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Patient safety in nursing practice essay
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I was a nurse at government hospitals. I am served for thirteen years. I graduated from nursing college under the government. Five years of my served, I take course oncology post basic. I take care of patients receiving palliative chemotherapy and completely palliative patients. My ward has six nurses have a diploma in nursing and six health care assistants. My ward has eight beds. My work schedule is based on a shift. Three times a daytime. In my workplace as a learning environment I find three areas for improvement. Heavy workload gave me improve my workplace. However, Esther Kirby (May 2014) explains if each patient received one intervention taking about thirty minutes, then the eight hours working day shift is easily failed because …show more content…
This situation can occur, such as the patient lack of attention, then patient fall and it is probable that the patient will die because nurses are slow to act. Nicloe Favell, Deddie James and Cecil Elwood Holland (2012) explain patient safety be affected by the deficit of nurses, staff while may be a stressful and unhappy because neglected work of patient. Poor team work gives me to improve my work place. Team work is very important in patient care. According Jeninifer ward (Jan 14.13) teamwork is emphasized and valued every member work together to improve patient care. Reflective practice can improve the quality of nursing service. Reflective practice can advance critical thinking, enhancing professional nursing. According by Oelofsa N (2012), explain the reflection practice is an essential skill for nurses impact their patients fundamental health and well-being needs on a daily basis. I want to give Gibbs the reflection model …show more content…
In addition, patients can also get infected nosocomial if treated do not follow procedures. This situation is explained by Pasacale Caryon (2005) and Giddens J. F (2013) says heavy nursing workloads adversely affect patient safety. Lack of teamwork nurses leaving the profession negative effect on the quality of patient care, safety issue and unresolved conflict.
Analysis.
Based on the events, I can say that all this happens because there are no planning before starting the job, other than that I also do not know how to manage time according to the circumstances and needs of patients. Similarly, the less communicate with other staff makes teamwork is not effective. I think while there are to load in necessity and patient safety must come first. Making something in the real procedures is essential in maintaining safety patients mainly from the get infected nosocomial.
Action
The stakeholders that are affected by the nursing shortage and nurse retention are the patients, the nurses themselves, the organization, and the payer. Nursing shortage and nurse retention has the biggest impact on the patients and their health. Knudson (2013) states that there is a correlation between nurse staffing and patient outcomes, failure to rescue, and patient mortality rates. Quality of patient care that the nurses offer their patients suffer as an effect of these issues. Patient suffer from lack of care, bed sores, falls, and medication errors when nurses are overwhelmed and stressed due to the nurse patient ratio being so high.
Freshwater, D., & Johns, C., (2005). Transforming nursing through reflective practice. ( 2nd ed.). (pp.101).Oxford: Blackwell.
Poor staffing stresses every nurse and makes them despite what they once loved to do. Nurses are overworked and because of that they may not provide adequate patient care.
Evidence shows that nurse to patient ratios impacts patient safety. The analysis titled "Nurse-to-Patient Ratios Must Increase to Improve Safety" was chosen for review as possible research material for my chosen health care topic of nurse to patient ratios (Duffin, 2012). The analysis is a concise glimpse of the problems that occur with high patient loads and those that suffer because of it. However, the analysis is just that, a glimpse. It is too short to provide any substantial new evidence or add to any existing research on this topic. This essay will evaluate the targeted audience or discourse community as well as the author's relevance or kairos in the writing of this brief analysis.
Factors such as, heavy workloads, stress, job dissatisfaction, frequent medical errors, and intention of leaving the job are all common for nurses to experience, especially during the nursing shortage crisis. Not only do the nurses suffer during a shortage, but the patients ' health outcomes suffer even more. For instance, there are higher rates of infectious diseases and adverse patient outcomes, such as urinary tract infections (UTIs), upper gastrointestinal bleeding, shock, pneumonia, prolonged hospital stays, failure to rescue, and mortality. As a result, this leads to higher re-admission rates for patients. Furthermore, high patient-to-nurse ratios cause heavy workloads due to an inadequate supply of nurses, an increased demand for nurses, a reduction in staffing and an increase in overtime, and a shortened length of stay for patients. Without the heavy workloads that nurses have to endure on a daily basis, there would more time for nurses to communicate more effectively with physicians, insurance companies, and patients and their families. Those heavy workloads are the result of hospitals reducing the nursing staff and implementing mandatory overtime policies just to meet unexpectedly high demands. Unfortunately, the nursing shortage has affected nurses ' mental and physical health. For example, the most common health concerns for nurses include cardiovascular health, occupational injuries and illnesses, and emotional and physical exhaustion. Therefore, safe-staffing ratios/levels have to become the main
Health care organizations are focused on providing high quality and safe patient care. There are numerous organizational factors that may directly affect patient care and outcomes, but one of great importance is nurse staffing. Low nurse staffing levels are a major problem that I have encountered during both my clinical and management experiences. There is a significant relationship between inadequate staffing levels and adverse patient outcomes; however, as I observed during my experiences, there may be increased awareness about this issue, but it has not been sufficiently addressed. In order to ensure patients’ safety and positive outcomes, as well as to improve nurse satisfaction, it is imperative to effectively address low staffing levels.
