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La incorporación de la evidencia a la toma de decisiones en salud pueda tomar decadas. Un excelente (pero lamentable) ejemplo es como se ignora el impacto negativo de la baja dotación de enfermeras/os en los outcomes de pacientes. La dotacíon y carga de trabajo en Enfermeria son problematicas complejas. Este articulo de Chiara Dall'Ora y Peter Griffiths publicado en JAMA muestran el impacto de la composicíon del equipo de enfermeria (EU, TENS, personal externo, pool, de agencias): - Menor número de enfermeras/os = riesgo aumentado de mortalidad - Uso elevado de personal temporal = riesgo aumentado de mortalidad - El tener enfermeras/os experimentados no elimina los riesgos asociados a la baja dotacion. Conclusión: Se debe invertir en cargos para enfermeras/os en vez de personal temporal y/o externo para suplir los deficits de dotación en Enfermeria.
Our latest paper looking at hospital nursing team composition and patient risk of death is finally out. Led by Peter Griffiths, we found that low RN staffing = higher hazard of death. High use of temporary staff also increases hazard of death. We also found that having senior nurses in the team did not eliminate the adverse outcomes associated with low nurse staffing. Invest in providing permanent positions for RNs rather than relying on temporary staffing to fill the gaps.
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| Marketing | Desarrollo de Mercados | Latam | Reingenieria Organizacional | Entrenamiento comercial | Consultor | Industria Farmaceutica |
La enfermería es un arte y una ciencia, que exige agilidad intelectual, compasión inquebrantable y la capacidad de marcar una diferencia real en la vida de las personas.
UN Nurse & Global Health Innovator | NurseHack4Health Winner | Top Nursing Voice | Advocate for Nursing Leadership & Empowerment | A Glimmer of Hope: Towards a Bright Nursing Future
𝐑𝐞𝐟𝐫𝐚𝐦𝐢𝐧𝐠 𝐭𝐡𝐞 𝐍𝐚𝐫𝐫𝐚𝐭𝐢𝐯𝐞: 𝐍𝐮𝐫𝐬𝐢𝐧𝐠 𝐚𝐬 𝐚 𝐂𝐨𝐦𝐩𝐞𝐭𝐞𝐧𝐜𝐲-𝐃𝐫𝐢𝐯𝐞𝐧 𝐏𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧 Sure, procedures and protocols are crucial in healthcare. But reducing nursing practice to simply following a checklist? That's a dangerous oversimplification that undermines the true depth and complexity of the profession. Nurses are highly skilled professionals who wear many hats. 𝐓𝐡𝐞𝐲 𝐚𝐫𝐞: ✅ Scientists who understand the biological and physiological processes at play. ✅ Technicians who deliver precise care with meticulous attention to detail. ✅ Critical thinkers who adapt to ever-changing patient conditions. ✅ Empathic caregivers who provide emotional support and advocate for their patients' well-being. ❤️ ➡️ 𝐂𝐨𝐦𝐩𝐞𝐭𝐞𝐧𝐜𝐲 is the cornerstone of nursing practice. It's not just about memorizing steps in a manual. It's about integrating knowledge, skills, and judgment to make sound decisions in real-time. It's about adapting, innovating, and problem-solving at the bedside, all while prioritizing patient safety and comfort. 🎵 𝐓𝐡𝐢𝐧𝐤 𝐨𝐟 𝐢𝐭 𝐭𝐡𝐢𝐬 𝐰𝐚𝐲: Imagine an orchestra conductor. They don't just have the sheet music memorized; they understand the nuances of every instrument, the emotional weight of the music, and how to guide the musicians to create a cohesive and powerful performance. Similarly, nurses aren't just following a script; they're orchestrating a complex symphony of care, tailored to each unique patient's needs. 🌟 So, the next time you hear someone simplify nursing to a list of tasks, remember this: 𝑵𝒖𝒓𝒔𝒊𝒏𝒈 𝒊𝒔 𝒂𝒏 𝒂𝒓𝒕 𝒂𝒏𝒅 𝒂 𝒔𝒄𝒊𝒆𝒏𝒄𝒆, 𝒅𝒆𝒎𝒂𝒏𝒅𝒊𝒏𝒈 𝒊𝒏𝒕𝒆𝒍𝒍𝒆𝒄𝒕𝒖𝒂𝒍 𝒂𝒈𝒊𝒍𝒊𝒕𝒚, 𝒖𝒏𝒘𝒂𝒗𝒆𝒓𝒊𝒏𝒈 𝒄𝒐𝒎𝒑𝒂𝒔𝒔𝒊𝒐𝒏, 𝒂𝒏𝒅 𝒕𝒉𝒆 𝒂𝒃𝒊𝒍𝒊𝒕𝒚 𝒕𝒐 𝒎𝒂𝒌𝒆 𝒂 𝒓𝒆𝒂𝒍 𝒅𝒊𝒇𝒇𝒆𝒓𝒆𝒏𝒄𝒆 𝒊𝒏 𝒑𝒆𝒐𝒑𝒍𝒆'𝒔 𝒍𝒊𝒗𝒆𝒔. 