Annotated Bibliography

Annotated Bibliography

Rose Judy

Nur/518

November 20, 2011

Cindy Boyer

Annotated Bibliography

Kalisch, B. (2006). Missed nursing care: a qualitative study. Journal Of Nursing Care Quality, 21(4), 306-315.

The current health care environment offers nursing a challenge to provide quality care to the patients assigned to their care. One facet of quality patient care is the amount of care that is actually omitted during respective nursing shifts. The growing concern is that the quantity of omissions may be affecting patient outcomes. The study was done to ascertain the amount and type of care being omitted on medical surgical units including, patient teaching, missed tube feedings, wound care, hygiene, adequate discharge planning, mobilizing the patient, and finally emotional support for the patients. 107 nurses were surveyed using predetermined number of questions. The results indicated seven main reasons for the missed care on this unit included are decreased number of staff, inadequate use of available resources i.e. too many new graduates on a particular shift, unrealistic time frames to complete tasks, i.e. medication pass for five patients and only being given a half hour before to a half hour after time of medication, ineffective delegation (the nurse feels the need to complete all care and doesn't delegate appropriately), and habit some nursing staff falls into the habit of not completing some tasks i.e. mobilizing the patient. The study concluded that many of these missed nursing care could be avoided by increasing staffing, holding the nursing staff more accountable for the missed care, and encouraging adequate delegation.

Marcantonio, E., Bergmann, M., Kiely, D., Orav, E., & Jones, R. (2010). Randomized trial of a delirium abatement program for postacute skilled nursing facilities. Journal Of The American Geriatrics Society, 58(6), 1019-1026. doi:10.1111/j.1532-5415.2010.02871.x Delirium is a significant disruption in a patient's thought processing abilities that result in a decreased perception of their environment and confusion. The beginning of delirium is usually rapid, the onset within hours or a few days. Delirium can be blamed on many causal issues, such as a critical or persistent physical illness, surgery, medication, or alcohol and drug abuse. Delirium has far reaching consequences for those affected; a majority of the patients are never the same mentally or physically. The article describes a randomized study in the post acute care facilities as to whether they would benefit from a delirium abatement program (DAP), which could cut