Therefore, the risk of MRSA spreading is increasingly likely. (Farrington et al, 2000) Studies have shown that staff are least likely to recognise hand hygiene opportunities when they are struggling with large work-loads and understaffing, therefore the risk of spreading infection becomes greater. (Sahay et al, 2010) One approach that can possibly address the problem of understaffing is good leadership. According to Anderson (2009), research has shown that positive outcomes for patients and patient safety are directly linked to nursing skill mix and more importantly- nursing leadership. ‘Nurse leaders should be able to provide resources such as appropriate staffing levels, skill mix and resource allocation and to make operational decisions’.
Such actions or omissions, as presented in this video, lead to feelings of disrespect, neglect and can result in patient ! 6 dissatisfaction and poorer outcomes (Hart and Mareno, 2014). Models such as The Process of Cultural Competence in the Delivery of Healthcare Services, the 3-D Puzzle Model and the ACCESS Model aid individuals in providing culturally appropriate care to all patients. However, more education needs to be provided to nurses in being able to explore one’s own beliefs, values and biases in order to improve cultural competence (Hart and Mareno, 2014).
Health care professionals notice failures in coordination particularly when the patient is directed to the wrong place in the health care system or has a poor health outcome as a result of poor handoffs or inadequate information exchanges. Finally, the third perspective is about the system representatives. Care coordination is the responsibility of any system of care to intentionally consolidate personnel, information, and other resources needed to carry out all required patient care activities between and among care participants (including the patient and informal caregivers). The goal of care coordination is to facilitate the
Admittedly, regulations are governing the nursing arena whose impacts define the mode of service delivery to the patients involved. For instance, it is mandatory for nurses to acknowledge and maintain high standards of privacy for the sake of bettering the health conditions of patients. In most cases, family members and friends appear to distance themselves from their patients after nurses reveal specific details of the patient’s health. Such a claim is evident in a situation where treatment of communicable diseases such as HIV/AID and stroke are concerned. I understand that specific ailments might deem impossible to treat hence calling for a family consultation.
Likewise in healthcare, oncoming staff generally does initiate not patient care delivery until a hand off process occurs. “Communication failures are increasingly being implicated as important latent factors influencing patient safety in hospitals.”(Sutcliffe, 2004, p. 187) Parker (1996) reports, “the nurses handing over had direct knowledge of the patient and were able to convey idiosyncratic and personal knowledge of the patient. This is a crucial element in professional nursing practice. The nurse can report on clinical judgments and can be held accountable for the judgments made” (Parker, 1996, p. 25) Critical evaluation of nursing actions can be evaluated and considered to be either continued or discontinued based on the rationales for the action and the patient outcome. In 2005, the Australian Council for Safety and Quality in Healthcare published a literature review of clinical handover and patient safety.
Hand Hygiene in Healthcare Healthcare associated infections are extremely problematic within neonatal intensive care units (NICUs), further resulting in morbidity and mortality (Kramer et al.,2017). Adherence to proper hand hygiene has shown to be effective in the prevention of pathogens, being transferred between a healthcare worker (HCW) and patient (Chhapola & Brar, 2015). Newborns are highly susceptible to healthcare associated infections due to underdeveloped immune and integumentary systems. Numerous factors contribute to poor hand hygiene; therefore, it is crucially important to minimize the spread of infection in the best ways possible. The purpose of this paper is to recognize the importance of proper hand hygiene in the (NICUs), they are as follows: application time of hand washing, the efficacy of hand rubs and compliance.
The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings . ( Schubert et al 2012 ) . However , Nursing clinical rounds lead nurses to interact with patients, respond to their interest , and adjust the unsatisfying conditions. regular nursing rounds provide an opportunity to recognize patient needs by progress nursing procedures. Although hospitals worker various methods of rounds for hospitalized patients, the main components of all rounds are pain preventing, bathing, changing position, and environmental comfortable .
Nurses are often affected by personal attitudes, fears, and experiences that can prevent them from providing the best care possible. These personal factors must first be addressed to understand our own personal prejudices and decisions about dying. The nurse must also remember to fully focus on the patient’s desires and outcomes. This section explores communication, advocacy, and caring from a nursing
With well equip with information about patient’s medication record and will greatly reduce the risk of jeopardising my patient’s health condition. But with me standing firm on my opinion in reviewing patient’s record might leave the nurse with anger and frustration at the same time may want to get even in the forthcoming situation as the nurse might interpret as disrespecting her (Marquis & Huston, 2015). According to Singapore Nursing Board, I am abiding by their ‘Standards of Practice for Nurses and Midwives’. In Standard 1, Professional and Competent Practice, we nurses have to be professional and responsible for our action. In point 3 stated that we have to record and keep documentation that is clear, up-to-date, accurate and reflective of observations and decisions (Singapore Nursing Board, 2011).
Patients in different healthcare settings are vulnerable due to their conditions and sometimes lack the ability to share their challenges such as poor quality treatment and hospital-associated infections. There are cases when hospitals undermine ethics and ignore their patients’ values and interests. Healthcare professionals therefore have a responsibility to empower their patients with information on important medical decisions. However, some nurses ignore the need to communicate the risk of hospital-associated infections leading to undesirable outcomes. In cases when a hospital records a higher rate of HAI, it is important to inform a patient of the risk.