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Instructions:  rely to each peer in 1 paragraph in lengthand supported with at least 1 peer-reviewed reference (scholarly article) Peer1 : In the first

Instructions:  rely to each peer in 1 paragraph in lengthand supported with at least 1 peer-reviewed reference (scholarly article)

Peer1 : In the first article I came across it discussed, how 582 nurses experienced workplace violence often. In this article it also discusses how this workplace violence can lead to increase nursing burnout (Somani et al., 2021). Being able to feel safe where we work must take priority, and something that needs to change. When facing workplace violence, nurses metal health also is affected. Which is something that is article also talks about. It also suggests that counseling services should be available for when nurses face workplace violence. As well in this article it talks about how workplace violence with affect the quality of patient care and willing to leave the nursing professor as well (Somani et al., 2021).

           Another article I found was about the effectiveness of interventions to help de-escalate violence against nurses. There were three categories in this study. One was stand-alone training for nurses to help educate, also more structed education programs, and a multisystem program within the hospital system (Vincent-Höper et al., 2020).Within the hospital system it talking about creating reporting systems as well as workplace violence training. A big key factor in helping with de-escalation is to have the hospital system to work together, when just having education with nurses it was less likely to have the better effect (Vincent-Höper et al., 2020).

           The last article I found was from the American Association of Critical Care Nurses. In this article it talked about the increase of violence from 2011 to 2018. This article also discusses the importing of reporting the violence, and when nurses were asked why it was not reported most stated “ well nothing will be done”. Another factored included fear of retaliation and how unclear is to report the violence as well (Jones, 2021). One thing I found interesting is how a bill was proposed in the U.S House of Representative against preventing violence against healthcare workers (Jones, 2021). This bill was passed in the house and is under review in the Senate.

           Two realistic solution that could help with violence in the workplace is education. Which is also a common theme in all the articles as well. Being able to understand that violence does not just happen to you is important and know how to report is also a big key factor as well. Another key factor that a leader could implement is being able to be that person to come and talk too when the violence has happened. Being able to be a friend/leader after something like this is important. Being able to use what the articles above would help as a leader and even in your own hospital because as someone in out careers we will probably be exposed to abuse. 

           After looking at The National Academics of Accidence, Engineering and Medicine: The Future of Nursing 2020-2023: Charting a Path to Achieve Health Equity I’m not so sure that my topic is affected by it to much. As I do think it is helpful, I think once the quality of healthcare is better by hopefully using what is in the report, then maybe we will see a decrease in workplace violence.

Peer 2: In many hospitals across America there are waiting rooms full of those who have checked in, waited all day, who become frustrated at staff members due to lack of patient care in the waiting rooms. In many ways technology could streamline these waiting times to ensure a smoother transition from an all day wait time to a few hours depending on how many holds are in the Emergency Room. Kiosks could improve those wait times by showing an estimated wait time for the next available patient. As stated in (Michael, et al., 2023), “kiosks attempt to achieve specific outcomes such as have patient specific information entered into the medical information record to decrease unnecessary input by nurses.” This minute role that kiosks play could speed the process of admission up tremendously.

The next way technology could speed up the hospital system is through ordering imaging based on symptoms shown. In the article (Li, et al., 2021), “we developed an artificial intelligence assisted module and name it XIAO YI. It could help outpatients automatically order imaging examinations or laboratory tests based on their chief complaints.” With these improvements imaging could be completed at an earlier time rather than in the Emergency Room full of others waiting on scans as well and who may have many more comorbidities that triage them as a sicker patient.

Lastly the only way to open beds in a hospital is to discharge patients. Those who have clear understanding, family, or are independent to make their own medical decisions could use an electronic discharge nurse through telemedicine. According to (How Can We Speed Up Discharge, 2022), “with virtual nursing discharge support, a nurse at a remote location focuses on tasks to complete prior to discharge, like education and preparing the After Visit Summary, while a different nurse cares for the patient at the bedside.” With the introduction of virtual discharging nurses are able to care for their patients more while the virtual nurse goes through education and discharge information of other patients.

Each article is most definitely focused on the admission of patients and reducing the waiting times for the Emergency Rooms. Nurse leaders could start slowly with the discharge nurse being virtual and trial that for a few weeks while kiosks are being ordered for the emergency room waiting room where patients can fill out their information electronically. Biometrics would be a big hurdle. During the busy times of day, the kiosks could be used but during the slow times normal triage could remain in affect if needed. Lastly the virtual nurse would have to have someone to roll the IPad or screen from room to room to discharge patients.

I believe that this report could apply to my health care issue. Wait times are such a big struggle in the healthcare industry because patients are coming from air, by personal vehicle and via ambulance. This causes a major crisis, but through designated signage and sign in areas patients could be taken care of more adequately and timely. If beds are not opening then you cannot place patients from unit to unit, which is why it is important to have a discharge RN that is virtual and trained.

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