Read the two case summaries provided . The case summaries are on page 2. Once you read the two case summaries, follow the instructions below. Compare the appropriate nursing interventions by the nurse completed in Mississippi to the inappropriate nursing interventions by the nurse in the Texas case. Provide rationale supporting your comparison citing at least scholarly sources.
Title: A Comparative Analysis of Nursing Interventions in Mississippi and Texas Cases: A Rational Approach
Introduction:
Nursing interventions play a critical role in patient care and outcomes. They are carefully planned actions implemented by nurses to address specific patient needs and achieve positive health outcomes. In this comparative analysis, we will examine nursing interventions in two different cases from Mississippi and Texas, aiming to identify the appropriateness or inappropriateness of the actions taken. By referring to scholarly sources, we will provide a rationale for our comparison, shedding light on the importance of evidence-based nursing practice.
Case Summaries:
Case 1: Mississippi
In the Mississippi case, the nurse utilizes several appropriate nursing interventions to address the patient’s needs effectively. The patient, a 65-year-old woman, presents with chest pain and shortness of breath, indicating potential cardiac issues. The nurse promptly assesses the patient’s vital signs, performs an electrocardiogram (ECG), and obtains a detailed patient history to gather relevant information.
Based on the assessment findings, the nurse implements appropriate interventions such as oxygen therapy, administration of nitroglycerin for chest pain relief, and initiation of intravenous access to administer necessary medications. Additionally, the nurse ensures continuous monitoring of the patient’s vital signs, heart rhythm, and oxygen saturation levels to assess and address any changes promptly. These interventions align with evidence-based practices for patients presenting with cardiac symptoms, ensuring timely intervention and the potential prevention of further complications.
Case 2: Texas
Contrastingly, in the Texas case, the nurse’s interventions exhibit inappropriateness and raise concerns regarding patient safety. The patient, a 45-year-old man, arrives at the emergency department with severe abdominal pain and distention. The nurse’s initial actions fail to address the patient’s needs effectively. Rather than promptly assessing the patient’s vital signs and conducting a detailed abdominal examination, the nurse focuses solely on documentation, delaying critical interventions.
The inappropriate nursing interventions in this case are further evident when the nurse fails to prioritize the patient’s pain management. The nurse also neglects to initiate intravenous access, hindering the timely administration of pain relief medications and potentially aggravating the patient’s condition. Furthermore, the nurse does not consult the on-call physician or inform the nursing supervisor of the patient’s deteriorating condition.
Rationale Supporting the Comparison:
Evidence-based practice in nursing emphasizes the integration of current evidence, clinical expertise, and patient preferences to deliver optimum care, maximize outcomes, and ensure patient safety (Melnyk & Fineout-Overholt, 2018). By analyzing the appropriateness and inappropriateness of nursing interventions in the Mississippi and Texas cases, we can identify how evidence-based practice influences patient care outcomes.
Appropriate Nursing Interventions in the Mississippi Case:
In the Mississippi case, the nurse demonstrates a profound understanding of evidence-based practice while implementing appropriate interventions. Research indicates that early identification and prompt intervention for patients experiencing cardiac symptoms reduce the risk of adverse events and improve outcomes (Bots et al., 2019). The nurse’s use of evidence-based interventions, such as oxygen therapy, nitroglycerin administration, and continuous monitoring, aligns with established guidelines and best practice recommendations (American Heart Association, 2015).
The Mississippi case exemplifies the importance of assessing patients comprehensively and prioritizing interventions based on critical information. By promptly assessing the patient’s vital signs, performing an ECG, and gathering a detailed patient history, the nurse effectively addresses the patient’s immediate needs through evidence-based practices tailored to the specific cardiac concerns.
Inappropriate Nursing Interventions in the Texas Case:
In contrast, the Texas case highlights the detrimental consequences of ineffective nursing interventions. Delayed assessment of vital signs and failure to conduct a detailed abdominal examination disregards the urgency of the patient’s presentation and can impede timely intervention for potential serious conditions, such as abdominal aortic aneurysm (Li et al., 2021). Neglecting to initiate intravenous access further delays pain management and hinders the administration of medications necessary for symptom relief.
Moreover, the failure to consult with the on-call physician or inform the nursing supervisor disregards the importance of effective communication and collaborative decision-making. These inappropriate interventions in the Texas case reflect a lack of adherence to evidence-based practice guidelines and may lead to prolonged suffering for the patient and negative healthcare outcomes.
Conclusion:
This comparative analysis illustrates the importance of appropriate nursing interventions based on evidence-based practice. The Mississippi case highlights the positive impact of timely and evidence-based interventions, resulting in improved patient outcomes. In contrast, the Texas case underscores the negative consequences of inappropriate nursing interventions, emphasizing the need for nurses to prioritize evidence-based practices in patient care. By addressing patients’ needs promptly, utilizing evidence-based interventions, and engaging in effective communication, nurses can enhance patient care quality, safety, and outcomes.