5 NURSING PROCESS The nursing process is a series of organized steps designed for nurses to provide excellent care. Learn the five phases, including assessing, diagnosing, planning, implementing, and evaluating. 5:1 Personnel Context As a nurse can make a huge difference in the health of my patients by many methods.
There would be situations to challenge my clarity of being a safe practitioner in the clinical learning and development practices. For example, even though there is time pressure when administering medications to my patient with a buddy RN, I have to ask to check MIMS about pharmacological action if the drug is new to me, or to check patient’s pulse rate for a full minute. As a student nurse, I have to practice to stand up for my limited clinical skills and knowledge. The best way to improve my leading and learning skill is to actively seek guidance from the clinical facilitator and feedback from incumbent nurses.
Background Sepsis is a common life threatening condition that unless promptly recognized and treated, can progress to septic shock. In the United States, sepsis is the 10th leading cause of death, and is suspected to have an increased prevalence due to the aging population; an increase in immunocompromised patients; greater use of invasive medical technologies; and greater antimicrobial resistance (Vanzent, 2011). It accounts for a mortality rate of 35%, and 20,000 deaths per day worldwide (Kafle & Nath, 2014). This is substantial because there are few disease processes that are associated with such a high mortality rate. The unregulated inflammatory response leads to intravascular volume loss, cellular hypoxia, and multisystem organ failure.
The concept of patient safety traced as far back as the foundations of nursing. Perhaps nursing was born out of the necessity of patient safety and care. Florence Nightingale’s work in 1853-1856 aimed at improving the outcome of sick and injured soldiers during wartime (Telford, & Keeling, 2014, p.3). Therefore establishing the necessity for improvement in patient safety. By the early 19th century the National Organization of Public Health Nursing was developed to merge the public health needs and preventive care thus leading the way for the federal maternal and infant act of 1921 (Telford, & Keeling, 2014, p.7).
Unfortunately, at this moment, there is little improvement regarding the quality of patient care since the To Err Is Human report was published in 1999, by the Institute of Medicine (IOM, 1999). Presently, health care provider education should focus more on the demands on quality and safety. The beginning of Quality and Safety Education in Nursing (QSEN) was created to integrate quality and safety competencies in nursing education. For this reason, nursing schools should reinforce and focus on the competencies of QSEN, within the curricula of the baccalaureate programs.
The teamwork and collaboration component of the QSEN competencies emphasizes how vital it is for nurses to work together, in effort of improving patient quality care. As nurses it is important to establish clear communication skills with one another. For example, the nurse working in the day time is required to report to the nurse working in the evening, about the patients health. This system helps nurses maintain awareness of patient quality care. Once teamwork is established through proper communication, nurses are able to collaborate and share ideas with one another about patients health.
Medication Errors in Healthcare The nursing profession entails many responsibilities that range from providing emotional support to administering medications that could result in death for those receiving care. Approximately 40% of a nurse's day consists of passing medication, a duty that sets their level of liability above many other healthcare professions (McCuistion, Vuljoin-DiMaggio, Winton, Yeager, & Kee, 2018). Despite today's advances in technology and nursing education, the frequency of medication errors is still staggering. To ensure that the benefits of nursing outweigh the risks, nurses look to the Quality and Safety Education for Nurses (QSEN) six core competencies for guidance.
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
It is of utmost importance for the care of patients to be prioritized but nurses have been taking to many hits from many different variables. And these have deterred with the patient 's overall care. The care of the patients have been decreasing over the years due to aspects. These aspects are caused by hospitals themselves which are not taking care of the nurses. These nurses experience illnesses themselves and guidelines and precautions are not takes.
According to PAULA GRALING who is a DNP, RN, CNOR, FAAN CLINICAL NURSE SPECIALIST, DEPARTMENT OF SURGERY, INOVA FAIRFAX MEDICAL CAMPUS ,FALLS CHURCH, VA; “Nurses become the champion of change should work with your doctor to develop an atmosphere of mutual respect and stroke and other medical colleagues. We need to get used to using the vocabulary and evaluation tool that is used to measure the quality of the communication. Nurses, thoughtful, in the case of stakeholders for collaboration and interdisciplinary teamwork can we create and maintain with our environment and safety culture.”