There were specific situations that led to the cause of Julie Thao's actions of medication error and the death of Jasmine. The situation could have completely been avoided had Julie followed the code of ethics and avoided shorts to provide proper care for the patient. The state claimed that Thao's mistake was caused by actions, omissions and unapproved shortcuts, however, there were other factors that played a role in her carelessness as well. While failure to comply with procedure has been a factor in the medication administration error, other factors contributed as well. For example, failure to properly use the information system, or to ignore alerts or warnings have also resulted in preventable errors (Nelson, Evan, & Gardener, 2005).
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
Nurses should be aided and helped because they are getting taken advantage of and this causes negative effects to be brought upon these nurses. And since nurses are being taken advantage of this causes them to deteriorate at a rate unimaginable, to a point in which posts and positions are cleared
Buchan and Aiken (2008) stated that the nurses shortage problems may be due to the nurses that not willing to work as a nurse under the current conditions in working environment. A real shortage is circumstances where experienced people are not available for a certain vacancies due to some reasons (Wildschut&Mqolozana, 2008). A news article written by Salma Khalikin in Straits Times stated that according to current situation Singapore may not be able to create enough nurses for upcoming years. The impact of nurses shortage may causes increase work load for nurses which subsequently may increase the risk for nurses made errors in clinical, the risk of increase hospital acquired infections which cause by viral, bacterial, and fungal pathogens. More over the impact of shortage of nurses may also increase death rate, and also increase the risk of occupation injuries and exposure in working environments.
Therefore, the impaired nurses may harm themselves as well as their patients and the colleagues. What is the cause of burn out in nursing field? There are more than one factors effect nursing profession included work-load, overtime, rotation shifts, 12 hours shift, bullying, ill patients, death,
One ethical obligation nurses are required to fulfil during their shift is to ensure no harm is done to their patient. Due to nursing shortages and too many patient’s, nurses are finding this hard to do. Ethics help nurses make the right decisions with the guidance of their morals, but due to shortages and overworked nurses they tend to feel dissatisfied with their jobs. This results from unsafe work environments, lack of time for communication and quality care of patients. “Understaffing and overtime hours have been associated with increases in patient mortality, hospital-acquired infections, shock, and bloodstream infections” (Kane et al., 2007b).
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.
It states that nurses should exhibit professional behaviour and practice in line with nursing standards to deliver safe, proficient and ethical care (SNB, 2011). As a nurse, our principle duty of care to the client is to make sure that they are in the safe hands of proficient and ethical nurses. Patients entrust their health into our hands when they come to the hospital to receive treatment, therefore we, as nurses, need to be responsible and answerable for our actions so as maintain the trust of clients. Scrivener (2011) mentions that nurse owe the patient the responsibility to perform the task proficiently and skilfully, furthermore be accountable for doing the task. Therefore being the staff nurse in-charge, the RN in the above case study is still held responsible and accountable for the care of her patient even though she had passed on the task to another person.
Dependent variable is care of critically ill patient while indipended variables are knowledge, practice of nurses and challenges of nurses on care critically ill patient in the ward. But here the researcher can base more on looking on knowledge and practice of nurses , if nurses is competent on assess by using ABCDE ie assess patient air way, breathing and circulation, and identify problem and able to intervene so these is help on maintain patient safety and lead quality care of critically ill patients. Also if nurses have knowledge of interpreting vital signs these can help nurses to identify patient who is deteriorating and intervene earlier, literatures show that nurses not only know to measure vital signs but also must interpret vital signs and act on
(2015) found that “PTSD can cause substantial distress and interfere with personal and social functioning, subsequently leading to social withdrawal, anger, and aggression” (p.2). Many soldiers within and outside of the ranks are suffering from PTSD and not being treated. This is due in large part to the stigmatization of the disorder. Within the military injuries are often viewed as weakness even more so psychological ones (Feczer & Bjorklund, 2009). Many fear that seeking treatment could adversely affect their position.
Sand-Jecklin and Sherman (2014) article showed that one of the factors that contributed to sentinel events was miscommunication of information especially shift change handoff. Kearns (2015) and Vandenberg (2013) literature review also showed that patient safety is compromised severely if critical information is not passed on thus the need to implement a new way to handoff and also utilize a tool that would make sure critical information is passed on. Radtke (2013) article stated that lack of communication between nurses and clients has been verified through HCAHPS surveys and clients feel excluded from information and decisions related to their care. Cairns, Dudjak, Hoffman, and Lorenz (2013) article states that bedside report increases patient satisfaction scores, creates a trust between nurse and patient, reduces communication errors increasing patient safety and promotes accountability with teamwork and respect among the nurses. Cairns, et al.
Furthermore, there is a vast need for additional research. There is a necessity to gain knowledge on risk factors and on ways to prevent suicide in order to aid nursing home residents (Bugeja et al., 2015, p. 811). The knowledge of preventing suicide in a nursing home can be helpful for residents as well as for social services. Suicide occurs in nursing homes partially fur to the lack of knowledge on depression. Current research depicts that physicians fail to recognize depression and tend to provide inaccurate treatment (Allgaier, Fejtkova, Hegerl, Kramer, & Mergl, 2009, p. 355).
Preventatives for Medication Errors Administration of medications has become more complex and the process more exacting. About 15% of adverse events occurring in hospitals are related to medication. An estimated 98,000 people die every year from medical errors in U.S. hospitals, and a significant number of those deaths are associated with medication errors (Tzeng, Yin & Schneider, 2013). About 700,000 emergency department visits and 120,000 hospitalizations are due to ADEs annually ("Medication safety basics," August ). These errors occur commonly when the nurse becomes easily distracted and loses focus on the task at hand.