Carr (1992) argues that in health care, the primary sources of conflict fall in to disrepute about professional roles, goals and procedures. In other words, this implies that when nurses and other health care professionals have different ideas of professional roles and procedures this can result in conflict, as with this scenario. Boggs (2003) supports this by arguing that in nursing managed care exacerbates role conflicts in a variety of ways. In this case, the anaesthetist wasn’t aware of the limitations of a student nurses role and the student nurse didn’t understand fully her professional limitations as a student in this situation. The NMC guidance on professional conduct for nursing and midwifery students (2002) states that as a nursing student one must ‘be aware of the roles and responsibilities of other people involved in providing healthcare’.
Knowledge of pressure ulcer prevalence. Knowing the stages of pressure ulcers, repositioning the patient every two hours, and not replacing him back onto his back when putting back to bed would have helped the nurse and CNA prevent one with this patient. Restraint prevalence knowledge by the nurse of when to use restraints and the proper management of patients in restraints. Patient satisfaction is another nursing sensitive indicator not taken into account here because of the nurse’s attitude towards the wrong diet being delivered and not keeping Mr. J.’s daughter informed of the incident and how it was remedied. The remark the nurse made was also inappropriate and shows she did not have the patient or family’s satisfaction in mind.
Organizational Systems and Quality Leadership Nursing sensitive indicators are designed to demonstrate the organization, procedures, and results of quality nursing care. Each of these areas can be broken down into key aspects that reflect the areas evaluated for quality. Organization indicators include the number of nurses available within a healthcare facility, the degree to which the nursing staff is trained (including the education and certification levels of the staff), and the ability of the nursing staff to execute their training (American Nurses Association, 2014). Procedure indicators are comprised of the aspects of actual care and include assessment and intervention measures, job satisfaction measures, and patient reflections on care. Results indicators evaluate measure the quantity or quality of patient care.
People go to the hospital in order to get better from whatever ailment is troubling them. Healthcare workers should give no less than an excellent quality of care towards the patients. Being lax about cleanliness lowers this quality of care and puts everyone in danger. Unfortunately, not all hospitals adhere to strict cleanliness rules and as a result, the number of HAIs are increasing with the U.S. Department
The policy states “hands are to be washed before initiating direct care with patient” (Community Mercy Health Partners, 2006). When I asked the nurses why their hands were not washed, the majority of responses that I received were related to being in a hurry and being focused on taking care of their patients’ needs. The next issue was not actually the washing of hands but was an issue that directly deviated from the policy. Two of the nurses being observed had artificial nails. The policy states anyone involved in direct
In the case of Mr. J his daughter noticed a red, depressed area over Mr. J’s lower spine while the CNA was getting him out of bed. If the nurse and the CNA would have used nursing sensitive indicators they would have known prevention is the key and would have been turning the patient on a turn schedule. The CNA also would have been able to identify that the red area is the beginning of a pressure ulcer and known to report it to the nurse. Mr. J also had restraints in place and it is not noted if the nurse and CNA were following a restraint protocol and were checking the restraints properly. Another concern is the restraints Mr. J is wearing.
Nursing-sensitive indicators have taken the forefront of quality measures and the definition of how quality of nursing care is evaluated in hospitals and out-patient care settings. These indicators allow nurses and administrators to evaluate how the care they are providing is following evidence-based practices, and how they may improve their practices toward better patient outcomes. The American Nurses Association has made steps forward in promoting these indicators as the definitive standards for patient care and quality improvement. This paper will evaluate how nursing-sensitive indicators could have assisted the staff in taking care of a patient, Mr. J, how nursing-sensitive indicators can advance quality care practices, and evaluate the ethical considerations and solutions to the problems encountered in Mr. J’s care. In the care of the patient Mr. J, utilizing nursing-sensitive indicators could have greatly assisted the nurses and aids in identifying issues that may interfere with patient care and cause negative patient outcomes.
The Patient Bill of Rights has a significant impact and is essential for the people who are in the health care organization for the purpose of getting treatment properly and easily. In this scenario, June is suffering from anorexia and the doctors feel she may need to be placed on a feeding tube to save her life. June agreed to the procedure but became combative, disoriented and refused to have the tube place the evening before the procedure was to take place. The patient bill of rights applies, as the patient has a right to know what treatment options are available to one and what the possible outcomes may be. The patient has a right to decide one’s medical care.
Where clearly has brought a difficult situation to the healthcare team of the hospital raising ethical and legal issues in all aspects due to the fact that the parents of the pregnant teen have refused any assistance and the nurse assigned has complied silently. This scenario compromises patient safety and puts the minor and child in medical danger. Not only are the lives of the minor and the teen in danger but also it raises an ethical issue of the hospital and patients’ rights. It would make sense to attempt to provide all medical attention necessary to promote patient safety for the sake of the minor and unborn child but also it is important to evaluate the legal liability of the hospital to determine if the parents have all the rights and responsibility in decision making for their daughter. Therefore, treating all patients fairly is an ethical duty of the hospital and staff with respect to values and beliefs.
Some of the medical errors mentioned are a result of practitioner’s failure to understand all medications taken by the patient regardless whether it’s a prescription or over the counter medicine. This failure has caused patient to develop allergies and reactions to drugs. In addition, patient safety is important due to the fact that patients need to know the medications they are prescribed with greater detail from the physician interaction with the patient to make sure the patient understands some of the after effects of medications at the front end rather than the back end. The reduction and eventually the removal of human errors from healthcare providers will give healthcare stakeholders a sense of safety whenever they choose to receive the best care from any provider. It is also important to note the biggest form of infection and disease transfer from one patient to another is caused by failure to practice hand hygiene.