Evaluating How To Ensure Patient Safety Nursing Essay

Evaluating How To Ensure Patient Safety Nursing Essay PATIENT SAFETY According to World Health Organisation (2010) Patient safety is the prevention and avoidance of adverse circumstances or injuries coming from health care process. Accidents, errors are common events that can occur in the clinical area. Safety arises from the interaction from different parts of the system: it does not live in a person, department or device. Patient safety is a branch of health care quality. Patient safety could be defined as the prevention of errors and adverse effect associated with patients in health care. Health care has become more complex and more effective with greater use of medicines, treatment and more use of technologies; also, patient safety is the prevention of adverse effects to patients and prevention of errors associated with health care. In every care given there is a certain degree of unsafe practice, wrong procedure, side effects of drugs, hazards done by a faulty or substandard medical device used in the health system, human errors or system errors (latent) failures (World Health Organization, 2002). Patient safety is a global issue whereby about 2.3% -16.6% adverse event rates have been documented from acute care hospitals. 1.4 million people worldwide have also been reported by the World Alliance for patient safety are suffering from acquired infections from hospitals and in the developed world 10% of patients admitted to modern medical hospitals acquire one or more infections. In Africa and Asia pacific region, patient safety is a very big issue of concern. In the developing countries the risk of health care associated infection is 2-20times higher than in developed countries, sometimes the percentage of health care acquired infection can exceed 25%. The countries rise of unsafe care is alarming (WHO, 2007, pp. 15). Nursing literature and standards of professional conduct elevating patient safety and standard care all presuppose the importance of excellence in nursing practice. About what excellence is and how it may be operationalised as a moral essential in patient safety discourse is not well interpreted. It may not be possible to effect to any one specific definition of the idea what excellence in health and nursing care area is, but only to give examples of distinct excellences of professional practice and professional lives for example case of exceptional caring, exceeding honesty, outstanding understanding and skill, laudable wisdom, uncommon patience and eminent integrity. RISK ASSESSMENT It is the identification of attendant uncertainties in order to estimate the risk in an organization IPCS (2004). Risk assessment is the first constituent in risk analysis process which also includes management of risk and communication of risk. Risk assessment refers to techniques and methods that apply to the judgment of hazards. Risk assessment starts with problem formulation which includes four additional steps as elaborated below: (1)Identification of hazards; (2)Characterization of hazards; (3)Assessment exposure; (4)Characterization of risk (IPCS, 2004). Identification of hazards entails recognizing the hazard and acting fast to prevent an incident from occurring. Characterization of hazards has to do with the drug, object or procedure that might cause the adverse effect. Assessment exposure involves how are patient expose to this hazards, how much danger is likely to occur, how long is the danger likely to occur, what measure of danger is appropriate for typifying health risk? Characterization of risk involves how does the assess exposure compare guidance value for the drug? The nurses on duty in this case scenario did not act as harm absorbers by ensuring the safety of the young girl in the ward by combining expertise, experience and training which is required from experienced nurses. They needed mental alertness or foresight to identify on time that the patient tourniquet was not unfastened. National Patient Safety Agency (2008) has developed a mental preparedness training program which aims at enabling nurses to increase knowledge of determinant that raises the chance of patient safety incidents, boost their confidence to keep patient safety incident from happening and understanding risk-prone situations better. Reason (2004) cultivated a method for analysing risks which was structured around the three-bucket model. According to the model, most patient safety incidents can be prevented if clinical staffs foresee error before any task, procedure or action is attempted. The assessment is divided into three parts, which are: the self-bucket, context-bucket and the task-bucket. Relating these three-bucket prediction approaches to the case scenario examined in this essay is detailed below. In the self-bucket, the registered nurse that collected the blood sample from the little girl had a low level of competence and experience because it is the duty of a medical laboratory scientist which she is not. She was not aware of the policies that governs the procedure and never took her time to cross-check what she was doing. In the context-buck the registered nurse on duty lacked team support from her colleagues. The four registered nurses on duty would have shared the patients in the ward to themselves in a ratio of 10:1 and the unfastened tourniquet would have been noticed by the staff nurse in charge of this young girl. In the Task-bucket the registered nurse that collected the blood sample was unfamiliar with the task so did not remember to unfasten the tourniquet. She would have asked for a medical laboratory scientist who has more experience in this procedure and it would have help reduced the work load for this staff nurse because the ward was busy and full. Reason (2004) noted that using foresight is a fundamental skill of an experienced registered nurse and for it to be more effective it must be practised. He goes on to say that healthcare professionals who needs to develop error wisdom, alertness and quick reactions needs to apply it, should use the simple three-bucket model of error