🔖 #nursesonlinkedin #nursingcommunity #healthcareonlinkedin #nurses #nursingleadership Helana Kadyszewski RN, BSN, B.Sc., CENAngie GrayLiz DrewiskeRebecca Love RN, MSN, FIELKasey PachecoNdasi Noubissi Maxel, MMS,BNS,SRN,HNDCourtney Hogenson, RN, CMC, ALNCChioma Okere • BSN, RN, RM, RPHNJose Arnold TarigaDemetrius Kirk, DNPc, MBA,MSN, RN, LNHA, LSSGB, PAC-NE, QCPLeanne MeierMichael MaclarenTory CenajCasey Green BSN, RN, CCRN-CMC, CTRN, CFRN, CEN, TCRN, CPEN, CNRN, NRPaya attia salamaAbdulrahman Khathami MSc, RRT-ACCS, NPSNasser AlhazmiElena EloriagaShannon Lunn, RN, CRN-BC, CNMAPMelissa Mills, RN, BSN, MHAMillie Sattler DNP RN CCRN
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Interesante documento sobre los cuidados que aportan en la seguridad de los pacientes
This #NationalNursesMonth, AHRQ celebrates the vital role of nurses in ensuring diagnostic safety. Our issue brief, "Reinforcing the Value and Roles of Nurses in Diagnostic Safety," highlights how integral nurses are in preventing diagnostic errors. Dive into the brief and join us in appreciating our nursing professionals who lead the way in safeguarding patient health. https://lnkd.in/gUC-hTEh
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Una perspectiva del verdadero liderazgo en los puestos gerenciales de enfermería.
UN Nurse & Global Health Innovator | NurseHack4Health Winner | Top Nursing Voice | Advocate for Nursing Leadership & Empowerment | A Glimmer of Hope: Towards a Bright Nursing Future
𝐓𝐡𝐞 𝐍𝐮𝐫𝐬𝐞 𝐋𝐞𝐚𝐝𝐞𝐫: 𝐂𝐡𝐚𝐦𝐩𝐢𝐨𝐧, 𝐍𝐨𝐭 𝐅𝐨𝐥𝐥𝐨𝐰𝐞𝐫 Hey there, fellow nurses! Let's talk about leadership. You know, the kind that goes way beyond just having a fancy title and a bigger office? We're talking about genuine leadership, the kind that fights for us, the nurses who are the backbone of this whole healthcare thing! 𝐖𝐞'𝐯𝐞 𝐚𝐥𝐥 𝐬𝐞𝐞𝐧 𝐢𝐭, 𝐫𝐢𝐠𝐡𝐭? Nurses who get promoted, get that manager badge, and suddenly they're robots following every rule, forgetting the struggles we face every day. Following the status quo might seem safe, but it doesn't make for a great leader, especially not for nurses! 𝐇𝐞𝐫𝐞'𝐬 𝐭𝐡𝐞 𝐭𝐡𝐢𝐧𝐠: A true nurse leader is a champion. They advocate for us. They fight for better staffing, for safer working conditions, for nursing profession that make our jobs easier and let us focus on what truly matters – our patients! Sure, protocols are important. Safety comes first. But a good leader knows that sometimes, those protocols need to be adapted to fit the situation on the ground. They'll listen to our concerns, our ideas, and work with us to find solutions that benefit everyone. 🔅𝐓𝐡𝐢𝐧𝐤 𝐨𝐟 𝐢𝐭 𝐥𝐢𝐤𝐞 𝐭𝐡𝐢𝐬: We're all in this crazy hospital maze, right? Patients need our care, but sometimes the outdated map (those old protocols) makes it hard to get where we need to go quickly. A genuine nurse leader is like that awesome navigator who knows the secret shortcuts, who can bend the rules a little (when it's safe!) to get the best care to our patients, while still keeping us nurses safe and sane. ✴️ 𝐒𝐨, 𝐡𝐨𝐰 𝐝𝐨 𝐰𝐞 𝐬𝐩𝐨𝐭 𝐭𝐡𝐞𝐬𝐞 𝐜𝐡𝐚𝐦𝐩𝐢𝐨𝐧 𝐥𝐞𝐚𝐝𝐞𝐫𝐬? ↪️ 𝐓𝐡𝐞𝐲 𝐥𝐢𝐬𝐭𝐞𝐧. They value our input and experience, not just the voices of doctors or administrators. ↪️ 𝐓𝐡𝐞𝐲 𝐟𝐢𝐠𝐡𝐭 𝐟𝐨𝐫 𝐮𝐬! They advocate for better pay, resources, and working conditions. ↪️ 𝐓𝐡𝐞𝐲'𝐫𝐞 𝐢𝐧𝐧𝐨𝐯𝐚𝐭𝐢𝐯𝐞. They're open to new ideas and ways to improve patient care and the nursing experience. ↪️ 𝐓𝐡𝐞𝐲'𝐫𝐞 𝐚𝐩𝐩𝐫𝐨𝐚𝐜𝐡𝐚𝐛𝐥𝐞. They're not some distant authority figure, they're part of the team. Remember, leadership isn't just about a title. It's about heart. It's about standing up for what's right, for our patients, and for ourselves. So, let's