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An essay on steps of project planning
Outlined importance of communication skills in health fields
Importance of communication skills in health care services
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Recommended: An essay on steps of project planning
...We have accomplished everything that we set out to do for this project. We constructed an outline of our project to help guide us through the process. Five research articles were found regarding communication during transfers. We then used these articles to help put together a survey that was sent out to the MED/SURG staff to evaluate their feelings regarding current transfer systems and what they considered to be key components in transfer communication. Surveys were collected and analyzed with the help of Survey Monkey. The research articles that we found along with survey results aided us in finding and fine-tuning a tool that was presented to Robin, the MED/SURG supervisor, for approval and eventually distribution. Our method of approach …show more content…
We set up a meeting with Robin Burse, the Nurse Supervisor of the med/surg floor, to gather information on the current process of the facility regarding patient transfers. Then, we created a survey to better analyze the current handoff process utilized by nurses on the floor as well as what constitutes pertinent information needed during patient handoffs and transfers (Boat & Spaeth, 2013, p. 2) (James, Quirke & Mcbride, 2013, p. 299). According to Robin there was no standardized tool or policy on the transfer of patient information when sending or receiving patients between units. The nurses on the floor seemed to be indecisive as to what constitutes as pertinent information as well as their view of how well their current process of transferring patient data between nurses …show more content…
This made many nurses and the nursing management frustrated with the inconsistency of information that was being transferred with the patient and the potential compromise in patient safety. “…[A] standard approach to handoff communications is included among JCAHO’s national patient safety goals, as is the reconciliation of medications at care transitions.” (Kripalami, 2007, p. 831). From our survey responses and our meetings with Robin we compiled the data collected along with management input and research findings. All of these avenues gave us a direction in creating a concise, efficient, mnemonic hand-off tool for Med/Surg ICU
4). Examples of how nurses can integrate this competency include; using current practice guidelines and researching into hospital’s policies (Jurado, 2015). According to Sherwood & Zomorodi (2014) nurses should use current evidence based standards when providing care to patients. Nurse B violated one of the rights of medication administration. South Florida State Hospital does not use ID wristbands; instead they use a picture of the patient in the medication cup. Nurse B did not ask the patient to confirm his name in order to verify this information with the picture in the computer. By omitting this step in the process of medication administration, nurse B put the patient at risk of a medication error, which could have caused a negative patient
Identifying the handoff practices currently in use will demonstrate the endeavor to examine options and recommend approaches for the future. Diverse forms of handoffs at different occasions for a large group of physicians, medical residents, nurses, allied health professionals and student clinicians from different disciplines have created inconsistencies. Besides, the bedside shift report has impacted patient and family satisfaction with the continuum of care. Examining a number of models, protocols, tools, standards and trends concerning patient-centered handoffs will highlight implications for the best practice. Recommendation for safer and more effective handoffs to improve practice and reach sustainable outcomes will be discussed to promote multidisciplinary approaches for patient-centered care. The transfer of critical information and accountability for patient care from one clinician to another is an essential component of communication in
nurses who frequently enhance the communication problems in discharge planning, and who strive to improve the working relationship, collaboration and who use the teamwork approach to patient and family centered discharge planning will greatly reduce patient readmission (Lo, Stuenkel, and Rodriguez, 2009, p. 160). Lo, Stuenkel and Rodriguez (2009) emphasize that an organized and well prepared discharge planning, education of patients with multilingual services and use of different methods of teaching greatly improves the patients’ outcome (p.157). These include an experienced and well-taught phone call follow-up sessions after discharge along with ensuring the extension of adequate postoperative care. Another way nurses can deliver a planned discharge is by providing a direct checklist for patients and families to follow. One must understand that these approaches will help the staff, nurses and other health care providers to develop the safe patient transition to home.
This systems limits patient involvement creates a delay in patient and nurse visualization. Prior to implementation of bedside shift reporting an evidenced based practice educational sessions will be provided and mandatory for nursing staff to attend (Trossman, 2009, p. 7). Utilizing unit managers and facility educators education stations will be set up in each participating unit. A standardized script for each nurse to utilize during the bedside shift report will be implemented to aid in prioritization, organization and timeliness of report decreasing the amount of information the nurse needs to scribe and allowing the nurse more time to visualize the patient, environment and equipment (Evans 2012, p. 283-284). Verbal and written bedside shift reporting is crucial for patient safety. “Ineffective communication is the most frequently cited cause for sentinel events in the United States and in Australian hospitals 50% of adverse events occur as a result of communication failures between health care professionals.” Utilizing written report information creates accountability and minimizes the loss in important information during the bedside shift report process (Street, 2011 p. 133). To minimize the barriers associated with the change of shift reporting process unit managers need to create a positive environment and reinforce the benefits for the procedural change (Tobiano, et al.,
Clinical handover is a form of communication in the clinical setting which allow nurses to plan and prioritize patient care and manage their workload effectively. Clinical handover encompasses the exchange of patient information from one shift to another and it has been known for benefits such as being a platform for exchange of opinions amongst nurses, expression of feelings, teaching and learning. Bedside clinical handover was reported to be a patient-centred initiative that enhanced the standards of healthcare and reduced adverse events in the healthcare setting. The implementation of bedside clinical handover was found to be time-effective, reduced the risks of error and enabled nurses to spend more time with their patients.
