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Factors that influence communication in healthcare
Factors that influence communication in healthcare
Factors that influence communication in healthcare
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The charge nurse first start to organize their day by know which clients is she/he going to be responsible for the day, she will get report from previous shift about the client’s conditions. The charge nurse also go over the appointments that the clients have that day, or if any client have a special procedure like blood draw, this way she can plan accordingly and delegate if necessary. Once they know how many clients they are taking care of, they would use their past experiences and critical thinking knowledge to decide what client should be assessed first. Knowing the staff that is under her/his supervision, and know their scope of practice, is an important part of charge nurse, so delegation can be done appropriately and patient care can …show more content…
I now know that I need to know each client and their conditions, so I could make delegation accordingly. Time is other aspect I learned how to use, especially when there multiple activities to be done at same time, now I know that is important to know the staff that you are responsible for, and what they could or couldn’t do. I learned how important communication is between the staff, and also with the clients, they appreciate when we show a caring attitude for them. Medication safety was one thing that I was concerned about, knowing that someone other than me was giving meds to the clients made take extra measures such as double and triple checking along with the students that the 5 rights of medication administration was done. I also learned that I need to know ahead if there are new orders, or need a change in old ones, so when contacting the physician they have all the information. Something I was surprise is how the physician asked the nurse for new available treatments and if there any meds that they considered wasn’t doing much for the clients so it could be removed, this prove that we as nurses must be on top of new treatments that are approve for older adults, and do not leave that task just for physicians, they might see several …show more content…
To start knowing what to delegate and what you I do myself is one of them, time management I other skill that I need to improve, which I’m progressively learning during this rotation. Communication is an area that could do a lot of improvement, especially when there is a conflict among employees. In addition knowledge about elderly population and changes that happen with aging and what is not normal part of aging. This clinical rotation showed me that there always room for improvement, even though I still away from being a good charge nurse, this experience somehow prepared me for the future if I have to step up and assume this role as charge
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
Learning these skills will also prepare the student nurses in future to delegate tasks when they qualify and become RN’s. In relation to my nursing practice, when I become a registered nurse, I will assist student nurses in their career by delegating tasks to them that are within their level of competence, as well as making sure that all tasks assigned to them are duly supervised and follow up on the delegated task. I will encourage them to seek clarification where necessary. Providing feedback and praising them for work well done is another thing I would bring into my practice. I will equally inform them through feedback of any task which did not work well and show them areas where they need to improve upon.
The nurse needs to recognize the limitations of each staff member and learn what assignments are within the scope of their practice and what are tasks that need delegation. Delegation is defined as a complex process that requires clinical judgment and final accountability for patients’ care (Weydt, 2010). An assignment is defined as “giving someone else a task within his/her own practice and is base on job descriptions and policies” (NCSBN, 2005, p. 1). The Board of Registered Nursing (BRN) and the Board of Vocational nursing & Psychiatric Technicians (BVNPT) website, lists what duties the RN and the LVN can legally do and is within their scope of practice, this is called the ‘nurse practice act’. A nurse assistant personnel (NAP) or Unlicensed Assistive personnel (UAP) may perform different tasks depending on the state that they reside in, but most include tasks that are considered activities of daily living (ambulating, hygiene, grooming)(NCSBN, 2005). The LVN can perform tasks that the nursing assistant can do, as well as other tasks which include: medication administration (oral, subcutaneous, intramuscular), simple dressing changes, wound care, suctioning, catheter insertion, drawing blood from a patient, and starting an IV and intravenous fluids. IV and blood draws are dependent on the LVNs certification, competence, and
Delegation is generally about communication and accountability though it’s one of the most complex processes in the nursing field. Delegation in nursing was introduced and discussed by Florence Nightingale in the 1800s and has continued to evolve or develop since then. Despite its complexity, delegation is important in the nursing profession because of cost containment, the problem of shortage in nursing, increases in levels of patient acuity, the growth of the elderly and more chronic population, and technological advancements in healthcare. In order for an individual in this field to fully develop the skill of delegation, he/she needs knowledge of his/her own attitudes and beliefs as well as reflection as a critical thinking skill.
Delegation is the being able to pass the responsibility or authority to another person. This act of delegation is important in the outcome of patient care (Yoon,2016). As discussed to be able to have well developed leadership and management skills a good aid of communication has to be developed. In the workplace environment being able to effectively delegate without having appropriate communication skills therefore emotional intelligence the ongoing care of the patient can be threatened and errors can occur. However, being able to effectively do so enable the patient outcomes to be achieved ( Wong,2013). These skills aid in importance as newly graduate nurses receive student nurses to mentor and supervise. Being able to supervise and manage a student nurse contains having a well-developed leadership and management skills ( Jones,2013). The role of a mentor includes assessing and evaluating the students’ performance, providing supervision and having accountability of the students action( royal college of nursing, 2007). This role a graduate nurse must have an area of leadership and management skills. As If these skills aren't developed the student nurse not only will lack mentorship but also the lack of guidance and supervision can impact on the patients care (
Ever since I was in middle school I dreamed of working in the medical field. I realized nursing was the profession for me when my grandfather became terribly sick with lung cancer during my freshman year of high school. It puzzled me that one of the healthiest and most physically active people I knew could be afflicted by such a damaging disease. After watching my grandfather’s suffering and the pain my entire family felt from his death, I knew I wanted to go into a field to help others that are facing the same challenges. This is when I discovered all of the opportunities that a career in nursing could offer me.
