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Patient safety in nursing practice essay
How does patient safety affect nursing
Patient safety in nursing practice essay
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1) Model the way: As mentioned above, I found the issue of inadequate knowledge regarding ICU medicine among the new nurses. Therefore, I raised the voice regarding the proper education, orientation and supervision to the new nurses until they can do work independently. Model the way is about changing the self to change the environment, it is about believing on what we do (Hutchinson and Jackson, 2012, pp.25). Therefore, I had faith on myself that change is necessary and I can change the situation by believing in myself. So, I started to change my opinion and strongly stand to provide training and education program for the nurses. There are two commitment of the model the way: Clarify values by finding your voice and affirming shared ideals …show more content…
The orientation pathways help the new nurses to use the framework for integrating the theory and skill resulting the patient centered care (Squires and McGinnis, 2013, pp.43). This suggest that the effective orientation helps to upgrade the knowledge and skill of nurses. As there was not proper system of orientation to new staff, I imagined my organization with proper step of orientation, training and in-service to new staff which will decrease the conflict.
b) Enlist others in a common vision by appealing to shared aspirations: While asking to other senior staff they had a same problem with the new staff and agreed in my plan.
3) Challenge the process: leader don’t sit at the corner and wait for fate to change the situation. They change the system by knowing their abilities. In my case, I knew there was an issue of inadequate nurses’ knowledge regarding ICU medicine and there was no proper orientation. So, I challenged the management system that the change is necessary to reduce the conflict and upgrade the knowledge of nurses. Because the medication error can lead to the death of the patient and whenever there is inadequate nurses’ knowledge and situation of medication error then they violate the value that the first do not harm the patient and may fail to regain the trust from patient (Wolf, 2013, pp.16). To minimize this risk, I tried to challenge the system that the orientation program is necessary. It has two
In the conflict presented in New Graduate Nurse Orientation, we see that there is a new hire to the floor. Recently graduating from nursing school Helen really wants to fit in with the fellow nurses on the unit. Helen wants to belong to the unit as a whole and is looking to her preceptor Ashley as they one to help facilitate not only her transition from nursing school to the unit, also the transition to being a part of the unit through the camaraderie of the fellow nurses on the unit. What Helen begins to learn is that there is a hierarchy on the unit, which Ashley is in the so called “in crowd”. Throughout Helen’s orientation, Ashley is constantly on her cell phone dealing with personal issues, or a way from Helen when she is need of guidance with alarms and equipment that she is unfamiliar with. Helen being new did not know what she needed or did not need in orientation. When approached by a more seasoned nurse that is not in the “in crowd” as to
The key stakeholders for this system change, and to help implement the strategy on providing new patient navigators would be the financial director, chief nursing officer, floor nurses, the hospitalists, and a group of patients and their family. Identifying the key stakeholders is important because with providing new services to a health care facility this group of people will be responsible for accepting the strategy to put in place which includes adding a new job title, approving the salary and the number of people to be hired, on down to how each navigator will be trained and oriented. Although the patients and their may not have much choice in the beginnings of the process of the system change, they can have a say and impact on helping in figuring out the role, and where there are gaps in the care during stays at the hospital, as well as helping in the interview process.
The short story “Orientation” by Daniel Orozco is a unique story. Orozco never introduces the narrator or the audience. The story appears to be, just as the title specifies, an orientation for a person entering a new job. The story, however, delves deep into the lives of several employees throughout the story. The lives of these employees and their interactions become the most important part of Orozco’s work and the main character that is being spoken to becomes an unimportant observer in an intricate atmosphere.
Vincent nurses, provides a framework for professional nursing practice guided this research. As the business of healthcare is about taking care of people, the model starts with the patient, and their family, as the central focus. Surrounding the patient, are the concepts of mind, body and spirit, which cause us to think holistically regarding the care provided. Finally, the core values/ faith based practices, guide us in managing our patients in a way that is consist with our culture/ values, supportive of our professional growth, encourages the use of best practices, that result in better outcomes, and makes us productive in a way the encourages giving back outside the hospital as well (Stone, 2011).
