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Transactional leadership and patient safety
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Introduction: In March 2016, I have undertaken a quality improvement project (QIP) in my seven weeks of placements working in the surgical short stay unit (SSU) under SJOGMPH. The project aim is to improve the quality and safety of patients’ care by changing the existing handover practice to a structural bedside handover system. This report will firstly describe the QIP and analytically reflect the experiences of developing the QIP using the Levett-Jones clinical reasoning Model (Levett-Jones et al., 2010). Then it will focus on reflection of delivering the QIP presentation and viewing other student’s QIP presentation. Quality Improvement Plan (QIP): Background and Rationale: During my seven week placement with SSU, I receive several patients’ complaints about miscommunication problem of the health professionals. There is also an increasing number of call bell initiated by the patients related to their treatment plan. I realise that this problem can be resolved by having a bedside handover system in place which can help to clarify patients’ concerns and reduced their call bell usage. Also, implementing a systematic bedside handover in SSU complies with the standard six in the National Safety and Quality Health Service Standards (NSQHS) (Australian Commission on Safety and Quality in Health Care, 2012) (ACSQHC). Therefore, I choose bedside handover to be my QIP. …show more content…
It helps to improve the communication channel between the staffs and the patients and to increase the nurse accountability (Baker, 2010; Kent, Stevens, Patterson, & Plunkett, 2010). However, I realised that bedside handover may significantly increase the handover duration. Therefore, I started my research in this aspect and I found out that bedside handover did not increase handover duration (Bradley & Mott,
SGH has been plagued with patient quality issues, therefore SGH finds itself in a situation which is inherently antithetical to the mission of the hospital. The costs of healthcare continue to rise at an alarming rate, and hospital boards are experiencing increased scrutiny in their ability, and role, in ensuring patient quality (Millar, Freeman, & Mannion, 2015). Many internal actors are involved in patient quality, from the physicians, nurses, pharmacists and IT administrators, creating a complex internal system. When IT projects, such as the CPOE initiative fail, the project team members, and the organization as a whole, may experience negative emotions that impede the ability to learn from the experience (Shepherd, Patzelt, & Wolfe, 2011). The SGH executive management team must refocus the organization on the primary goal of patient
“A healthcare provider’s bedside manner encompasses their medical knowledge, personality, and ability to understand the patient and communicate their concern for them.” (Britt). Although some individuals don’t see the importance of communication and emotional connection with patients in the medical field, doctors who have problems properly interacting with their patients will have a lower chance of success in healing them. Doctors receive so much education but are never taught proper bedside manners, which is the way that physicians interact with patients. In order to ensure a patient’s comfort, psychological well-being, and physical health, a physician must truly understand their patient.
The implementation of bedside shift reporting is crucial for quality of patient care and patient safety. According to an article found in the American Nurse, 2009 by Trossman, “Shift-change reports are as routine and as important to staff nurses as breathing”. Nurses have identified and averted a number of errors – including delivering wrong medications and continuing orders that were stopped – since the bedside report has been implemented” (p. 7). Lag time from when on coming nurses received report and actually saw their patient was reported to decrease with bedside shift reporting. Julie Truran, RN who is a charge and staff nurse on a pulmonary and infectious disease unit states “It’s improved patient safety
The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
The end of shift handover nursing report is the time when the off going nurse hands over patient care to the oncoming nurse. During this process critical information about patient’s status and plan of care must be communicated properly. Conducting the shift-to-shift report at the bedside allows patients and families to become involved in their care. It also lets them participate in the sharing of information, which ensures that patient, family and team goals are identified and aligned. Bedside shift-to-shift nursing reports increases patients’ satisfaction, improves the nurse-patient relationship, decreases patient falls, discharge time occurs faster, strengthens teamwork, and leads to better nurse
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
The problem of poor communication stems from an environment of high stress levels. After a consulting company scrutinized processes throughout the hospital related to care coordination and patient flow, the evidence was clear. The company identified areas for improvement around communication at many different levels. In order for patients to have a seamless transition from admission to discharge, the lines of communication needed to change. Daily face-to-face meetings were productive for the staff, hospital and overall satisfaction. The consulting firm worked for the hospital for several months, but as they departed, the prior culture of poor communication started to engulf...
Dougherty, L. & Lister, s. (2006) ‘The Royal Marsden Hospital manual of Clinical Nursing Procedures: Communication 6th Edition Oxford: Blackwell Publishing Ltd
Individuals suffering from disabilities rely heavily on the expertise of their preferred healthcare providers. Trusting your doctor to make the right diagnosis is an essential part of working to get better, but whenever humans are involved, mistakes can be made. While few of these mistakes are likely to require little more than getting a second opinion, others can lead to severe injury and even death. Disabilities can greatly complicate the diagnosis, requiring a bit more in-depth analysis by doctors than they may normally provide. Learning to identify when care breaches the established standards or actually causes injury is essential to safely managing your health when you have a disability.
In today’s health care system, “quality” and “safety” are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008)
Maintenance and promotion of quality improvement initiatives are essential for the successful growth and development of the health care industry. Nurses are key to all quality improvement initiatives as they are in the frontlines and have the most contact with the healthcare consumers. Therefore, nursing professionals are good at putting in their valuable inputs for quality improvement efforts. On a daily basis nursing professionals strive to deliver safe, efficient, effective, patient-centered care in a timely manner. With the growth and development in the health care industry, there is an increased need to provide competent and high quality services. Nurses are equipped with distinctive proficiency required for delivery of patient care
For example, if the current waiting time for the patient is 20 minutes, it should be reduced to 5 minutes or less and everyone should be involved in this practice processes. For achieving this, it is necessary to focus on comprehensive list of things that everyone would like to improve. Ultimate target should aim at identifying how the practices can be run in all the best possible ways around the world. It is important to identify why this gap exists, which requires data collection. Data can be collected by brain storming sessions, reading books, interviews, patient satisfaction surveys, reviewing current procedures and policies.
I woke up to the pungent smell of hospital disinfect, invading my nostrils. The room was silent apart from my heavy breathing and the beep beep sound you often hear in hospitals that indicates you're alive. I slowly opened my eyes, squinting in attempt to sharpen the blurred images before me. I glanced around and took in the deserted, blue and white colour schemed hospital bedroom. How long have I been here? I shut my eyes, trying to remember what had exactly happened. Then it all hits me with a bang. The memory of it all starts to occupy my thoughts.
The nursing practitioners are called upon to embrace caring as a focus of their nursing identity. Some other implications include spirituality which can be a vital factor in the caring between a nurse and a patient because caring is the unifying focus of the nursing profession. Nursing practitioners will start to examine nursing theories for their application to their professional practice. There should also be improved research and education in nursing. Nurses have lost their traditional way of the hand-on patient and it has been of advantageous to them because it has improved safety and quality of their service and it has reduced the time nurses walk around gathering information.
With regard to the healthcare organization, it is essential to develop a strategic plan and a clear vision so that the patient focused care will be at par with the organizational process that is conducted operationally and on a daily basis. SSM Health Care has its call letters for meetings standardized at all their sites as part of its protocol. Its values and missions are attached to its call letter for meetings as constant reminders for their staff. Indirectly, this approach helps in translating our vision on how people should behave at SSM Health Care.