NSB203 Inquiry Into Clinical Practice

Answers

1. Reflection on Recommendations Implementation

Recommendation: 1

The proactive risk assessment has been considered as an integral share of safety issues in stages of admitting and discharging the patients brought to emergency area with the psychosis induced due to failure to adhere to the medication of antipsychotic including Olanzapine, for purposes of the extreme weight gains as a secondary disturbance profiling. The reason for implementing this proactive scheme for systematic risk assessment will help boost safety of patient on the unit for risk management for the people with this severe mental disease (Scheer & Habermann, 2000).

To implement this assessment, a risk management or rehabilitation unit was formed and mandated with the Short Term Assessment of Risk and Treatability (START) implementation. START was used as patient-focused scheme and it informed multiple risk domains via detailed assessment of the dynamic risk factors alongside strengths on the basis of set of definitions. The START was fully integrated in the clinical and administrative activities of the team. The staff was then trained to utilize START and nurse program coordinator and psychologist were appointed to be in charge of conducting meeting of START regularly with core teams for every individual for the period of the project (Poba-Nzaou, Uwizeyemungu, Raymond & Paré, 2014).

Recommendation: 2 

The psychiatrists has been acknowledged as a vital stakeholder and has been recognized as patients with an early Schizophrenia diagnosis and Olanzapine prescription to team of multidisciplinary for authenticated alongside reinforced assistance after exiting primary care stage. By recognizing the importance of psychiatry including fairly quick patient improvement, and ability to deal with all health issues, a new department of psychiatry was formed in the Hospital. This department was to offer psychiatric services.

The next step was to recruit psychiatrists for the department from a diverse behavioral and mental health professionals. This was based on the recognition that not each case is a “one-size-fits-all” solution and that different conditions calls for a different approach. Thus the recruited professionals included therapists, psychiatrists as well as mental health technicians to treat issues of each individuals (Stefanou & Revanoglou, 2006). There was an elaborate plan put forward to continuously train and educate these mental and behavioral health professionals on changes within the industry to offer better service of the patients and families.  

Recommnedation: 3

Consistent testing for blood, education alongside supervised weight-control approaches have been specified as an integral recovery model part just as CBT whereas patients are admitted to public as well as private mental-health institutions. The implementation of regular blood test was based on undertaking assessment of the current blood test facilities and capacities to identify the ones that are missing and then buy the missing facilities (Yuen, 2014).

The frequency for blood test was set at an interval of five days and the staff was expanded to have competence practitioners for every field. With respect to education, an elaborate scheme was established that not only focused on practitioners but only the patients (Shah, Evans, Harrigan, Sawyer, Friel & Hedrick, 2017). The patients were taught about the important of testing regularly whereas the practitioners were taught and trained on how to ensure accurate tests. With respect to supervised weight control, two practitioners were appointed and specifically tasked with this task.   

2. Reflections: Significance of Learning

My learning in regards to ERP process during my work in the completion of informational-poster alongside the significance for my upcoming practice as RN was quite impressive. I was able to comprehensively understand and explicate the core principles and concepts of the process of research by effectively outlining evidence-based practice tactics significance for the safe and quality healthcare provision (Olfson, Kroenke, Wang & Blanco, 2014). This learning process presented with a potential opportunity for applying key literacy as well as critical thinking skills to effectively locate, seek, interpret, analyze, synthesize as well as integrate evidence into my practice. I was also able to effectively apply the knowledge of both qualitative and quantitative approaches to present an explanation of their roles in research (Lawrence & Kisely, 2010).

By taking part in this learning process, I feel competent enough to identify a patient safety issue directly links to my practice placemen area and subsequently present its clear definition of safety issue by structuring in terms of a clinical question for effective interrogation. After converting the issue into a question, I can now effectively choose on the right strategy that can help tackle the problem already identified and comprehensively examine the evidence linked to the patient safety issue already identified to inform my future practice (Olfson, Blanco, Wang, Laje & Correll, 2014). I also understand the strategies for collating and analyzing the evidence on the issue and synthesize to generate effective recommendations that not only improve my personal and professional development but only my area of practice in general (Gupta & Naqvi, 2017).

