NRSG 250 Intermediate Medical Surgical Nursing

Improving the culture safety

As a staff nurse, the culture of safety can be improved by increasing the vigilance for potential errors. Relying on the workforce or well-designed work process will not improve the patient safety.  A health care organisation should be committed towards detecting, analysing, and redressing errors whenever they occur. A staff nurse can ensure substantial commitment from each of the nurses in the unit to reach the safety culture to its full potential. As a safety nurse, person role in ensuring the culture of safety would be open communication among care workers and involvement of patients in health care decision. It makes patients knowledgeable about their care. Demonstrating Transcultural nursing leadership skill will assist in avoiding the misunderstandings and miscommunications. Nurses in the unit will be supported to practice SBAR for effective handoffs. It will further improve communication between and among clinicians and eliminate medical errors.  Patent centred model has been found to stimulate the safety breaches (Duphily and Nancy, pp. 99). To promote the culture of safety, personal emphasis would be on honesty, integrity, mutual respect, accountability, and excellence. It is because other nurses need to be encouraged to report the near misses, and give valuable feedback on the weakness in the system. It will help direct attention to the critical safety issues in the health care.  The rationale for this approach is the code of ethics as well as the need of safety culture that is non- punitive as recommended by Duphily and Nancy. Personal responsibility would be engaging in active listening of patients and nurse’s problems, empower them and demonstrate the transparency. 

Strategies to deliver patient-and family-centred care

The three strategies to deliver patient and family cantered care in health care organisation are-

• Engaging patients and family members in the health care management– by establishing rapport and respect (Duphily and Nancy, pp. 100). Patient education will help in reinforcing the patient engagement in self-management. Involving the family in health care decisions will enhance patient support. Education and interventions will help increase the ability of the patient to monitor and manage their health problems. This approach has promising outcomes. Education and interventions will make sure that the patient and the family understands the care choices. As chronic disease management has complex outcomes. It is imperative to engage patients and family members in their care process by increasing their access to the care by e-mail, phone and other media
• Involvement in the quality improvement- In the primary practice, the patients and family members can be involved in the quality improvement efforts. With the help of surveys and other modes of feedback additional information can be gained on patient perspectives. Surveys will help measure patient and family experiences. Information can be obtained from the patient/family advisory councils. Individual patients and consumers contribute to the quality improvement activities by rating their experience and health care services (Duphily and Nancy, pp.82)
• Tracking the patient outcomes– Evidence-based practice and patient-centred care has mutual benefits. Nurse unit can focus more on the understanding of the evidence-based models for specific illness and outcomes. It will help the staff to deliver more personalised treatment plan. Nurse unit can practice obtaining information from the patients to allow the doctors to draw up the treatment plan. It will cut costs, reduce errors, and help better utilise the care provider time and improve the patent outcomes (Duphily and Nancy, pp. 56)

Magnet model of nursing 

It can be explained that “Magnet hospital” is the model that focuses on proven outcomes. It is one of the most prestigious distinctions that can be received by a health care organisation as per the “American Nurses’ Credentialing Center” (ANCC).  The Magnet recognition is meant for high quality patient care and nursing excellence. A hospital that has Magnet recognitions is known to be the Magnet hospital. It is also considered the Gold standard of nursing practice (Duphily and Nancy, pp. 119). This credential is performance driven. The model ensures nursing-sensitive outcomes. Magnet hospitals have higher measurable level of financial returns, increased nurse satisfaction, decreased turn over, and improved nurse retention rates. Magnet model of nursing enables health care organisation to promote quality that is supporting the professional clinical practice. It enables to identify the excellence in the nursing care delivered to the patients. The model provides a platform to disseminate the best practices in nursing care. The five components of the model are – transformational leadership; staff empowerment; exemplary professional nursing practice; new knowledge, innovations, and improvements and empirical outcomes or the difference made by the nurses (Duphily and Nancy, pp. 181).

References

Duphily, Nancy. Transitioning From LPN/LVN to BSN. Springer Publishing Company, 2014.