Vulnerabilities In Nursing

Defining the problems, exploring the causes and employing various research organizations to compile and address the potential causes (Berenson et al., 2014). The Advanced Nurse Practitioner (ANP) such as Clinical Nurse Leaders (CNLs) are educated in clinical research and incorporation of evidence based practices. Centers for Medicaid and Medicare Services (CMS) partnership with Patient Safety Organizations (PSOS). These organizations were to promote non-punitive reporting of safety related errors in healthcare. To date only 30 states are using these and little documentation and data gathering has explained their effectiveness on patient safety outcomes (Berenson et al.,

Reflect upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem.

In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience.

Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will

Lewis, Stephens, and Ciak (2016) confirmed that the Quality and Safety Education for Nurses (QSEN) initiative was developed to determine competencies for nursing students based upon Institute of Medicine (IOM) recommendations with the main goal of QSEN is to establish a cultural change toward quality and safety. According to QSEN (2014), addresses the challenge of preparing future nurses with the knowledge, skills, and attitudes (KSAs) are essential components of improving the quality and safety of the healthcare systems. Furthermore, the QSEN six competencies for nursing that targets the KSA to guarantee future graduates to develop competencies in patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement,

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

Patient safety mainly refers to the prevention of preventable errors and adverse effects to patients associated with healthcare(Rcn.org.uk).Personal safety requires knowledge and skills in multiple areas in order to be executed effectively(Pascale Carayon,2010).

“More highly educated nursing workforce is critical to meeting the nation’s nursing needs and delivering safe, effective patient care….. Without a more educated nursing workforce, the nation’s health will be further at risk (Tri-council for Nursing, 2010).” As the acuity of the patient increases daily, so is the need for increases of higher education for nurses. The factor of increasing complexity of patient health require higher education for the liability of safe practice, thus is an agreeable requirement for employers to place upon the employees. Acquiring a bachelor’s degree is only an improvement for everyone. Nurses need the ability of fast critical thinking skills and observation of declining signs and symptoms. Nurses also must have the ability to educate

During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety. In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and

Safety is a condition characterized by minimal risk of harm coupled with protection from potential harm. In health care, patient safety involves instituting mitigation measures to prevent potential adverse events. Unfortunately, the existence of potential adverse events is only recognized after such an event has occurred. Reporting an adverse event, therefore, is the first step towards developing mitigation measures. However, some nurses fear reporting adverse events, because they erroneously believe they will be penalized for the occurrence of such an event. I believe, reporting the occurrence of an adverse event should be rewarded, since it is the initial stage of preventing future events.

In the case study, it shows that the nurses did not treat the patient according to his/her needs. The nurses have failed to deliver an ongoing assessment of the pressure area, and this has resulted in harm to the patient.

I have work as a certified nursing assistant in the surgery unit and we have already implemented most if not all these patient safety measures. As a nurse, I will continue to practice and perform these safety measure that I have learned from my colleagues. Any patient that enters my unit will be asked to identify themselves. Patient will be asked to say their name and date of birth, while I make sure that their information is accurate on their arm band. Next step in the process, is to attain a medical history, from their current medication, health history and any allergies. This information is important because it will give an idea to how to properly care for the patient. I will be able to figure out what type of medication, for example

The success of patient safety, prognosis and improve health outcomes within the nursing profession is dependent upon proficient communication. When communication is not proficient, patient safety and wellness is compromised (Gore et al., 2015). There are numerous safety issues that can arise from inapt communication within nursing. Two issues that have the potential to impact patient care and safety are hand-off communication errors and cultural competence. Mitigating these safety issues within the nursing profession will be vital to improving and maintaining patient safety and promote positive health outcomes.

Communication is described as the interchange of information, thoughts, and feelings between individuals using dialog or other methods (Kourkouta, & Papathanasiou, 2014). Communication between patients, nurses, and other healthcare professionals can influence the patient outcome subsequently, understanding what establishes an effective communication will be beneficial for nurses and other healthcare professionals. Having the skills to articulate efficiently exists beyond having verbal skills. According to Wright (2012), to establish effective communication, a nurse should develop the use of nonverbal cues such as body language, demonstrating active listening skills to facilitate assurance that the interaction remains successful, and having