Nursing Care Issue

Nursing Care Issue

As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (not medical care issue). Include all of the following in your answer to this discussion.

• Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence.Remember, this should not be a medical issue.
• Explain how you would search CINAHL for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. Note: You do not need to perform the search or provide an article for this discussion, but you may do so if you like.

The study results in conjunction with existing literature suggest that patients with learning disabilities are at risk of experiencing avoidable harm when using NHS acute services. The problems appear to be widespread and can occur at any time point during the patient pathway. However, the incidence of patient safety issues experienced by patients with learning disabilities has not been quantified.

Patient safety issues were commonly described surrounding the following: lack of basic nursing care, in particular in relation to

feeding, hydration and pressure area care; misdiagnosis, often due to diagnostic overshadowing and communication difficulties; delayed investigations and treatment; non-treatment decisions and inappropriate DNAR orders, which may be due to assumptions about the patient’s quality of life; and misuse of the Mental Capacity Act, including a lack of staff knowledge and problems with capacity assessments. This is not an exhaustive list.

There is a common thread of delays and omissions of care and treatment which could lead to preventable deterioration. As acts of omission are more difficult to recognise, capture and monitor than acts of commission, it may be difficult for organisations to monitor the safety of patients with learning disabilities. At present, incident reports are an insufficient way to assess the types and number of patient safety issues experienced by patients with learning disabilities in NHS acute hospitals.

The research team noted few formal complaints. Careers indicated a desire to put negative experiences behind them, and voiced concerns that the future health care of the person with learning disabilities might be affected by complaining.

These examples, taken from all six study sites, demonstrate a wide variety of ways in which preventable deterioration may occur in different clinical settings within acute hospitals, and show that patients across the spectrum of learning disability have been affected. However, attributing failures in care to the existence of a patient’s learning disability is extremely complex and usually requires a full and detailed investigation and analysis, as is demonstrated by the reports of the Health Service Ombudsman and CIPOLD. Therefore, although many of the examples in  appear to demonstrate clear-cut service failure resulting in harm, the extent to which these failures are directly caused by discrimination against patients who have learning disabilities or lack of reasonable adjustment to accommodate their needs is difficult to assert with full confidence. Similarly, it is often the case that the ‘preventability’ of deterioration is difficult to define as, even with the best medical and nursing care, deterioration is often a natural consequence. For instance, it may be difficult to assert that the harm described in example E was indeed preventable.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource