At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011). The key objective of praxis is through reflection to incorporate theory, practice and art to aid in the recognition and valuing of diverse types of knowledge (Kilpatrick, 2008). Praxis plays an integral role for the APN and there should be a solid foundation of understanding. There are several benefits for APN’s use of nursing praxis; it influences the relationship the practitioner develops with patients, their families and colleagues. Moreover, it provides the opportunity for change, personal nursing theory and knowledge development through self-reflection.
Change theory will be utilized to implement the plan. A failure mode and effects analysis (FMEA) will project the likelihood that the process improvement plan suggested will not fail. Additionally the role of the professional nurse in functioning as a leader in promoting quality care and influencing quality improvement activities will be discussed. A.Root Cause Analysis A root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The people involved in the RCA should be the people involved in the scenario: the RN (Nurse J), the LPN, the physician (Dr. T.), the emergency room manager, and a figure from administration (Chief Nursing Officer?).
Elements of a recognised framework by Cormack (2000) will be used as a guideline through the critique process. Critique is defined by Polit et al (2000) as a careful critical appraisal of the strengths and limitations of a piece of research. They state that a written critique should serve as a guide to researchers and practitioners, and should help to advance a particular area of knowledge. The critique should also help those who are practising nursing, to decide how the findings from a study can be best incorporated into practice (Nieswiadomy, 2002). Knapp (1998) points out that if research is to provide convincing evidence on which to base practice, it must be capable of withstanding scrutiny regarding the quality and relevance of the researchers work.
Reflective Account The purpose of this essay is to provide a reflective account on a clinical intervention I was involved in during practice experience. An adapted versions of Driscoll’s (2002) What? Model will be used in order to guide me through the reflective process (see appendix 1). Reflection on an experience is a learning activity requiring an ability to analyse one’s self in relation to what has happened or is happening and make judgements regarding this (Driscoll 2007). In accordance with the Nursing and Midwifery Council (2008), confidentiality shall be maintained throughout.
Unit 3 Task 4 Incidents can occur in any health and social care setting, caused by carelessness, deliberate harm or mistake by human error. Incident 1 In a care home an elderly man has fallen against a shelf, he has low levels of consciousness and he has a mild head injury- he is also very confused. The possible responses, for this patient is to removed the shelf if it is partially damaged/ causing obstruction/ unstable to prevent it falling further and causing further harm- this is protecting you and the casualty. Once the danger has been removed you should call an ambulance as they have suffered a head injury and fall, so will need further treatment, someone else could do this while you treat, for better time efficiency. You should also open their airway and monitor their breathing, as they could deteriorate quickly.
Mr. Hudson complains of symptoms such as, dizziness, ringing of the ears, dry mouth and dry throat. According to the DSM IV-TR, I diagnose the “Edgy Electrician” with (GAD) Generalized Anxiety Disorder. A disorder characterized by chronic distress and anxiety. He qualifies for this disorder because he possesses some symptoms such as difficulty concentrating and being unable to control his worries, which are all symptoms of (GAD). “People with Generalized Anxiety Disorder report that the anxiety that they experience cause substantial interference with their lives and they need a significant dosage of medications to control their symptoms.” (Gerow and Chatmon 2013, p. 258).
Education is important with this form of treatment so clients can recognize how different factors affect the course of the disease and what they can do to manage these factors (Steinkuller and Rheineck 342). Family therapy is also a means of treatment where family members as well as the client see a mental health provider to find solutions and ways to deal with the disorder. Family involvement provides structure and could increase adherence to treatment leading to delays or reductions in relapses (Steinkuller and Rheineck 342). Interpersonal and social rhythm therapy involves stabilizing social and circadian rhythms based on the hypotheses that unstable daily routines result in increased bipolar episodes in individuals prone to them (Steinkuller and Rheineck 349). Social rhythm therapy recognizes the need for regular sleep/wake cycles, regulation of meals, exercise, sleep and plans for keeping rhythms stable when disruptions occur.
Introduction In this account I will concentrate on an established clinical skill that I have been practicing for many years. Presenting this assignment reflects the assessment and care delivered to a patient within my working practice. Using Gibbs model (Gibbs, 1988) as a working model will allow my thoughts / feelings, evaluation, analysis, conclusion and action plan to be deduced. I will apply critical thinking and underpinning knowledge to evidence based practice and thus concludes with an evaluation of increased clinical competency and personal development. Reflection as a learning tool allows me to identify the positive and negative aspects of my practice and to draw upon previous experiences and apply them to new situations “Reflective practice has, however, the potential to help practitioners in all fields unlock the tacit knowledge and understanding that they have of their practice and use this to generate knowledge for future practice”.
This essay will discuss and reflects using Gibbs reflective cycle (1988) about the use of pressure ulcer prevention tool and how functional it is based on evidence based practice (EBP) that will facilitate to enhance the possible result of an underlying procedure. According to Jasper (2003), reflection is a fundamental tool in order for the student’s to understand the broad perspective between theory and practice. Reflection is an active process that enables health care professionals gain a deeper understanding of their experiences and it serves to extend our professionalism and develop our confidence in a bid to make sense of clinical experiences (Ghaye, Gillespie & Lillyman 2000).In accordance to Nursing and Midwifery Council (NMC) Code of practice the details about the client will not be given to ensure the confidentiality and protection of the patient (NMC, 2008). The first part of Gibbs reflective cycle is the description. As a health care professional trained in different approach, I assessed my client based on the theory and learning experience that I have had.
A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff.