They found that communication failure was a latent cause, which influenced patient safety in the hospital and is a large contributor to adverse clinical outcomes. Ineffective communication can also lead to the patient 's misunderstanding of instructions because of inadequate question-and answer opportunity. Communication is an important part of quality nursing care and predominantly influences patient and resident satisfaction; it is a core element of nursing care, a fundamentally required nursing skill (Fleischer et al., 2009). The nurse plays an important role in coordinating care for the client by integrating the management and delivery of treatment, encouraging health promotion and improving quality of service being provided by taking into consideration the client, client 's family and other health care workers. Nurses can communicate well with patients when they use a patient centered approach, which supports the active involvement of patients and their families.
Ethics Violation The American Nurses Association talks of nurse advocacy in the code of ethics as important in providing quality care for patients. In the code of ethics, provision 3 of the code of ethics states, a nurse should promote, protect and advocate for the health, rights, and safety of the patient. In the scenario, the provision 3 of the ANA code of ethics is violated as the effort to advocate for the patient is blocked and thus leaving the patient suffering in the hands of the physicians (American Nurses Association, 2005). Nurses play a vital role when it comes to the care of patients which include advocating for the patients since they have the closer relationship with their patients and tend to understand the needs and cases
The level of patient care in any facility dictates the reputation of the facility in the community, and consequently their financial success. Hospital Data of specific nursing quality indicators could be used in this particular scenario as a background information about the prevalence of pressure ulcers, falls, and restraints use. Using this information and the measures implemented to prevent this events to happened would give the nursing staff the needed elements to place the required appropriate interventions applying evidence based experiences in the care of any particular patient, consequently providing patient centered care. Hospital acquired infections, or pressure wounds are some of the outcomes of the fails in nursing care. It represents failure in hospital policies, procedures, quality of care, and they are followed for medicare and medicaid services, as far as reimbursements sources.
This can be very challenging to deal with for both the nurse and family members (Copstead & Banasik, 2010). These behavioral changes should be addressed by providing a significant amount of relaxing and therapeutic activities to help cope with anxiety and tension. The nurse should make the patients environments as quiet and relaxing as possible while constantly orienting the patience back to reality with continued references to the present time, date, season and personal memorabilia. Personal photo should be label in order to refresh the patient’s memory. When interacting with the patient the nurse should always introduce themselves and make eye contact.
After narrowing them down, the key factors that contributed the most to staff nurse retention were having nursing leaders, who created a trusting environment, fostered nurse empowerment that allows staff nurses to have more input in decision making, and upheld lower patient ratios. In order to incorporate these evidences into practices, protocols are to be implemented. Faculty in a leadership role should be adequately trained on how to be open for changes, willingness to accept information from outside sources, have a formal training on leadership skills, and allow for staff to speak in confidentiality about their viewpoints. Evaluating the effectiveness of the clinical guidelines, nurses are expected to provide comprehensive feedback through one-on-one interview and evaluation form. Patient care satisfaction tool will also be utilized to evaluate the care provided while the guidelines are being
1.Based on Chapter 11, what is your interpretation of violence in nursing? Nurses can experience violence from other nurses, other health professionals, patients, visitors, and strangers. To this day violence continues to be a major professional issue nurses face (Hockley, 2017). Violence does not only involve physical aspects, but nonphysical aspects like emotional and finical burdens. Something like spreading rumors or making someone feel intimidated or threatened can be consider nonphysical violence.
Even if the occurrence of distress is emotional, moral, psychological, or spiritual in type, nurse or whole staff requires support and assertion. Debriefing could be benefit nurses and easier process they experience. The process of debriefing described an “information-sharing and event-processing session” operated as a conversation between peers by therapist, counselor or professional fellow that guides the recognized process that will help nurses get better from their distress or in individual cases provide victim assistance or make recommendations to follow up. In conclusion, debriefing delivers a safe discussion of stressful event occurrences in healthcare setting and offer opportunity for recognition of normal response to distressing situation, work in a therapeutic method overall, and buildup common compassion among
(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent
A nurse leader should approach conflict resolution thoughtfully because it involves relationships critical for unit work efficiency and ease. There are five main ways to resolve conflict within the healthcare team; those include accommodating, avoidance, competing, compromising and collaboration. Collaboration is the ideal when there is conflict within a group because all parties can achieve their goals (Johansen, 2012). Nurse leaders frequently use compromise as a primary strategy in their conflict management style. However, the 2009 Center for American Nurses conflict resolution study discovered that although nurse leaders may use compromise as a strategy to end conflict, the bedside nurses were often fearful of opposition or punishment when dealing with conflict which then lead them to use avoidance in future encounters (Johansen,
The potential positive social change implications of sedation management guidelines includes the development of an effective guide that nurses can use in the care of sedated patients and better patient outcomes. With the use of evidence-based practice guidelines, patients’ length of stay in the ICU, and the hospital as a whole, will be decreased, and the nursing practice in critical care will be enhanced with the use of evidence-based practice
The ANA will provide consultation to nurses working in states where assisted suicide is legal, to assist them in upholding their professional responsibilities. The ANA also recognizes the moral distress they may encounter when confronted with these situations. It is important for nurses to stay up to date with current legislation and ongoing debates associated with euthanasia. Education should impel nurse to be advocates for their patients and decide with the coherent and lucid patient what is best for their quality of