In an IPU, a dedicated team made up of both clinical and nonclinical personnel proves the full care cycle for the patient’s condition (Lee & Porter, 2013). The first priority of understanding the patients will be to meet the needs regardless of the situation so they will find pleasure and security of allowing the Caring Angel Hospital to continue providing services for themselves and family members. When the patients are taken care of, it will definitely reflect well on the organization’s business reputation. Therefore, the medical attention and the responsibilities that are provided to the patients should not lack the quality, value, or image of what each individual patient needs for their
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”.
We are not only responsible for patient care, but we are also included in many other roles. Before nursing school, I thought that the main responsibility of the nurse is to take care of patient. During nursing school, I learned that patient care was not the nurses known just for. We took many general courses and nursing course work to prepare ourselves to be an educated member. For example, it was required to us to take microbiology, anatomy, leadership, professionalisms, etc to help us to become a better nurse and have a foundation base of education. We give patient care in the hospital, but we are also provider of care. We use the nursing process to help and make decision for our patient. Our decisions are based on critical thinking, clinical reasoning, and accountability. We are hold accountable for everything we do and based on our judgment to provide care to the best of patient’s benefit. We are also known for our role as a manager, designer, and coordinator of patient care. I plan and coordinate patient’s care based on their health care needs. In clinical, my patient has a Foley catheter, I will know to plan and implement Foley care to help with personal hygiene and preventing infections. It is important to make decisions based on priorities, time, and resources. As nurses, we need to know how to delegate and ask for assistance when needed. For example, I needed help to ambulate my patient who has a total knee replacement, I then ask
The field of nursing is both a science and an art. New nurses graduate with, at least, acceptable basic competence. They are expected to have the ability to effectively communicate and make decisions in a complex environment with multiple demands on their practical comprehension. However, they usually lack the experience to apply this learned theory. This limited knowledge results in anxiety and difficulty in transitioning from the role of student to leader. How these students can best learn these skills is a topic that has come under considerable debate. We know that most become overwhelmed with multiple tasks and not able to prioritize with critical thinking in a fast pace acute hospital. This begs the questions: How do we make that transition phase easier for them and the staff around them? How do we get the doing and thinking to intertwine together? The article, Coaching for competence, gives one example of how to foster critical thinking skills in novice nurses as well as establish a culture that would help its entire staff to grow and excel together.
This document will depict my own philosophy of nursing. I will describe why I chose to become a nurse, those who influenced me, my views on the “core” of nursing, my values and beliefs in regards to my patients, their family members, my peers, and myself as a nurse, I will then share my goals and visions for myself in the future.
Some aspects of the nurse’s job have been made easy and facilitated with the aid of other well trained professionals within their working environments. According to the American Nurses Association (ANA) (2012), registered nurse’s performance has greatly improved over the years as a result of their coordination and partnership with the health care system with other health care providers. As a result, registered nurses are today seen to occupy important leadership positions in the healthcare system and they participate when they are making decisions for patients as well as for other
Education for registered nurses provides significant benefits to the nursing career and therefore, it is imperative. As a registered nurse, education has influenced my practice at the hospital considerably. One of the major areas influenced by education is caring for patients. As a nurse, caring for patients is one of their primary responsibilities. Education for nurses emphasizes the need to show care and empathize with the patient besides providing competencies and knowledge for the nurse clinician (American Associations of Colleges of Nursing, 2014). While care is something intrinsic, educators strategize on learning situations and teaching designs
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
The article was complicated, but it helped address the learning patterns and what a nurse needs to know in their practice to better themselves and provide the best care for a patient. By acknowledging the patient as a person, applying science based practice, using artful skills, and ethically providing care to a patient, the nurse extends their patterns of knowing and forms their knowledge base.
Nursing is a medical profession that involves the care and management of patients majorly in the hospital setting. This paper seeks to illustrate the fact that nursing is both a science and an art. Nursing is a science because it involves evidence based practice, education of the public, lifelong learning for the nurse and administrative roles that are allocated to the nurses. Nursing is also an art because nurses depend on intuition, have the capacity to promote positive change, are understanding and culturally sensitive.
Profession of Nursing is always regards as a complex, dynamic and noble. The nursing profession requires many things such as hard work, a vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine .The present patient statistics poses, nurses are expected to take responsibility of accomplishing the requirements. The requirement for excellent nursing skills is added as well as well-formed skills in different aspect. Because of the high demand in excellent nursing care, the IOM have declared the recommendations for the future of nursing.