Safe Patient Care Case Study

In the first article, the main focus is the cause of errors and what can help nurses to not make mistakes anymore. As a student nurse myself, I can relate and see the ways that these distractions occur. This article gave me an insight of what not to do and what I need to look out for. In Let 's do no harm: Medication Errors in Nursing Part 1, the article is more about the costs of medication errors and how it leads to the eventual loss of trust by clients in the healthcare system. It also talks about small ways that can contribute to making mistakes.

Introduction Nursing judgment refers to a clinical assessment concerning person’s response to health situations or how vulnerable the response is to individuals, household, clusters or the entire community. Clinical judgment consists of two main sections, descriptor, and attention on examination inclusive critical aspects of examinations. In some cases, exceptions are made on judgment and given in one term like anxiety, pain, and dehydration. Clinical officers should not concentrate most on diagnoses from focused challenge but to risks realized (North American Nursing Diagnosis Association, 2005).

Need to give answers were associated crosswise collections of hospitals, resolute created on their part of duals, to evaluate difference impressions of the HRRS. But she also mentioned the strong points for my proposal, through this readmission reduction program, now patient will not get nervous or scare for readmission and it will be good for rules to decrease hospital readmissions necessity stability the want to confirm sustained admission to excellence maintenance for helpless peoples. This is a good reimbursement of a program to decrease readmissions accumulate to together the recipient and the Medicare program and patient get better care in the hospital, extra support transitioning from the hospice to other settings, improved organization amongst the patient’s providers external the hospital, and evading an pointless hospital

The various middle-range theories are preferred over grand theories, as researchers need the generation of testable hypotheses. (McEwen, 2014. pp. 213-214). This discussion will identify how the middle-range theory Interpersonal Relations and how it is applicable in solving nurse fatigue.

FACILITATED SENSEMAKING When a loved one is admitted to an ICU especially in critical health status, patient family members usually experienced anxiety, fear, depression, uncertainty and nervousness, traumatic experiences (post-traumatic stress). This needed support among the healthcare members especially nurses who assume the role of patient advocate. Family need to have a better understanding of the situation and what they should do to promote the feeling of comfort, security, serenity and to adapt to their new role as caregiver, thus preventing adverse psychological outcomes. Most ICU patients cannot make a decision for their own medical treatment, in such way family may be required to make a difficult decision on behalf of the patient,

Nurses ought to use a holistic approach to explore any problems that reduce patient’s quality of

Other preventable interruptions defined in the literature are the propensity of nurses to impede each other with discussions without correlation to medication administration while arranging drugs and reply quickly to demands from other staff when interrupted. The research synthesis reinforces the plan that interruptions are an acceptable area of nursing operation and proposes the necessity for culture modification to restrain preventable disruptions, specifically during convoluted or vulnerable to commit errors nursing activities such as medication administrations. The greater number of disseminated clinical quality ingenuity to limit interruptions during med pass are nurse expert quality clinical improvement projects creating or involving implementations of a set techniques to restrain interruptions. The goal of the project is to guide nurses with time to be mindful, attentive, smooth, and unruffled while preparing for medication to

Nursing handover also known as end-of-shift report is a complex and patient specific process that involves transferring patients’ information and plan of care to ensure safety and continuation of optimal care. As noted by Caruso (2007), change of shift report signifies a time of careful communication in order to promote patient safety and best practice. There are many different ways nurses can give a shift report. Written report, phone recording, or verbal reports in a designated room, nurses’ station, or at the patient’s bedside are all possible ways to give shift report (Caruso, 2007). “Potential adverse events associated with inaccurate or untimely clinical handover has been established...

Since this study was limited to only two clinical hospital settings, it is hard to say if the study can be transferred to various clinical settings. In an early study, Skei (2008) nurses working with an orthopedic surgeon reported difficulties collaborating with the physicians, which makes them feel powerless, by contrast nursing in hospital settings reported working with physicians well. The researcher mentions a need for a continuing study in the area of sociopolitical understanding. Once the level of competency has been assessed, the weight of a given nurses voice can be adequately applied. The study contributes meaningful evidence to nurses’ practice by promoting nurses to feel powerful.

Particularly without mindful awareness, projection of the nurse 's unacknowledged enthusiastic encumbrances (counter-transference) debilitates the adequacy of nurse-client

Issue: For many alcohol withdrawal patients, providers will order assessments using the Clinical Institute Withdrawal Assessment (CIWA). Since it is not ordered for all withdrawal patients, there is confusion at times among staff on how to use properly. Action: As the unit champion for CIWA, she collects data and performs chart audits on patients on the CIWA protocol. With the data she collects, she ensures proper documentation is completed and the bed alarm is on or a Patient Safety Aide is present. She updates staff on issues discovered during audits and informs them of changes to the CIWA protocol.

What new strategies can we introduce to reduce moral distress among practicing nurses compared to current strategies that would reduce moral distress and increase retention of experienced nurses? According to a survey conducted Woods, Rodgers, Towers and La Grow (2015), 48% of nurses surveyed considered leaving their position due to moral distress. Some nurses may even leave the profession. This should be a major concern for nurse managers because retention of experienced nurses is essential for mentoring new nurses, provides a balance of experience in patient care settings, and leads to improved patient outcomes.

The expected outcomes are standards against which nurse judges if goals have been met. Evaluation of client response to nursing care requires the use of evaluative measure simply as the reassessment of patient symptoms. Vital signs and auscultation of breath sounds. Observation of client skill performance and discussion of how they feel. Lab results such as chest x-ray to confirm whether pneumonia diagnosis is still present.

The one piece of information that will most likely affect my nursing practice will be to ensure I inquire about a caregiver’s emotional state and how he or she is coping. As an intensive care unit (ICU) nurse, I see firsthand how caregivers resume care at the hospital for his or her loved ones, even though there are health care professionals ready to take care of personal needs. It seems as if a caregiver does not know when to stop giving. A caregiver will at times, succumb under mounting challenges and tribulations at some point and will need support. For caregivers experiencing stress, self-help groups can be beneficial (Tabloski, 2014).

CHANGE PROCESS Nurse-nurse handover or bedside handover has been proposed as to increase patient and their family involvement in their care. In carrying out the change to bedside reporting, the adaption of Spradley’s 8-step model in conjunction with Lewin’s 3-step model of unfreezing, moving and refreezing provides for a successful and smooth transition (Kassan & Jagoo, 2005). In part of the recognition of the existing problem, full understanding of issues undergoing patient quality care and satisfaction was communicated through with the Voice of the Patient Advisory Council and the Premier Patient Experience Steering Committee which reported lack of satisfaction of patients and their family members in regards to their knowledge of their