Table of Contents
Incident 1: Patient centered care.
Incident 2: Drug administration.
Reflection is the process of continuous learning that enables making sense of the experience so that good learning can be made out of that experience (Lee & Jang, 2019). It enables an individual to describe the event and analyze the learning from events that can be best applied in future work (Padden- Denmead et al., 2016). The reflection model that will be used in this essay is Gibb’s reflective cycle that provides the structure to learning from the experiences and has six major stages that are description, feelings, evaluation, analysis, conclusion, and action plan (Li, Chen, Liu & Deng, 2020). This essay focuses on two reflections that are based on clinical practice issues in the nursing domain.
This is the case of a young patient, Mrs. Kate who is 33 years old and has been admitted to the hospital setting. While I was attending another patient, my colleague nurse was attending this patient Kate. I observed that she did not involve the patient in her own care plan and did not even consider her preferences for the type of care that she requires at home and her cultural preferences in the terms of eating and medicines. The patient was disappointed to see this and she was highly dissatisfied with the service. I informed this observation to my RN and she took the action to intervene in the process. The RN carefully talked to the patient and learned that she prefers herbal medicine over the drugs that were prescribed by the patient.
I was shocked to see the patient disappointed and also with the behavior of the nurse because she violated the rules and regulations of the hospital settings. I wanted to talk to her right there but I better chose to talk to my RN so that she can take strict action against her. I then assisted the patient in getting comfortable and the RN considered her preferences and respected her cultural preferences also.
The health care professionals must always be competent in adhering to all the policies and standards that are related to their professional domain (Egener et al., 2017). The nurse’s actions hurt the patient’s sentiments and she failed to deliver the patient centered care. The delivery of patient centered care is very important and the value of patient centered care in the health care setting is high. From the situation, I evaluated that the nurses must always respect the patient’s preferences and values thus their identity too. The family members also play a very important role in making health care professionals learn about the specific culture and the patient's preferences (Goldfarb et al., 2017).
The patient centered care is the core of health care settings and must be always promoted within the health care professionals so that all are trained to increase patient satisfaction. It also increases the chances of better patient outcomes and the patient’s satisfaction can be better achieved (Mohammed et al., 2016). This type of care also focuses on the emotional comfort along with physical comfort. The implementation of this allows the nurses to use decision-making skills and a collaborative approach in which the patient's family members are involved in patient care. The registered nurse standard 1 states that the nurses must respect all the cultures and experiences including responding to the families and maximize their role in the care plan (Nursing and Midwifery Board of Australia, 2016).
The importance of cultural competence in nursing holds paramount importance and one of the most important skills in nursing is respecting the different cultures of the patient and this is very important. The nurses must always respect the cultural difference of Aboriginal patients because they have varied cultural preferences that lead to an increase in patient satisfaction. The nurses must always be skillful and self-aware in involving the patient in their care plan and treatment plan thus helping the patient in getting care as per their preferences.
I have learned the importance of patient centered care, self-aware and its impact on patient satisfaction. I will implement this learning in my future work and will ensure that my colleague nurses also follow these.
While I was working for an elderly patient, I was instructed by my RN to administer the specific drug that is morphine to the patient because of the higher value at the pain score scale. This was a postoperative pain management intervention that was to be delivered by me. I prepared to administer this drug and unaware of the route of administration, I agreed upon doing it. While I prepared to give this drug to the patient, I was alerted by my RN that I was incorrect as it is to be administered through the IV route.
I was appalled as I was about to make a medication error. I stopped there but I felt guilty because the patient was already in pain and I was about to make a medication error that would have resulted in the unsafety of the patient. I would have troubled the patient more and this was my biggest regret.
The medication error is mostly made by the nurses and they are responsible for this type of error made within the health care setting. There are different types of a medication error that includes the improper administration route (Dyab et al., 2018). I was then told by my RN that in such cases one should use evidence-based practice so that patient safety is ensured.
The medication errors are not only monetarily costly but also costly in other terms like it causes loss of trust by the patients and leads to reduced patient satisfaction. I should have used evidence-based practice as it ensures patient safety. The use of EBP results in the delivery of the highest quality of patient care and patient outcomes (Harkanen et al., 2020). The improper route of administration of drugs can have a fatal impact on the patient. The nurses must always make use of EBP for the delivery of high quality and safe nursing care to the patients and this also ensures greater patient satisfaction.
In the future, I will always make use of EBP into my nursing practice and will use literature especially for the administration of drugs. The drug administration will be done in the presence of my RN and I will learn new techniques for the administration of drugs (Potter, Perry, Stockert & Hall, 2020). In my future work practice, I will always prevent medication error as it is the most preventable cause of the patient's harm and work towards patient safety.
The conclusion drawn is that both the reflections are on the basis of fundamentals of effective nursing practice that are drug administration and patient centered care. Better patient outcomes can be achieved with the use of patient centered care and health care professionals must use effective approaches to reflect on their past events. The reflection helps in leaning that can be applied in the future practice and this should be their regular practice.
Dyab, E. A., Elkalmi, R. M., Bux, S. H., & Jamshed, S. Q. (2018). Exploration of nurses’ knowledge, attitudes, and perceived barriers towards medication error reporting in a tertiary health care facility: A qualitative approach. Pharmacy, 6(4), 120.
Egener, B. E., Mason, D. J., McDonald, W. J., Okun, S., Gaines, M. E., Fleming, D. A., ... & Andresen, M. L. (2017). The charter on professionalism for health care organizations. Academic Medicine, 92(8), 1091.
Goldfarb, M. J., Bibas, L., Bartlett, V., Jones, H., & Khan, N. (2017). Outcomes of patient-and family-centered care interventions in the ICU: A systematic review and meta-analysis. Critical Care Medicine, 45(10), 1751-1761.
Härkänen, M., Turunen, H., &Vehviläinen-Julkunen, K. (2020). Differences between methods of detecting medication errors: A secondary analysis of medication administration errors using incident reports, the global trigger tool method, and observations. Journal of Patient Safety, 16(2), 168-176.
Lee, M., & Jang, K. S. (2019). Reflection-related Research in Korean Nursing: A Literature Review. Journal of Korean Academy of Nursing Administration, 25(2), 83-96.
Li, Y., Chen, W., Liu, C., & Deng, M. (2020). Nurses’ psychological feelings about the application of Gibbs reflective cycle of adverse events. American Journal of Nursing, 9(2), 74-78.
Mohammed, K., Nolan, M. B., Rajjo, T., Shah, N. D., Prokop, L. J., Varkey, P., & Murad, M. H. (2016). Creating a patient-centered health care delivery system: A systematic review of health care quality from the patient perspective. American Journal of Medical Quality, 31(1), 12-21.
Nursing and Midwifery Board of Australia.(2016). Registered nurse standards. Retrieved from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/registered-nurse-standards-for-practice.aspx
Padden-Denmead, M. L., Scaffidi, R. M., Kerley, R. M., &Farside, A. L. (2016). Simulation with debriefing and guided reflective journaling to stimulate critical thinking in prelicensure baccalaureate degree nursing students. Journal of Nursing Education, 55(11), 645-650.
Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2020). Fundamentals of Nursing-E-Book. Elsevier Health Sciences.
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