When passing patient information and responsibility between emergency department nurses and ward nurses, there are times when it can become inefficient due to inadequate communication (Drach-Zahavy, Goldblatt & Maizel 2015). Clinical handover is a universal procedure used by all nurses from all around the world in the hopes of promoting consistency of care. (Johnson, Jefferies & Nicholls 2012). As patients with continual care need multiple assessments, nurses take notes during all procedures accomplished and pass them down to incoming nurses at the end of their shift. If nurses are unable to perform certain tasks, it is essential that nurses from incoming shifts be able to perform them.
Student nurse Alice did not inform the staff nurse Mary that she could not serve medication without any supervision. Besides that, student nurse Alice also did not inform staff nurse Alice that she left Mr Tan's medication on Mr Abu's cardiac table in which causes Mr tan not to take his medication instead Mr Abu took it. Another reason was non-compliance towards hospital protocol due to lack of knowledge and competency. Staff nurse Mary breaks the six rights of medication administration by not serving the medication directly to Mr Tan. Thus, Mr Tan did not take his medication.
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.
55). When Wanda asked this writer whether nurses have read the guideline, she was shocked that six of the nurses that I interviewed had not read it. She agreed when I made the comment that the guideline needs updating and the nursing staff, especially nurses, need training when it comes to wound assessment in order to promote optimal care and improve the documentation so that we can more closely adhere to the CMS guideline. I can say that the facility’s wound assessment guideline needs changing, not only with the inclusion of references, but also in ensuring that the references included are evidence-based. There will be perceived barriers to change, such as the lack of EBP knowledge, nurses’ attitudes towards EBP, and the administration’s support (Melnyk & Fineout-Overholt, 2014).
In a counselling role, he or she may resolve issues that are meddling with the patient’s capacity to live effectively (Belcher and Fish, 1985). Lastly, when a nurse takes the role of a surrogate he or she needs to elucidate domains of dependence, interdependence and independence. In addition, the medical
The 14 fundamental needs are what guide the nursing process which nursing use to guide their care plan. Virginia Henderson theory separated the nursing care from the medical care because she wanted to focus on the patient as a whole (Blais& Hayes, 2016). The nurse who is caring for a patient with dementia will determine if the patient is capable of doing any of the needs on his or her own, will need the nurse to guide them with these needs or to take full responsibility for the patient to reach all of the 14 fundamental needs. The nurse is coming up with a plan of care for the patient and basing it on what Virginia Henderson believes a nurse’s role for the nurse should be. Which is the nurse will take full responsibility for the patient needs, or offering assistance to the patient while they are no longer able to do independently and working with the patient to promote independence (Ahtisham& Jacoline,
In our dealing with patients and our colleagues, contingency theory of leadership is of necessity. E.g. In a situation where a patient needs an emergency care (a patient with respiratory failure), the nurse will have to rush into action and try to resuscitate the patient instead of trying to seek the opinion of the matron or doctor. In some other cases, where a patient is stable and gives a complain, the nurse tables that complain to the doctor who in turn prescribes drug for the patient based on the complaint. Hence contingency theory cannot be overlooked in our profession.
According to Guido (2010), primary nursing care creates a clear concept of duty-owed when a nurse is assigned to care of a patient, and the patient relies on nurses to deliver competent standards of care. Duty owed the patient occur when the ordinary person fail to deliver reasonable and legal care within his/her scope of duty. In this event, the nurse who employed by the hospital who gave direct care to baby must be prove that failure in monitoring for signs and symptom of early extravasation. Secondly, breach of duty involves the deviation of standards of care, either omission or commission at the time of event. In this case, the nurse failed in monitoring and communicate to the consultants by giving
4.1 Introduction The focus of this study was to explore the experiences of mothers and fathers bereaved by Second Trimester Miscarriage most specifically focusing on their experiences of hospital care. The key findings from the study are presented in Chapter four, thematic analysis (Attride-Sterling, 2001) was employed to analysis the data and thematic networks were designed to represent the two global themes of clinical care needs and relational and social experiences of miscarriage which emerged from the data. The first section of the chapter outlines a brief description of the overall recruitment and response rate, and the demographic/clinical information related to the mothers who participated in the study. This is followed by a presentation
Wit is a movie about a woman named Vivian Bearing, who is diagnosed with end stage metastatic ovarian cancer. It is the story of her treatment from beginning to end after being diagnosed, the viewing of how she is treated by different healthcare professionals and her thoughts through it all. Throughout this movie there were many end of life concepts provided, however I chose patient safety and advanced directive to discuss. This movie brought many aspect of nursing to life and lessons on how, we as nurses should treat and act towards our patients. When the information was relayed to Vivian, the process was said to be “insidious” and the doctor didn’t really show much empathy for her or the fearsome news that he had just delivered to her (Wit,