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Factors that promote effective communication in the health system
Factors that promote effective communication in the health system
Communication in health care industry
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The coronary care unit (CCU) has an opportunity for improvement related to safe communication. According to a literature review by Kear (2016) that were several medical errors that resulted from communication failures. Some of the research reported a high prevalence of medical errors associated with less than adequate communication during the critical time of transition or handoff of care between providers (Kear, 2016). In addition to assuring safe, quality communication, the organization 's mission, vision, and values reiterate the value of employee qualities that are grounded in working together, excellence, customer service, accountability, respect, and enthusiasm (Covenant Healthcare, 2016). Provisions three and six of the Code of Ethics
Provision three of the Code of Ethics for Nursing confirms that nurses should be involved in activities that protect the safety and rights of patients (American Nurses Association, 2010). By validating a safe handoff has occurred, nurses are protecting the patients in their care and making every effort possible to minimize mistakes and redundancies in care during the transition. Provision six of the Code of Ethics for Nursing reiterates the obligation of nurses to advocate for safe environments (American Nurses Association, 2010). Without safe handoff communication, transitional mistakes can occur that could potentially lead to patient harm. Therefore, by supporting efforts to implement positive change related to safe communication, nurses are aligning themselves with their nursing professional
Channels such as evidence-based committees would need to be involved in this change for validation, acceptance, and policy development. Unexpected needs may arise during the process. However, the team can work together to troubleshoot these emerging needs. The team should consist of ER and CCU staff to offer the benefit of diverse expertise. Initially, these differences may create opposite philosophies; although, the end-product will need to be the outcome of a collaboration between these two groups. As a result, the recognition of these contributions offers validation that CAS theory was the appropriate framework to apply to this task.
Alignment
Moving forward with macro-like ideas and promise, the team will need to recruit support. This intervention can be supported by offering insight on how this project will demonstrate the organizational and professional goals and values. Leadership would become engaged once they can recognize the contributions to safe, quality care. According to CAS Theory, "successful change fits with the current organizational environment" rather than an idea (Marquis & Huston, 2015, p. 173). This organizational connection can help the nurses process a new way of handling communication that will become a routine practice.
Project
One cannot fake being a nurse, one must be extremely genuine in order to perfect being a nurse; therefore, explaining why nurses enforce and value their code of ethics. The purpose of the code of ethics is to ensure patient safety and implement standard of care by following the nine provisions of ethics. The nine provisions explain the nurses’ responsibility while caring for a patient; for example, maintaining the rights and autonomy of a patient. Another point that the provisions highlight is being the patient advocate, nurses are in the front line of patient care and they must protect their patients. An important guideline that the nine provision emphasize is the need and requirement for nurses to continue with their education to promote beneficent and to avoid maleficent. The National Nursing Association (ANA) states that the nursing code of ethics “reiterates the fundamental and the commitment of the nurse” (Lachman, Swanson, & Windland-brown, 2015). The purpose of this paper is to highlight the obligations and duty of a nurse and why it is important when attempting to maintain standard of care.
Nurses are central to patient care and patient safety in hospitals. Their ability to speak up and be heard greatly impacts their own work satisfaction and patient outcomes. Open communication should have been encouraged within the healthcare team caring for Tyrell. Open communication cultures lead to better patient care, improved outcomes, and better staff satisfaction (Okuyama, 2014). Promoting autonomy for all members of the healthcare team, including the patient and his parents, may have caused the outcome to have been completely different. A focus on what is best for the patient rather than on risks clinicians may face when speaking up about potential patient harm is needed to achieve safe care in everyday clinical practice (Okuyama,
Cronenwett et al emphasises the key competencies for nursing are not only providing patient centred care, ensuring safety, team work but also quality improvement, suggesting all nurses must embrace change. However embracing change can be difficult due to many barriers. Brown et al and Gerrish identify some of these barriers such as time constraints, communication issues and differences professional issues.
A code of ethics provides a standard by which nurses conduct themselves and their practice, observing ethical obligations of the profession and providing quality care. To achieve its purpose, a code of ethics must be understood, internalized, and used by nurses in all aspects of their work” (Aliakvari, 2015, p. 494).
