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Running Head: NURSING ROLE AND SCOPE 1 Nursing Role and Scope Lisandra Alejo Florida National University October 23, 2019 Prof. Lourdes Castaneda, MSN, RN, CNML NURSING ROLE AND SCOPE 2 1. Describe a clinical experience that was troubling to you. Describe what bothered you about the experience and what could have you done differently, utilizing critical thinking. During my days as a student nurse, I experienced a clinical experience that was troubling to me. On this day, our responsibilities were following our health care aide throughout the ward and help in completing the resident care. The patient needed help in doing most of her daily tasks. The healthcare aide requested me to carry out one of those tasks and perform perineal care for her. However, I turned down the request because I felt uncomfortable with my level of skill. At night, the resident had a bowel movement that caused a significant odor in the room, and that also overwhelmed me. It was so unpleasant that I wanted to leave the room, but I decided to remain in the place to avoid making the resident feel mortified.
I assume that the patient was already feeling embarrassed, but I went on to clean up and change her linens. What bothered me most about this experience was my negative feelings towards the patient, specialized care. One of the primary reasons why there is less training about this issue is because the act of offering ultimate care for patients is most undervalued and seen as dirty work within the services provider and the society at large. Actions such as going to the bathroom are viewed as a private matter that is not performed in public. The experience was going against my social norm beliefs. However, I feel that I could go with the nursing values of supporting and caring for the people in need. Caring is one of the essential fundamentals of all nursing principles.
I feel that I could offer more care sincerely and genuinely to the resident. 2. Describe how patients, families, individual clinicians, health care teams, and systems can contribute to promoting safety and reducing errors. NURSING ROLE AND SCOPE 3 Patient safety experts agree that teamwork skills and communication skills are vital in providing high-quality healthcare. Engaging patients and families help in improving safety and reducing errors. According to a research review, there is a positive patient and family engagement result, which causes reduced adverse effects (Clapper, Merlino, & Stockmeier, 2018). This is by determining how the families and patients want to get involved in their care and including them in designing their care plan. This enhances their understanding of the tests, procedures, and anticipated healthcare outcomes. Individual clinicians also have a critical role in promoting safety and reducing errors. This is by ensuring they deliver their roles with ultimate accuracy and with the patient’s safety in mind. Healthcare teams that have effective communication and collaboration lower the potential for error. This resulted in higher patient safety and enhanced clinical performance. If the healthcare environment is safe for the patients, it would be a safer environment for all other people that play an essential role in inpatient care. Health care teams and systems can take part in implementing several proven medication safety practices that help in promoting safety and reducing errors. Some of these include; standardizations, reduced dependence on memory, the intelligent use of checklists and procedures, using forcing and constraints functions, carrying out multiple data entry, and getting rid of sound-alike and look-alike products (Clapper, Merlino, & Stockmeier, 2018). 3.
Describe factors that create a culture of safety. NURSING ROLE AND SCOPE 4 The concept of safety culture was first established outside healthcare settings in organizations that carry out intrinsically hazardous and complex work in an attempt to minimize adverse effects (Glendon, Clarke, & McKenna, 2016). Today, the culture of safety has been incorporated into the health care system. Safety cultures have shared practices, beliefs, and attitudes that exist in an establishment. Developing a culture of safety has a significant impact on reducing the injury cases of any process. Celebrating successes as a way of maintaining momentum in sustaining a culture of safety is one of the factors that contribute to a culture of safety. Recognition and praises should not only be reserved for the safety record of the company. Focusing on what is being done every day is essential in achieving that record. Improved access to timely and accurate information. Making the information useful in choice making to be always accessible at the care point helps in the creation of safety culture. Some of this information includes; medication administration records, patient records, lab reports, and drug formularies. Most of the organizations now have practice protocols and drug formula available as smartphone applications for just-intime availability.
Team collaboration training. Teamwork and collaboration among professionals have great importance in creating a culture of safety. This involves conduction training programs for interprofessional teamwork and communication in the medical care setting. These skills boosts safety especially during transitions in care and hands-off. References NURSING ROLE AND SCOPE 5 Clapper, C., Merlino, J., & Stockmeier, C. (2018). How to Achieve Patient and Workforce Safety in Healthcare. Glendon, A., Clarke, S., & McKenna, E. (2016). Human Safety and Risk Management. Safety in Healthcare Roxana Tejera Florida National University Nursing Department BSN Program Nursing Role and Scope Prof. Lourdes Castaneda 10/23/2019 Clinical Experience I vividly recall all my emotions before I entered nursing school; exhilaration and fear among others that felt like an in-between. Apart from course work, these feelings emanated the imagination of the reallife experience that awaited me during clinical routines as a nurse. When it was time during the semester, I was supposed to work as a cardiac step-down unit with a team of strangers. Although I felt excited and was well prepared for the experience, it was not at all easy for me. I anticipated that I would effortlessly speak to patients, interact with other members of the medical staff, and perform skills I had practiced in the lab before. GEOLOGY 101 REPORT 1 Frankly, what I thought would be easy turned out to be the most difficult after meeting real-life individuals having real-life issues. I faced a lot of challenges practicing ways to communicate with patients and not spew out certain medical terminologies we were taught in class. At the same time, I was to educate them about their diagnosis as well as medications.
