Patient Hourly Rounding Term Paper Example | Topics and Well Written Essays - 1250 words

Patient Hourly Rounding - Term Paper Example This understanding only reinforces the need for changes in the delivery of nursing care and health care services, towards excellence in ensuring patient safety and patient satisfaction. To satisfy this objective, however, the best means to changes that provide it have to be uncovered (Grove, 2008). Patient Hourly Rounding The concept of patient hourly rounding originated in England, where it was termed patient comfort rounds. Patient hourly rounding is built on predetermined definite protocols. The norm for protocols in patient hourly rounding is founded on four P’s, which stand for pain, personal needs, positioning, and placement. Other issues that could be a part of the protocol for hourly rounding include changing of dressings, administration of medications, and patient education. The concept of hourly rounding is based on compassionate care, and the strengthening of interpersonal relationship between the patient and the nurse, with the essential ingredient of anticipation of the needs of patients and meeting these needs (Charmel, Frameton, & Plantree, 2009). Patient hourly rounding are, thus a systematic nursing function that consists of nurses undertaking bedside rounds of patients, with a specific set of actions, and conducted over specific intervals. Thought the ultimate goal in patient hourly rounding is patient safety and patient satisfaction, the immediate objective is prevention of potential patient problems or to inhibit exacerbation of actual problems (McCartney, 2009). Recommended Change Patient hourly rounding is the recommended change in nursing care practice. The specific actions included in the patient hourly rounding are: Greet the patient Inquire if the patient needs toileting, pain control, repositioning, and blanket Place call light, telephone, tissue box, bed table, and TV control within convenient reach of the patient Provide mouth care, if required Give oral fluid, if required Provide any clarifications sought by the patient Inqu ire if the patient requires any other assistance Inform the patient when the next round will be performed (Adapted from Gardner et al, 2009, & Olrich, Kalman & Nigolian, 2012). The specific time interval will be hourly rounding. Evidence suggests that hourly rounding is superior to bi-hourly rounding in delivering patient safety and patient satisfaction (Meade, Bursell & Ketelsen, 2006). Theoretical Framework Lewin’s Change Model is an early model for planned change. The concept in this model is that a static state of behaviors in an organization occurs when the forces pushing for change and the forces striving to maintain status quo are almost equal. In other words, change is possible only when the forces pushing for change is increased, and the forces striving to maintain status quo is decreased. Lewin’s change model recommends a three step process towards attaining this objective in planned change. The first step is unfreezing, which consists of reducing the forces striving to maintain status quo. In this case, the first step is reducing the support among nurses for opposition to patient hourly ro

Neoottomanism in Turkey and the Role of Turkey in the new formation of Essay

Neoottomanism in Turkey and the Role of Turkey in the new formation of the Arab world - Essay Example Thus, ottomanism transformed into the ideology of pan-Turkism. The Turkish leaders of the late XX - early XXI century, especially Recep Tayyip Erdogan, updated the doctrine of ottamanism-pan-Turkism, turning it into so-called neoottomanism. Modern Turkish leaders advocated the creation of an integrated economic and cultural-linguistic space that has commonality of interests; it is the main essence of this ideology. However, neo-Ottomanism implies the dominant influence of Turkey not only on Turks, but even more - non-Turkic peoples and countries that were part of the Ottoman Empire at different time. The doctrine of "neoottomanism" was not completely comprehended even by its originators. Nowadays a lot of European and American politicians are greatly concerned about the given ideology and they do not want to stay away from it. United States, for example, hatch the plans to create a unified Turkic political space dominated by Turkey, and are interested in supporting the sovereignty of newly independent states of Central Eurasia. A heavy blow to this "subtle pan-Turkism", i.e. neoottomanism, was stroke by the Collective Security Treaty Organization, members of which were two Turkic states - Kazakhstan, Kyrgyzstan, and the Islamic one – Tajikistan. Uzbekistan led its own political game for a certain period, but then, joined the CSTO. Turkmenistan's foreign policy tends to neutrality at the present time. Under the auspices of the U.S., such projects as The Black Sea Cooperation and GUAM were developed. If earlier the U.S. was more interested in strengthening Turkey's influence on the Balkans, nowadays - on Northern and Southern Caucasus, Crimea, Ukraine, Bessarabia, as well as Syria, Lebanon and Iraq - as vectors, amplifying the Turkish-Russian confrontation. "Political and operational" role of Turkey in these regions is the most attractive for the U.S. But practice shows that the U.S. is not confident in the effectiveness of such role-based participation of Turkey, even in these projects. Yes, Turkey could play a leading role in the formation and activity of GUAM, but Western politicians are in no hurry to pedal its role. Turkey activities in Georgia, especially in some regions, such as Ajaria and Abkhazia, as well as in Dagestan and Chechnya, Kabardino-Balkaria, Adygeya, Krasnodar territory, Bulgaria, Bosnia, Albania, Kosovo Macedonia, and Bessarabia can only be seen in part of a joint Turkish-American project. All other joint plans of the United States and Turkey in Central Asia are minor, in fact. Issues, related to the presence of Turkey military machine in the Balkans, the Caucasus and Crimea, are always discussed between the military and intelligence services of both countries. Turkey's position in these regions is much stronger than that in Central Asia. Only the situation in Iran, especially in its north-western regions, can be compared with Turkey positions in the above regions. In 2001, the present minister of foreign affair s of Turkey Ahmet Davutoglu published his voluminous work â€Å"Strategic depth: the international position of Turkey†, in which he analyzed the regional and geopolitical interests and priorities of Turkey; he also put forward a series of theoretical assessments and propositions. After