Abstract: aims and goal – The study conducted with eight family members in one rehab ward in Queensland, Australia, in 2009. It is showing, bedside nursing handover provides an opportunity to the family members to participate and improve the accuracy off handover communication. It also helping them to understand the situation, patient condition, treatment, and feeling like informed.
End of shift reports between nurses has been an important process in clinical nursing practice. Allowing nurses to exchange vital patient information to ensure continuity of care and patient safety. Therefore, the chance of potential communication gaps causing an error is high. According to the Joint Commission, communication is the primary cause of medical errors, with handoffs accounting for 80% of these errors [ (Zhani, 2012) ]. The most commonly practiced model of report takes place in the staff room, at the nurses’ station, or other locations away
Think back to when you were a child and you became ill. All you wanted was the protection and guidance of your mother to take care of you. If you had older siblings, maybe they were the ones that helped make you feel better. Even as we grow older, we rely on our family for support when we are not well. When a family member is ill, it is not just that one person that suffers. When an illness strikes a family member, it oftentimes includes the whole family to deal with the illness also. There are different approaches that a nurse can utilize when dealing with family nursing. Approaches include family as context, as a client, system and a component of society. In this paper, I will discuss where and how these approaches are utilized.
Bradley, S., & Mott, S. (2010). Handover: Faster and safer? Australian Journal of Advanced Nursing, 30(1), 23-32
This systemic review was completed to evaluate articles that discussed nursing handoff. 95 articles met the inclusion criteria and 20 of those articles involved research on nursing handoffs. A Quality Scoring System went on to assess each article with scores ranging from 1 to 16. “Quality assessment scores for the 20 research studies ranged from 2 to 12” (Riesenberg et al, 2010, p. 28). This goes to show us that there is a lack of high-quality articles on the subject matter of nursing handoff. From this article the reader can also learn about barriers and strategies of effective handoff in more depth.
More specifically, the standardized handoff procedure, SOUND, was developed and implemented in this study. This procedure includes five elements, which are Synthesis, Objective Data, Upcoming Tasks, Nursing Input, and Double Check. The quality of pediatric handoffs was evaluated before and after this intervention. Statistically significant improvement of successful handoff percentage was observed post-intervention. This study demonstrates that standardized patient handoff procedure is feasible in pediatric emergency department setting. However, this study was only able to test the completeness of handoff, but unable to relate the effectiveness of the handoffs to clinical outcomes of
Discuss the nursing interventions to be utilized with a family member who is in crisis in the care setting and interfering with the healthcare team’s performance.
Standard 16 of the American Nurses Association (ANA) Scope and Standards Practice, directs nurse leaders to advocate not only for patients but for all members of our healthcare community. As a discharge planner, I am in a unique position to advocate not only for patients but for caregivers as well. As part of my responsibilities, I participate in daily multi-disciplinary team rounds. The meetings take place so that all disciplines can openly discuss patient care needs. They provide the perfect opportunity for anyone to bring to light problems or concerns.
The purpose of this theory is to express the nurses’ influences, actions, and outcomes with regard to caring for critically ill patients (McEwen, 2014). The synergy model for patient care was created to link nursing practice with patient outcomes and this is explicitly stated in the model’s concept. This requires nurses to be proficient in the multitude of nursing practice. When nurse competencies and patient needs synergize, optimal patient outcomes can result (AACN, n.d.; McEwen, 2014). During the early 1990s, the AACN strategically set forth to identify a model that described nursing practice. In 1993, the AACN Certification Corporation established a think tank to draft a document that identified nursing concepts of practice, specifically certified nursing
Nurses must never stop learning and always need to strive to discover better ways to provide care for their patients. One important factor in achieving this goal is involving patients in their own care. This can be established by doing a handoff report at the bedside between nurses. Bedside report has been studied in various settings, and its effectiveness has been proven in the literature. However, more evidence-based research on this topic is needed.
Ineffective discharge teaching often leads to unnecessary admissions to the hospital resulting in negative patient outcomes and decreased patient satisfaction. This negatively impacts the well-being of the patient and creates a financial burden on institutions. As a result, this universal practice issue requires a call to action on the part of the nursing profession. Nurses can proactively assist in assuring incidents of readmission do not occur. Nurses as educators play a critical role in the successful transition of patients from hospital to home. The overall goal of discharge education is to ensure there is an exchange of critical information between the patient and nurse in which plans of care are understood and followed. The research
It can be very frustrating at times dealing with the family members of the older patient that I see in the emergency room. I have such limited time to take care of everyone’s needs before the next patient comes in by ambulance that I often forget how the family feels seeing their parent on an emergency room cart in pain and confused. My definition of the comfort I can provide in the emergency room are often very different from the family’s expectations. According to Gerontological Nursing (Tabloski, 2014), the attending nurse needs to understand the patient and family’s goals, wishes and values to attend to their
Imagine you are women who has a strong heart and does not get down easily, but you are constantly put down by men. This scenario happens almost every day to women and they do not know why men do this to them. The reason that I think men do this is because they have been socialized this way to get a girl and they push down a girl to fulfill their own insecurity. Men from 400 years ago also used to push down women and girls, which I think started this social act of putting women down between some guys. A strong women who was pushed down by most of the men in her life in The Taming of the Shrew was Katherine.
Nursing handoffs is a type of report between two clinicians that are responsible for patients care and is an important part of transferring patient information (what, how, who and where) from one healthcare provider to another in clinical practice (Smith and Schub, 2014). Ineffective, inconsistent and incongruent communication during these handoffs continues to be a problem and a threat to patient safety. Effective handoffs are instrumental in providing for the successful quality of care that the patient is to receive (Abraham, Kannampallil & Patel, 2013). Medical errors, treatment delays, inappropriate treatment and/or care omissions can happen as a result of miscommunication during handoffs which could potentially lead to patient harm, longer stays, readmissions and/or increased costs.
However, often the nurse will find herself dealing with difficult family dynamics with family members having differing expectations of the type of care that the patient should be receiving, staff conflict over treatment methods or strategies and high workloads. These issues can only compound the stresses on the Palliative Care Nurse and to cope
Part of the caregiver or nurse's duty is to provide emotional support and understanding to the patient. Swanson (1993) proclaims that being with assures patients that their reality is appreciated and that the nurse is ready and willing to provide emotional support. Emotional support can come in many forms, such as providing a shoulder to lean on and listening attentively. By using the process of 'being with', nursing professionals can convey messages such as, "you are not alone, what happens to you matters and that we are here for you" (Swanson, 1993). Conveying these messages can help with the healing process and overall well-being of the patient by decreasing anxiety and providing the patient with a caring relationship when family support is unavailable.