N5367- Models and Barriers.docx - 1 Running Head MODELS AND...

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1Running Head: MODELS AND BARRIERSModels and BarriersNAMEUniversity of Texas at Arlington College of Nursing and Health InnovationIn partial fulfillment of the requirements of N5367 Evidenced Based Practice Judy LeFlore PhD, RN, NNP-BC, CPNP-PC&AC, ANEF, FAANJuly 6, 2019
2MODELS AND BARRIERSModels and BarriersThe model I chose to use is the IOWA model in order to try to tackle nurse fatigue and nurse to ratios in the emergency room. I have worked as an ER nurse my whole nursing career, and although my knowledge extends to only 5 years at bedside, I have worked as a travel nurse and have seen a wide array of barriers that come with the ER. The first barrier that I would like to see tackled are nurse to patient ratios. Most emergency rooms in the US have a 1:4-5 nursing to patient ratio with no regard to the ESI of the patients or enforcement of these ratios. I have personally experienced 1:6 ratio during flu season and 4 out of 6 of my patients had an ESI of 2 with no techs as a resource to help with the patient load. This is unsafe and puts patient’s lives

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