hold those leaders accountable! Let's work together to build a healthcare system where genuine nurse leaders are the norm, not the exception. Together, we can make a difference! Bill Hurley Angie Gray Liz Drewiske Benjamin Joel Breboneria, DNS, MA, MSN, RN, CNE, NEA-BC Pr. Sylvain Brousseau Ph.D inf/RN, FFNMRCSI, FAAN David Dibble Rani Tharumalingam Courtney Hogenson, RN, CMC, ALNC Rebecca Love RN, MSN, FIEL Kasey Pacheco Ndasi Noubissi Maxel, MMS,BNS,SRN,HND Melissa Mills, RN, BSN, MHA Karen Molander, MSN, RN Peter Kirby, DNP, RN, NPD-BC, CLSSBB Christian Costazza Sarah Wells, MSN, RN, CEN, CNL Canadian Nurses Association #nursesonlinkedin #nursing #nurseleaders #nursesunite #nursesrock
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Durante mayo y junio estuve realizando una pasantía en el equipo de Investigaciones de Bloomberg News en Nueva York, lo que fue una experiencia increíble. Durante esos meses pude colaborar (mi granito de arena) con un reportaje sobre un tema importante y delicado en el sistema de salud de Estados Unidos actualmente: el rol de los Nurse Practitioners. Estos profesionales son básicamente enfermeros(as) con una formación adicional avanzada, a los que se les permite atender pacientes por su cuenta, diagnosticar y prescribir medicinas. Y están tomando el lugar de los médicos a lo largo del país: estudian menos tiempo, hay más cantidad de egresados, se les paga menos. Es hoy la profesión que más rápido está creciendo en EEUU. Sin embargo, lo que la investigación muestra es que el tipo de educación que están recibiendo gran parte de ellos podría poner en potencial riesgo a los pacientes (y de hecho, varios casos de negligencias alarmantes son expuestos en el artículo). La formación para ser NP no está estandarizada. Los programas más grandes no tienen filtros de entrada, son principalmente -o totalmente- online y no cuentan con los recursos para brindar una educación satisfactoria al gran número de alumnos admitidos. Este reportaje también recoge las voces de los propios estudiantes NP que critican la formación que reciben, voces que deben ser escuchadas por las autoridades educativas y gremiales, en vez de atacar el artículo sin más. Los autores son Caleb Melby, Polly Mosendz y Noah Buhayar, guiados por Flynn McRoberts y Dan Ferrara. ¡Ha sido un lujo trabajar con ustedes! Pueden leer la investigación aquí: https://lnkd.in/dENd-mHr
America is more reliant on nurse practitioners than ever before. But their education has never been standardized, and without those guard-rails, NP education has become dominated by online and for-profit programs. Students say many of the biggest programs don't provide the support or resources they need to be successful -- putting their careers and patients at risk. If you work in healthcare you know this is an incredibly touchy subject. I hope you'll take time to listen to these nurse practitioners as they describe their struggles and concerns in their own words. Reported with a dream team of Polly Mosendz, Noah Buhayar, Flynn McRoberts, Rosa Angela Laura Gerónimo, Anna Kaiser and Dan Ferrara (who still hasn't accepted my LinkedIn invite). https://lnkd.in/gKQCBKpB
The Miseducation of America’s Nurse Practitioners
bloomberg.com
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Close the gaps!! ¿Cuántos logros y cuánto esfuerzo en colaboración se ha necesitado para alcanzar ese número?. Abramos los caminos para la Nurse Practitioner en países en desarrollo, yo estoy dispuesto. Las enfermeras y enfermeros son claves para el desarrollo humano. ¿Quienes con apoyo a esta estrategia?
