Transitional Paper: The Evaluation of Nursing and Patient Safety As medicine has evolved throughout the years, so has the role of a nurse. Once seen as solely an assistant to physicians, nursing is now considered the foundation of many functional hospitals and other acute care settings. A nurse’s role in safety in particular has evolved greatly throughout the years. It is important to note that as the overall role of a nurse expanded, as did the responsibility of continual patient safety. By looking at the evolution of training and nursing practice, it is possible to observe the changes that have occurred to increase patient safety within the past century. History of a Nurse’s Role in Patient Safety It is evident that a nurse’s role in healthcare …show more content…
As the understanding of infection and disease began to develop, as did the responsibility of a nurse. From 1900 to 1920, nursing 's focus on patient safety revolved around preventing the spread of infection based on the germ theory ("Nursing 's Evolving Role in Patient Safety," 2017). B y using proper hygiene and cleaning surfaces and instruments, nurse’s were able to minimize the spread of bacterial and viral infections. Although not fully understood at the time, this practice is still implanted as a way to protect patients against disease. Following the spread of the germs and proper hand hygiene, the 1920s offered little more to improve patient safety. Most publications gave no warning on adverse outcomes of treatment and patient safety was not quite a concern. However, attempts were made to reduce injury including lower beds for those at risk for falling and hand rails (“Nursing’s Evolving Role in Patient Safety,” …show more content…
As once thought of as mere assistants in the healthcare field, nurses have emerged as patient 's primary care and safety providers. From the evolution of the nursing profession comes two essential themes: patient safety and nurse advocacy. The primary goal for nurses is to provide the best safety for a patient so that they may get the best care possible. Nurses have become advocates for change, adopting new techniques and treatments while ensuring the safety of the patient is upheld and uncompromised. As the role of nurses continues to expand, it is important to remember how the profession has developed and be open-minded to new advancements. Patient safety is a team effort between all healthcare staff and should be held to the highest of standards to ensure patient care is the best it can possibly be at all times and to all
Objective One 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.
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 provi¬sions are interpreted to protect patients from illnesses caused in the course of medical treatment as well as to provide hygienic and injury-free experience in the health care setting. Special provisions exist for safety in pharmaceuticals, blood supply, infectious disease treatment and diagnostics, and mental health services, among others. Ethical codes for doctors, nurses, and other health care workers contain provisions applicable to the patients’ right to safety. Medical errors and other actions that fail to meet safety standards can carry civil, criminal and administrative penalties
Our nurses are being over worked and understaffed and no one is saying anything! There are mountains of evidence that show the adverse relationship between subpar nursing care and patient outcomes. Many people work overtime to make that overtime money because the hospital is usually understaffed. But because patient outcomes really depend on nurses to be in tip top shape, I think it is extremely important that hospitals eliminate working overtime. That is why I am asking policy makers to cosponsor the bill S. 1132: the Registered Nurse Safe Staffing Act of 2015.
This essay explains a critical incident that occurred on the pediatric emergency room, on my first week on the unit as a nurse technician, the incident relates to pediatric patients that range from three days old to fifteen years of age. The patient that fell during the fall was six- year old patient that had a increase of drowsy from pharmological treatment, which caused an increased risk for falls. In the Emergency department falls happen due to stretcher side rails up not being up while transporting or leaving patients unattended. As a nurse technician in the pediatric emergency department, I feel it is imperative to ensure patient safety. The age groups that are being seen pose an increase for falls.
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. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
“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.
The concept of patient safety traced as far back as the foundations of nursing. Perhaps nursing was born out of the necessity of patient safety and care. Florence Nightingale’s work in 1853-1856 aimed at improving the outcome of sick and injured soldiers during wartime (Telford, & Keeling, 2014, p.3). Therefore establishing the necessity for improvement in patient safety. By the early 19th century the National Organization of Public Health Nursing was developed to merge the public health needs and preventive care thus leading the way for the federal maternal and infant act of 1921 (Telford, & Keeling, 2014, p.7).
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective.
Over the course of this semester’s clinical rotation, I set out to try to achieve a better sense of what being a nurse in the rehabilitation setting meant. Shortly after, I found out that the objectives of rehabilitation meant safety- not only for the patient, but also for the nurse as well. While working with mainly with geriatrics this semester, emphasis was placed on, but not limited to: fall precautions, maintaining open airways, and in general, prevention of nosocomial infections. During active interventions to
Cases of airing concern by the nurse might be risky for their career, but the risk of airing such concerns do not eliminate the obligation held by a nurse to address life threatening issues faced by a patient. A nurse is obligated to speak and act in the ways which will provide sufficient support for the safety of the patient. In the situation addressed, the nurse is unable to assist since the effort to air their view and concern to advocate for the patient is shut by the management and the physician in
As such, safety, delegation, and quality of care are dependent on one another. In other words, effective teamwork among the nursing
This was based on quantitative safety results and Memorial Hermann prove to be that leader thus receiving the National Health System Patient Safety Leadership Award. This award proved that Memorial Hermann is a striver of excellence and values the safety of their patients. When hospital facilities have poor management, it can present itself in various forms, it can be reflected through patient care and the overall morale of the nurses. A hospital with will lackluster leadership may need to reevaluate and make necessary adjustments. A manager that is a focus on patient safety and the wellbeing of the nurses can contribute to increased productivity.
The Institute of Medicine report, To Err Is Human: Building a Safer Health System, notes that errors in health care are a significant cause of death and injury (1). Despite disagreements over the actual numbers cited, all health care professionals agree that patient safety is extremely important and should be addressed by the overall health care system. The American College of Obstetricians and Gynecologists continues to emphasize its long-standing commitment to quality and patient safety by codifying a set of objectives that should be adopted by obstetrician–gynecologists in their practices. Obstetrician–gynecologists are encouraged to promulgate these principles in the hospitals and other settings where they practice. Patient Safety Objectives I. Develop a commitment to encourage a culture of patient safety
Surveillance diagnoses are those that recognize patient risks that are anticipated by the nurse, who remains ready to act in the event of occurrence. The profession, as a whole, and language developers, in particular, need to expand standardized nursing diagnosis terminology so that the contribution of nurses ' vigilance to patient safety may be effectively communicated and