The learning process enabled me appreciate the importance of ERP process in healthcare. The ERP has such benefits like reduction in administration costs as well as provision of efficient services to the clients (Bishop, Press, Keyhani & Pincus, 2014). The appreciation of the significance of ERP process in healthcare will be effective in my future practice since I will be using it to help the administration improve operational management as well as streamlining the operational procedure. This will help me know how to improve my future patient’s care as well as response by via the procedure automation. In this sense, my future practice will be an improved system for treatment as well as decision making based on global standards. It have also learned from the ERP process on how to effectively undertake the record keeping of my patients and staff (de Murillas, Helm, Reijers & Küng, 2017).

Thus I will always ensure that the organization I work for adopt novel trends and technology to keep pace with the changing technology especially the approach of data alongside patient care alongside management (Bala, Bala, Venkatesh & Venkatesh, 2017). By using the ERP, I will better my future practice by ensuring effective improvement of patient care. ERP also patient-oriented hence will help reduce any chance of negligence in my future practice. By applying ERP in my future practice, I will be able to provide comfort to my patients as well as enhance the environment and feedbacks of patient linked to hospital (Almajali, Masa’deh & Tarhini, 2016).

References

Almajali, D. A., Masa’deh, R. E., & Tarhini, A. (2016). Antecedents of ERP systems implementation success: a study on Jordanian healthcare sector. Journal of Enterprise Information Management, 29(4), 549-565.

Bala, H., Bala, H., Venkatesh, V., & Venkatesh, V. (2017). Employees’ reactions to IT-enabled process innovations in the age of data analytics in healthcare. Business Process Management Journal, 23(3), 671-702.

Bishop, T. F., Press, M. J., Keyhani, S., & Pincus, H. A. (2014). Acceptance of insurance by psychiatrists and the implications for access to mental health care. JAMA psychiatry, 71(2), 176-181.

de Murillas, E. G. L., Helm, E., Reijers, H. A., & Küng, J. (2017, August). Audit Trails in OpenSLEX: Paving the Road for Process Mining in Healthcare. In International Conference on Information Technology in Bio-and Medical Informatics (pp. 82-91). Springer, Cham.

Gupta, R., & Naqvi, S. K. (2017). A Framework for Applying CSFs to ERP Software Selection: An Extension of Fuzzy TOPSIS Approach. International Journal of Intelligent Information Technologies (IJIIT), 13(2), 41-62.

Lawrence, D., & Kisely, S. (2010). Inequalities in healthcare provision for people with severe mental illness. Journal of psychopharmacology, 24(4_suppl), 61-68.

Olfson, M., Blanco, C., Wang, S., Laje, G., & Correll, C. U. (2014). National trends in the mental health care of children, adolescents, and adults by office-based physicians. JAMA psychiatry, 71(1), 81-90.

Olfson, M., Kroenke, K., Wang, S., & Blanco, C. (2014). Trends in office-based mental health care provided by psychiatrists and primary care physicians. The Journal of clinical psychiatry, 75(3), 247-253.

Poba-Nzaou, P., Uwizeyemungu, S., Raymond, L., & Paré, G. (2014). Motivations underlying the adoption of ERP systems in healthcare organizations: Insights from online stories. Information Systems Frontiers, 16(4), 591-605.

Scheer, A. W., & Habermann, F. (2000). Enterprise resource planning: making ERP a success. Communications of the ACM, 43(4), 57-61.

Shah, P. M., Evans, H. L., Harrigan, A., Sawyer, R. G., Friel, C. M., & Hedrick, T. L. (2017). Wound Concerns and Healthcare Consumption of Resources after Colorectal Surgery: An Opportunity for Innovation?. Surgical Infections.

Stefanou, C. J., & Revanoglou, A. (2006). ERP integration in a healthcare environment: a case study. Journal of Enterprise Information Management, 19(1), 115-130.

Yuen, K. K. F. (2014). The Primitive cognitive network process in healthcare and medical decision making: comparisons with the analytic hierarchy process. Applied Soft Computing, 14, 109-119.