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How does patient safety affect nursing
Patient safety in nursing essay
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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.
Management of Care Case Study 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.
QSEN Competencies allow nurses to improve the safety and quality of existing healthcare institutions by continually understanding the KSAs – knowledge, skills, and attitudes. These competencies include patient-centered care, teamwork and collaboration, evidence-based practice (EBP), quality improvement (QI), safety, and informatics. The following paper discusses the above competencies and evaluates how systems thinking affects the quality and safety of the regulators and accreditors. According to Case Western Reserve University (n.d.), nurses should integrate patient-centered care values by communicating sensibly and respectfully while addressing patients' needs to other staff members.
Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,
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
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,
D-The patient arrived on time for her session and informed this writer that she has decided to remain with the clinic as she learned on her own that no detox facility will accept her because she is testing negative and currently on methadone. The patient further mentioned that she is questioning as to whether or not her sister and her mother would help her as they said they would; however, the patient had a moment and looked back when her family did not help her as she struggled with her children. Furthermore, the patient reports, her sister did not give her the $80.00 for her rent. The patient reports that she had asked some guy for assistance. This writer addressed with the patient about her employment status and money management.
National Patient Safety Goals (NPSGs) are critical in ensuring that healthcare providers offer quality care to their patients while minimizing potential risks of adverse events or injuries. The Joint Commission has established these goals as a tool to help healthcare providers identify opportunities to improve patient safety and reduce the risk of harm. As a nursing student, I have been learning about the NPSGs, and I have found them to be an essential guide to help me navigate my responsibilities in caring for patients. In this essay, I will discuss the NPSGs and give specific examples of how each goal relates to my experience this semester.
Fundamentals of Nursing National Patient Safety Goals are the foundation of the nursing department. Without these goals in place, the patient will not be receiving patient-centered care. As nursing students, it is important to understand these goals, as well as the DMACC program student learning objectives. EOP SLO Safe Practice Safe Practice is doing what is best for the patient and their autonomy. Safe practice involves many different aspects, such as the patient’s comfort, pain level, physical health, mental health, psychosocial needs, and that all their possessions are accounted for.
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.,
“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.
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
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.
They need to learn the various pieces and functions of communication in diverse areas of nursing. According to Garrett (2016), to maintain patient safety communication should be consistent, comprehensive, transparent, concise, and appropriate, consequently, leading to interacting and connecting with patients who demonstrated to improve results, reduce costs, and improve the patient’s understanding. A study conducted by Daly (2017), states that they are four themes nurses should utilize in their daily practice: 1. Prioritise people, 2. Practise effectively, 3.
Strengths and Weaknesses My three major strengths are medication administration, communication with patients, and asking questions when I do not fully understand something. I feel like throughout my preceptorship these have grown stronger, and have helped me to be successful. My three major weaknesses that I have been focusing on throughout my residency are communicating with physicians, completing skills I am unfamiliar with, and improving my confidence. I would say that these have improved quite significantly, but I still have a ways to go.