“Ethics is a systematic study of principles of right and wrong conduct” (Taylor, Lillis, Lynn, & LeMone, 2015, p. 96). The American Nurses Association Code of Ethics has nine provisions to it. All nine are important to the nursing field in their own way. There are two provisions that I find most important in helping my career as a nurse. Provision one, The nurse, in all professional relationships, practices with compassion and respect of the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal, attributes, or the nature of health problems. Secondly provision two, the nurse’s primary commitment is to the patient whether an individual, family, group, or community.
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
Not only is professional communication important in the portrayal of a good nursing image and behaviour, it also plays a vital role in patient care and health outcomes. The ANMC standards serve as a good guidance on the need to establish therapeutic relationship through effective communication. As nurses spend relatively more time with patients, they play a significant role in bridging a patient and doctor. Hence, it is would help for nurses to constantly hone their communication skills through experience over time.
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
After noticing that your resource nurse is impaired several steps should occur. The nurse is not following appropriate ethical guidelines. According to lecture, ethics is defined as rules or standards that govern conduct. The nurse who has slurred speech and glassy eyes has the autonomy to make his/her own decisions, but showed up to work acting in a harmful manor to her patients. However, the new RN needs to alert her supervisors because everyone disserves to receive the care that is appropriate. According to lecture, that is defined as justice. The impaired nurse will not be able to properly treat his/her patients to the best of her care. The new nurse should do several things to address the issue at hand. First, he/she should assess the
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
The nursing code of ethics is a formal statement of the ideals and values of nursing and ethical principles that serve as standards for nurses‟ actions. Jurisprudence is the scientific study of law and law is defined as those rules made by humans, which regulate social conduct in a formally prescribed and legally binding manner. Nursing ethics and law are very important because they are concerned with the provision of services that have an impact on human health and life which can cause dilemma during practice and if not handled adequately can lead to negative impact on the client and all the people concerned with the care the client. Therefore Standards must be set to guide the conduct of the nurse in making proper and adequate decisions for the safety and protection of the client, by so doing the nurse protects herself or himself from litigation (Burke, K. 2000).
To understand ethics in the nursing field, you must first know what ethics is. A general explanation of ethics is the beliefs, values and morals that an individual has. These may not be that same for everyone and some may disagree with each others ethics. Ethics is dealing with what is right and what is wrong everyone has different views regarding what is. A nurse must understand and be clear about ones own beliefs, values and morals, before understanding others and being able to deal with the difference that one will encounter in the nursing field. Ethics in nursing, (Concepts pg.220), “The nurse is someone who has internalized the concept of what it means to be a human being and accepts personal responsibility for relationships with other human beings. A nurse has an obligation to do good and not harm anyone and is committed to providing the same high-quality level of nursing service to all human beings”. Ethics in nursing can be hard to differentiate between the law and the code of ethics. There are committees and groups that are put together to help make the Nursing Code of Ethic...
The nursing code of ethics has a very standard definition. It is the base on how nurses should guide themselves in conduct by making the right decision regarding ethical issues. According to the National Student Nurses Association “students of nursing have a responsibility to society in learning the academic theory and clinical skills needed to provide nursing care” (2003). In the clinical setting nurses have a lot of responsibilities while caring for an ill patient, they have the obligation to practice their profession with compassion, love, and respect the uniqueness of each patient, as nurses we are not supposed to deny care to a patient because of their economic status, their skin color, race, or the nature of health problems, we are here to help the people in need in particular those of susceptible populations. The NSNA states that the code of conduct is based on an understanding that to practice nursing as a student is an agreement that trust and honesty is depended on us by society. The announcement of the code provided direction for the nursing student in the personal development of an ethical foundation and not limited to the academic or clinical environment but can assist in the holistic development of a person. (National Student Nurses Association, 2003)
The four fundamental nursing responsibilities of promoting health, preventing illness, optimizing health and alleviating the ill are represented in the code of ethics. (Arnold & Boggs, 2016) One can say that the code of ethics are rules that a nurse needs to follow in order to effectively communicate and protect the patients. The American Nurse Association provided the code of ethics to guide nurses to ensure that patient’s care, safety, rights and health are well cared for and well managed. Models like Utilitarian, deontological, and the human rights-based all contribute in answering dilemmas that can arise with a patient. Thus, explaining what some of the code of ethics are, and how the code of ethics influence our responsibilities as a nurse will impact the overall care of the
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be