The first article is, Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Chapter 34 “Handoffs: Implications for Nurses”, this article is applicable not only to my unit, but every nurse in the profession. It is imperative that the translation of patient information from one person to the next during shift change, patient transfer, or transfer to another facility is clear, accurate, understandable, and complete conveying all pertinent information about that patient. The article discusses why we have problems with handoffs, and different methods for handoff styles. There is no specific hand-off tool that is universal. With that being said it is important that research continues so that possibly in the
Quality care: every patient expects it each time they interact with healthcare professionals. It is the corner stones the patient experience by laying a foundation for every interaction that takes place in the client and provider relationship. Many times it is assumed quality develops fluidly through this relationship, but what if quality care, more specifically patient safety, began before the healthcare team even walked into the client’s room? The article entitled “Patient Handoffs: What They Are and How They Contribute to Patient Safety,” by Tamara M. Kear, Ph.D., R.N., and consultant for the National League of Nurses, discusses a critical breakdown in communication during patient handoffs. This breakdown impleads a provider’s ability to provide a safe, quality experience for each patient.
It is essential for a nurse to be able to demonstrate and practice professional communication skills, provision of information and handover to provide a holistic approach to treating and caring for patients. Professional communication skills not only allows the nurse to provide different methods and tactics to communicate with patients of different needs and ages, but it enables the nurse to understand and to give the best possible care and outcome for the patient. Provision of information and handover is another major point for nurses and relates to professional communication. Nurses need to be able to get a detailed diagnosis from the patient through communication, and therefore allows for the nurse to handover vital information to other doctors or nurses who take over to provide the correct and best possible treatments and care. The nursing profession requires a nurse to uphold professional communication, provision of information and handover in order to care for the patient with the right treatment, and to provide the best health outcome.
Firstly, Nurses must develop the right communication tools when dealing with their patients. For example most nurses do bedside reporting, before they change their shift in the morning, therefore they would be relaying information to the other nurse about the patient they dealt with during the night. The nurse that is going off shift would give a report to the incoming nurse in the presence of the patient. He or she has to discuss the condition of the patient, medications and the procedures so the next nurse would be on the same level. Most nurses in the General Hospital do their reporting by the bedside of their patients.
Although those tasks are not done at the same time by each nurse who has a specific patient, it requires clear communication and making an effort for the benefit of other team members. For example, a hand off report is very important so that the continuation of care from nurse to nurse can transition smoothly with each shift. That means that each nurse should make an effort to gather all pertinent data about the patient’s status, orders or procedures to anticipate, and anything that will help the nurse coming on to provide good care without having to jump through hoops to figure out what was done and what should follow. The other way in which nurses help each other is by maintaining their documentation as clear and thorough as they can. Not only does it paint a picture of where the patient is at that moment, but it also provides a safety net for legal
Also, includes examples of nursing hands off that will be implemented, such as including the patient at the bedside. Having small trainings to provide information that will be needed to implement this, being sure all the important parts are cover, such as vitals, assessment, labs, and medication. Using online aids to help assist, providing additional information to those who need it.
In the health care industry, gathering information in order to find the best diagnosis route or even determine patient satisfaction is necessary. This is complete by conducting a survey and collecting data. When the information is complete, we then have statistical information used to make administrative decision within the healthcare field. The collection of meaningful statistics is an important function of any hospital or clinic.
Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D. M. (2012). Bedside Nurse-to-Nurse Handoff Promotes Patient Safety. MEDSURG Nursing, 21(3), 140-145
The Institute of Medicine (2010) states; care within the hospital continues to grow more complex, with nurses having to make critical decisions associated with care for sicker, more frail patients. This requires that the nurses use more sophisticated, life-saving technology coupled with information management systems that require skills in analysis and synthesis. 6 East Transplant has many complicated patients stemming from insurance policies to evidence
The nurse communicates with doctors, respiratory therapist, nurse practitioners, social workers, nurse technicians, co-workers, the patients, and the families. To provide quality patient care, communication has to precise and understood. Situation, Background, Assessment, and Recommendation (S-BAR) when giving report on patients or collaborating with members of the healthcare team is a resourceful tool. Another quality improvement tool I saw during role transition was the use of an interpreter for nonspeaking English patients. This was very resourceful when communicating patient’s needs and care.