I tried adapting but I still had difficulties in time management. This is because things moved very fast, orders kept changing, patients being discharged, and my duties changed fluidly all day. It was very hard for me to manage my time around performing vital signs, assessments, medications and at the same time ensure the comfort of patients. Another issue that troubled me was comparing my skill abilities, as well as knowledge, with my peers. Looking back, I could have used critical thinking to concentrate on learning from my supervisor on effective ways of managing time and use the chance I had to acquire knowledge and learn from my peers. I should not have spent most of my time worrying about issues and thinking on how to outshine others, but I could have concentrated on perfecting my skills and time management capability. Promoting Safety and Reducing Errors Safe and error-free health is committed to preventing hurt on patients, their caregivers, as well as other individuals operating in the healthcare facility. Safety is a constituent of quality, and this means averting preventable harm and at the same time ensuring the availability of appropriate care. Each person including the patient, their family, clinicians, healthcare teams, as well as systems can play a role in boosting safety and minimizing errors as a way of enhancing safety (Spath, 2011). This involves offering efficient healthcare services to those in need of them but not inefficient or detrimental ones. A patient can contribute to promoting safety and reduction of errors by following all the instructions provided by the healthcare professional handling him/her. He/she should take all the medications as required and avoid engaging in activities advised against until they are cleared by the healthcare professional. The families should come in to assist the individual and ensure that all the instructions are followed GEOLOGY 101 REPORT 2 keenly. If the patient is in a critical condition or cannot understand the instructions given, the family should work in collaboration with the healthcare professional to ensure that there are no errors in the care offered and that the safety and comfort of the patient are ensured (Carayon et al., 2014). Nursing Role Discussion
Individual clinicians should ensure that the environment around the patient is safe and make sure that the patient receives medication as needed. They should conduct constant assessments to ensure the wellbeing of the patient and address any concerns that they may have. Similarly, healthcare teams should follow every procedure to the letter when handling the patient. They should ceaselessly work with the management to promote safety in the facility. I case of failures in the system, they should report immediately and should never administer any treatment on the patient is unclear or unsafe (Masters, 2018). The systems should be designed to report any errors, as well as accidents, in the facility. They should, therefore, notify the management and the staff on any mishaps in the facility and provide appropriate solutions. Factors that Create a Culture of Safety A culture of safety in healthcare organizations requires powerful, devoted management/leadership as well as employee engagement and involvement. It comprises of several essential components. These include ensuring safety as a facility’s, patient involvement, accountability, openness/transparency, and teamwork. Additionally, this culture is denoted by common goals and core-values, the advancement of safety using training and development, and the nonpunitive approach to harmful incidents and errors (Thomas & Galla, 2013). Nursing Role Discussion
A safety culture entails having a balance between not putting blame on others for mistakes and not condoning outrageous conduct. The organization solely focuses on efficient teamwork in order to attain the goal requiring high quality and safe patient care. This culture is concerned with ensuring accountability, honesty, mutual respect, excellence, and integrity. If an unfavorable incident occurs, the culture encourages focusing on what caused the issue, but not the person who made the error (Thomas & Galla, 2013). GEOLOGY 101 REPORT 3 In summary, safety culture is built in healthcare organizations through leaders, as well as employees, ensuring certain actions and conduct demonstrating their devotion to safety. These behaviors and practices make safety the responsibility of each person, enhance open communication regarding safety issues, offer training as well as education on safety, empower workers to pinpoint and address threats and hazards, and reward safe actions and conduct. Nursing Role Discussion
The culture ensures systems and procedures that quickly rectify hazards within the shortest time possible. References Carayon, P., Wetterneck, T. B., Rivera-Rodriguez, A. J., Hundt, A. S., Hoonakker, P., Holden, R., & Gurses, A. P. (2014). Human factors systems approach to healthcare quality and patient safety. Applied Ergonomics, 45(1), 14-25. Masters, K. (2018). Role development in professional nursing practice. Jones & Bartlett Learning. Spath, P. L. (Ed.). (2011). Error reduction in health care: A systems approach to improving patient safety. John Wiley & Sons. Thomas, L., & Galla, C. (2013). Building a culture of safety through team training and engagement. BMJ Qual Saf, 22(5), 425-434. GEOLOGY 101 REPORT 4 … Nursing Role Discussion