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
Nurse staffing ratio is an ongoing issue in healthcare. For some units, it is a temporary problem until more team members are hired. Unfortunately, for others it is an everyday challenge that must be addressed. Nurse staffing ratio is usually based on number of patients a nurse should be responsible for during a shift. Unfortunately, not having enough staff is a safety concern for both the patients and the nurses. Therefore, addressing this topic should be a priority for nurse managers and leaders. According to Vantage Point (2009) a patient has a greater chance of dying while in the hospital when nurses have to care for more patients than recommended. A heavier workload will not result in
Reflective accounts help nurses become more self-aware and develop a deeper understanding of themselves. Through reflective practice, the nurse can develop skills such as critical thinking and a greater understanding of interpersonal relationships (Sommerville, 2004). Reflective practice can increase the quality of care and promote good practice.
Patient safety is a large concern for practices, nurses and doctors. There are many tasks and precautions that can be taken to prevent accidents in the work place, whether it involves patients or not. Florence Nightingale once said “The very first canon of nursing, the first and last thing on which a nurse’s attention must be fixed is to keep the air within as pure as the air without”. This quote is argued to be an analogy for keeping the patient safe and to return them to the same condition as before they fell ill. Patient safety is one of many top priorities in a nurse’s creed, right next to caring for the patient and returning them to proper health. It is the nurse’s responsibility to keep the patient as comfortable as possible. This has
A high workload has negative implications for nurses as well. Consequences of heavy workload include stress, burnout, and dissatisfaction, thus affecting motivation for quality patient care. Furthermore, nursing overload was also associated with increased absenteeism (as cited in Fasoli & Haddock, 2010, p. 2).
2016, p. 4573). Issues arising from nursing staff shortages are the impact of quality and continuity of care, organizational costs, and the effects it has on a nurse’s role in patient safety. According to Dhillon (2012), “areas of relationship between nursing workload and patient safety that show nursing workload that can, directly or indirectly, affect patient safety are time, motivation, stress and burnout fatigue, errors in decision making (attention), … and systemic/organizational impact” (p. 113). These diverse areas are all interconnected and result in downgrading the care provided to any client. For instance, errors arise when time is not permitted for nursing staff to double check medications. To augment, in British Columbia (BC) specifically, the average age of registered nurses is 44.5 (Canadian Nurses Association, 2016). This statistic supports the main focus of nursing shortages, as most nurses are progressing towards the ages of retirement; however, the demographic for inflow of new professionals is only nine percent (Canadian Nurses Association, 2016). According to Dhillon (2012), aside from lack of staff, the amount of in-patients admitted to hospitals currently is becoming overwhelming, increasing responsibility in shorter periods of time. These factors contribute to decrease in the overall provision of a patient’s
The case study focused on a nursing student named Jane, who described how she “absorbed her patient’s emotional trauma like a sponge” (Rees, 2012, pg. 321). Through reflective practice, Jane claimed she was able to “deal with the emotional challenges such as fear she frequently felt in practice” (Rees, 2012, pg. 321). Dr Rees findings established how reflection can help nurses manage their emotions, in order to help the individual gain strength to overcome emotions brought about by the practice of nursing. Clearly reflective practice assists a nurse in being a success throughout their
Especially since nurses in the course of their day-to-day work need to be able to act autonomously and make appropriate clinical judgements (9). Reflection can be of value in making sense of difficult situations, as it allows one to clarify the situation for themselves and the outcome is to have a changed perspective which enables the nurses to improve his or her clinical judgement (2). Thus why, it is imperative nurses engage in lifelong reflection which recognises its value for professional growth and development and improvement in the quality of patient care (7). The Gibb’s model of reflection, for example is a great tool that nurses can use daily to help improve these skills.
Anything could go wrong at any time. No matter how minor or severe, it only takes a matter of seconds and a life could be lost. Whether a nurse is in a hospital or home it should all still be taken sincerely. If you think nurses only work in hospitals you’re very wrong. There are various places a nurse can work. Somewhere around 60% work in hospitals, the other 40% are in nursing homes , schools, offices and community centers. Depending on how you want your workplace to be along with who you would like to work with. Some would rather work with old disabled people while others prefer helping mentally handicapped chi...