which might help them the foresight factors that raises the chance of patient safety incidents. Training on risk assessment does not have to take place in classroom but can be cultivated in forming part of clinical handovers, or of daily training programmes involving for example, manual handling and lifting which was not done by the nurses on duty in this scenario. The training programme designed created to equip staff with prospective risk assessment abilities and a simple model needed for use in their everyday work. It aim is to help nurses to do something to prevent incidents, improve nurses knowledge of the factors that can be added to make patient safety incident occur, educating nurses by encouraging them to share their experiences of patient safety incidents, improving their knowledge of risky situations. The program also help prepare staff nurses to undertake urgent risk assessments of risky situations by encouraging them to accept that errors can and will always occur and to be more at alert of safety gaps where they work, know how to check situations before starting a task and so increases chances to minimise and avoid errors and to note and anticipate problems and to prepare in advance to deal with them. Ask for more qualified help when necessary and to know what stops them from asking for help. THE SCENERIO My patient case scenario happened in south à ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬ south Nigeria, West Africa where a student nurse did her clinical practice. An eight year old girl who was admitted for the treatment for malaria had her arm amputated before discharge from the hospital. This young baby as I will call her was admitted into a 40 bedded busy ward with just three trained registered nurses on duty on each shift. She came in with severe pyrexia which was later brought down, but on the third day of her stay in the ward as a stable patient, the medical doctor on duty ordered for a malaria parasite blood investigation to see if there are more parasites before discharge. Fortunately the hospital management board had enacted a law which governs the hospital and the laboratory in this hospital whereby blood samples are collected by the nurse on duty to the medical laboratory scientist because the hospital had only one medical laboratory scientist that runs the laboratory. The hospital management board tells the Federal Government that they have employed ten medical laboratory scientists (Ghost workers) but apparently employed just one. On that faithful morning one of the registered nurses on duty collected this patient blood for investigations but forgot to unfasten the tied tourniquet from the patientà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s arm. The incident took place with the morning nurses on duty while handing over to the afternoon nurses the unfasten tourniquet was still on the patient arm so the tourniquet was there for two days without any of the nurses on duty noticing, the patient mum thought the on the girls arm was part of the treatment. 48 hours later a registered nurse on duty who went to give the patient bed bath saw it and by then blood supply to that arm has been cut off. An incident report was filled and submitted to investigated the incidence but information collected could not be worked on appropriately because the structure of the management board is pathologic because they have this attitude already that they needed not to waste their time on patient safety issue (Parker, 2001) SYSTEM FACTORS Throughout management of care, registered nurses are used extensively. Most health management officers prefers using advanced practice nurses in their primary care duties in changing patients positions and in community settings. Another important role for the registered nurse is that of case management while on duty. As a case manager you will have to manage care for a patient during the whole of the health care system to minimize breakdowns, contain cost and improve the quality of life. Nurses also help in a triage role, deciding the most suitable course of intervention and are often employed to render the most appropriate and cost-efficient care. This duty often involves moving a patient out of the hospital, a nursing home or with health service. The patients who are the consumers have different views towards managed care and their experiences. Some patients have good access, care givers they trust, various range of services and fair costs. Others have experienced access problem, refusal of treatment and limited coverage as seen in this case scenario. As patients become more informed, they began to fight for their rights to better health care services through legal system and reforms. Reducing workforce as seen in this essay, without proper reconstruction simply leaves fewer people to realize already inefficient and ineffective work.Unluckly this short sighted approach is taken by various companies, both in and outside health sector. The outcome is poor morale, patient discontent, low-quality outcome and loss of able staff. Kuokkanen et al., (2003) in their studies noted that job satisfaction, empowerment and organizational obligations are closely linked. Health care workers today are facing a very different work environment. They mostly have seven to ten different jobs during a typical work career moderately than the three jobs or lesser held by former generation. Keys to successful reconstruction of the health system include strong leadership, support from the leaders from the top (resources, cultural, financial and time) positive thinkers, steadfastness and our being able to answer these few questions: -What is our mission? -What standard do we want? -How do we need to go about our work? -What people do we want to work with? The history, political and socioeconomic factors of a country determines the characteristics of the health system, for example the hospital where this incidence occurred ,the organizational models are visionary and do not actually exist in a realistic pure state. Giving the Federal government a false figure of staff in each ward and having few staff is organisational