The Role Of Nurses Of Quality Patient Care And Patient Safety Essay

By keeping the lines of communication open between leaders and staff, healthcare organizations can encourage and empower nurses to solve blame game issues without fear of punishment by management. Leaders and nurses must work as a team and are capable of providing safe and quality environment. When an error or incident happens, many leaders investigate everything and everyone except themselves. In the process of patient care, harm might occur; the culture often prefers to blow the blame game whistle instead of learning from the mistake. Nursing in fear, often refrain to openly admit mistakes and errors, which hinder the objective to ensure everyone is cared with compassion and dignity.

My Institute for Healthcare Improvement (IHI) certificate is an artifact that supports my capacity in safety and quality improvement in healthcare. This course enlightened on my role as nurses in enhancing safety and quality in my workplace. I have already proposed the need in including staff nurses in the quality improvement committee to my employer. I believe I will be among the staff nurses who will be sitting in the committee, and I am going to take the role of an informal leader and a change agent in that committee. As an informal leader and a change agent, I will devote my energy in refocusing the thinking of my colleagues, so that they are able to visualize

Refining the culture in the health care sitting to promote patient safety. Health care system that have achieve reducing harm to patent have a culture that promote safety from the top administrator, physician and other health care providers. To develop teamwork inventiveness in which several hospitals work together to identify and share best practices. Regulating the level of care, by educating health care providers and setting standard way of providing experience-base care. Using tools to recognise harm, for instance, ‘’Global trigger tools’’. Come together in agreement imbursement incentive and forming policies not to pay for serious adverse event. According to research, medical and Medicaid services (CMS) in the year 2008refused to no reimbursable

By measuring nursing sensitive indicators hospital wide and collecting this information, quality patient care in hospitals can be advanced due to the administrators knowing which areas of practice nurses need to improve. All organizations, including hospitals have institutional cultures, these cultures can potentially have a positive or negative effect on desired outcomes. In the case of hospitals this would be the quality of patient care. If the institutional culture of nurses in the hospital promotes negligence in care, lack of respect for patient autonomy, or poor prioritization, the nursing sensitive indicators should reveal it as for example: negligent care would lead to higher rates of falls and complications acquired during the patient stay.

Many nurses face the issue of understaffing and having too much of a workload during one shift. When a unit is understaffed not only do the nurses get burnt out, but the patients also don’t receive the care they deserve. The nurse-patient ratio is an aspect that gets overlooked in many facilities that could lead to possible devastating errors. Nurse- patient ratio issues have been a widely studied topic and recently new changes have been made to improve the problem.

Also, whether there was collaboration between facility members to ensure quality care. More issues would be whether examinations were thorough and tests were analyzed before discharging the patient. The moral issue at stake in this case is if the facility believes they did the right thing or not. For example, the physician could not recall what instructions he gave Kelly’s father, but he did nothing to clarify the situation, he just gave the father a business card as if that would suffice for his inability to remember the instructions he assigned (Pozgar,

Patient safety and risk management should be intertwined in the organization. Patient safety is where the patient does not experience unnecessary harm or pain or other suffering during their treatment (Youngberg, 2011). Minimizing risk is to decrease unnecessary losses or improve or implement process that will decrease adverse event (Youngberg, 2011). The Samantha Jones adverse event is a perfect example to enhance patient safety through improved process or project. To understand the event a root analysis needs to be done and action items are created from this analysis.

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

Patients want and expect to receive high quality care. Nurses want to provide the best care possible to their patients and like everybody else; want a pleasing job environment. Hospitals, on the other hand, are expected to provide a safe environment to patients, have enough nursing staff and remain profitable (Keller, Dulle, Kwiecinski, Altimier & Owens, 2013). The ultimate goal is to improve quality of care and patient safety across the United States; therefore, all the different interests of these major stakeholders should be taken into

As aforementioned, the Sarbanes Oxley Act’s requirements reduced fraud and increased corporate governance across both for-profit and not-for-profit organizations. That said, the SOX act has, in my opinion, been absolutely effective in regulating ethical behavior among for-profit as well as not-for-profit health organizations. The establishment of this law has contributed greatly to the investigations of fraud among health care organizations. According to attorneys at Post and Schell, several federal, criminal investigations have been started after the law’s enactment, making it clear that healthcare organizations were within the same scope of corporate governance and would not be immune from the same criminal prosecution. In 2003, United Memorial Hospital in Michigan—a not-for-profit healthcare organization—signed a guilty plea in federal court admitting to fraud for over use of pain management surgical procedures after the death of a patient. Even though sentencing has been deferred, this admittance of and plea agreement contained many of the corporate “not-tos” from the board down. The system of reporting for the hospital, its internal audit investigation, conflict of interest disclosures and response to complaints were all held as objects of interrogation (Levine & Short, 2004).

Ethical principals are the seed of which nursing flourishes from. Many ethical principals were involved and dishonored in this case such as, justice, autonomy, beneficence, non-maleficence, confidentiality and fidelity (Burkhardt et al., 2014). I believe justice was the main principal involved as the entire ethical predicament was revolved around unjust behavior and treatment of the residents. The residents were treated poorly and given unequal rights as a causation of their illnesses. Autonomy, an essential piece of human rights was also being violated in this ethical dilemma. The residents did not have any choice or independence in their care or how they were being treated. Beneficence and non-maleficence are significant dynamics of this ethical situation, as the health care providers needed to reflect on how they can have the maximum benefit while diminishing possible damage to the residents (Burkhardt et al., 2014). Our actions as nurses should always be beneficent and non maleficent, continuously being kind, compassionate and doing what is in their best interest as well a removing and preventing harm. Confidentiality is a key component of nursing and it was blatantly being violated as the health care

Serving the South Florida community officially since 1990, Baptist Health’s tradition of care and ethical standards is what continues to open the doors to more facilities offering leading technology for specific patient needs. While many key points are found within the Code of Ethics - Patient Safety, Confidentiality, and Conflict of Interest are the key factors discussed. True to their unique Code of Ethics, Baptist Health has developed departments within their organization that oversee maintaining that these codes are met, ultimately gaining some of the highest patient satisfaction ratings in South

Nurses provide excellent patient care, teach patients about health conditions, and give advice and support to patients and their families. Nurses have a variety of duties. They must monitor and record patient symptoms, take vital signs, watch patients diet and physical activity, supervise less skilled nurses, and order and interpret tests to access the condition of the patient. Nursing can be a wonderful, caring, and thoughtful job. However, to other nurses: nursing can be a difficult, tiring, and stressful job. Any job can be tough but nursing is emotionally and physically draining on a person. Nursing can be such a burdensome and demanding job sometimes because of the long hours, the exam to become a nurse, and dealing with other people.

On February 25 2015, CTV news published an article about the significant Canadian patient Prashant Tiwari. This article from this CTV news, announced family suing hospital for $12.5 million in suicide of supervised patient. The family of a 20-year-old Brampton man killed himself while under suicide watch plan to sue the hospital where he died for $12.5 million. 10 days into his treatment in supervision of suscide rick, his family claims that the hospital failed to check on him regularly, and ended his life. Lawyer, Michael Smitiuch states, “Prashant’s death is indicative of a ‘systematic’ problem in Canadian hospitals, that stems from cureent training, protocol, and procedures. A question arises, if hospitals are the most, “helpful” place?

Quality is something that every health care agency strives to achieve. The Institute of Medicine (IOM) suggests that health care organizations develop a culture of safety such that an organization's care processes and workforce are focused on improving the reliability and safety of care for patients (Groves, Meisenbach, & Scott-Cawiezell, 2011). In order to address an issue related to health care quality, it is important to look at the frameworks that will analyze an organization and identify opportunities to improve performance. The purpose of this paper is to provide a description of an organization and an analysis of the following: mission, vision and values, strategic plan, goals,