Paediatric Nursing Case Study

9 Make sure your personal behaviour maintains patients’ confidence in you and the dental profession (Standards for the dental team- www.gdc-uk.org)

7 / D.P7: Explain how different procedures maintain health and safety in a selected health or social care setting

Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective. Improvement of nurse staffing levels will improve the quality of care our patients receive.

Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self-aware of how this is affecting her. As she starts her shift today she is again assigned to the

Nurses’ primary goals are to promote patient safety and give the best quality of care to the patients. They also play a vital role in preventing and reducing medical errors in their work place. Nurses must be fully aware of the new recommendations and guidelines to follow in the healthcare setting. The Joint Commission established the National Patient Safety Goals (NPSGs) in 2002 (The Joint Commission, 2015). The goal of this program is to assist the health care providers with issues and concerns regarding patient safety and to help solve them. Hospital National Patient Safety Goals include: a) identify patients correctly, b) improve staff communication, c) use medicines safely, d) use alarms safely, e) prevent infection, d) identify patient safety risks, and, e) prevent mistakes in surgery (National Patient Safety Goals, 2016).

Nursing is known as professional discipline (Donaldson & Crowley, 1978). Nurses shortage is one of the significant issues in current nursing in Singapore and also in other countries. According to Buchan et al 2008, nurses shortage has a significant connection with a country’s historical staffing levels, country 's resources and it also estimates the demands for healthcare.

Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices. They make up the biggest health care occupation in the United States. Nursing job duties include communicating between patients and doctors, caring for patients, administering medicine and supervising nurses ' aides”(study).

A major push for the improvement of quality and safety outcomes was in 2000 when the Institute of Medicine published, To Err Is Human: Building a Safer Health System. In 2003 the Institute of Medicine (IOM) laid out the six core competencies for healthcare workers. In 2007, the Quality and Safety Education for Nurses (QSEN) project redefined the competencies to fit the care of nurses (Jones, 2013). Two of the competencies laid out in this project are quality and safety. These are often clumped together, but are in fact two separate competencies. I will be laying out what is safety and how it differs from quality. How a culture of safety needs to be a system approach and not just an individual approach. Lastly, discussing

"Medication errors results from the interaction of multiple factors that include regulatory environment, organizational leadership and commitment, management policies and procedures, complexity of tasks involved, work culture, and physical environment" (Chaudhury, Mahmood, & Valente, 2009, p. 229). Health care services that nurses perform in the hospital environments are physically and psychologically intense, which can potentially result in burnout, stress, and medication errors. Crowded and poorly designed work spaces are factors that contribute to staff stress, resulting in the risk of increase medication errors (Chaudhury et al., 2009). Ulrich, Zimring, Quan, Joseph, and Choudhary, 2004 (as cited in Chaudhury et al., 2009) "argued that reduction of nursing staff stress and error by physical environmental dimensions (such as air quality, acoustics, lighting, and so on) can have a significant impact on staff health and efficiency" (p. 230). There is limited research on the how physical environment affects medication errors. For this study, the research question was: "What is the nurses' perception of the role of the physical

The Effects of Working the Night Shift, written by Julia Tortorice, is an article about it affects health or nurses and how it affects their families. The author also mentions that currently acts are pending to improve staffing and the overall health of nurses. The author successfully uses humor and the logical appeal of pathos to make it easier to understand. She also gives advice of what a nurse can do which will help me brain storm my solutions in my paper. For instance, Tortorice (2014) says, “Studies have suggested that napping nurses suffer from less fatigue than non-napping nurses” (p. 3). In my paper, I will be sure to take information such as the quote I just previously stated and the many solutions the author provided and incorporate

Technological advancements have brought efficiency and effectiveness of all aspects of human life. In the health care sector, physiological activities can be effectively carried out by the patient’s bedside through use of modernized equipment’s.

Tentative Thesis: Though the definition of stress is already well-known among our society, we remain ignorant towards how stress develops everywhere and influences the workplace.

Staff allergic to latex must inform their manager and be provided with latex free gloves

Various studies across the globe have emphasised that students undertaking professional courses, are subjected to higher stress. Excessive stress could lead to psychological problems like depression and anxiety.

Stress refers to a dynamic interaction between the individual and the environment. In this interaction, demands, limitations and opportunities related to work may be perceived as threatening to surpass the individual's resources and skills. Stress is any physical or psychological stimulus that disturbs the adaptive state and provoked a coping response