Collaborative decision through shared governance
Collaborative decision through shared governance is very crucial for achieving the quality of patient care, improving the collaboration and good working environment, optimize job satisfaction and improving retention among health care team(Anthony, 2004). It promotes the problem solving and accountability by working together to make a decision that is directed toward patient’s health status and nursing practice. In addition, shared decision-making process improves the communication, diversity and creativity in health care field. This paper will discuss about the functions of collaborative decision making committee, role of attendees and the observations of interactions among the members of committee.
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Meeting was about improving the patients’ life satisfaction and health care outcomes through quality of care with respect, dignity, courtesy and others. Functions of the committee were, explaining the purpose of meeting regarding quality of patient care and it’s effect on patients’ health status, Employees job satisfaction and others, delegating the task among committee members. In fact, we developed a plan to carry out responsibilities, goal and objectives of committee. All the attendees had great role in facilitating the meeting through critical ideas and experiences to promote the quality of care. It is most important to have an ideas and opinions of all members, which “places authority, responsibility and accountability for patient care with practicing health care team”(Massachusetts General Hospital, n. d). All the attendees were actively participated in reviewing the new policy for patient care. Committee reviewed whole policies and procedures regarding patient care, safety measures, quality of patients’ life such as, infection control, prevention of skin breakdown, fall prevention, exercise program, cultural and religious activities and others. Also, they provided feedback on policies and procedures. In addition, all the attendees took the responsibilities of new policies and procedures to be carried in to the
The government controls and regulates healthcare somewhat because healthcare organizations are in a position to take advantage of the elderly and sick so there are regulations that protects them. It seems as though healthcare facilities are being paid less for their services today. Some critical measures for the survival of a healthcare organization are to optimize performance and quality. Finding system-wide efficiencies and cost reduction healthcare will help. In order to get better and keep high quality and performance while still raising reimbursements, it is necessary and important to involve doctors with the ideas and plans for any management strategies.
St. Michaels, as with most hospitals, surveys their patients on numerous topics concerning the care they received. St. Michael’s is required to report on some of the topics, including Patient Satisfaction. From the 4th quarter of 2011 through the 1st quarter of 2014, St. Michael’s received consistent results of over 90% Patient Satisfaction. As an employee of an Academic Medical Center, I can confirm that these results are excellent. Based on this information, the care that St. Michael’s provi...
Clinical decision making involves the gathering of information, awareness, experience, and use of proper assessment tools. The term is often used when describing the critical role of nurses. The process is, therefore, continuous, contextual, and evolving. Authentic practices and experienced people are required to offer guidelines when needed. Effective decision making in clinical environment combines skills such as pattern recognition, excellent communication skills, ability to share, and working as a team, reflection, use of the available evidence and guidelines as well as application of critical thinking. A Clear understanding of this term contributes to consistency, broadening of the scope and improving the skills. However, this paper aims at providing an opinion on clinical decision making and how it is connected to nursing practices.
The medical secretary, registered nurses, licensed practical nurses, and physicians communicated consistently and appropriately so that all staff could effectively complete the actions required of their respective roles. I noted the strong relationship between the nurses and the physicians. The nurses held a heavy influence on the physician’s decisions regarding a situation, because the nurses were the ones conveying pertinent information related to the patient’s status. Based on the information provided, the physician would make recommendations and provide guidance to the nurses. The physician’s directions were then carried out by the nurse, influencing the nurse’s plan of care for his/her
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
It’s very important that the units that are supportive of evidence based practices instill the idea of the patients being as important as family members or close friends in order to carry out the best practice. These would be good areas for individuals of the team to reflect during meetings. What is means to care for patients as a close friends or family members and what areas they can improve their practice; For instance, long term care nurses taking the time to ensure that all of their bedridden residents are turned every 2 hours to prevent bed sores.
these formulate the basic fundamentals of patient care, with the patient’s care being the first concern (General Medical Council (GMC) 2012).
This paper will discuss three theories of decision-making that can be adopted in nursing practice, additionally how decision-making theories are able to be implemented and used. Decision-making in nursing is adopted through the critical thinking process that provides each nurse a model to make the best choices, solve problems and to meet goals in clinical practice (Berman & Kozier 2018, pp. 199-200; Levett-Jones & Hoffman 2013, pp. 4-5). Effective decision-making in nursing is a vital component and part of the role of a registered nurse; each year a substantial number of patients die due to medical errors and poor decision-making (Levett-Jones & Hoffman 2013, pp. 4-5; Nibbelink & Brewer 2017, p. 3). Through the use of effective decision making
According to the World Health Organization, Collaborative practice in health care for instance nursing, occurs when numerous health workers from various professional backgrounds provide comprehensive services by working together with patients, their families, care-givers and communities to deliver the best quality of care across settings (CAN, 2011). The elements of collaborative practice include accountability, responsibility, communication, assertiveness, co-operation, co-ordination, mutual respect and trust. These interactions reveal a blend of professional cultures, which are achieved by sharing of knowledge and skills to improve the care of the patient (Bridges et al, 2011). The video I watched was on Collaboration-Interprofessional Competency.
The main objective of healthcare professionals is to provide the best quality of patient care and the highest level of patient safety. To achieve that objective, there are many organizations that help to improve the quality of care. One of the best examples is the Joint Commission. Unfortunately, the healthcare system is not free from total risks. In healthcare activities, there are possible errors, mistakes, near miss and adverse events. All of those negative events are unfortunately preventable. But, it is clear that errors caused in healthcare thousands of deaths in the United States.
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
The demands on health care providers to provide the best quality care for patients is increasing. With added responsibilities and demands on our health care workers, it is hard not become overwhelmed and forget the reason and purpose of our profession. However, there is a way where all professionals can meet and come together for a common cause, which is the patient. A new approach in patient care is coming of age. This approach allows all health care professionals to collaborate and explore the roles of other professions in the hope of creating a successful health care team. This approach is referred to as the Interprofessional Collaboration Practice (IPC). To become an effective leader and follower, each professions will need to work together
A health care system exists to address the health care issues of its community. To do so equitably it must recognise, plan for and implement necessary changes to cater for the diverse needs of the community. It is when the community engages in dialogue with the providers of health care that the specific needs are revealed and can then be planned for and implemented. However it is often those who have no voice in the community who have the greatest need of health care. Their lower socio economic status, as well as their lower educational levels, deters them from accessing appropriate health care. Consumer participation is one way to address this lack of representation.
Sitzia, J., Wood, N.. (1997). Patient satisfaction: A review of issues and concepts. Social Science and Medicine. 45 (12), 1829-1843.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.