My answer for this question is facilities should take the responsibility to take care elders. The main reason I said that is because we can better regulate facilities than home care. First of all, there are laws and protocols that facilities have to follow. And, anyone can report abuse or underserve to ombudsman. Anyhow, the true despite the popular impression of that home care provides better service than nursing facility.…
On of the many issues that was brought up in the “Chasing Zero” video was harsh punishments for health care professionals who make mistakes. The reason I choose this particular issue is because I believe it plays a key role in all health care errors. Every single health care error that is made is a learning opportunity. Taking an error and doing something constructive with it can lead to incredible improvements in patient safety. When this is not utilized, patients and health care professionals are penalized.…
The ANA outlines the measures, actions, and methods that comprehensively describe nearly every aspect of the practice of nursing (White & O’Sullivan, 2012, p. 11). In addition, due to the potential harm of a person that can result from untrained or incompetent nursing, all states have enacted rules and regulations that govern licensure of nurses. A nurse’s scope of practice is limited by their license as defined by law and includes specific educational requirements, clinical experience, and specific demonstrated competencies.…
Policy Maker Interview Summary: Alison Mitchell Alison Mitchell is an Advanced Practiced Registered Nurse (APRN) who specializes in critical care. She originally started advocating for APRNs as a graduate student and eventually became the president of the Texas Nurse Practitioners (TNP) association from 2008-2010 (A. Mitchell, personal communication, October 10, 2016). Currently, Alison Mitchell is the APRN representative for TNP and continues to pursue her passion for health policy by being an active member in legislative and interim committees. In our interview, we discussed accessibility of care for women in Texas and development of full practice authority legislation to meet the growing needs of women and other vulnerable citizens within the state’s expanding population and increased need for primary care providers. These issues are in need of extensive policy reformation.…
The role of Nurse Practitioner (NP) is among the four recognized Advanced Practice Registered Nurse roles. NPs are independent practitioners with prescriptive privileges, and are found in a variety of healthcare settings, including hospitals, family and specialty practices, as well as in nursing homes. Additionally, and importantly, in these times of corporate driven medicine, NP’s can bill and be reimbursed for services rendered (McClelland, 2014). The four concepts of the nursing metaparadigm; health, person, environment, and nursing practice, overlap and combine to form the foundation for nursing knowledge, theory and practice at all levels including the advanced clinical practice level (Bender & Feldman, 2015).…
Accountability is what the United States Army revolves around. Without accountability the United States Army would be chaos. But I digress. The definition of accountability is the fact or condition of being accountable or held responsible. There is no progress within yourself, your team, your life without accountability.…
Patient Care Delivery Model While looking at the care delivery model, there must be an acknowledgment for the type of needed and the care we intend to deliver. The Memorial Hermann organization believes that optimal health and personal care model lead patient care, and within this care model includes patient a family centered care. The nursing care delivery system is based on a caring model, combining the beliefs of nursing theorists, and engrained in the three A’s – authority, accountability, and autonomy. Our nurses have the authority to use nursing knowledge, skills, assessments, and standard of care to support a safe healing environment. Accountability to accept responsibility for their actions.…
Delegation requires an impartial clinical judgment and liability for the patient’s care. The nursing World website points out that “Effective delegation is based on one’s state nurse practice act and an understanding of the concepts of responsibility, authority, and accountability”. Sadly, registered nurses frequently do not understand the concept of delegation and end up not applying this concept in the health care system. In the clinical setting, nurses are accountable for delivering high quality care to patients. They are held responsible for the patients’ outcomes, wherein decisions related to patient care interventions are based on how, when, and by whom these interventions are needed.…
Wagner, L. M., Castle, N. G., & Handler, S. M. (2013). Feature Article: Use of HIT for adverse event reporting in nursing homes: Barriers and facilitators. Geriatric Nursing, 34112-115. doi:10.1016/j.gerinurse.2012.10.003 This article is a study by Wagner, Castle, and Handler that analyzes why adverse events reporting are such an issue especially in the nursing home setting.…
The nursing profession is fortunate enough to hold an immeasurable amount of the public’s trust during their most vulnerable moments, in the hope of receiving optimal client centred care. A recent survey discovered that nurses are second to firefighters in a list of most trusted occupations (CNA, 2007). Moreover, nurses have the privilege of being in a self-regulated and self-governed profession. This means that the Canadian government believes that Ontario’s nursing regulatory body, College of Nurses of Ontario (CNO), is best qualified to appropriately define its own members’ norms of practice and boundaries (Schiller, 2014). It is incumbent upon nurses to continuously justify that they are deserving of this honour by delivering uncompromised…
Utilizing The Joint Commission and other national institutions such as the American Nurses Association can help to identify the national standards of care and ethical practice and determine what went wrong in this specific case and determine how to resolve it (Potter, Perry, Stockert, & Hall,…
Legal responsibility and accountability. Nursing Management. 17, 3, 18-20. DeWit,S. O'Neill, P (2014). Fundamental Concepts and Skills for Nursing.…
The standard definition when most people think of accountability or being accountable is accepting responsibility. Though this is true, to me accountability means: letting your actions rise above your excuses, overcome your fear and accept responsibility for the consequences you are accountable for. Accountability is liberating and requires a willingness to answer questions from those people affected by your actions. Accountability means to have the ability to follow through with your commitments you make for yourself or for others. It means honoring, exceeding, and improving standards.…
In the healthcare industry accountability is seen as a person that does not complain to customers or confronts administration or staff while customers are present, attends meetings on time, show up for work on time, does not ignore trash on the floor, can handle problems alone or with little supervision, assist others when work is done, does not use personal position for personal gain, and does not lie cheat or steal. All of these things contribute to a smooth running organization that keeps customers happy and increase profits. When an employee takes accountability for his or her actions this decrease the chances of the organization getting into legal trouble such as negligence, malpractice, and other bigger law suits. In healthcare mistake are made everyday this is why accountability and honesty is so important in healthcare. If an employee admits to his or her mistake the problem can be handled right then.…
Furthermore, Canadian citizens must be notified about how self-regulation in professional nursing is working to keep them safe. Nursing as a profession relies on self-regulation to maintain its competency, quality, and progress. In turn, nursing self-regulation depends on nurses and the public to maintain its…