Mrs. Denise Callaway (RN, BSN) is my charge nurse at the hospital in rural Georgia. She is a patient advocate. In her interview, she stated that she is a patient advocate first and foremost. She believes that all nurses, RN?s and LPN?s, have a responsibility to advocate for their patients. She admits that she try to put herself in the patient?s and/or family?s place. She was taught to? do unto others? and she has followed that philosophy throughout her nursing practice. Mrs. Callaway always encourages her staff to see the best in the patients. She never sets in an office. She is always out on the unit helping staff, it does not matter if it is housekeeping, and she is always there to lend a hand when needed. She always includes her patients
In Florida, the LPN’s are allowed to administer IV medications. However, it is unclear whether the medications can be pain medications or regular medications only. Along with giving pain medications comes patient education on the medications that are being given to the patient. Besides a doctor, an RN is the only one that can perform this task. It is for this reason that I did not feel comfortable delegating administering of medications to the LPN. I also found it difficult to delegate Ms. Q to anyone other than me due to her unstable blood pressure. I felt I was the only one who should be responsible for this patient. A potential barrier could be unhealthy attitude such as the NAP not wanting to assist a patient with a bedpan and clean up due to it being beneath them. This is a problem that I have encountered on several occasions in the clinical setting. Lastly, another potential barrier would be trust. Trusting the delegated task to be completed correctly with patient safety in mind at all times. If delegation is done correctly, the entire team is liable and “will end up in a worse place they started in” (Ellis, 2015, p. 71).
Prioritizing care is one of the first things that nurses learn in their career. Prioritizing requires critical thinking whether it comes to discharging a patient, caring for a patient, or delegating a task to a LPN or CNA. As the charge nurse they must look at the whole picture and not just the tasks that need to be done. The charge nurse is the one makes the assignments for the individual nurses, so if there happens to be a float nurse from a different department they might give them the patients with the lowest acuity depending on the nurse’s experience. The charge nurse must know which patients could be discharged if there was an emergency to arise or not enough hospital beds for those patients who need to be admitted. For example, the nurse is not going to recommend someone who came in with a heart attack; they would most likely recommend someone who is two days post op and is being discharged to a rehab facility in a couple of days. It is the charge nurses duty to make that everyone providing great and safe care to the patient.
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
First of all as a nurse after going through nursing school we ought to have a better judgement. The utmost goal in the healthcare system is to put the patients’ needs as a priority, which is trying to limit all or most possible adverse effects that are prone to jeopardizing or deteriorating the patients’ health. In this scenario, the charge nurse used a bad judgement of not even considering the importance of listening to reports before making patient assignments for the shifts. The nurse has violated principles of delegation, such as: Right Person and Right Task: The charge nurse did not consider the unlicensed staff’s skills and abilities before delegating tasks to him/her. The charge nurse ought to do a thorough assessment of the individual personnel on her floor to help guide her in making decisions that pertained to patient care. Just randomly assigning tasks to personnel even when they clearly mention that they cannot perform the assigned task due to lack of experience or acquired skills could cause more harm than good for everyone involved. In addition, it was a responsibility for the charge nurse to follow the rules and regulations of her state or agency’s policies when delegating tasks or performing any actions on a patient.
The biggest lesson I learned is that to be a CNL I must commit to becoming a lifelong learner. As a CNL I will promote lifelong learning and professional development (American Association of Colleges of Nursing, 2016). It will be my job to manage a microsystem of patients and monitor their outcomes by implementing the latest evidenced-based practices. Not only am I, as a CNL, responsible for the patients of the microsystem but also for the professionals of the microsystem. This includes being an educator of the staff and interdisciplinary team. This first clinical experience provided me with an excellent opportunity to learn more about the Clinical Nurse Leader role. I must have the willingness to want to learn and the drive to seek further knowledge independently as I progress through the program. My goal is continue to learn and grow as a future CNL every day and take on new challenges at my new clinical site so that I can obtain the best learning experience
For the past five plus years I have held the position of Nurse Manager of an inpatient Medical and a Rehabilitation unit. Part of my duties include operational oversight of both departments. I have had the good fortune of working alongside of and reporting to some excellent role models and mentors in operation management. Most recently is my supervisor and the Chief Nursing Officer (CNO) for Sacred Heart Medical Center at University District, Ben Farber.
The nursing profession has changed drastically over time. The roles and responsibilities that nurses take on have increased and become far more complicated. Nurses are managers, leaders, supervisors and have become experts in many areas of care. Every day nurses are faced with the task of improving and strengthening professional leadership within their work environment. Managing good quality and eliminating risk is the major challenge in health care. All members of the team must work together to accomplish outstanding patient care. Budget cuts and nursing shortage in all areas of health care leads to less licensed staff, where use of unlicensed personnel have been used widely, where delegation is not an option, but a necessity. Nurses must be aware of delegation guidelines, what tasks to delegate,when to delegate for the safety of patients, liability of nurses and the facility.
DEVELOPING THE SKILLS OF DELEGATION OF DUTY BY NURSE MANAGER SIGNIFICANCE OF THE CONCEPT Delegation of duty is an important skill necessary for effective management in any organization, nurse managers require this skill to function properly, delegation of duty is a complex skill and it requires specialized clinical judgment to effectively delegate duties. Nurse Managers are required to understand the needs of the patients and family in order to delegate a care giver capable of rendering the required service. The skill of delegation is as important as the skills of patients care in the nursing profession. Delegation helps to relieve the nurse manager of some burden and allow the nurse to focus on other important aspect of care of the patient,