Economic stability is defined as a domain of social determinants of health in the Healthy People 2030 campaign. It relates to an individual’s ability to access resources such as food, adequate housing, and healthcare. Each component of economic stability, including poverty, employment, food security, and housing stability, is linked to individual health outcomes.

While much of the responsibility for nurse retention has been placed on the administration hierarchy, nurses themselves must take an active role in understanding why colleagues choose to remain in their jobs. Nurses play a vital role in developing and implementing strategies that create an engaging and rewarding work culture. Improving nurse retention also directly improves patient outcomes.

Medical errors and substandard care occur often in today’s complex healthcare organizations. Errors are usually due to multiple factors at the system-level rather than a single factor from an individual. Healthcare organizations that are committed to patient safety are high-reliability organizations. These organizations remain alert for ways to protect patients from harm even though they have few adverse events. This course will offer suggestions for reducing medical errors and maintaining a culture of safety.

This course provides nurses with information regarding safety concerns associated with alarm fatigue along with evidence-based research strategies to reduce the fatigue.

Education access and quality is a pillar of the social determinants of health for Healthy People 2030 (U.S. Department of Health and Human Services, n.d.). This course outlines the effects of education on an individual’s health. The four components of education access and quality include early childhood education and development, high school graduation, enrollment in higher education, and language and literacy.

The goal of this course is to provide nurses and prescribing providers (physicians) in all healthcare settings with best practices to improve their care team approach to patients with depression and anxiety.

The world of legalities, red tape, and ethics can be a daunting one. We have all heard about the importance of confidentiality and trust in healthcare. How do these issues apply to preceptorships? This educational activity addresses integrity in preceptorships and gives you information you can share with preceptees to enhance professional and personal character, confidence, and wisdom in nursing practice. It also reviews important ethical and legal considerations that should be reviewed and incorporated into a preceptorship. The goal of this course is to provide nurses and nurse preceptors in ambulatory care settings with information about integrity, ethical conduct, and legal considerations in nursing practice and preceptorships.

Culture affects how individuals talk about and recognize their mental health symptoms. It also affects how providers conceptualize and work with individuals with diverse backgrounds. It is important to recognize how culture influences the ways individuals and providers approach mental health. Healthcare providers should be encouraged to use interventions and strategies that assist in delivering culturally competent care.

This course will examine the reasons for healthcare disparities among culturally diverse individuals, how both the cultural backgrounds of patients and their providers can impact patients’ mental health outcomes, and what kinds of actions providers can take to provide more effective care to patients of diverse cultures.

This course provides an overview about the safety of patients undergoing a trial of labor after cesarean (TOLAC) to attempt a vaginal birth after cesarean delivery (VBAC). Research evidence has influenced where VBACs are performed, which women are eligible and how the practice is conducted, including the safe use of induction/augmentation medications. The safety of VBAC for mother and newborn always remains the primary underlying principle that guides care.

A case of obstetrical hemorrhage due to uterine atony, requiring medical and surgical interventions and blood component replacement therapy is presented. Emphasis: A review of obstetrical hemorrhage, etiologies, and treatments is provided. The importance of early recognition and response to excessive blood loss is stressed. Medical and surgical interventions for uterine atony are reviewed. Current recommendations for blood component replacement therapy for massive hemorrhage are discussed.

Intrapartum fetal heart rate monitoring is an integral part of modern day obstetrics and when properly interpreted, may provide valuable insight into the fetal metabolic state. During labor, the physiologic stress posed by regular uterine contractions and maternal expulsive efforts may adversely impact the fetal acid-base status, leading to changes in the fetal heart rate pattern.

This module aims to review and apply essential FHR content in several clinical scenarios to highlight an important Clinical Pearl: Management of the laboring patient requires that the FHR pattern trends are interpreted in context with the clinical scenario and progress of labor.

This content is intended for all members of the obstetric team and is based on the educational theory that team performance is enhanced when all members of the team have the same understanding of the task and procedure to be performed.

he purpose of this course is to inform the emergency nurse of communicable diseases, including a comprehensive assessment and appropriate interventions.

The management of the female who presents to the emergency department (ED) in active labor is stressful and overwhelming. Ideally, the ED has a plan in place, based on hospital resources, for the imminent delivery of a newborn. Decisions regarding delivery in the ED or transferring the patient to labor and delivery are based on a variety of factors. Knowledge of the possible complications of delivery will provide anticipatory guidance to improve maternal and fetal outcomes.

Three different obstetrical scenarios, complicated by a Category II Fetal Heart Rate pattern, are presented to illustrate the importance of clinical context when formulating management plans. Emphasis, characteristics, and potential etiologies of Category II fetal heart rate tracings are reviewed. Management of the patient with a Category II fetal heart rate pattern is discussed, with special emphasis on the importance of the clinical context and fetal heart rate pattern evolution.

