The last essential that I think aligns with the role of the nursing supervisor is essential VI, Health Policy and Advocacy (Denisco & Barker, 2016). This essential analyzes how policies influence healthcare, practice, and outcomes. The nurse leader participates in developing and implementing the policies. They also advocate for policies that improve the health of the community and the nursing profession. The nursing supervisor explained to me that she attends meetings and specifically to help advocate for policies that she feels would improve the organization and community (Denisco & Barker, 2016). A5. Characteristics of Organization The Villages Regional Hospital has its strengths and weaknesses. The strengths I noticed in the organization are their very kind, caring, and compassionate staff members. The organization is also an acute stroke center, they are working on their accreditation for an acute chest pain center. The weaknesses I noticed stem from being short on nurses (Optimizing Health and Quality of Life, 2017). The emergency room started to fill up. There were several patients in the emergency room that were admitted to the hospital and waiting on a bed to open. The waiting room started to fill up and ambulances kept coming in the back door. The patients were not moving upstairs so that new ones could be seen. The unit’s upstairs were waiting for doctors to discharge patients so that the new admissions could come up from the emergency room. At
ADVANCED NURSING PRACTICE 9 first, I thought the hospital needed to expand and build more rooms (Optimize Health and Quality of Life, 2017). If they did this, everything would flow smoothly and patients wouldn’t have to wait so long. This was not the case. They actually had beds available, they did not have the nurses to take care of the patients. The 297-bed hospital could only take in about 220 patients. This is because of a nursing shortage. The hospital need more nurses to take care of patients. This was definitely the area I felt they were the hospital showed signs of weakness (Optimize Health and Quality of Life, 2017). The hospital currently works on evidence based practice and quality improvement projects. The evidence based practices I was able to see in the hospital were in the sterile procedures, inserting catheters, mouth care in the intubated patient. The hospital had had boards made up with the evidence based practice of care and the proper way for the nurses to perform the procedure (Optimize Health and Quality of Life, 2017). The hospital keeps tract of things such as infections from foley catheters and the number of patients that get blood clots during their hospital stay. The hospital keeps track of these things for their quality improvement projects. They gather and measure their data. This allows them to review the data and improve the quality of care for the patients (Optimize Health and Quality of Life, 2017).
- Spring '17
- Nursing, supervisor, advanced nursing practice, The Villages Regional Hospital