Discussion Prompt # 4.1 The goal of the Quality and Safety Education for Nurses (QSEN) project is to promote the knowledge, skills, and attitudes (KSAs) necessary for nurses to raise the level of quality and safety in healthcare. Review the following six QSEN Competencies:
Teamwork & Collaboration
Choose one and discuss how the chosen competency was implemented in your practice site and how it influenced nursing practice. In addition, identify key organizations leading patient safety movements in the US. (MO4.1 & 4.2)
Discussion Prompt # 4.2 Describe an error that occurred in the agency where you practice that resulted in harm to the patient and one that did not. If you cannot access information about an error, use one of the sentinel events cited in Box 23.5, Chapter 23 in your textbook as an example to consider. What would you suggest to prevent a reoccurrence? Decide under what circumstances you would inform the patient and family and under what circumstances you would withhold the information. (MO4.4)
In Discussion Module 4, please identify the forum in the subject line of your posting (e.g., “Discussion Module 4/[Your Name]”). Post your initial response to the discussion prompts by 23:59 EST Wednesday, and comment on at least two classmates’ responses on or before Sunday 23:59 EST (the earlier you respond the better).
Your assignment will be graded according to the grading rubric.
Discussion Prompt #4.1
Patient-centered care is one of the six QSEN competencies implemented in my practice site by all the care provides. It gets applied at every point of patient interaction when examining them and planning medical intervention. In these instances, the nurse and physicians conduct a holistic patient assessment to determine the cultural and religious factors influencing their health care practices. Therefore, the practitioners seek their views on the best care strategies that respect and value their spiritual, cultural, and religious worldviews.
The implementation of patient-centered care has a significant influence on the nursing practice in my practice site. It encourages patients to get involved in planning and caring for themselves. For instance, it enables nurses to collaborate with the patients. As a result, the patients take an active role in planning their care to empower them, which helps improve their health outcomes (Kuipers et al., 2019). This approach to medical care allows nurses to collaborate with patients and honor their care preferences. In the process, the patient and nurse practitioner brainstorm together and develop care strategies that fit into the patient lifestyle. As a result, it helps reduce unnecessary medical procedures that allow nurses to provide timely care and improve the quality of delivered care (Hwang et al., 2019). Collaboration helps build rapport and trust between the nurse and patients, which provides a conducive environment for open communication. Therefore, patients gain the ability to understand their health conditions and make informed decisions and stick to the care strategies (Kuipers et al., 2019). Implementing patient-centered care is crucial in meeting the organization?s mission and goals of providing safe, timely, and quality care.
Several organizations are involved in patient safety movements in the US. The Key organizations that lead the patient safety movement include Agency for Health Research and Quality (AHRQ), the American Society for Health Risk management (ASHRM), Anesthesia Patent Safety Foundation (APSF), and the National Center for Patient Safety (CHPSO, n.d.).
Discussion Prompt #4.2
An error that occurred in the agency where I work, which caused harm to a patient, involved a nurse who used an unsterilized catheter. A patient was admitted with a broken hip, which required a surgical process. After the operation, the nurse placed a catheter. The patient later developed a urinary tract infection from the medical intervention received in the facility. This error can be prevented by ensuring that the catheter is sterilized, and the practitioner needs to take precautionary measures to ensure that the process is as sterile as possible.
An error that did not cause patient harm at my agency involved improper documentation where a nurse failed to capture all the patient medical history. The nurse did not record that the patient was currently on medication when she was conducting the assessment. However, the physician detected the omitted information upon making a referral. Documentation errors can be prevented by paying more attention to detail and avoid being in a hurry.
The circumstances under which I would inform the patient about an error is when the error poses a significant risk of harm. However, then there is no risk, I would withhold the information. As a nurse, I have an ethical and legal obligation to report risks resulting from medical errors (Rutledge et al., 2018). Providing candid disclosure and reports of errors by medical practitioners may result in less litigation and greater patient result. Besides, disclosure ensures that nurses and physicians observe the ethical principles of nonmaleficence and beneficence (Yoder-Wise et al., 2019).
CHPSO. (n.d.). Organizations focused on patient safety. https://www.chpso.org/organizations-focused-patient-safety
Hwang, J. I., Kim, S. W., & Chin, H. J. (2019). Patient participation in patient safety and its relationships with nurses’ patient-centered care competency, teamwork, and safety climate. Asian Nursing Research, 13(2), 130-136. https://doi.org/10.1016/j.anr.2019.03.001
Kuipers, S. J., Cramm, J. M., & Nieboer, A. P. (2019). The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Services Research, 19(1), 1-9. https://doi.org/10.1186/s12913-018-3818-y
Rutledge, D. N., Retrosi, T., & Ostrowski, G. (2018). Barriers to medication error reporting among hospital nurses. Journal of Clinical Nursing, 27(9-10), 1941-1949. https://doi.org/10.1111/jocn.14335
Yoder-Wise, P. S., Waddell, J., & Walton, N. (2019). Leading and Managing in Canadian Nursing E-Book. Elsevier Health Sciences.
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