Nursing and Care Essay

The concept of synergism jakes be utilize to the practice of breast feeding by means of information and service. To obtain Synergy in nursing the nurses knowledge and skills ar capable to meet the individual selects of the patient of race that is presented. Currently in Western Pennsylvania, in that respect is a wage increase number maternal shopping centre twist during pregnancy. This epidemic in turn grows a different fictitious character of population in small frys than other argonas of the Neonatal Intensive C be unit of measurement (neonatal intensive grapple unit), with specific health address necessitys.One bea that is wanting synergy is the perplexity of this rising patient population of infants suffering from Neonatal continence Syndrome (NAS). This creates a gap between nursing learning and clinical application. Due to the burn down in NAS infants it is important for nurses to be traild in proper pull off for an infant presenting with this diagnosi s, symptom management, communication skills, and the fundamental knowledge Neonatal Abstinence Syndrome. Poor patient outcomes can be caused by a lack of understanding addiction.The Vermont Oxford Network acress, Fear of stigmatization, discrimination, child removal, poor discussion, and criminal criminal prosecution has deterred women from seeking care. However, the research suggests that providing substance playent women with comprehensive healthcare, drug and intoxicant abuse treatment, and genial support improves pregnancy, birth, and child development outcomes. (Horbar, Soll & Buus-Frank, 2013) When the infant is admitted into the lancinating care setting, the care needs of these patients should focussing less on the quick outcome, and more on what give create the greatest good for each patient as an individual.There is an essential need for the development of collaborative solutions for care and education in the healthcare setting for the care of this rising popula tion. lots this would be to bid care with a realistic mark of maintaining optimal levels of comfort with minimal side effects of withdraw. About 40% of infants who exhibit withdrawal symptoms can be treated without medication. (White, 2013) Nurses who take sentence to ensure a level of comfort result sponsor to quench symptoms of NAS withdraw and also do support the family in their infants care.In addition to providing comfort result champion decrease the need to be medicated for withdraw and ultimately leave alone lead to a shorter hospitalization. The tutor of a Neonatal Intensive Care Unit leave behind need to address this issue and implement change in order to improve patient outcomes. The competencies that make up the Synergy moodl are clinical judgment, advocacy and moral agency, caring practices, facilitation of learning, collaboration, systems thinking, response to diversity, and clinical inquiry.For the NAS population advocacy, clinical judgment, caring prac tices and facilitation of learning are most important. Advocacy proposes the nurse to armed service as a moral agent to work on the infants behalf in order to provide the greatest good to help resolve concerns that are both clinical and ethical. Clinical judgment is the cogency for the nurse to take on the leadership role to care for their patient. Infants are unable to make healthcare decisions the nurse must consider the bring ups wishes and what the result the nurses actions will yield for this infant.These actions must positively take to their plan of care overall. Caring practices creates a compassionate and therapeutic surround for each the patients, recognizing the unique needs of each infant. The nurse acts as a facilitator of learning when he/she incorporates the understanding of the infants family into the care. The Synergy mode includes patient characteristics, which are, resiliency, vulner efficiency, stability, complexity, resource availability, participation in car e and decision-making and predictability.For the NAS population the patient characteristics would immediately associate complexity, vulnerability, and participation in care and decision-making. Complexity as referred to as to the multitude of symptoms that are to be considered for proper care of the patient. These infants are unable communicate pain, symptoms needs, and what their desires are. For example, these infants let loose and are inconsolable until the nurse goes done a trial and misapprehension until he/she figures out the needs of the child. They do not understand what is hazard to them.Vulnerability includes the stressors that these patients will be exposed to that may affect outcomes. The infants depend on the decisions their families and healthcare professionals. increase length of hospital stay can lead to problems that may decline in their already compromised condition, for example, infection. Lastly, the NAS patients are threatened repayable to the fact that th ey are unable to make their own healthcare decisions and concord to depend on parents and healthcare providers to be speak on their behalf.The parents get in in care as they receive information and help assist in the care for their child. Analyze the Case Nursing education places emphasis on clinical instauration, physical stressors and conditions that affect the patient and their associated treatments. Increased education is needed for nurses on the postpartum and NICU units about the treatment for this specific patient population. With the increase in drug dependent mothers there seems to be little nursing education provided on postpartum and NICU nursing units about the care for these infants, and this issue needs to be addressed.Infants with NAS have higher rates of neonatal complications, prolonged lengths of stay and consume pregnant NICU and hospital resources. Further, they impose a growing burden on already strained healthcare resources because state Medic tutelage expe nditures are disproportionately impacted. (Horbar, Soll & Buus-Frank, 2013) The presidentship and education police squad needs to identify this problem and incorporate belief and up whiled research on these units. One competency that lacks synergy in the nursing care of the NAS population is collaboration.Collaboration enhances the capacity of a group and increases the say-so for success. (Hardin & Kaplow, p. 75, 2005) It is not uncommon when different