Mastering these competencies will not only lend to success as an advance practice nurse, but also as a military leader. The ability to “Demonstrate leadership in the synthesis, utilization and evaluation of all interdisciplinary information to promote quality improvement in a health care environment” is vital when interacting with executive leadership. The information presented to key leadership must be supported by evidence based data as it will drive decisions for the organization. Regardless of if it is related to Army Medicine, or planning war fighting missions this principle will hold true in any military specialty. The second competency that resonated with me was the ability to “Demonstrate the use of informatics methodologies to advocate for patient autonomy, dignity and rights and in policy development that would support both the patient and the institution.”
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.
When I think about nursing I think about what our actions and interventions as nurses, and how we utilize our nursing skills. Basically, the foundation of nursing simplified is what do nurses do? Nurses play a major role in health care. We must have an understanding that our idea of healthy and our patients are usually very different. Nurses must explore ways to address the idea of wellness with each patient, and that is done by education and assessments.
They are in the key position to introduce interventions and strategies related to patient safety. Once of the critical impact on patient safety by nurses in all settings is the capability to coordinate and integrate the numerous aspects of patient care provided by all involved. The five criteria to define ‘quality nursing care’ would be: • Sufficient number of nurses • Suitable mix of skillset (eg. registered nurses, nursing assistants etc…) • Nurses with clinical experience and education for the task at hand • Practical workload for nurses • Adequate resources to enable nurses to deliver the best possible care.
For the clinical evaluation; I believe that I demonstrates clinical judgment, integrates the nursing process with my patient whom had really bad lab valves and what to give first.. I have integrated safety standards with medication. I believe I also integrated caring behaviors into the communication process by listening to my patients and providing pain med’s in a timely manner. I also modifies therapeutic communication strategies and communicates health care information by talking to the nurse, talking to the patient though her wound care and my team leader. Teaching was provided to each of my patient by modifying how they learn and evaluates the teaching provide to the patients.
Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.
This essay is to recognize the important factors with burnout in the nursing profession. The effects of burnout result in concerns with the nurses personally and professionally, the patient care that they provide, along with the consequences that have followed in the healthcare system. Nurses are most subject to developing burnout due to the nature and emotional demands of their job. The most significant consequences are the nursing shortage and a decrease in the quality of patient care. Insights of job dissatisfaction, stress, and burnout among nurses are provided.
They practice in different health settings and as such they use a variety of expertise in health promotions which have been classified by Whitehead, 2011 as general health promoters, project management health promoters and patient-focused health promoters. However, the most common method of intervention used by nurses is health education (Parker et al.,
Medication errors have a huge impact on health care system, patients and payers alike. It compromises the confidence of patients on health care system. Incidents and mistakes that occur during the period of administering medication goes on to be a big safety issue for patients in health institutions and hospitals globally. Interruptions to the administering of medication process have been noted as a major influence on medication error. Research reveals that some interruptions cannot be avoided; hence, to reduce errors, it is important to recognize how undergraduate nurses or health practitioners learn to control interruptions to how medication is administered to patients.
During my visit to the BRN meeting, I observed disciplinary hearings in which former nurses could petition to have their licenses reinstated or petition the length of a probation period. Death threats, gross negligence, and drug and alcohol abuse were some violations performed by these nurses. This presented an opportunity for me to have an outsider’s perspective on the situations presented and learn about some qualities that a nurse should or should not have. For instance, multiple bags of drugs were found in the possession of a nurse while on duty.
The legal and ethical obligations of a health care organization is to follow the laws, regulations, and policies in place to provide confidential, quality care to every individual. Furthermore, every health care organization holds critical fiduciary duties to their patients. Which means that they, “have an obligation to those who have put trust in them.” (Jones & Barlett Learning, 2017, p. 433) In this case not only was HIPPA violated, but under Tort Law, Negligence could be applied to patient Burn’s case.