Sound Clinical Account

I understand that my education and clinical knowledge is something that I will continuously develop to ensure that I am a safe nurse. Whilst on placement, I rely on evidence based practice and policies and procedures to ensure that I am practicing in a safe manner.

The Quality and Safety Education for Nurses (QSEN) Institute developed six core competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics (Quality and Safety Education for Nurses Institute, 2017). At my facility, it is clearly evident that they have adopted these six core competencies to improve patient quality and safety. My facility created the Office of Patient Experience which supports care that is safe, of high quality and high value. Patient satisfaction is a top priority which is why our guiding principle is known as “Patients First”. Through teamwork and collaboration, we deliver care that is patient-centered by working together in multidisciplinary rounds on the inpatient units. Also, the nursing education department supports quality, safety and consistent nursing care through a database of policies and procedures developed using evidence-based research. Lastly, the nursing informatics department is working towards making our EPIC system more patient-centered. They are doing this by decreasing the redundancy in charting for the nursing staff and finding ways to improve processes which automate tasks. This in turn will reduce the time that the nursing staff spends with their computer and increase the time that the nursing staff can spend with their patients.

Over the past number of years there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is due to the uprising acuity of patient care and a decrease in there overall hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Not only has the safety and quality of patient care suffered, the working conditions in hospitals

Evidence based practice, “involves integrating the best available research evidence with professional expertise while also taking account of patient preferences the patients state setting and circumstance and health care resources” (Gerrish, K. Lathlean, J, 2015). As the health care profession constantly changes, then it is vital that all evidence based practice is kept up to date with current information and research, relating to nursing practice. Always assuring that the patients need are taken into consideration (Sackett et al, 1996).

Sayre, M.M., McNeese-Smith, D., Leach, L.S., & Phillips, L.R. (2012). An educational intervention to increase “speaking-up” behaviors in nurses and improve patient safety. Journal of Nursing Care Quality, 27(2), 154-160.

After reviewing the literature, I believe that providing the nurses in our emergency department with guidelines and resources for accurate

“Patient safety is a serious global public health issue. Estimates show that in developed countries as many as one in 10 patients are harmed while receiving hospital care” (World Health Organization, 2016). This is an important issue that all providers of healthcare are involved in reducing the incidence of these types of preventable errors. With the nurse having the majority of face to face contact with the patient, their input is essential to improved outcomes.

Nursing is a profession that takes up a role in providing quality health care for a patient and ensuring that the patient’s holistic health is being recovered. All nurses have different scope of practice, but it is up to the nurse to be able to delegate the appropriate care needed for the patient. According to Quality and Safety Education for Nurses (QSEN) initiated a quality and safety competencies for nursing and proposed targets for the knowledge, skills, and attitudes to be developed in nursing pre-licensure program. Nurses are supposed to master Patient-Centered Care, Teamwork & Collaboration, Evidence Based Practice, Quality Improvement, Safety and Informatics (Quality and Safety Education for Nurses, 2014). Nurses should be able to

By achieving a Bachelor of Science Degree in Nursing at the University of Florida, I hope to acquire the knowledge and the skills imperative to work in the medical field. As a graduate, I expect to have obtained proficiency in teamwork in order to function with other nurses and doctors in chaotic areas such as the emergency room; as well as the ability of assisting patients while working under pressure in extreme scenarios as it is in the case of an operating room. Since it is an exceedingly delicate field, hospitals or other medical facilities are expected to hire responsible and clinically knowledgeable employees. Likewise, a competent training is essential in the course of taking care as well as saving the lives of patients. With this knowledge

As the hospital has gained popularity and become more accepted by society in the last two decades, with more sick people the industry has had to make changes in order to keep up with supply and demand. The enterprise has required better organization than ever with more people taking hands full of medicine per day. The entire world is looking for a nurse to make a mistake with medications, so it seems. The many stipulations and rules that the nursing staff faces meeting

As a competent registered nurse, my career goal is to become a healthcare quality improvement leader, a position that would enhance my commitment in promoting patient safety. I not only believe in enhancing the capacity of other care providers, but also in improving the quality of the healing environment for the benefit of both patients and their care providers. This means not only promoting collaboration with the multidisciplinary teams, but also building the necessary healing partnerships with our patients. To enhance the quality of the healing environment, I aspire to continue analyzing researches for evidence based practices and advocating for their actualization. I will continue focusing my time and energy in encouraging other nurses to improve their skills through formal education, so they can empower themselves as advocates of quality improvement for the benefit of their patients and coworkers.

Ms Florence Yap is an Operating Room RN I/06; a BSN degree holder, graduating as Magna Cum Laude at Florida Atlantic University in 2014. He is a valuable member of the operating room, demonstrating leadership within and outside the realms of the operating room. Ms Yap serves as staffs nurse; she step up and assumes the responsibility of Special Equipment and Instrumentation Coordinator. This proficiency report demonstrates examples of how Ms. Yap uses her nursing knowledge and skills to provide nursing care exceeding the Qualification Standards in the four areas for a Nurse I. Ms. Yap provided input to this proficiency.

Acquiring competency in nursing and clinical skills is important in providing safe and skilled nursing care. As a nurse, I want my patient to feel safe and see that I am well prepared and can provide proficient and competent care. Patients always evaluate their stay and organizations sometimes earn a bad reputation when the patient doubts the safety of the environment. Healthcare facilities are denied remuneration by insurance companies if a patient is readmitted to the facility within 30 days of being discharged. As a result, provision of quality care services is of importance to the healthcare professionals as it is to the patients. The goal is to keep

As I began this course, I wondered what additional information this course teach me about good nursing. I sensed that having been in the nursing profession for 15 years that I have made the mistakes, gained an enormous amount of experience and been faced with various challenges that has given me a thirst for knowledge to always seek out information to better care for my patients. The more I read the more I was able to discover a profession that was striving for more than just excellence. In this course, I have read several articles, lectures and recommended literatures related to the quality and safety in nursing (QSEN) six competencies. I was completely amazed of the magnitude of research and studies that had taken place for nursing to arrive at this point of quality. The six competencies that we have discussed throughout this semester related to QSEN are patient care centered, teamwork and collaboration, evidence based practice, quality improvement, safety and informatics. Out of the mentioned competencies, it is difficult to discuss one and its influence on my future role in nursing. As I graduate into a more professional leadership role, I know that the Quality and Safety (QSEN) competencies will improve my anticipated objectives of knowledge, skills and improve the quality of care that I educated and provide to my patients, families and fellow co-workers.

Nurses are faced with challenges daily, these include: shortage of staff, limited resources, increased workload and the public perception of the profession. All these affect how the nurse performs her duties to the public. With all the shortages, he/she must provide the best possible care to her/his patient and the public at large, regardless of Race, Gender or Nationality.