discipline areas such as the nurse, doctor, fond worker etc. identify different goals for the patient. Poor communication causes the group to not work in unison to collaborate and work towards a common goal. A key to collaboration is the communication that must pull through between the patient, family, and health care team members as well as among members of the health care team.Another synergy lacking competency would be caring practices, which is the unique nursing care provided to the patient and families. Within the NAS p opulation nurses have to bonk the differences and incorporated them into the infants care. Having compassion and creating a calming surroundings help provide comfort in a therapeutic environment. Often times the NAS population is considered as level II care, this captures for the nurses to take on a multiple patient assignment of three to five infants at a time.The NAS population is unique they require much coddling and almost immutable attention from the nurse. Having greater than three patients causes a great disadvantage to these children due to the nurse having to spread herself thin to meet the basic needs of feeding, changing and medicating, the nurse does not have adequate time to rock and alleviate the infants causing greater withdraw symptoms. The rational decision-making model will help identify and implement the appropriate changes that are essential in optimizing care for the NAS population.Improvement in the education of the healthcare lag will create better pati ent outcomes. This decision making process includes three steps to achieve this objective identify possible outcomes, determine probability of each outcome, and take action with the highest probability to achieve a positive outcome. The considered actions are change magnitude in-person upbringing, mandatory review of printed materials, or an on-line cooking course. The greatest positive outcome would come from increased in-person training. farm a Change ProposalPart of the nursing orientation for lag will be to participate in a class contract for the training related to care of the NAS infant prior to working in the NICU. Written material as well as a presentation will be provided. The attending physician will make a statement about services provided to the NAS infant, medications and important facts that the physician would like in report. For the rung nurses senior nursing projects are appoint yearly and are presented to maintain their status on the unit. Assigning NAS ca re to a a couple of(prenominal) nurses each year will keep the most up to date research on the unit.These nurses will participate in Internet presentations that focus on quality, safety and care for infants and families of and NAS infant. Finally, a staff member from the social work team will join and present his/her role in the case of a NAS infant. The unit will provide CEUs for this training. This purpose will affect the unit internally by involving the management team and multiple staff disciplines. The management team will help aid in this proposal by providing a day that is designated this additional training and appoint the appropriate nursing, physician and social work staff to participate in running the program.Finally obtaining CEUs approved by the state board of nurses to offer education credits for after the completion of training. The designated nurses assigned to NAS as a senior project must keep up to date with the training information prior to the class of new staf f, doing so will ensure they are prepared for questions that may arise. With this proposal the staff has the potential to increase the patient stability, outcome and satisfaction. Also this proposal will be aimed to help the nurses caring for NAS infants to promote patient care through evidence based research.A change model that applies to this proposal would be the Lewins change model. This model is based on unfreezing, moving, and refreezing. First the unfreezing stage, the authentic beliefs and ideas will change with the desired outcome. The health care team will sufficiently identify the epidemic and need for changes in care for the NAS infant, stir the education and treatments needed to move the staff towards bettering practices. Lastly, refreezing, the nursing staff will have a new outlook or attitude towards NAS infants.Changes in the treatment process will be instituted based on the staffs new outlook. Having the knowledge and resources for the care of the NAS infant will drop by the wayside the care team to handle each unique case with evidenced based approach. Along with any type of change there will always be positive and negative outcomes on the environment. Positive outcomes will include an influx in nursing knowledge, better patient outcomes and an increased hail of resources for the staff.Negative outcomes may include not having the adequate amount of staff to run this program and the biases formed by individuals prior to active in this class. A way to follow up with the care provided to these patients and their families would be an optional inspect completed by the families allowing the unit to see their strengths and weaknesses. The survey will allow for improvement of care. Nurses who have confidence in their ability to positively impact maternal parenting behaviors through education and skill mental synthesis may impact patient care outcomes.It is imperative that the management and supervisors recognize the issues that nurses experie nce when caring for NAS infants. Educating staff will allow for a balance of practice and the nurses actions. Instituting this educational program will provide synergy to the NICU units and the epidemic of withdraw infants. The unit directors will be able to see that the changes to the unit and education instituted has worked when NAS infants have a shorter hospital stay, a decrease in the use of morphine and phenobarbital and ultimately patient/parental and nurse satisfaction.In conclusion, with the epidemic of substance abuse mothers on the rise it is imperative that neonatal nursing units properly educate their staff about the treatment and care of NAS infants. With the changes proposed in this case the care of this specific population will be enhanced. These infants are very soft and require a lot of special attention. The proper care and education could make the world of a difference in a babys life.