Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients.
(Abdulla, Al-Qahtani, & Al-Kuwari, 2011). One study revealed that burnout syndrome is common among critical care nurses, because they work with more critical and traumatic patients burnout syndrome is not only affect the nurse but extend to their quality of care that delivered for their patient.(Moss, Good, Gozal, Kleinpell, & Sessler., 2016). Organizational and environment factors such as excessive workload, staffing shortage, lack of empowerment lead to burnout which compromise nurse’s ability to provide high quality care. ( McHugh, Kutney, Cimiotti, Sloane, & Aiken., 2011). Burnout ,quality of care and patients outcome Different studies have explained the relation between burnout syndrome, stress in work environment ,and patients satisfaction which assessed the quality of nursing care provided, the high quality care the more patient satisfaction.
Administering medication is a fundamental role in a nurse’s daily routine in the ward. This process happens at least twice daily and on average takes up to forty percentage of nurse’s time. It is also this skill that is higher risk, it is a step that is very susceptible to errors that can lead to consequences in patient safety. Medication governance has been put in place to prevent errors and promote patient safety. However, medication errors are still recurrent and persistent.
Understaffing in hospitals is a major problem that has been affecting healthcare workers and patients for many years. I have chosen to highlight understaffing as a patient safety issue because of the consequences that can arise from it. Shortages in staffing can result in an increase of infection rates (Stone et al., 2007) leading to complications and poorer patient outcomes (Needleman et al. 2002). This particular issue is of interest to me because I have experienced and witnessed it myself. As a midwifery student in a busy maternity hospital, I can appreciate the hard work and dedication each midwife gives to their patients.
Psychiatric Nurse Practitioners in the Army are very important and vital to the world. Psychiatric Nurse Practitioners are important and vital because of the crucial task and activities, necessary training and skills needed, and the outlook for moving on. Psychiatric Nurse Practitioners in the Army handle patient counseling, Crisis intervention, Milieu and Group therapy along with Critical Incident debriefing. Without the help of them many soldiers would suffer from many mental and emotional problems like PTSD and many more.
Current Issues and Trends One of the major issues that is currently impacting nursing leaders and managers is the ongoing problem with medication administration errors. It is a nurse’s job to verify that the correct dose, route, frequency, and duration of the drug is administered and monitored appropriately. Unfortunately, numerous studies show the significance of this problem amongst nurses. For example, within a certain study performed involving 237 nurses, 64.55% of them had made medication administration errors, while 31.37% of them were on the verge of making a mistake (Cheragi, Manoocheri, Mohammadnejad, & Ehsani, 2013).
If a nurse has not had adequate sleep, they will be putting themselves and their patients at risk. "The number of errors made by nurses increases when nurses work more than 12 hours in a shift or more than 40 hours per week (Lally, 2009). Nurses also play an important role in tracking down and correcting medical errors, "nurses may be the first and sometimes last line of defense in preventing errors before they reach the patient" (Lally, 2010). When sleep deprived your memory and cognitive abilities aren't functioning as normal, and as a nurse you need these skills functioning properly and quickly. Motor vehicle accidents are also a terrible risk they could take after working those long hours.
Unfortunately, there are many ways a patient can be injured or harmed while staying at a hospital. Even though there have been several attempts to make a hospital visit one hundred percent injury preventable, accidents and mistakes still happen. The three leading types of patient injuries are medication errors, patient falls, and pressure ulcers. However, if the entire health care team, such as: health care providers, pharmacists, nurses, etc, work together then hopefully the percentage of patient injury will decrease each year. (Berman, A. 2011)
Needle-stick injuries may occur when disposing needles, collecting and disposing of materials used during patient care procedures, administering injections, drawing blood, or handling trash or dirty linens where needles have been inappropriately discarded. The CDC estimates that over 1,000 hospital-based health practitioner (HP) sustain injuries from contaminated needles and other sharp devices during the delivery of patient care everyday.
The Nursing Career and Stress and Work-Related Burnout Working in the healthcare field can be overwhelming because of the continuous exposure to stressful events such as illnesses and death. Additionally, healthcare workers may suffer from high work demands such as long working hours, healthcare team relationship issues, and shortage of staff. To contribute with tension, these workers may also be exposed to daily unrelated work problems such as lack of personal time, family and financial issues. Many nurses are often exposed to these stressors and consequently are troubled with job dissatisfaction and burnout because of an imbalance between their work environment and personal life. The nursing profession alone can be very demanding and due
he Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) is a model that is utilize as an outline to aid in the synthesis and translation of evidence into practice (Baker, 2008). The JHNEBP is made of up of 3 components of nursing. These components consist of practice, evidence, and translation. JHNEBP model also has internal and external factors that need to be considered before change can be implemented. During the practice stage/question stage a question is refined in answerable terms.
Documentation in nursing practice is very important as it forms the sixth rights of administering rights in the caring to a patient. Documentation in the healthcare certain facilitates the data entering and charting them in the proper format that other care team would understand while assessing information necessary for strategic planning for a patient, Christensen (2011). Decimations has transformed from the conventional physical papers and files to healthcare information technological documentaries.
Registered Nurses provide patient care, set up charts, handle medications and find creative new ways to interact with patients. Entry level work requires an associate degree and takes two to three years to obtain. A Bsn degree takes four years. All nursing programs include supervised clinical experience. Internships available in nursing homes.