthcare team, such as nurses, doctors, dieticians, therapists, and other healthcare team members. The joint collaboration between these professionals leads to an improved decision-making process that further results in a positive patient outcome. Nurses always assess, prioritize patient care and offer assistive personnel (K, W. G. W, n.d.). On the other hand, doctors treat and offer effective treatment options that each patient needs. Therapists assess the musculoskeletal function of the clients by offering physical theory to the patient with compromised mobility.

Other members of the team outside nursing, such as dietitians, would assess, plan and offer effective education plans on the nutritional needs of these patients (Langhammer et al., 2018).These assessments are important to the older population who require a special diet to maintain their health and limit the risk of facing other risky infections.

Quality Improvement

The benefits of offering basic care and comfort are on the patient outcome. The improved care would heighten the patient-nurse relationship that allows the patients to share confidential information with the nurses to improve the health care services. It also affects cost-effective care because the patients can design better home-based care that would save on the amount of money used in visiting the hospital, medication, and other health care costs (Choi et al., 2020). Besides, nurses would as well feel motivated in their professional practice when there is improved safety, increased job satisfaction, and reduced cost of care.

Improved treatment and education of patients on the basic comfort and care principles heightens self-care and reduces hospital readmission rates. Nurses often serve as advocates of patient care and can sometimes challenge the doctors on an action they feel can harm the patient (Groves et al., 2021). They can always offer direct feedback, which is important in improving the quality of treatment and care. The promotion of professional nursing practice should align with continuous education to help nurses keep up with the trend and evidence-based practices in the healthcare system.

Conclusion

Basic comfort and care provide patient support with daily activities and promote health and wellness. It improves patient outcomes, further decreasing the stay of patients and the hospital, and heightening the recovery process. However, nurses need to eliminate barriers to care, such as bias and injustice. The value of the interdisciplinary team should be utilized to allow nurses to solve ethical dilemmas.

References

Choi, N. G., DiNitto, D. M., & Choi, B. Y. (2020). Unmet healthcare needs and healthcare access gaps among uninsured US adults aged 50–64. International Journal of Environmental Research and Public Health, 17(8), 2711.https://doi.org/10.3390/ijerph17082711

Groves, P. S., Bunch, J. L., & Sabin, J. A. (2021). Nurse bias and nursing care Disparities related to patient characteristics: A scoping review of the quantitative and qualitative evidence. Journal of Clinical Nursing.3rd (ed.).00 (1–13). https://doi.org/10.1111/jocn.15861

K;, W. G. W. (n.d.). Enteral tube feeding training for nurses and care assistants. British journal of community nursing. Retrieved March 15, 2022, from https://pubmed.ncbi.nlm.nih.gov/11832798/

Langhammer, B., Bergland, A., & Rydwik, E. (2018). The importance of physical activity exercise among older people. BioMed Research International, 2018, 1–3. https://doi.org/10.1155/2018/7856823

Yamada, T., Chen, C. C., Murata, C., Hirai, H., Ojima, T., Kondo, K., & Harris, J. R., 3rd (2015). Access disparity and health inequality of the elderly: unmet needs and delayed healthcare. International Journal of Environmental Research and Public Health, 12(2), 1745–1772. https://doi.org/10.3390/ijerph120201745

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Purpose
In preparation for completing the RUA- Capstone Evidence-Based Practice Paper the student will track and analyze their individual performance on the integrated comprehensive assessments. The student will apply critical thinking skills to prioritize their identified areas of opportunity. After identifying the priority concept (topic) of opportunity, the student will identify strategies and resources that will promote NCLEX-RN success and transition into practice.

