When an adverse incident occurs within healthcare, it is the duty of an investigator and healthcare regulator to investigate the any failings and hold the relevant healthcare professional responsible. Working as an investigator within the Nursing and Midwifery Council, my role is centred around public protection and investigating and holding registered nurses and midwives accountable for their misconduct, competency concerns and failings. A constant theme within investigations is the question of whether any patient harm occurred and the impact the incident had on a patient, although we rarely take into consideration the impact the incident had on the registrant, or how the lengthy fitness to practise proceedings create a period of uncertainty …show more content…
I will explore the ways in which the Nursing and Midwifery Council have begun implementing changes to its processes in order to better consider human factors during investigations and distance itself from the punitive perception the NMC has with its nursing and midwifery registrants. I have chosen to explore this topic as human factors are challenging for healthcare regulators, particularly regulators like the NMC whom are focussed on the practise of an individual rather than the concerns within the wider systems. I believe as professional regulators, human factors need to be taken into consideration when investigating allegations in order to achieve more reliable and robust investigations, and with hope to achieve fairer outcomes for nurses and …show more content…
System 1 is fast, automatic and operates almost subconsciously with little effort, such as the ability to recognize objects, whilst System 2 demands concentration, attention and often more logic when dealing with complex tasks (Kahneman, 2012). Healthcare professionals are often required to make quick decisions adopting a System 1 approach to thinking. Following an adverse incident in healthcare, it is easy to suggest a System 2 approach could have prevented the error in hindsight, particularly from the perspective of an investigator. Adopting methods such as normative rational decision making is ideal in theory, but has its limitations and is not always practical in everyday life and making fast decisions, particularly in a healthcare setting (Bazerman and Moore,
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The term six research theory course, NURS 495, emphasized the importance of nurse leadership and how nurses can influence positive changes in health care delivery to patients with chronic illness. It also explored the contradictions that exist in nursing practice and encouraged the students to develop a critical and pragmatic approach to client care. The co-requisite clinical course, NURS 499, integrated nursing theory and current best practice on an acute care nursing unit at Medicine Hat Regional Hospital. In this consolidated learning analysis, I will explore a nursing practice event that will illustrate the major issues surrounding the treatment of competing mental health comorbidities in a patient with hoarding behaviors.
This model is designed to use the need of identifying and correcting errors other than focusing on the punishments of the employee. A line within this culture states that staff are not fired due to a human error. The focus on better the person as a medical professional, since humans can just make mistakes. It was argued that she should have realized that the dose was too much for an infant. The argument back was that a firing a nurse who made a mistake isn’t really solving anything.
1. Reporting and Responding Two Professional practice issues that correlate with the horrific case of the abuse and mistreatment of Clarence Hausler includes the Principle regarding Professional behaviour being crossed displayed by the employed Carer. ‘Person- centred practice’ furthermore demonstrated within the way Carer Corey Lucas’ nursing practice and MRCF appalling approach to adverse events and open disclosure in response to such incident. Both professional practice issues are seen to be disobeyed by Hausler’s employed carer as shown within the aggressive measures taken by Corey within the scenario. 2. Relating
Supervision provides nurses with the opportunity to be able to reflect and review their own actions or inaction (self-awareness) within the clinical practice (Bush 2005; Care Quality Commission (2013). However, lack of supervision or poor supervision has detrimental effects (such as mistakes, injuries, incidents and death) which may impact on patient care. Significant failures in care in the early 1990s brought about the start of clinical supervision and two examples of such cases include the Bristol heart surgery tragedy and cervical screening mistakes at Kent and Canterbury hospital (Cottrell and Smith,
Along with how the culture of safety influences changes in the system. In this scenario, a RN mistakenly administers an incorrect dose of a medication to an infant. When the mistake was discovered, it was reported an investigation began to determine how this occurred. The investigation team not only investigated the administering nurse, but also the pharmacy, the unit in which the mistake happened, the process in which medication is administered, and the purchasing department. The report found that there were multiple breakdowns in the system.
