Tuesday, May 5, 2020
Responsibilities of Community Nurses-Free-Samples-Myassignmenthelp
Question: Write a Critical reflection n the self-awareness of ones knowledge and the ability to understand, Control or Manipulate a persons Cognitive Process. Answer: Introduction Critical reflection is the self-awareness of ones knowledge and the ability to understand, control or manipulate a persons cognitive processes. Research shows that training strategies like reflection can be effective in developing and promoting critical thinking skills and dispositions, especially in the nursing field. Although critical thinking is an integral element of the contemporary nursing practice, it is also a Meta cognitive skill thats hard to access. This essay focuses on the knowledge and practice of nurses or any other health officers on the care of wounds following the case of a patient (Mr. Selir) who died in hospital after his pressure wounds were left unattended. Mr. Selir is an 88-year -old Australian who suffered from stroke and pressure wounds on his heel and buttocks. He moved into the Leamington nursing home to seek health care and see whether his injuries could be tended. In the nursing facility, Mr. Salir was left unattended, and his condition deteriorated. When a family member was notified of the situation of the patient and decided to visit the facility, one thing she noticed was the foul odor from the facility (Lewis, 2016). She (the family member) found that the pressure wounds on Mr. Salir buttock and back had eaten into the skin and were developing into gangrene. After noticing this, the family member enquired from the nursing home staff to call for an ambulance, but they refuted by saying that the wounds were manageable. According to Lewis (2016), the relative sought an alternative help and took Mr. Selir to the Gold cost health center where he died on their way to the hospital. I was traumatized by this incident because from th e knowledge we have a nurse is a person within the health care sector who is supposed to take care of the health of an individual and not vice versa as to what happened at the nursing home. One of the main drawbacks taken from the incident was an insufficient recording of the pressure wounds in the sense that the nurses were not monitoring the wounds regularly (Lewis, 2016). Another disadvantage is that the nurses were not keeping the patient up to date on his condition. Also, nurses did not bother to refer the patient to the hospital when his wounds started to develop to gangrene. From this incident, I have learned a couple of things. First, elderly abuse which results from neglect as well as ability to provide proper health care is a core problem facing the nursing facilities and that a quick solution needs to be sought to curb such practice. Second, I can acknowledge that errors were made since Mr. Selir condition was getting out of hand and the nursing team did not think of referring him to a specialist. In this incident, the nurses did not pay attention to the patient which amounted to neglect and lack of ethics of conduct. Most importantly, I have learned that new systems and processes needs to be put in place to educate the nursing professionals on the need to provide improve as well as provide quality care to the patients. Therefore, it is in the best interest that Nurses be educated on how they can critically analyze a real life situation and provide proper health care in every scenario the encounter in their nursing profession (De Faria et al., 2016). From Mr. Selir case, I can point out that more strategies need to be put in place to educate nurses on wound care as well as the application of dressings. According to De Faria et al., (2016) assist carrier wounds is a multi dimensional challenge in the health care sector, but in some instances has a greater impact on the nursing practice. Caring for wounds is a complex process that calls for certain knowledge of the nursing staff, including professionals wholl develop the care in the prevention and specific treatment of the condition. Therefore, there should be adequate knowledge on the nursing staff to ensure quality and proper care of wounds. De Faria et al., (2016) also argues that the use of scientific knowledge and evidence in treatment and prevention of wounds is the key objective of promoting patient safety since it is through this procedure that implementation of innovative practices is put into practice. Another thing I would do to enhance learning is to engage in therapeut ic and professional relationships. According to the registered Nurse standards of practice under the Nursing and Midwifery Board of Australia (NMBA), a nurse is based on purposefully engaging in an effective therapeutic as well as professional relations like collegial generosity in the aspect of mutual and respect in professional relations. I wound also maintain the capability of practice. Nurses have regulated health experts and are responsible for ensuring that they have the power of practice (NMBA, 2016). Lastly, I would evaluate and monitor progress towards an expected goal or outcome. A nurse takes responsibility for evaluation of practice basing on agreed priorities and results (NMBA, 2016). Nurses should learn to keep records of concern in respect to the local policy. Also, they should take an active role in critically analyzing and management of problems to protect an elderly person (Andrews, 2017). Although the error committed by the nurses in this field was inattention which amounts to Neglect and elderly abuse, it should be noted that a preventive work based on the educational measures needs to be done in any other case to obtain a proactive character in developing actions to prevent future errors (Vilela and Jericho, 2015). Also, nurses should note that theyre responsible for their career development which leads to the development of others. Moreover, they should note that theyre responsible for providing data or any information or education to enable people(Patients or their relatives ) take action in connection to the health of their loved ones (NMBA, 2016). Although care of pressure wounds calls for a multi-faceted approach, patients and carers should be provide d with relevant information about the condition of the wounds to come up with solutions on the way forward. Engaging patient and careers in a situation like that of Mr. Selir allow the nursing staff, the patient and carers to participate in implementing pressure injury wound plans which may help to reduce the cases and severity of pressure wounds (Standard, 2012). Conclusion Critical reflection is a cognitive skill that is key in critical thinking especially in the nursing practice. It is therefore essential for the nursing staff to ensure that they have the necessary knowledge, systems, and processes for proper medical attention when dealing with patients with pressure wounds. Training and communication are also important especially in the nursing homes for proper management. Therefore, nurses should understand that its their mandate to uphold their code of ethics by taking care of their entire patient and giving them the attention they need. Contrary to this can lead to neglect which amounts to elderly abuse(Lewis, 2016). References Andrews, J. (2017). Abuse of older people: the responsibilities of community nurses. British journal of community nursing, 22(5), 224. Bampi, R., Lorenzini, E., Krauzer, I. M., Ferraz, L., Silva, E. F. D., Dall'Agnol, C. M. (2017). Perspectives of the nursing team on patient safety in an emergency unit. Journal of Nursing UFPE on line, 11(2), 584-590. de Faria, G., Begido, G., Nascimento do Prado, T., Lima, A., de Ftima, E., Brunet Rogenski, N. M., ... Massaroni, L. (2016). KNOWLEDGE AND PRACTICE OF NURSES ON THE CARE OF WOUNDS. Journal of Nursing UFPE/Revista de Enfermagem UFPE, 10(12). Jasper, M. (2003). Beginning reflective practice (Foundations in nursing and healthcare) Cheltenham. Nelson Thornes. Lewis, D. (2016, sep 27). abc.net. Retrieved from https://www.abc.net.au/news/2016-09-27/man-dies-after-nursing-home-staff-fail-to-properly-treat-wounds/7877820 Registered nurse standards for practice. (2016). Nursing and Midwifery Board of Australia . Standard, Q. I. G. (2012). Australian Commission on Safety and Quality in Health Care. Tutticci, N., Lewis, P. A., Coyer, F. (2016). Measuring third year undergraduate nursing students' reflective thinking skills and critical reflection self-efficacy following high fidelity simulation: A pilot study. Nurse education in practice, 18, 52-59. Vilela, B., Prado, R., de Carvalho Jeric, M. (2016). MEDICATION ERRORS: MANAGEMENT OF THE MEDICATION ERROR INDICATOR TOWARD A MORE SAFETY NURSING PRACTICE. Journal of Nursing UFPE/Revista de Enfermagem UFPE, 10(1).
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