Discussion Question Directions – The way all discussion questions (DQ) will be answered.
1. For this assignment, you will participate in the discussion with your classmates. APA format, the initial response requires a minimum of 2 scholarly references (textbook included: McGonigle, D. & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Choose one (1) of the following discussion questions for your initial discussion.
1. Twelve-hour shifts are problematic for patient and nurse safety, yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report on studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts experienced more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were the age of 24 years or younger, less than four years of nursing experience, working in surgical intensive care units, and working for more than 8 hours. As a clinician reading these studies, what would your next step be?
2. The use of heparin versus saline to maintain the patency of peripheral intravenous catheters has been addressed in research for many years. The American Society of Health System Pharmacists (ASHSP) published a position paper in January 2006 advocating its support of the use of 0.9% saline in the maintenance of peripheral catheters in nonpregnant adults. It seems surprising that this position paper references articles that advocate the use of saline over heparin dating from 1991. What do you believe are some of the barriers that would have caused this delay in implementation?
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