The key reason for this Act is to secure the health and providing so as to well of individuals from public in general, for systems to guarantee that health experts are capable and fit to hone their callings. According to section 16 of the Health Practitioners Competence Assurance Act (2003), the RN needs to have met the provisions therein and demonstrated fitness for registration. According to the Act, She or she should have satisfied the responsible authority that he or she is able to communicate effectively for the purposes of practising within the scope of practice before being given limelight for practising his profession. The inability of the Registered Nurse (RN) to communicate in this particular scenario since his speech was slurred
One mistake can be caught on camera by those who are distrustful of nurses. Overall, Fowler article was extremely unsuccessful at pusadering her audience to take action and become a part of policy making in healthcare because of her structural errors and usage of irrelevant sources in a failed attempt to build credibility with her audience. Fowler’s structural weaknesses in her organization and thesis statement was not persuasive, thus leaving her readers confused. Fowler first begins her article with background information about her topic, stating the history of Nursing. She outlines extensive details about the founding of the code of ethics for three paragraphs, which was not necessary for her argument.
They each are liable for nursing negligence in a civil court. Because they breached the standards of care by failing to render the degree of care, skill, and judgment exercised by a prudent nurse under the same circumstances (Westrick, 2014). Jeffery Chambers, RN had an established duty to care for Yolanda Pinnelas and breached the standard of care as he was the primary nurse assigned to the patient. Diana Smith, RN mentioned to Jeffery Chambers, RN that Yolanda Pinnelas IV infusion was beeping. However, he did not take the time to check the nature of the problem.
Registered nurses conduct audits and subordinates are unaware what is required in this. Results from audits require 100% compliance and if this is not met the manager will rectify what is missing or failed to ensure it passes. Audit results adhere to company policy and
The aim of this paper is to analyse a critical incident which occurred at the student health visitor’s area of practice. A critical incident is an event which when it occurs, makes one pause and consider the situation to give an element of understanding whilst dwelling on the negative and positive aspects of the experience in transforming knowledge and behaviour Hannigan (2001), as cited in Elliot (2004). In order for one to analysis an events there is a need for reflection on the process and evaluate its outcome. Critical incident analysis is identified as discussion and reflection on motives and justification of actions used when an incident happens and its effectiveness in enhancing practice in future (Elliot 2004). This process involves
Introduction: This assignment will explore the Roper, Logan and Tierney model used in first clinical placement and will explain how it helped to guide nurses to focus on the fundamentals of patient care. Patient dignity is upheld by using this model following the principles outlined in the Code of Professional Conduct and Ethics for Registered Nurses and Midwives as will be discussed. An outline of the philosophical claims of the nursing model that guides practice on the unit for first clinical placement.
Many influences even though the historical or contemporary that is important to shape the profession of nursing. The Health Practitioners Competence Assurance Act 2003 [HPCA] and Nursing Council of New Zealand Code of Conduct for Nurses 2012 [COC] underpin the nursing practice, in order to promote the nursing profession. Professional boundaries play an important role in nursing. This essay will identify and discuss how the historical influence which is Florence Nightingale and the contemporary influence that is education has shaped the profession of nursing, the purpose and impact of the HPCA and COC on nursing, how they are implemented in the workplace and also define and explain the importance of the professional boundaries in nursing. One
This paper is a case study reflection that needs to be applied and underpin the steps of safe prescribing, ethics, responsibility and legal of prescribing with respect to standards of Nursing and Midwifery Council (NMC). In this regard, I will follow the Driscoll (1994) Model of reflection, which is based on three questions that explains experiences, differences that are made, significance, and actions to continue professional development with respect to learning. Discussion Driscoll (1994) Model of reflection
Working in the field the author as witnessed a number of unprofessional conduct, ranging from the hospitals, to the ambulance services, the author would like to think she has seen it all. In one particular instance, the author was booked on shift with an emergency service provider. As one of the author’s first call for the day we responded to a 5year old boy that fell from a height and sustained a concussion. After loading the patient on route to the hospital the patient’s Glasgow coma scale (GCS) dropped to from 14/15 to 12/15 and the patient became very sleepy, the author decided to give oxygen asking help from the on-duty practitioner to connect the oxygen mask top the oxygen supply, however, the practitioner was unable to connect the oxygen
Civil and criminally due to nurses having a duty of care to the public and to ensure harm does not come to patients while under their care. Employability law due to nurses working within polices and guidelines of their employer, working outside policy risks litigation (Guy H, 2010). Additionally nurses are accountable professionally, morally and ethically and should withhold the NMC code of conduct (2015), by not withholding the code while practicing, nurses become at risk of struck off the nursing register. The next section will focus on a case example. 104 words Case example: patient came out of orthopaedic hip replacement surgery and had a low temperature of 33-34°C.