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United States of America. Facebook Twitter Linkedin Email. Minimizing risk is to decrease unnecessary losses or improve or implement process that will decrease adverse event Youngberg, The Samantha Jones adverse event is a perfect example to enhance patient safety through improved process or project.
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To understand the event a root analysis needs to be done and action items are created from this analysis Strong Essays words 6 pages. However, medical errors is still today a sensitive topic for healthcare professionals that rely on healthcare, which makes it the issue difficult to resolve Bryant et al, Recently those concerned have openly addressed the topic and there is still a gap between the care that is delivered and that should be delivered. In , a large study was completed that indicated in the United States over 98, American die each year due to medical errors Strong Essays words 5.
It provides services to patients from 30 counties in Michigan spread through the northern half of the Lower Peninsula as well as the eastern half of the Upper Peninsula. In this large and varied organization, implementation of a large quality management system will help ensure that we meet this goal Quality Management and Patient Safety Essay. Essay Preview. Read Full Essay Click the button above to view the complete essay, speech, term paper, or research paper.
Essay on Leadership in Clinical Nursing and Management | Examples and Samples
However, planning within the problem-solving APIE approach may be limited without consideration of additional models of nursing, including the activities of living model by Roper, Logan and Tierney and the self-care model of nursing by Orem These models provide a deeper context for applying the principles of the APIE, taking into account the necessity to generate patient-centred care planning and goals that are achievable and measurable with respect to the status of the patient Flagg, Similarly, planning should take into consideration the ability of the patient to self-care, a crucial aspect of everyday function and wellbeing Orem, Accordingly, nurses have a duty to support and promote patients in self-care activities and should facilitate these activities wherever possible as part of the care planning process.
Care plans should include highly structured and clear stages and steps that may be taken to achieving a specific goal, which may be followed by patients, nurses and other care professionals, as needed Blais et al. Nurses may involve other members of the care team in decision-making at this point in order to maximise the potential benefits to the patient. Furthermore, a combination of personal experience and evidence-based guidance can be used to inform the optimal planning approach, suggesting that nurses need to apply critical thinking and a combination of intuition and guidelines in formulating appropriate care goals Blais et al.
As with the planning phase, implementing appropriate care plans requires input not only from the nurse, but also the patient. However, the APIE approach focuses more precisely on the role of nurse-led interventions and overlooks the importance of supportive nursing roles during the implementation process. In addition to nurse-led interventions, patients should be supported and educated to promote self-care Wilkinson and Whitehead, Furthermore, careful consideration of available resources and support is needed to ensure that the care plan is suitable for the individual patient and their environment e.
The Nursing and Midwifery Council publishes a code for nurses, which includes the role of the nurse in supporting self-care in a sensitive and compassionate manner.
Therefore, to ensure adherence to practice standards and professional codes of conduct, the implementing process in the APIE scheme should balance the need for nurse-led therapies and strategies to promote individual wellbeing and empowerment in self-care. Furthermore, the APIE problem-solving approach emphasizes the need for suitable implementation of a plan, but wider roles of nurse and the patient need to be considered to deliver personalised care.
This includes the core components of respect and dignity of the patient, which should be preserved at all times, as well as the delivery of culturally-sensitive care NMC, Indeed, nurses who are compassionate and considerate of other cultures and patient beliefs are more likely to develop strong therapeutic relationships, which have been shown to promote adherence to treatment plans and improve outcomes Hagerty and Patusky, The APIE approach culminates in an evaluation of the implementation of the care plan, which is essential in ensuring goals of care have been met, while allowing adjustment of the care plan where needs remain unmet.
This evaluation process was initially conceptualised as a single assessment during patient follow-up or management review, but has developed into more extensive process of monitoring therapy and adjusting interventions over time Barrett et al. Specific consideration needs to be made regarding the achievement of care goals and the suitability of these goals in future care episodes, based on patient factors and nurse factors.
However, the evaluation process is not simply a process of clinical review, but can be considered a core aspect of the overall professional development of the nurse and a key learning process Barrett et al. Indeed, reflective practice is increasingly recognised as fundamental to the nursing profession, allowing practitioners to develop strengths and target weaknesses in patient care Redmond, The evaluation process therefore allows practitioners to engage in personalized care planning for the patient as well as professional development based on reflection on the care delivered to date.
Although the APIE approach is a fundamental aspect of problem-solving in contemporary nursing practice, it is clear that the use of additional models and processes is essential to optimising care delivery for the individual patient.
Furthermore, some authors have suggested that the APIE approach benefits from expansion of the terms and inclusion of additional areas Hill, For instance, an extension of the APIE approach includes the use of further refinement stages and on-going follow-up of care planning, which are important additions to the problem-solving approach that recognise the importance of chronic disease management in contemporary practice. In addition, some authors advocate the inclusion of a decision-making phase following assessing, which formalises the need to develop a plan based on all available evidence, both quantitative and qualitative Lumbers, Achieving a suitable diagnosis also has the benefit of allowing clear communication of the nature of the planning phase across multiple professional groups and may provide the patient with guidance on their future care needs.
This approach will be widely known to nurses and emphasizes the importance of a systematic approach to diagnosing and re-checking the implementation process prior to evaluation. Extensions of the APIE can be considered refinements that only serve to augment the basic structure of problem-solving inherent in the approach. In summary, the APIE approach remains a commonly used and rationale approach to care planning in nursing practice. Each stage of the APIE is a justifiable component of the nursing process and can contribute to effective decision-making.
However, the use of nursing models is often required to complement the APIE problem-solving approach, to ensure holistic wellbeing and a patient-centred approach to care. Therefore, the APIE can be considered a valuable tool in the context of wider nursing models to facilitate care planning and decision-making.
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