What is a Nurse Practitioner? Nurse Practitioners (#NPs), also known as Registered Nurses in the Extended Class, begin their nursing career as Registered Nurses and become NPs with an advanced graduate education degree (i.e. Masters degree) as well as additional nursing experience and exam requirements. They work independently but are most often found working as key members with an integrated health care team. Nurse Practitioners have the competence to provide comprehensive health assessment, to diagnose health/ illness conditions, and to treat and manage acute and chronic illness within a holistic model of care. At a time when there is a shortage of primary care providers, Nurse Practitioners present an opportunity for Government to close the many gaps in our health care system. Visit npao.org to learn more about what an #NP can do for you! #NursePractitioner #Healthcare #PrimaryCare #HolisticHealth #NPAO
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Importantísimo discutir sobre las competencias de las enfermeras en la atención domiciliaria
Vice President Hospital at Home Operations Maribel Health. Director and International Advisor UK Hospital at Home Society
Join us on this Webinar to hear from senior nurses in hospital at Home. I am looking forward to moderating this Webinar on nurses working in Hospital at Home and the different ways to invest in their education and competencies that are specific to working within Hospital at Home World Hospital at Home Cоngress - WHAHC
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Comparto este artículo que me impacto. #Transformando 💙💙💙 💣 💉 Muerte del paciente después de la infusión involuntaria de un medicamento PRN colgado en el poste (Porta Sueros) IV junto a la cama. 🗒️ Nota. Administrar medicamentos 'PRN' (frase latina para 'pro re nata'), que significa 'cuando sea necesario'. 📝 Recomendaciones de práctica segura: 1. Crear un lugar de trabajo saludable. 2. Conciliar los medicamentos. 3. Lleve los medicamentos a la cama solo cuando sea necesario. 4. Realizar una revisión diaria de los medicamentos. 5. Trace las líneas de infusión y confirme la programación. 6. Promover un entorno seguro. 7. Gestiona productos de aspecto similar. 8. Educar al personal. 9. Utilice la programación automática. 10. Supervisar las líneas no rastreadas. (interoperability) 11. Comparte buenas capturas. Comparta historias impactantes
Last week’s ISMP newsletter focuses on a fatal error involving inadvertent infusion of a medication hanging on a bedside IV pole. For an analysis of contributing factors and safe practice recommendations: https://hubs.la/Q02tP1-Y0 #medicationsafety #medsafety #patientsafety #medicationerrors #hospitals #pharmacist #nurses
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Cada vez con más herramientas para el estudio de eventos adversos y de cómo podemos seguir trabajando para prevenirlos!
Last week’s ISMP newsletter focuses on a fatal error involving inadvertent infusion of a medication hanging on a bedside IV pole. For an analysis of contributing factors and safe practice recommendations: https://hubs.la/Q02tP1-Y0 #medicationsafety #medsafety #patientsafety #medicationerrors #hospitals #pharmacist #nurses
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Enfermería | Gestión de TI | Mejora Continua | Problem Solver | Innovation | Saúde Digital | Transformação Digital
Si no te dan un asiento en la mesa, trae una silla plegable. - Shirley Chisholm #Enfermeras: no vamos a cambiar la situación de nuestra profesión quedándonos en nuestras propias mesas. Debemos empezar a abrirnos camino hacia las mesas donde hemos estado ausentes, asistiendo a conferencias donde las enfermeras han sido invisibles y a estar en salas o conversaciones políticas donde simplemente nunca hemos existido. Para que nuestra profesión crezca, ya no nos conviene hablar sólo con nosotras mismas, o negociar entre nuestra propia profesión. La enfermería es la profesión más importante en el ámbito de la atención sanitaria, pero estamos ausentes en casi todos los entornos donde se toman decisiones para la atención y la enfermería. No más. A partir de hoy, es hora de que haya enfermeras en cada conferencia, en cada mesa donde se debata la asistencia sanitaria. Enumera los lugares, conferencias y asociaciones donde necesitamos que las enfermeras comiencen a aparecer en masa: es hora de que cambiemos la historia y el futuro de la enfermería. -Rebecca Love RN, MSN, FIEL
Nurse. Innovator. Author. Speaker. LinkedIn Top Voice, First Nurse Featured on Ted.com, Forbes Business Council, President Emeritus: SONSIEL, Chief Nursing Officer
#Nurses - we aren't going to move the needle for our profession, by staying at our own tables. We must start pushing our way into the tables where we have been absent, attending the #conferences where nurses have been invisible, and being in the political rooms where we simply have never existed. For our profession to rise, it no longer suits us to speak only to ourselves, negotiate amongst our own profession. Nursing is the largest profession in healthcare, but we are absent in nearly every healthcare setting where decisions are being made for healthcare and nursing. No longer. From this day forward - it is time there are nurses at every conference, every table, where healthcare is being discussed. Please list below places, conferences, associations where we need nurses to start showing up in mass - it's time we change #history and the #futureofnursing. #NursesOnLinkedIn #HealthcareOnLinkedIn #NursesAtVive
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