failures that lead to the patient safety incidence. Due to the poor system normal daily nursing procedures were not carried out like taking of vital signs four hourly because if the normal routine procedure of taking vital signs was done the nurse that carried out the procedure would have seen the unfasten tourniquet that was tied on the little girls arm. During handing and taking over of the morning nurses to the afternoon nurses, the blood specimen collection which was a latest development would have been reported to the head nurse on afternoon duty. The nurses on night duty also failed in their duties. If a proper night report was written and read out loudly by a night nurses in the presence of all the day duty nurses the next day the error would have still be noted. Healthcare managers, strategy-makers and governors at the blunt-end-they decide on how care is delivered through strategies, financial control and directing the work of the healthcare professionals. At the blunt-end, latent conditions occur. A working environment is made that increases the chances that there will be an active failure at the sharp end. There are a whole lot of latent failures-all with the possibility to cause an adverse event like what we have now in this patient case scenario. The healthcare system in this scenario is overloaded such as overbooking admissions into the ward with less staff. Normally there is a combination of many small factors, each appearing not to be important when viewed alone. When latent failures occur in addition to only one active failure, such as forgetting to unfasten a used tourniquet by a registered nurse who is overtired because she has been working in an overcrowded and busy ward, the outcome is a recipe for an adverse event to occur. HUMAN FACTORS Human factor is the application of human knowledge, ability and limitations to the design of common systems of people, work tools and their environment to guarantee their influence, safety and ease of use. The above definition explains it further that the chores nurses perfrom,the equipment they are called to use, their work environment and the organizational procedures that moulds their activities may or may not be a good fit for their advantage and disadvantage. Poor outcome usually occurs when the sensory, behavioural and cognitive traits of providers are put together. Most nursing work processes have evolved as a result of personal or practice first choice rather than through a systematic method of constructing a system that gives rise to small errors and greater effectiveness. Far too often, care givers and administrators have fallen into a current situation trap carrying out procedures simply because they always had been done that way. Experts in human factor on the other hand, look at human abilities and weakness in the construction of systems, stressing the importance of avoiding believe in memory, carefulness and follow up intentions-areas where human acts of avoiding confidence. Processes can be made easy and standardized, leading to less confusion, gains more effectiveness and fewer errors. The area of human factors does not point solely on devices and technology. Human factor research came up during World War II as a result of showcasing equipment and controls that were not fitted to the visual and motor abilities of human users, decade after decade of human factors work has seen a broadening of the human accomplishment issues seen worthy of investigation. Lately a number of human factor experts with interest in improving health care standard and safety spoke addressing a more inclusive range of sociotechnical system factors, including only patient, care givers, the duty performed, and group work, but also work environments or Microsystems. One of the lessons coming from a systems method is that meaningful improvements in safety and quality are likely to be reached by seeing to and correcting the mistakes among these organizational and management matters, and socioeconomic factors outside of the institution. Managing the systems confidence of care, as seen by confidenc e of care, is a big challenge faced by providers and their human factor partners. Human factor relevant to this case scenario is that there was an inadequate flow of information from the nurses during their handing over process. The nurses on each shift did not have the information they needed to appropriately care for the young girl. The (Joint Commission) 2006 advices on the improvement of effective communication which is include a requirement for a standardized handing-off of communications. Other human factors that lead to the incident were fatigue, stress and interruptions. Although the nurse that carried out the procedure was not a medical laboratory scientist but she should have explained the procedure to the young girl or get an interpreter to interpret the procedure to the patients mother because she does not understand English. This effective communication before the procedure would have helped in great deal in preventing this accident because the mother caring for her daughter would have noticed the tourniquet still fastened on her daughters arm after the procedure was an error and would have drawn the attention of the nurse or any other nurse to unfasten it. CONCLUSION AND RECOMMENDATIONS FOR PRACTICE Increasing the number of medical staffing in order to achieve compliance will help in minimizing patient safety incidence rather than lying. Although increasing the number of medical staff is not a criterion that error will be prevented completely in the practical world. Setting up assessment team amongst the nurses who will be dedicatedly positioned to centralised areas in the ward to assess acutely ill patients and strict monitoring while still on admission. No matter how bad the case in a hospital is, there must be a patient safety champion in each department or division which should be recommended or nominated by the staff in the hospital. The hospital should use the information generated by its incident reporting system and organization-wide risk assessments to proactively improve patient care.

