Risk Red Flags In Nursing

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

The CNL incorporates the nursing process at the point of care through the strategic assessment, nursing diagnosis, critical thinking, intervention, and evaluation of the unit as a whole to guide efforts for systematic, quality, and safety improvements. A challenge that faces most healthcare system is that of effective and timely communication among the many different disciplines, including physicians, nurses, therapists, and administration. Without effective communication care can become disjointed for the patient and their family, increasing their risk for anxiety or injury. An important part of the CNL role is to fill this gap by insuring that patient and family needs are not only assessed, but also consistently communicated with all members of the healthcare team so that care can be more effectively coordinated. The CNL should also focus on the initiation and development of policies as well as the implementation and compliance of the best evidence based practices. CNL are also advocates for the patients and fellow nurses to ensure that nurses possess the education / knowledge, material, supplies and actually utilizes recommended guidelines patient

To have quality of care within the health care system, effective communication is needed. Barriers arise when effective communication is not meet, patients with limited English proficiency are at risk for misdiagnosis, poor treatment decisions, trust between provider and patient is not there, and patients to not adhere to treatment plans and follow up if they do not understand what they need to do (Regenstein, Mead, Muessig, & Huang, 2009).

In this case, it is vital that healthcare professionals use information that is given to them wisely and with the utmost care.

The World Health Organization recommends the standardized communication process, called SBAR, an acronym which simplifies a patient’s situation and background and the patient care provider’s assessment and recommendations (Wacogne & Diwakar, 2010). The situation, background, assessment, and recommendation (SBAR) protocol is a technique that provides structure for

Quality patient care requires the communication of relevant information between health professionals and/or health systems. Healthcare professionals who regularly work with patients and their confidential medical records should contribute to the development of standards, policies, and laws that protect patient privacy and the confidentiality of health records/information.

(NMC) (Guidance on professional conduct for students of Nursing and Midwifery, 2012). One of the codes is to prioritize people. I feel this concerns the patient in relation to their health. How they can receive the best care

Over the course of decades medical treatment has advanced causing an increase in the wellness of patient clinical outcomes. A large portion of the improvement is due to the vital role nurses play in the delivery of safe and quality care to their patients. For many years different methods of treating patients have evolved due to the continued research for the best practice. Nurses, researchers and people with questions have always tried to find better and efficient solutions to treat their patients detailing the best possible evidence-based practice. Evidence-based practice is an important tool to use for clinical decision making however one must understand it first. Interpreting Evidence-based practice allows nurses to comprehend the steps to determine if new evidence is needed and realize there are some benefits to utilizing up to date research and obstacles that may impeded the research into practice. .

‘Clear and complete communication between health care providers is a prerequisite for safe patient management. Which is a major priority of the Joint Commission's 2008 National Patient Safety Goals and long-term care (LCT). (Commission, 2008)

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

A medical setting in which a patient feels safe and secure is more likely to create the conditions in which optimal outcomes can be achieved. Part of helping to ensure a patient feels secure is addressing the communication barriers between the provider and the patient. Some of these barriers arise from the use of professional jargon. Surgeons, Physicians, Nurses, etc. work at a fast pace to make sure that every patient is attended to. As this is their profession, medical jargon is used frequently when communicating to each other, figuring out a diagnosis, and coming up with a treatment plan for the patient. But this medical jargon creates a barrier between the healthcare professional and the patient. There can be misunderstandings between the patient and the professional when it comes to diagnoses and treatment plans due to the communication barrier. The professionals commonly use medical terminology to inform the patient of their status and a patient may simply nod their head to be polite. This nod does not necessarily mean that there is a mutual understanding, it could potentially mean that they are overwhelmed and don’t know how else to act in response to long confusing words being directed at them. This is dangerous because a patient could leave the facility not knowing how to appropriately take care of themselves after their procedure/diagnosis. Medical jargon has the potential to cause the patient and medical professional relationship to be both broken and

Hospitals can avoid common law tort systems by adapting a Guidelines Based Systems. These systems will give the Clinic or Hospital click all practice guideline statements to follow. The statements will provide appropriate treatments for illnesses, symptoms and even different types of patients (Kessler, 2011). Such guidelines will help the physician fine the best clinical approach for the patient, thus verging away from malpractice or negligent issues (Kessler, 2011).

Shared decision making should involve both health professionals and patients in discussions about their care. “While health professionals hold the expert clinical and technical knowledge, patients are experts about their own lives and treatment objectives, and also what is important to them when making decisions. (Lally, Macphail, Palmer, Blair and Thomsom, 2011).

A weakness in communication between interdisciplinary team members can impact patient safety and health . A recent study revealed that out of all the claims analyzed , 57 percent of malpractice cases reflected miscommunication between two or more healthcare providers (Riah, 2015). In fact, the same communication failures directly linked to 1,744 deaths over the past five years (Budryk, 2016). During my clinical placement this semester I have witnessed the overwhelming number of health care team members that are involved in each patient’s care. I also take part in morning nursing rounds where all nurses are updated on every patient’s status. Transmission of permanent patient information is also relayed to all members of the health team via the patient chart .Here , interdisciplinary notes all come together to form updated health information on patients. However, although I have read interdisciplinary notes from all team members , I rarely have had the opportunity to personally communicate with members other than doctors and nurses. Personal communication allows for a team member to pass on relevant information in a timely manner without the possibility or misinterpretations. When communication is strictly done non-verbally, it is impossible to ask any questions.. This is why communication between professionals in health care is essential for patient safety and improved quality of care (Koivunen, Niemi., & Hupli,2015). There are 3 main factors that cause miscommunication

One way to ensure effective communication and exchange of patient information is occurring among the IP team is by allowing the patient’s healthcare team have access to all documents and notes. This will reduce redundancies and delays in acquiring patient information. The technological advances allows the entire team to be up to date. Moreover, the patient’s healthcare team should be present with the patient in order to help the patient choose the best course of treatment. Each member of the patient’s team can offer different insights and opinions. The team can also unanimously agree to move forward or rethink a patient’s course of treatment depending on the patients’ status or progress.