1.3 is to provide care regardless of client’s gender, religion, age, health and socio-economic status. The nurse thinks the patient is old and weak because of the patient’s diagnosis so that the patient couldn’t refuse any care or treatment that was do for her. Value statement 5 is to provide care in a responsible and accountable manner. 5.2 is to ensure that the safety of their clients is not jeopardized by commission or omission of any nursing care activity. It is the nurses’ responsibility to ensure patients are safety at all times.
Warren and Creech-Tart (2008) discussed that fatigue experienced by health care provider is one of the contributor factors to deficiencies in documentation. Since some health care providers work long hours and have demanding client assignments, they may not have clear thinking processes required during the process of documentation. Illegible writing is one of the most common complaints in written documentation as a result of messy handwriting (Rodríguez-Vera, Marín, Sánchez, Borrachero, & Pujol, 2002). A messy handwriting may occur if the nurses write the notes too quickly in order to save time or too many workloads on the same time. Messy handwriting can lead to misinterpretation of information and cause poor nursing care.
In psychiatric nursing in particular, following this model can allow a nurse to encourage a patient to be as independent as possible. Upon evaluation, while it provides a pattern to follow in order to deliver nursing care, it is too linear. Each patient’s recovery and circumstances are unique, and a nurse sometimes must adjust the level or order of care provided in order to suit the patient. Orem’s theory sets the standard of how nursing care should be delivered, when this isn’t realisitic. Overall, Orem’s model is a comprehensive pattern in providing nursing
Miscalculation of drugs can lead to either an overdose or an under dose, with both having serious effects on an ill patient. This issue may arise by means of misinterpreting a prescription, due to illegible handwriting, or misreading the zeros on a prescribed dosage. Under dosing has as much of an effect as overdosing. Both may usually occur in the consumption of over-the-counter drugs, where prescription from a doctor or physician was not involved. While overdosing can cause serious ADE’s, under-dosing may occur as there is a fear of these adverse reactions occurring (Formulary Journal, 2015).
Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses, would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities.
They often do not know how to treat these illnesses when they do show up in women. In Susanna Kaysen’s Girl, Interrupted, Susanna is told that she is mentally ill. They treat her for borderline personality disorder when she does not feel that she has any mental illness at all. When she arrives at the institution she feels as though she does not fit in as she does not see herself as crazy. In Kaysen’s memoir, she is being hyper-treated by the doctors and nurses
There are many instances where hospital staff faces the embarrassment of not finding required assets. It leads to the situation where staff raises a request for purchase of new equipment and assets. Improper asset management damages financial structure of the hospitals – • Paying insurance premiums to Ghost assets – When an asset of high cost is disposed and if it is not recorded properly, and then Hospitals pay to insure premiums to these assets • Poor recording of assets also affects the reputation of hospitals – When hospital employees fail to remove depreciated equipment from the books after it has been disposed of, the hospital appears to be older on paper than it really is. This can be problematic for hospital executives looking to refinance existing debt or raising new capital for expansion • Unrecorded Assets – Hospitals sometimes have equipment that isn't on the books, which is a cause for concern when the hospital is
1.2 PROBLEM STATEMENT Care of critically ill patient in the ward is a challenging process especially in the low resource countries. This is due to deficiency/ inadequate specialized or competent skilled personnels and absence of monitoring of patients closely. As the nurses are in constant contact with patients, they are in prime position to identifying problems at an early stage with the use of systematic patient assessment According to the standard of care, systematic assessment framework is used to assess critically ill patient for rapid assessment of the patient who is deteriorating. and also use early warning tools (EWS) as an observation monitoring tool that alert nurses to normal and abnormal physiological parameters. The ABCDE framework
Furthermore, failure to motivate or reward nurses for critiquing research evidence and applying it in clinical practice makes it hard to cultivate a positive research climate. Lacking of a spirit of intellectual curiosity an openness also causes an unenthusiastic atmosphere in adopting EBP. Research-related barriers mainly focus on the availability and the applicability of the research evidence into clinical practice. Methodological errors can adversely affect the research evidence 's validity and trustworthiness. The presence of conflicting and inconclusive findings makes the nurses uncertain about whether to integrate the research findings into practice.