Effects Of A Non-Traditional Family On Children Essay -- Family Studie

A family helps mold each person into who they eventually will become. The family is a guide for the success of a child's future. The stability of family creates a building block for how the child will progress throughout life. When parents divorce, the children are left with no stability causing them to lose basic concepts of childhood that may carry with them throughout life. Children of divorced parents have less success and happiness creating less productive citizens in our nation. Watching parents take a home from a traditional family lifestyle to a "broken" home by getting a divorce is very devastating to a child's mental well-being. As Judith Seltzer notes, "Recent reviews summarize evidence that children are emotionally distressed by parents' separation. Young children, especially, are depressed and anxious, and they feel torn by loyalties to both parents" (283). While some researchers believe "[p]arental divorce is associated with substantial short-term elevations in children's emotional distressÂ…, [t]here is a great deal of evidenceÂ…that for some youths divorce remains problematic throughout adolescence" (Aseltine 133). In my personal experience with parental divorce, depression was a major distress. My parents divorced when I was a junior in high school living in a small town. One month after the divorce I moved to a new city by myself for two months, and then my mother moved. I was very much without parental supervision for the rest of my life. My mother was there for me when I asked, but I took care of myself. I did not start experiencing depression until I was in college and dealing with the normal stresses of working too much, taking fifteen hours of classes, and involved in a serious relationship. These ... ...o witness the separation of their parents and are put through many changes within life tend to be more susceptible to depression creating less productivity for society. Children of divorced parents also have a harder time learning and paying attention in the classroom which will set them behind their peers creating more difficulty being successful later in life. As previously stated, as children develop into teenagers and young adults they have a more open view of premarital sex than their peers. They tend to fear marriage more than other young adults from traditional homes. This can create more difficulty with success due to what they may incur from the choices of premarital sex or choosing to live single. With the growing rate of divorce and more children facing these challenges our society is threatened by citizens being less capable of helping our nation succeed.

High Schools Should Be Able to Sell Junk Food Essay

High schools should be able to sell candy, chips and soft drink. If â€Å"variety is a spice of life† than why shouldn’t it apply to younger people? Recently schools have been taking into consideration depriving students of branded â€Å"unhealthy† foods in canteens such as candy, chips and lollies. They condemn junk food as the cause for obesity and believe that by banning it completely, the problem will disappear. Banning junk food from schools won’t change anything or stop people from being overweight completely. What label is put on unhealthy, where is the line drawn? There is a fine line between certain healthy and unhealthy foods; some could even be labelled as either. A hamburger for example generally contains meat, bread and salad. A sandwich on the other hand contains pretty much the same thing! Does that mean that sandwiches should also be banned from schools? For daily nutrients a variety of foods is needed, everything in moderation of course. Certain foods shouldn’t just be eliminated from a person’s diet. Think of the food pyramid (the amounts we should have the most to least of), people should have breads; pasta’s and rices the most. Then have vegetables and fruits. Next on the pyramid are eggs, dairy and meat. Last but not least are fats, oils and sweets. While fats, oils and sweets should be consumed the least, they are still needed and important for our body to function well. Unhealthy foods should still be kept in schools as people should know to eat in moderation. Students are constantly reminded about healthy eating. All throughout primary and high school students are taught in PE the healthy food pyramid and the dangers of eating too much of one food. Students being mature and well educated should be able to choose what they want to eat, knowing the consequences of their actions. Letting them make their own choices also sets them up for life in the real world, as they need to realise that eve rything has consequences, whether good or bad. While some may argue that children obviously can’t make the right choices, I beg to differ. While people blame adolescent’s obesity on their eating habits, there is another factor that isn’t seen. Another reason for child obesity is lack of exercise. In this day and age most children’s form of entertainment comes from a screen, whether it be Playstation, Wii, Xbox or even just their phones. Sure, people still attend sporting clubs and such but the amount of people who do has dropped dramatically in the last 20 years. Majority of people 20 years ago played outside games for their entertainment, getting the amount of exercisenecessary to burn fat and be healthy. Students are mature enough to make their own choices and shouldn’t have to be sheltered. If they take away junk food, not only are they taking away kids freedom of choice but they are taking away their enjoyment too. A school in Seattle is considering relaxing it’s ban on unhealthy foods in high schools after the policy has cost them hundreds of thousands of dollars. Moreover, opponents of the ban say it’s not even accomplishing its mission of preventing kids from eating bad foods; as many students just go to milk bars to buy products they used to buy at vending machines. The revenues are down by more than $50,000 dollars a year which has caused the school to cut back on funding to a range of student activities, with poorer families unable to attend. A member of the board admitted â€Å"I think we went a little too far.†(www.seattletimes.com.)From this example it’s evident that while people believe strongly about banning junk food, they need to ask themselves some questions, is it really for the better? Will it just make things worse? Not many bought the healthy foods and because of that others had to suffer. Poorer families who can’t afford to pay for extracurricular activities will be forced to not participate, providing their kids with fewer opportunities than the rest. While others may say that students will eventually get used to the healthy foods, they need to read this article. According to the article they trialled this ban for seven years, with the profits not getting any better. If they want to wait they will be waiting forever because it will never change. Sure it might just be this be this school but if it happened there then what reason is there that it wouldn’t happen here? There needs to be a middle ground, where they don’t take the ban to an extreme as there are good intentions for the ban. School canteens should sell both types of foods but make healthier foods a cheaper option than fatter foods. Banning junk food from schools won’t change people’s eating habits or stop people from being overweight. Both unhealthy and healthy foods are needed for a healthy diet but in moderation. Schools should make healthier food an easier and more affordable option for people to buy at canteens. As the old clique states; don’t throw the baby out with the bath water.

