They lack of ability to make an accurate and quick decision in critical situation. Fresh graduates are incompetent to prioritize the patient’s needs that require immediate clinical intervention. Moreover, novice nurses assess patient’s alarming signs in less systematic way while patient is deteriorating. According to Wiles (2013) Effective clinical decision making relies on accurate assessment of patient and intervene accordingly. I want to share my experience, as I’ve gone through this experience in the Intensive Care Unit at first day of employment.
Much of the work defining patient safety and practice that prevent harm have focused on negative outcome of care such as modality and morbidity. Nurses are critical to the surveillance and coordination that reduce such adverse outcome. Much work remains to be done in evaluating the impact of nursing care on positive quality indicators such as appropriate self care and other measures of improved health status. {Kathryn Rhodes Ade et al
Self-efficacy is among the optional drives. (Kitching, Cassidy, Eachus, Hogg, 2011) Significance of the study To keep up the significance of self-awareness in the nursing profession (Scheick ,2011) pretend that Nursing students and nurses convey minding to their injured patients as well as on occasion their own uncertain individual stress. Particularly without mindful awareness, projection of the nurse 's unacknowledged enthusiastic encumbrances (counter-transference) debilitates the adequacy of nurse-client
When I read this guideline I realize my hospital don’t even have a Standing Operating Procedure (SOP) on administration of medication. I strongly believe this is one major contributing factor why the medication error took place in my practice area. A key point that I notice in this guideline is that, the nurse who is administrating medication should have knowledge especial the risk involved in this group of drugs and must have had read the guidelines on Medications
Although, if the conflict is not properly addressed, the avoidance behavior will create added stress on the nurse and potentially place the patient(s) at harm (Johansen, 2012). The Joint Commission published a Sentinel Event Alert in 2008, alerting the healthcare community that poor communication, ineffective teamwork, and poor management skills are top contributors to sentinel events (Joint Commission,
The limitation of current end of life care education The end of life care education course can shape nurses’ attitude toward caring of dying patients so as to reduce anxiety about death and consequently have a positive influence on nurses’ attitude towards caring of dying (Wass, 2004; Abu Hasheesh, AI- Sayed AboZeid, Goda EI-Zaid& Alhujaili, 2014; Adesina, DeBellis & Zannettino,2014; Wessel & Rutledge, 2005). However, somehow, there is still limitation of end of life care education to the newly graduated nurse in delivering end of life care. Nursing students and newly graduated registered nurses claimed that the training was inadequately prepared them to deal with death and dying (Cavaye & Watts, 2010). Also, 72% in 607 registered nurses reported
She said that one mistake can literally kill a person due to poor communication. According to her, the stress level from her profession is overwhelming when dealing with the demands of patient, family members, insurance companies and regulatory bodies (Chua). To ensure compliance, Dr. Chua explains the use of electronic medical record system which contains check points, so they don’t miss out on collecting significant data from patients and makes it easy for other healthcare workers to access such information. She claims that this system reduces some of the risk involves in handling communication and is being mandated to be implemented nationwide in the healthcare industry. “In healthcare, confirmation and validation of information is crucial in communication and is always the doctor’s top
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.
Therefore, with handovers, the nurses will be able to assess, plan and delegate tasks allocated effectively (Johnson et al, 2012) and thus, task can be completed within the shifts. Nevertheless, the handovers in the current practice has not been improved, according to the research done by Poot et al (2014), usually interrupted by phone calls and lack of active inquiries and confirmation regarding patients’ conditions by the oncoming shift nurses, which might impair the health outcomes of the patients if the message delivered is inappropriate. Therefore, it is the duty of the healthcare managers to audit the handover so that delivery of care is of standards and any changes to the practice can be issued out (Mayor et al, 2012). Besides, the managers should participate in patients’ care and be part of the team to supervise the overall teamwork and become a role model to the nurses (Tschannen et al, 2013). Only that nurses at
Before embarking on a journey to try and create a culture of teamwork, the institution must set in place effective and open avenues for communication. Studies have shown that the majority of medical errors are caused by poor communication and not by unqualified staff. Some mortality even occurs because of a breakdown in the communication chains. To decrease such occurrences and ensure the success of the team, the communication skills should be polished. Institutions should provide clear guidelines that ensure that patient information is passed in a formal manner.