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Reflection on nursing practice and decision making
Reflection on decision making in nursing
Reflection on decision making in nursing
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Week 4: Online Governance Evaluation Online Quality With US. Sports Fanatics’ creation of a new e-commerce platform will include many new policies and processes for the company to implement. One of the current processes that will be impacted by the e-commerce platform is how the company will store and maintain inventory of the products. US. Sports Fanatics will need to update the current inventory foundation to ensure that any online order is able to receive the product in a timely manner.
Delegation Paper Breanna Lake Department of Nursing, Davenport University NURS433: Nurse Manager and Leader Professor Debbie Bosworth February 17, 2023 Delegation Paper Introduction For my leadership experience, I spent seven weeks on a medical-surgical unit in Hastings, Michigan. I worked alongside my nurse preceptor on night shift, and as the clinical experience unfolded, I learned numerous new skills and gained knowledge that will be extremely beneficial moving forward in my nursing career. I evaluated the hospital’s mission statement, the leadership and communication styles among team members, and I evaluated how my skills and leadership style evolved over the course of the clinical rotation. General Information
The consensus model also allows them to move freely state to state. This model has support from 48 different nursing associations, which shows that the support is there for implementation (NCSBN, 2017). Nursing plays an essential part in shaping the future of healthcare to improve quality, safety, and cost and this happens by advocating and participating in the policy development of full practice autonomy for Nurse Practitioners. Nationally, there is a dire need for primary health care clinicians which specifically affects the underserved.
The type of model of nursing care delivery used on my unit is a team nursing model. I am currently working on a 50-bed orthopedic unit in a level one trauma center. The unit is divided into 2 areas. One of the sides is for trauma patients and the other one is for elective surgical patients. One nurse assumes the charge nurse duties, including making staff assignments, managing call-outs, communicating with the patient care coordinator, and supervises problems and concerns for both areas of the unit.
Acting as a liaison between the nursing staff and other members of the administrative staff, they are often in high-level management roles. Though not in a direct patient contact role, they are often involved in the policy making within an organization affecting patient care (Ferguson-Pare, 2003). The nurse administrator meets the same competencies in the nine essential areas, but have additional competencies in organizational and system leadership, communication and relationship management, knowledge of health care environment, as well as business skills and principles (AONE,
As a result, this adjustment in practice should be prioritized. The third phase is to build a team to develop, evaluate, and implement the change in practice. The team should comprise nursing and non-nursing professionals and stakeholders from the organization or unit. This team should be in charge of developing,
(Finkelman, et al, 2013). The importance to having all health care members working together in leadership roles is imperative to positive changes within the health care setting. Nurses can give an insight on matters that only a nurse can, and this is an important viewpoint that needs to be included when
For instance, the current case study, a group leader is required to delegate responsibilities to his/her team members including UAP, LPN, and LVN. Moreover, it is important to consider the nature of the task being delegated to the UAP (Corazzini et al., 2013). This paper is aimed at exploring rules of task delegation in nursing profession by applying the five rights of delegation. The discussion is based on the provided case study involving a team composed of an RN, LVP/LPN, and a UAP. The team is required to provide healthcare services to six patients
Kaidence Vaughn BSN 415: Sentinel Hospital Professor Yvonne Myette July 28th, 2023 Introduction As the charge nurse at Sentinel Hospital, I hold a critical and rewarding role in overseeing and coordinating the nursing staff and patient care. This position brings a mix of emotions, from a sense of responsibility and pride in contributing to patient care and unit efficiency to moments of stress and pressure in ensuring tasks are appropriately assigned and nurses are adequately supported. Open communication plays a pivotal role in this role, as I strive to maintain clear lines of communication with the nursing team, addressing their concerns, and providing necessary support to foster a cohesive work environment. In this reflective essay, I will delve into my experiences and the lessons learned concerning delegation, caseload management, and advocacy, as well as explore the positive impacts and potential areas for improvement in my practice.
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions.
For this assessment, I will be reflecting on what clinical governance looks like in my workplace, with a critique of the framework used within the organization. During the reflection I will discuss what pillars and principles were found, while describing my fellow team members’ understanding of clinical governance and how it is reflected in their practice. Finding the clinical governance framework for my workplace was challenging and time consuming without computer access in place of hard copy policy and procedure manuals. I found clinical governance summerised through the manuals, ensuring compliance of the 44 accreditation standards (Australian Aged Care Quality Agency, 2014) but as Knight, Kenny and Endacott (2015) discuss, while the concept is accepted, there is a gap between theory and practice, which is visual where I work. Pillars and principles such as risk management, efficiency, effectiveness, patient centric and equity are seen throughout the policies, and to analyse more specifically, clinical governance is articulated under categories, consisting of “education and training, clinical audit, clinical effectiveness, research and development and role clarity” (Davies, Chapman & Boyd, 2015 p.45).
Abortion’s being legal or illegal has been a huge debate over the years. One of those people affected by abortions is teenagers. “Every year more than a million American girls under the age 20 become pregnant” (Clark). What does the future look like for those who have had an abortion and for those who had went through with their pregnancy? A question that has been studied and experimented on for years.
Introduction Teamwork builds up the ability of nurses and other healthcare providers to implement higher quality and a more holistic care. In this essay, firstly, I am going to discuss about teamwork in nursing. Secondly, I am going to talk about the importance of teamwork within nurses and other healthcare providers. Thirdly, I am going to discuss about the benefits of having teamwork and proper delegation needed among nurses. And lastly, using Singapore nursing board, code of ethics and professional conduct that direct to this clinical situation.
They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or