Biography of Jane Seymour, Third Wife of Henry VIII

Known for: The third wife of King Henry VIII of England; Jane bore a much-wanted son as heir (the future Edward VI) Occupation: Queen consort (third) to Englands King Henry VIII; had been a maid of honor to both Catherine of Aragon (from 1532) and Anne BoleynSignificant Dates: 1508 or 1509–October 24, 1537; became queen by marriage on May 30, 1536, when she married Henry VIII; proclaimed queen on June 4, 1536, though she was never crowned as queen Early Life of Jane Seymour Brought up as a typical noblewoman of her time, Jane Seymour became a maid of honor to Queen Catherine (of Aragon) in 1532. After Henry had his marriage to Catherine annulled in 1532, Jane Seymour became a maid of honor to his second wife, Anne Boleyn. In February of 1536, as Henry VIIIs interest in Anne Boleyn waned and it became apparent that she would not bear a male heir for Henry, the court noticed Henrys interest in Jane Seymour. Marriage to Henry VIII Anne Boleyn was convicted of treason and executed on May 19, 1536. Henry announced his betrothal to Jane Seymour the next day, May 20. They were married on May 30 and Jane Seymour was pronounced Queen Consort on June 4, which was also the public announcement of the marriage. She was never officially crowned as queen, perhaps because Henry was waiting until after the birth of a male heir for such a ceremony. Jane Seymours court was far more subdued than Anne Boleyns. She apparently intended to avoid many of the errors made by Anne. During her brief reign as Henrys queen, Jane Seymour had worked to bring peace between Henrys eldest daughter, Mary, and Henry. Jane had Mary brought to court and worked to get her named as Henrys heir after any of Jane and Henrys offspring. Birth of Edward VI Clearly, Henry married Jane Seymour primarily to bear a male heir. He was successful in this when, on October 12, 1537, Jane Seymour gave birth to a prince. Edward was the male heir Henry so desired. Jane Seymour had also worked to reconcile the relationship between Henry and his daughter Elizabeth. Jane invited Elizabeth to the princes christening. The baby was christened October 15, and then Jane fell ill with puerperal fever, a complication of childbirth. She died on October 24, 1537. The Lady Mary (future Queen Mary I) served as chief mourner at Jane Seymours funeral. Henry After Janes Death Henrys reaction after Janes death lends credence to the idea that he loved Jane — or at least appreciated her role as the mother of his only surviving son. He went into mourning for three months. Soon after, Henry began searching for another appropriate wife, but he did not remarry for three years when he married Anne of Cleves (and shortly thereafter regretted that decision). When Henry died, ten years after Janes death, he had himself buried with her. Janes Brothers Two of Janes brothers are noted for using Henrys ties to Jane for their own advancement. Thomas Seymour, Janes brother, married Henrys widow and sixth wife, Catherine Parr. Edward Seymour, also a brother of Jane Seymour, served as Protector — more like a regent — for Edward VI after Henrys death. Both these brothers attempts to exercise power came to bad ends: both were eventually executed. Jane Seymour Facts Family Background: Mother: Margery Wentworth, a direct descendant through her father of Edward III of England (making Jane a fifth cousin twice removed to her husband Henry VIII)Father: Sir John Seymour, WiltshireJanes great-grandmother, Elizabeth Cheney, was also great-grandmother to Anne Boleyn, Henrys second wife, and to Catherine Howard, Henrys fifth wife. Marriage and Children: Husband: Henry VIII of England (married May 20, 1536)Children:The future Edward VI of England, born October 12, 1537 Education: The basic education of noble women of the time; Jane was not as literate as her predecessors and could read and write her own name and not more. Sources Anne Crawford, editor. Letters of the Queens of England 1100-1547. 1997.Antonia Fraser. The Wives of Henry VIII. 1993.Alison Weir. The Six Wives of Henry VIII. 1993.