Essay

 

Medication Errors Led to Disastrous Outcomes

 Julie Thao was licensed by the Wisconsin board of nursing as a nurse and worked in the birth unit at St Mary’s Hospital in Madison. She made a medication error when delivering care to a patient who was scheduled for labor induction by administering the wrong medication that was not prescribed. The 16-year-old Jasmine Gant delivered through cesarean section after suffering a cardiac attack and could not be rescued and this led to Thao losing her job and being charged with patient negligence (Treiber & Jones 2018). Kimberly Hiatt was also a registered nurse who did a medication error by administering an overdose of calcium chloride to an infant who had a heart problem. The baby died after 5 days and this led Kimberly to lose her job and could be hired anywhere else and this made her to commit suicide.

According to the two cases, healthcare professionals should learn that when a medication error occurs can have serious effects on patients’ health and well-being. Healthcare professionals should be very careful when administering medications to their patients to avoid such incidents (Cadwell & Hohenhaus 2011). They should avoid situations that inhibit delivery of safe and high-quality patient care such as attending to patients when they are fatigued to avoid making harmful errors.

The principle of beneficence and virtue of benevolence could have been applied by ensuring that the patients were given the correct medication according to their prescription to avoid hurting them. The hospital administration acted legally by making the nurses to be accountable for their actions, but the decisions were not ethical, it was not established that the nurses had the moral intent to make the errors.

Colleagues could have given them support by finding a quiet environment for them and let them relax. After creating a quiet place for them they would get an opportunity to ask questions which are open-ended and be more informed about the errors. Also, they could have given moral support through a show of compassion, sympathy, love, and truth-telling to help them cope with the impact of causing injury and death respectively.

Telling others how you feel about the situation can be very helpful to navigate through the whole process. Seeking support from family and friends who understands your pain can assist to go through the process (Ozeke et al., 2019). If one struggles with emotions elicited by the event, it is necessary to seek help from a health care professional to assist in developing coping skills. Also, seeking help is not a sign of weakness but it is a sign of strength.

References

Cadwell, S. M., & Hohenhaus, S. M. (2011). Medication errors and secondary victims. Journal of Emergency Nursing, 37(6), 562-563. https://doi.org/10.1016/j.jen.2011.07.010

Ozeke, O., Ozeke, V., Coskun, O., & Budakoglu, I. I. (2019). Second victims in health care: current perspectives. Advances in Medical Education and Practice, 10, 593. https://doi.org/10.2147/AMEP.S185912

Treiber, L. A., & Jones, J. H. (2018). Making an infusion error. Journal of Infusion Nursing, 41(3), 156-163. https://doi.org/10.1097/NAN.0000000000000273

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Resources needed to implement change proposal

 

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Advocating for the Nursing Role in Program Design and Implementation

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Discussion Chapter 14

MUST BE IN APA FORMAT

PLEASE ANSWER EACH QUESTION WITH AT LEAST 2-3 SENTENCES

INCLUDE 2 CITATIONS & 2 REFERENCES

THANK YOU

 

 1-Do you think it is important for nurses to be involved in their professional organizations? Why or why not?

2. The Affordable Care Act (“ObamaCare”) has been both praised and vilified. Debate the pros and cons of this legislation and of health-care reform in general. 

3. What is your vision of nursing’s future? How will you contribute to shaping it? 

4. Interview a nurse educated in a diploma program at least 20 years ago.

a-How did that nurse’s education differ from your education today? 

5. Locate the website of a professional organization related to nursing. Bring a copy of the organization’s mission, membership criteria, and standards of practice. 

6. Ask five people of different ages and gender who do not work in the health-care field what they think most nurses do. Compile their answers with the answers your classmates collected and summarize them. Compare the summary to what you know nurses actually do.

a-Were the answers realistic? 

b-Did they over- or underestimate the responsibilities most nurses have?

c-Did they recognize the wide variety of things nurses do?

d-Was there a difference by age or gender of the person answering the question?

e-What do the results tell you about the public’s image of nursing? 

f-What do you think influences their image the most? Explain your answer.

7. Describe the nurse of the future.

a-What does he or she do?

b-Do you think nursing will become a more powerful force in health care?

c-Why or why not? 

follow up discussion

Please answer for the following discussion question using the link provided

 Compare the sampling strategies for quantitative studies with qualitative studies. What are the pros and cons for the different sampling strategies? Please see the following link for additional information: https://www.healthknowledge.org.uk/public-health-textbook/research-methods/1a-epidemiology/methods-of-sampling-population 

The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

 In the Discussion for this module,  you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

  • Review the concepts of technology application as presented in the Resources.
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

Concepts and theories in nursing

Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288). Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.