Course outcomes: This assignment enables the student to meet the following course outcomes:
CO # 4 Integrate critical thinking, clinical reasoning skills, best current evidence, clinical expertise, and patient/family preferences/values in the implementation of the nursing process. (PO# 4)
CO # 5: Explore the impact of professional standards, legislative issues, ethical principles, and values on professional nursing, using data to monitor outcomes and improve quality and safety. (PO# 5, 6)
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.
Total points possible: 20 points
Preparing the assignment
Follow these guidelines when completing this assignment. Speak with the course faculty member about any assignment questions.
1) Track performance on the comprehensive assessments by logging NCLEX-RN Client Need Category performance on the Individual Student ATI Assessment Trends: Longitudinal Performance tool (see table on page 2).
2) Based on individual performance on the comprehensive assessments, analyze the performance and prioritize the top concept (topic) of greatest opportunity.
3) Include the following criteria for the priority concept (topic): (The NCSBN NCLEX-RN Test Plan will support this process)
a. Priority Concept (Topic)
• Identify the priority concept (topic) of opportunity based on the performance analysis.
• Provide a description of how the identified priority concept (topic) aligns with the NCLEX Client Need Category/Subcategory definition in the NCLEX-RN Test Plan.
• Identify a minimum of two learning strategies that will support development of the identified learning need.
 A learning strategy is a technique an individual can use to organize, retain, and apply knowledge and skills to accomplish outcomes more effectively and efficiently in their academic and professional journey.
• Identify a minimum of two resources to integrate into the NCLEX-RN Readiness plan that will support development of the identified learning need.
4) APA Style and Organization
a. Uses current APA format and is free of errors.
b. Submit at least three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, that will be used in the week 6 RUA: Capstone Evidence-Based Practice Paper.
c. For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online Chamberlain library.

Individual Student ATI Assessment Trends: Longitudinal Performance Table
ATI Assessment
Title NCLEX-RN Client Need Categories:
Students will log their individual assessment performance in each category below and highlight the scores below 60% or lowest three scores for each assessment
Course Manage-ment of Care Safety & Infection Control Health Promotion & Maintenance Psychosocial Integrity Basic Care & Comfort Pharma-cological & Parental Therapies Reduction of Risk Potential Physiological Adaptation
ATI Capstone Comprehensive Assessment B NR-446 60 55.6 42 71 42.9 81.8 66.8 60
ATI Comprehensive Practice- Form A NR-452 100 94.4 100 100 92.3 95.7 100 95.2

Based on individual performance on the comprehensive assessments, analyze the performance and prioritize the top concept (topic) of greatest opportunity:

1)

Apply the priority concept (topic) of greatest opportunity below:
Identified Priority Concept (Topic):

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Grading Rubric
Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.
Assignment Section and
Required Criteria
(Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper
Priority Concept (Topic)
(16 points/80%) 16 points 14 points 13 points 4 points 0 points
Required criteria
1. Identify the priority concept (topic) of opportunity based on the performance analysis.
2. Provide a description of how the identified priority concept (topic) aligns with the NCLEX Client Need Category/Subcategory definition in the NCLEX-RN Test Plan.
3. Identify a minimum of two learning strategies that will support development of the identified learning need
4. Identify a minimum of two resources to integrate into the NCLEX-RN Readiness plan that will support development of the identified learning need. Includes all 4 requirements for section. Includes all 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
APA Format, Grammar, and Punctuation
(4 points/20%) 4 points 3 points 0 points
Required criteria
1. Uses current APA format and is free of errors.
2. Submit at least three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, that will be used in the week 6 RUA: Capstone Evidence-Based Practice Paper. Includes the 2 requirements for section. 1 requirement for section. No requirements for this section presented.
Total Points Possible = 20 points
References
Choi, N. G., DiNitto, D. M., & Choi, B. Y. (2020). Unmet Healthcare Needs and Healthcare Access Gaps Among Uninsured U.S. Adults Aged 50-64. International journal of environmental research and public health, 17(8), 2711. https://doi.org/10.3390/ijerph17082711
Langhammer, B., Bergland, A., & Rydwik, E. (2018). The importance of physical activity exercise among older people. BioMed Research International, 2018, 1–3. https://doi.org/10.1155/2018/7856823
K;, W. G. W. (n.d.). Enteral tube feeding training for nurses and care assistants. British journal of community nursing. Retrieved March 15, 2022, from https://pubmed.ncbi.nlm.nih.gov/11832798/
Yamada, T., Chen, C. C., Murata, C., Hirai, H., Ojima, T., Kondo, K., & Harris, J. R., 3rd (2015). Access disparity and health inequality of the elderly: unmet needs and delayed healthcare. International journal of environmental research and public health, 12(2), 1745–1772. https://doi.org/10.3390/ijerph120201745