This speaks to a fair amount of resistance amongst the staff as well as a likelihood of significant barriers to implementing nurse-led groups. It will be important to determine what has failed with this change in the past, as well as what has worked in the successful implementation of change with the same team to determine the best path forward. Furthermore, it is concerning that the nurse manager’s past attempts at communicating regarding quality improvement have resulted in a lack of feedback. As you discussed, it will be very important to build an implementation plan based upon the work described by Middaugh (2017), Heuston
As nurses we need to advise our patients carefully about any healthcare decisions making but should never override patient rights. Although abortion is a crime in our personal belief we still need to provide a competent care to the patients. I believe nurses should practice the nursing methods by using the APIE process in order to solve the ethical dilemmas at work. As for abortion till today it’s still a debatable issue. It can be ethical or not ethical.
Likewise in healthcare, oncoming staff generally does initiate not patient care delivery until a hand off process occurs. “Communication failures are increasingly being implicated as important latent factors influencing patient safety in hospitals.”(Sutcliffe, 2004, p. 187) Parker (1996) reports, “the nurses handing over had direct knowledge of the patient and were able to convey idiosyncratic and personal knowledge of the patient. This is a crucial element in professional nursing practice. The nurse can report on clinical judgments and can be held accountable for the judgments made” (Parker, 1996, p. 25) Critical evaluation of nursing actions can be evaluated and considered to be either continued or discontinued based on the rationales for the action and the patient outcome. In 2005, the Australian Council for Safety and Quality in Healthcare published a literature review of clinical handover and patient safety.
Nevertheless, sometimes we fight, the last subject of our argument was a social issue. She said that she would abolish abortion, it was hard for me because I am a pro-choice, but later on, she listed me things that were wrong, in her point of view. I did not agree with most of these causes, but the way that we were discussing was peaceful and kind. This allowed me to open my mind to find a common ground. We could agree that the abortion is always difficult for a woman because she may need help from a counselor.
By doing so it affected her personal belief she could have been cared for better, and also they failed to communicate and inform the family thus inflicting pain in them for years. They only thing they wanted was answers. It is what shapes views and ways of learning. Therefore, communication plays an important role in how culture is learned and passed on. As nurses, communication is key in having a successful interaction with patients.
The topic of my capstone project is to educate other members of the team such as respiratory therapist, pharmacist, and radiology technicians about the scope of practice and the role of the nurse practitioners in different settings including the emergency department. Many of these co-workers have a lack of information about the skills, duties, and responsibilities of the nurse practitioners and sometimes this can delay treatment for patients due to clarifications for orders. If the roles of the nurse practitioners are explained and clarified to other members of the team the treatments for patients can be executed faster, but also “Advanced Nurse Practitioners can have a positive impact on other staff members by improving knowledge, skills
Virginia Henderson said in an interview “Nurses always think about how can they help this person to become independent of the nurse at the earliest possible time which can’t be standardized but individualized. The patient should never feel like they are forced to do something against their will or better judgement. One of the serious flaws in healthcare that the patient involvement is not optimized. When there is no hope of the patient living constructively or they don’t want to live any longer, when death is inevitable it is terribly important for the nurse to make sure that the patient has a good death.” She defined the patient as someone who needs nursing care, but did not limit nursing to illness care. Her theory presented the patient as a sum of parts with biopsychosocial needs and the mind and body are inseparable and interrelated.
According to the Code of Ethics and Professional Conduct, nurses are expected to provide a safe, effective and ethical care to their patients in accordance with the guidelines of the Standards for Practice for Nurses and Midwives (Code of Ethics and Professional Conduct,1999). Fidelity - There is a breached in the ethical principle of fidelity because, my colleagues were not able to commit in making sure that accurate information and appropriate care was delivered to their patients (The ICN code of ethics for nurses, 2012). They did not demonstrate fairness to provide optimal care and exercise advocacy for their patients, which could have been one of the reasons for the missed follow-ups and poor management of the chronic diseases in the hospital. Justice – The rights of the patients receiving care in the hospital has been compromised due to the sub-optimal care being provided to them. Patients are not able to receive the appropriate care they are meant to be given to them and thus, is breaching the Standards of Practices set up by the Singapore Nursing Board (SNB) for nurses to do their duty to maintain the standard practices of nursing and respect the care, dignity and life of their client (Standards of Practices for Nurses and Wives,
One of the nurses, KR, voiced that it is a hassle to write up bruises and sometimes she would not write it up especially when her shift gets busy (Personal communication, March 1, 2018). ANA’s Code of Ethics (2015) has stated that “the nurse has authority, accountability, and responsibility for nursing practice…takes action consistent with the obligation to promote health and to provide optimal care” (p. 15). The nurse’s decision not to follow through with the resident’s skin issue is a failure when our ultimate goal is to provide optimal care. I have observed these attitudes towards bruises more often because most of the time I was the receiving nurse and consequently was the one to write up the bruise. When it comes to wounds, nurses differ in their opinions as to what appropriate treatment and dressing needs to be used.
We therefore conducted a survey by questionnaire among trained nurses in one health district of their everyday ward practice and attitudes to clinical observations. This showed that whilst a majority of nurses questioned believe in the importance of routine observations for patient care, there is a lack of consistency in the criteria and communication procedures used that must seriously limit the value of the information obtained by the individual nurse. We believe that uncritical faith in routine observations is a barrier to rationalizing procedures to optimize efficient use of the professional skills of ward nurses in this regard. There is need for more thought to be given to the problem and in particular it is important that doctors play a more active role in decision
I realized that the previous nurse was not able to see what was happening because she barely assessed the patient during her shift. In addition, she failed to take into consideration the opinion of the caregiver. Once I start practicing, I plan to incorporate best practice guidelines to the care of my patients. Also, this experience gave me the opportunity to practice my skills and to test my ability to think critically in emergency situations. The most demanding aspect of this experience for me was to carry the interventions on my own.