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?).
More often a nursing assessment is based on the medical side of the patient rather than the holistic approach. In this assignment I will be discussing the importance of the nursing process, care planning, and looking at how these are used in practice. I will look at the tools used in the nursing process and show an understanding of how effective they are when used correctly. I will achieve this by describing a case study of a patient from my practice area, and discussing two specific areas that affect the patients care. Throughout this assignment I will be using a pseudonym to maintain patient confidentiality in order to conform to ‘The Nursing and Midwifery Code’ (NMC, 2008).
A CRITICAL ANALYSIS OF AN EPISODE OF NURSING CAREMODULE TITLE: NURS 6032STUDENT NO: 25048015COMPUTER ISS: ran1m12WORD COUNT (excluding text box): 3598 | A Critical Analysis of an Episode of Nursing Care Introduction The subjective interpretation of the criteria for service in Mental Health Organisations by clinicians can sometimes prevent people with possible mental health issues from accessing the service. The text box below gives an insight into an assessment of a service user in the presence of the student nurse. This essay sets out to critically analyse the episode of care given to this service user with regards to the way she was assessed for possible mental health issues, and relates when the subjective interpretation of a criteria for service was a barrier for engaging her into the service she came to seek help from. It starts with a comprehensive description of the assessment carried out by a Senior Nurse Practitioner, examines the role of nursing in people’s mental health, the meaning of a comprehensive and holistic assessment and includes the critical reflections of the student nurse on this assessment session based on her observations using Driscoll (2007) framework of refection. Description of the Assessment *Miss Frances is a pseudonym for the purposes of service user’s confidentiality and in line with the NMC Code of Conduct (2008).
ETHICS CASE STUDY BRANDI M C UNIVERSITY OF PHOENIX In healthcare many things go off of ethics, every healthcare worker has to understand that. In this case study Jerry Mccall has to decide whether to call in a medication refill without consulting the doctor first. Many things need to be considered like legal consequences, patient complications, consequences for Dr. Williams. All of these could have grave consequences for Jerry. In this case study Jerry Mccall takes a call asking for a prescription refill, the person requesting the refill isn’t a normal patient of Dr. Williams he states he is a close friend.
Reflective Competency – Therapeutic Relationships This essay addresses my experience of therapeutic relationships within an acute hospital setting. I have changed the name of the patient and places in order to protect confidentiality as outlined in the Nursing and Midwifery Council Guidelines (2010). I have used the Gibbs Reflective Cycle (1988) to demonstrate my understanding of the situation and how I feel it should be performed. By using this cycle, it has enabled me to reflect in a structured way. Neal (2003) cited in Hinchliff et al (2003) states that a therapeutic relationship can be described as being between nurse and patient and is based on the patient’s needs for care, assistance and guidance.
Research Article Analysis Paper Abstract The abstract is a detailed description including the study problem, the particular patient population studied, the method of study used and a brief description of the results. The authors present the question and significant results of that question within the abstract. The abstract would have been strengthened by clearly stating the sample size and conclusion of the research. Introduction The authors of the research article found it important to educate nurses directly working with renal disease on end-of-life issues. They felt these patients were not getting proper education and assistance ensuring the wishes were being carried out.
We will further consider the nursing skills needed by the nurse (RN) and the scientific basis in each part of the nursing process. The assessment is the first step in the nursing process. The assessment phase is where information is gathered; this data will assist in forming diagnosis, outcomes and interventions. Analyzing a patient involves collecting both subjective and objective data. First, the RN needs to collect the data.
Writing Assignment 6.1 The Nursing Process: Assessment and Diagnosis By: Rodney Gene Sheaffer Jr. NU100 Pam Pauli 02/06/15 ABSTRACT What is the nursing process? The nursing process is the organizational framework for the process of nursing (Ackley 2014). It covers all of the steps necessary to provide the highest quality of care. A nurse uses this process to effectively assess, diagnose, plan, implement and evaluate their patient. In this paper we will look at the individual steps in the nursing process as well as using these steps to assess and diagnose a patient.
Nursing standard 21 (2) 35-40 Johns C (1995) Framing learning through reflection within Carper’s fundamental ways of knowing in nursing. Journal of Advanced Nursing. 22, 2, 226-234 Johns Model of reflection Johns Model of Reflection Description of the experience Describe the experience and what were the significant factors? Refection What was I trying to achieve and what are the consequences? Influencing factors What things like internal/external/knowledge affected my decision making?
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.