As defined by the Association of periOperative Registered Nurses (AORN) (2019), the perioperative nurse’s goal is to help patients achieve or exceed the level of well-being they had at the pre-procedural baseline. The nurse is required to have the clinical knowledge, judgment, and clinical reasoning skills necessary to safely plan, deliver, and evaluate care for surgical patients.

The goal of this course is to equip perioperative nurses with knowledge of the nursing process and the roles and responsibilities within the perioperative team.

Healthcare professionals often encounter patients experiencing agitation or displaying hostile behavior during their careers. De-escalation is a set of approaches and techniques used to assist patients in self-calming to avoid incidents of harm to self, others, or property. Professionals should understand escalation and physiological responses to threats. After determining the risk of escalation, healthcare professionals can use various aspects of verbal communication, such as tone and pitch, and nonverbal communication skills to defuse potentially hostile situations and apply the least restrictive interventions. 

HIPAA rules underlie every service related to behavioral health, and they change to meet evolving trends. There are potentially catastrophic organizational and individual consequences if the current HIPAA rules are not followed. This course will help you to identify potential legal and ethical issues related to HIPAA, improve your compliance approach, and develop more effective risk management strategies.

The goal of this course is to assist alcohol and drug counselors, marriage and family therapists, professional counselors, psychologists, social workers, and nurses in health and human services settings in understanding and applying current HIPAA regulations.

As a healthcare professional transporting patients to the ED, you may serve patients with symptoms indicative of behavioral health disorders, such as depressive, bipolar, and anxiety disorders. In some situations, the ED provider must administer psychiatric medications. However, if possible, it is prudent to defer their use until the patient is admitted to an inpatient mental health facility or seen as an outpatient. In many instances, the reason for presentation in the ED is an adverse reaction to psychiatric medications.

Though active shooter events are rare, it is practical and necessary to be well-prepared for the possibility, especially when you work with the public. Between 2010 and 2020, The Joint Commission (TJC) received 39 reports of active shootings that resulted in 39 deaths at accredited hospitals (TJC, 2021). As a result, the Center for Medicare Services (CMS) and TJC require hospitals to prepare for all hazards, including active shooter or hostage events, and to work with their local law enforcement and emergency response agencies to prepare for and respond to active shooter events. Understanding the risks and motivations behind active shooter events, how your body and mind may respond to stress, and how best to prepare for an active shooter event is the best way to protect yourself and others should the unthinkable occur in your facility.

Telehealth offers numerous benefits and poses several challenges when used to treat behavioral health conditions. Many challenges can be addressed through specific problem-solving and communication strategies.

This course provides an overview of telehealth as well as a discussion of both benefits and challenges. You will learn the regulatory issues you should consider when preparing and implementing a telehealth practice. Lastly, this course highlights important strategies to develop rapport and promote engagement when treating clients via telehealth.

Health outcomes are influenced in myriad ways by an individual’s social environment and their community. For example, community is linked to such outcomes as body mass index, homicide rates, and suicidal behavior (Diez Roux & Mair, 2010; Bharmal et al., 2015; Centers for Disease Control and Prevention [CDC], n.d.). Due to these strong influences on health outcomes, the U.S. Department Health and Human Services Healthy People 2030 campaign identifies social and community context as a domain of the social determinants of health. Social determinants of health are external conditions which exist with the potential to affect a patient’s current and future health, often beyond a patient’s direct control. Of particular importance, however, is how this domain fits into the larger picture of the social determinants of health. The elements in the social and community context have been shown to help negate potentially negative consequences of the other social determinants of health (Bharmal et al., 2015).

Whenever a crime occurs, evidence can be transferred among the perpetrator, victim, and the crime scene. Law enforcement personnel collect and preserve crime scene evidence. Healthcare professionals can simultaneously assist with a crime investigation and provide good healthcare to patients by collecting and preserving evidence from the patient’s body. It is imperative to understand that the collection and preservation of evidence from a patient should never compromise the patient’s safety, autonomy, or legal rights. This course provides an overview of interviewing, collecting, and preserving forensic evidence, toxicology, and documentation.

Healthcare workers will often interact with patients who make up stories or memories that are inaccurate, sometimes wildly so. These patients are not lying, they are confabulating. A nurse who knows how to manage confabulation can help these patients. With proper interventions, most patients can stop confabulating or learn to manage the condition. This course will give you a solid foundation of knowledge about and skills to handle confabulation by explaining what it is, who does it, what causes it, and how to manage it.

The goal of this course is to inform nurses in the acute care setting about confabulation and how to assess and manage patients with confabulation.