The medical field has been characterized by some instances of conflict, where recently graduated medical students happen to vary with the already established practitioners in the delivery of care. Nonetheless, such graduates are quick to discern errors, owing to their relatively strong knowledge of classroom textbooks. As such, graduates ought to help maintain safety culture for the benefit of everyone involved. Practitioners have an obligation to safeguard patient by facilitating a comfortable environment and enhanced quality improvement. Like stated, medical sector is characterized by various challenges. Those, who show negligence in fulfilling their duties, require being reported to avoid a repeat of the same and avert adverse outcomes.
Keywords: Drew, gaps, patients, quality improvement
The medical field is a rather sensitive area that requires additional expertise and proficiency. In particular, the nursing profession demands that nurses provide affordable and quality care irrespective of the setting or situation. Such healing practices are guided by the procedures that are to be followed precisely (Vioral, 2011). During the onset of their nursing career, prospective medical students are enrolled in the institutions, where they are educated before going to the actual practice. During the training period, they are taught various aspects, necessary in a medical setting. This is the kind of training that students are expected to combine with the experience in the field to offer affordable and quality care.
Nonetheless, in the already established medical sector, there are nurses who have stayed for long, and as such, they have gained the much-needed experience. However, when these two categories of individuals meet and work together, dissimilarities and arguments might occur at times. Such issues represent the gaps, owing to the immediate background that represents the institution of learning and an already established medical setting. Those differences may arise from what is taught in nursing books, hospital policies, and procedures as well as published literature and actual practice. Therefore, nurses have an essential role to play to ensure continuous quality improvement. The following essay addresses the significance of the gaps in the nursing environment, the importance of safety culture, the roles of nurses in quality improvement, and the appropriate measures for Lindsey’s case.
Importance of Gaps
In Drew's case, the gaps are mainly the result of the generation gaps in nursing. Hospital policies and procedures are essential in that Drew has the capability to recognize irregularity that offers a ground for the improvement of care. The registered nurse may rely on published research to supplement his nursing experience, which is important, while Drew makes his decisions based on the learned facts from textbooks and the understanding of policies and procedures as taught in med school. However, owing to the differences, the gap arises, which could be constructive and destructive in this case. The difference may help Drew increase awareness of the practice and learn from the nurse's experience.
Nonetheless, by using his skills and knowledge, Drew can recognize the problem, which can be utilized for the improvement of nursing care since the right procedures are used. Guidelines and processes have been recommended as one conceivable approach for the use among treatment personnel in hospitals (Vioral, 2011). Research on the gaps between the nurses fresh from college and the established nurses concurs that nurses use policies and procedures to guide their practice. It confers to such factor that Drew is adept on pinpointing the irregularity committed by the registered nurse in quest of maintaining continuity of value care. Nonetheless, the simple presence of rules and processes is not adequate to interpret study into nursing. When instituting what has been studied into practical use, Drew and the registered nurse will necessitate cautious interaction. The gap created by policies and procedures acts like the interface, through which the implementation of skills occurs (Vioral, 2011).
Culture of Safety and How It Would Benefit Drew’s Case and the Patients at His Hospital
The culture of safety is defined as possessing essential standards and conducts that reveal a mutual and unrelenting pledge to underscore safety over rival objectives (Barnsteiner, 2011). Such ideals value honesty and common trust, offer suitable means for safe enrollment, learn from mistakes, evaluate for flaws, show transparency and responsivity. The objective of the culture of safety will benefit Drew as well as the patients by reducing injury through both organization efficiency and distinct performance. However, several dangers to patient wellbeing persist, and faults transpire at all boundaries of the provision of care.
By understanding the culture of safety, Drew will be in a position to distinguish that faults may occur in the framework of a hospital setting. Covert botches result from the choices that impact structural guidelines, measures, and distribution of wealth, which is apparent in the RN's conduct (Sammer, Lykens, Singh, Mains, & Lackan, 2010). The health of all practitioners is significant for its sake, but it similarly impacts staff drive, nurse preservation, patient well-being, patient experience, and structural efficiency. Consequently, the culture of safety will ensure that Drew conforms to the procedures and regulations, and therefore, it will promote efficiency.
Improved Drew's well-being will diminish lawsuits and non-productive time. At the same time, the culture of safety at the healthcare establishment will result in the increased safety for everybody, including the RN. Research has established that hospitals with upright nurse operation surroundings have better patient outcomes, lower patient death rates, a developed nurse job gratification, and better returns (Barnsteiner, 2011). Thus, the culture of safety is important to a good care setting, and it will benefit Drew and other personnel when upheld. Drew's comfort is a critical issue in the organization since the patients' well-being is dependent on the efficacy of the practitioner (Sammer et al., 2010). When such a culture is implemented, Drew will benefit from a favorable work environment, while the patients will relish improved and safe care. The RN will also profit from the overall accomplishment of the organization's objective, which is to offer safe and quality care.
Drew's options for managing his concerns are based on what he has witnessed and how he can protect patients from an unsafe environment. As a practitioner, Drew has an obligation to correct any mistake he observes, which may result in an unproductive care delivery. Considering that Drew's concerns are vital and valid, his first option requires to seek clarification and bring the issue to the attention of the RN. However, this should be done at the right time and not in the presence of the patient. When his point fails to get the required attention, Drew has the right to seek clarification from a higher office. Therefore, Drew can protect patients from the dangerous environment by ensuring that such an incident never transpires and that proper protocols and procedures are followed effectively.
