1) How could patient outcomes in a naval hospital setting be improved by certified nurses.

2) How can clinical certification impact leadership skills in a naval hospital

Answer:

How could patient outcomes in a naval hospital setting be improved by certified nurses.

Basic sanitation and hygiene procedures were implemented by Nightingale. The impact on death rates was enormous. The death rate at a military hospital in Scutari, Turkey, dropped from 43% to 2% in just six months. Nightingale made a significant contribution to the field of health services research by emphasizing outcomes as a means of measuring quality efforts. However, her conviction that highly trained nurses made a significant difference in creating a safe care environment that dramatically improves patient outcomes changed nursing into a profession that was valued and expected high-quality nurses.

While Nightingale's discoveries had far-reaching benefits on patient outcomes, we still battle today not only to reduce hospital death and infection rates, but also to deal with new and varied challenges in different situations. There were fewer medical interventions in Nightingale's time, and infections were a severe concern to hospitalized patients. Many invasive operations are performed in today's hospitals, which greatly raise the danger of infection. These procedures include the injection of potent drugs, which necessitates increased vigilance and a more highly educated nurse.

Despite well-documented negative effects in hospitalized patients, hospitals continue to apply restructuring and reengineering practices in an attempt to improve efficiency and lower costs. These cost-cutting initiatives have resulted in shorter hospital stays, increased patient acuity, greater nursing workloads, and scarce staffing. According to recent studies, bedside nurses in hospitals are burned out, emotionally fatigued, and unsatisfied with their jobs. Given the current and continued nursing crisis, the negative effects of unsupportive and understaffed work environments on the nursing workforce portends a bleak future.

Surprisingly, little attention was paid to the effects of organizational changes on nurse and patient outcomes during the peak of hospital restructuring. Some hospitals, on the other hand, stood out for their success in attracting and retaining nurses. Competent managers, decentralized decision-making by direct care providers, chief nurse executives who were directly involved in top management decisions, flexible nurse scheduling, investment in their employees, recognition of their contributions, and support for continuing education of the nursing workforce were all characteristics of these organizations. These hospitals were dubbed the "First Magnet Hospitals" since they were the first of their kind.

How can clinical certification impact leadership skills in a naval hospital

Clinical leadership is necessary because of the complexity, chaos, high rates of change, major safety and quality challenges, and personnel shortages in health care. Despite the fact that the future is difficult to foresee, history has taught us that nurses must be prepared for significant roles in the health-care delivery system, both for current positions and for prospective future opportunities. The problem for clinical leadership is figuring out how to structure the information, skills, and abilities required so that nurses are prepared to fill tasks that are needed but don't currently have formal jobs.

One example is the expansion and elevation of the registered nurse (RN) role from traditional care delivery to integrating care, where they manage and coordinate care across disciplines and settings with autonomy, authority, and accountability Smolowitz et al2 studied 16 primary health care practices that used RNs to the full extent of their scope of practice in team-based care and f They stated that there is a pressing need to increase the contributions and maximize the scope of practice of RNs in primary health care for inter-professional leadership.

Clinical leadership combines the talents of an RN with general leadership skills, skills in managing care delivery at the point of care, and specific skills in problem resolution and outcomes management utilizing evidence-based practice. Because of the numerous and varied point-of-care implementation issues that develop, clinical leadership in nursing is plainly required. Patient safety, for example, may be jeopardized if there is a breakdown in team communication.

When nurses are overworked or understaffed, hand-off communications can be hampered, resulting in care gaps (Huber et al, unpublished data, 2015). If the sending and receiving areas do not communicate adequately, discharge transitions may be difficult. When several specialties caring for a patient do not coordinate prescribing and transcribing practices, medication delivery can be a challenge. This is true in both acute and long-term care. At the point of care, resolving continuing care gaps necessitates proactive steps based on best practices, teamwork, care coordination, and clinical leadership competencies.

Reference

Clinical leadership development and education for nurses: Prospects and opportunities. (2017, July 11). PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5740995/