Drew's Role in Continuous Quality Improvement
Drew's role in quality improvement (QI) is double, and it entails undertaking interdisciplinary procedures to meet fundamental QI objectives and to measure, advance, and control nursing-sensitive indicators that affect patients’ results, distinct to nursing practices. Similarly, Drew has a vital part to play in promoting QI within the healthcare provider organization. As a direct care nurse, he is the key to quality patient results, adhering to the protocols and values of care revealed by proof to advance patient care.
Nursing is a fact-centered occupation. The foundation for the scientific practice of nursing comprises nursing discipline as well as the biomedical, bodily, financial, and social sciences, morals, and values (Murray, Douglas, Girdley, & Jarzemsky, 2010). Drew's capability to be a serious thinker and to use this understanding in the provision of nursing care is vital to the welfare and protection of those under his care. Through his nursing practice, Drew has a duty to put his patients in the best condition conceivable for nature to act upon the patient. Consequently, Drew has a role of facilitating provision of a compassionate association that enables health and healing.
By observing decrees, guidelines, and values, Drew has the purpose of enhancing safe care. Nurses are held responsible for adhering to the rules, principles, and guidelines of the licensing body and the values and ethics of the vocation as propagated by numerous nursing organizations (Murray et al., 2010). These regulations, standards, and ideals comprise meeting learning requirements, upholding competency in practice, and abstaining from participating in any acts of expert misconduct such as maltreating a patient, practicing amateurishly, deceptively, or being impaired and failing to file properly, like with the case of the RN. Others include disclosing individually classifiable information about a patient and incorrectly allotting specific acts.
Drew also has the role to enhance safe care by serving as a competent team member. The provision of nursing care to patients is regularly a team effort, in which the RN should partner with other nurses. As such, the RN is supposed to know the competencies, legal considerations, and errands that Drew and others can perform. Drew also has a role in requesting the RN to offer the appropriate levels of direction and supervision when delivering nursing care so that the patient could receive a safe and competent care. It is Drew's professional accountability to stay safe and proficient by being a perpetual learner.
Lindsey Case Scenario
In my case, I would report the issue as since it is required by the nursing guidelines. Reporting errors is fundamental to error prevention. Respect for patient autonomy is overriding, as is the significance of reliability. Trustworthiness, goodness, and no maleficence represent the principles that familiarize reporting and revelation guidelines. Lindsey may benefit from accepting accountability for faults, revealing errors to patients, and expressing remorse for them. By telling the truth, the patients and I can share trust. The fiduciary obligation of institutions exists in patients' and families' trust that providers will take care of them. Consistent with the hospital's mission, I have a moral duty to report clinical faults. Specialized and administrative strategies and processes, risk management, and performance enhancement initiatives demand early reporting (Hashemi, Nasrabadi, & Asghari, 2012). When patients, relations, and societies do not have faith in healthcare organizations, doubt and argumentative relations are not desired. Reporting the case would not be contrary to any guidelines since doctors, nurses, and other therapeutic providers have a lawful and moral responsibility to report dangers, benefits, and alternative treatments through informed agreement mandates.
Failure to do anything may have adverse consequences. Normally, in the United States, avoidable negative happenings in hospitals have been a principal cause of death. Such an error may result in side effects and it is considered to be ancillary to negligence (Cooper, 2012). If I fail to report one’s faults and errors, they do not inevitably stay concealed; they can lead to compromising the operation of health care organizations. At the same time, the moral values of goodness and preventing harm are violated when mistakes are not reported or revealed (Hashemi, Nasrabadi, & Asghari, 2012). These good principles and caring assume that nurses act to promote the welfare of their patients. Thus, by not reporting Lindsey, I would operate contrary to the belief of such principles. Therefore, failure to reveal health care errors may be regarded from the viewpoint of provider control over the privileges of patients or residents. The medical field is known for its Hippocratic Oath that ensures that doctors and other practitioners put the welfare of the patient first before any other factors. When a practitioner perceives an error and fails to report, this move would be tantamount to breaking the Hippocratic Oath, which is contrary to medical requirements. As a new practitioner, I would have sworn to maintain distinct moral principles and one of them would entail reporting the anomaly, witnessed with Lindsey. This move would not be out of malice but it would be doing the right thing.
In conclusion, gaps are a common occurrence in the nursing profession where individuals may act contrary to the set norms and guidelines. Therefore, when other personnel distinguish such flaws, it is their obligation to make the right steps and ensure that the problem is resolved. Such gaps arise, owing to the conflicting information from research, nursing textbooks, and experience among others. Nonetheless, those differences can be employed to the advantage of operations as they help advance the quality of care. It is the duty of every nurse practitioner to facilitate the safety of patients since they are of paramount importance. In improving quality care, Drew has the role of ensuring that patient concerns are addressed in the manner stipulated in the guidelines. Additionally, it is a practitioner's duty to facilitate and uphold the culture of safety since it benefits all the individuals concerned. Finally, negligence in the medical field is not tolerated. Therefore, it is necessary to report any cases of errors to avoid the adverse repercussions that may even include death.