Impact of medical malpractice on patient care and professional practice

Nurses’ Mistakes In Drug Administration

Many of the issues covered with nursing practice in the video include the following

Errors in medical management, poor communication, lack of skills, poor training, lack of knowledge and unnecessary haste

Using the video provided, we take a closer look at the mistakes made by nurses when administering a potentially fatal drug to their patients and professional practice.

When medication is administered to a patient in a manner that is inconsistent with a prescription or hospital policy, this is considered a medication error. If the wrong medicine is used, if the wrong dose is taken, or if the wrong patient is used, it can be a problem. These errors can have a wide range of effects on patients, ranging from mild to fatal, as seen in the video when a doctor prescribes the wrong medication to a patient (Salami et al., 2019). It is therefore essential that all healthcare personnel, including nurses, work with facility decision-makers to reduce patient risk.

A model of professional practice can be defined as a system, process or plan that allows a registered nurse to exercise control over how care is provided and the context in which it is delivered (Ankers et al., 2018). The foundation for safe, high-quality, patient-centered care is provided by the professional practice (MPP) model for nursing. Using this model, nurses in an organization can visualize and articulate their practice, as it describes nursing ideals and outlines structures and processes that help nurses manage the practice. and their caring environment. This program, which originated in the United States, was the driving force behind the birth of nursing performance management (PPM). Nurses can better manage their operations and provide high-quality care with PPM to guide them. Within the theoretical framework of Magnet®, PPM is related to nurse satisfaction and organizational effectiveness. PPM has been shown to improve outcomes for nurses and those they care for, prompting nurse leaders to look for new ways to cope with rising healthcare costs and staff shortage.

Teamwork, good quality of care, professional development, and nurse empowerment are just some of the concerns these approaches tend to address (Kaya & Boz., 2019). The main goal of implementing these new nursing models is to improve the quality of patient care as well as the work of the nurses themselves (Murphy et al., 2018). We will focus only on two models in this section: the health care delivery system and professional relationships, as they are closely related to the problem of patients taking the wrong medication.

All nursing staff duties are assigned and their efforts are coordinated within this plan or framework, which serves as an additional means of proof of concept. Functionality, team, total patient care, and primary nursing are some of the most important approaches in health care delivery (Ozdemir., 2019). Delivery system efficiency has improved by implementing case management and patient-centered care in the past two years alone (Pedrosa et al., 2022).

Professional Practice Model For Nursing

Unfortunately, many problems in the healthcare delivery system have been created by government intervention in the industry. Quality of health care, chronic diseases and shortages of doctors are just some of the issues that need to be addressed to improve the health care system.

Many key health indicators such as infant mortality, life expectancy, quality of life of the elderly, frequency of medical errors, and nosocomial infections show that the US health system lower than that of other developed countries. . country (Pedrosa et al., 2022). Compare the United States with other countries on many key health indicators, such as infant mortality, life expectancy, quality of life as individuals age, rates of medical errors health and nosocomial infections, indicating a lack of quality in the health care services provided to consumers.

Our country is experiencing a rapid increase in the number of people suffering from chronic diseases. Most doctors and public health professionals consider this to be the greatest medical threat challenging our health care system.

There is also the issue of expertise among minor doctors. Our country currently has a shortage of primary care doctors and could quickly become a shortage of specialists (Jones et al., 2018). In addition, some physicians may lack adequate qualifications and training, thus wallowing in substandard health care.

Pharmaceuticals are a profit-driven sector of the US healthcare system. They account for about 15% of the more than $4 trillion spent annually on healthcare in the United States. The pharmaceutical sector has the largest annual profit margin of any U.S. industry. This jeopardizes the delivery of patient care.

One of the biggest problems in healthcare is the dangers individuals face every day when seeking treatment for their medical conditions. According to a recent study, more than 100,000 people die each year from causes unrelated to their health.

Another problem arises here. Health care fraud and waste in the United States has reached unprecedented levels, making it one of the most pressing problems facing our country today. In the United States, healthcare wastes about $750 billion each year, enough money to fund Medicare and Medicaid for decades to come (Sales et al., 2018).

The patient care delivery system model contributes to improved patient care by allowing less qualified staff to perform various tasks that do not require specialized knowledge. It also provides for patient care needs that require multi-staff involvement, such as transferring patients from bed to chair. This model also helps deliver clear and effective care to clients, which improves patient outcomes (Pedrosa et al., 2022). When this model is used, tasks are completed quickly and there is little uncertainty about the job responsibilities of the participants. The concept is also cost-effective, requiring fewer people to improve efficiency and accountability while maintaining the same quality. Finally, and perhaps most importantly, the delivery and care system allows for consistency in communication between patients, nurses, families, and other members of the overall health care team, leading to to higher patient and nursing satisfaction (Jayasekara et al., 2018).

Two Models For Enhancing Quality Of Patient Care

It is simply the interactions that take place between nurses and between nurses and other healthcare professionals when providing services to patients. These connections are based on nurses’ ideas and attitudes about their work and their values ​​and dignity as individuals (Mattia et al., 2018). Nurses who value each other’s abilities, needs, and desires can effectively communicate and consult with each other. They are more likely to work together as a team to improve care and advance their careers. In restructured environments, these nurses will have the best chance of achieving their goals. It is these same communication skills that are needed for effective participation in the interdisciplinary working groups that are the foundation of reformed health care delivery systems.

Establishing and maintaining interpersonal boundaries can be difficult for nurses to manage. Even when patients ask for privileges such as social media friendships, expensive gifts, or romantic relationships, nurses should be aware that these boundary violations can undermine trust and confidence. harm the patient. Nurses who violate these rules may be disciplined (Mattia et al., 2018). Nursing professionals should apply professional relationship standards carefully and thoughtfully, and they should monitor their feelings and reactions in these partnerships. Managing stress, dealing with financial pressures due to low pay compared to other nursing staff, breaking boundaries, and difficulty maintaining work-life balance are some of the major barriers. that nurses and other health care workers face (Jones et al., 2018).

Despite these challenges, this model of professional practice emphasizes teamwork, quality of care, and collaboration between nurses and doctors. In mental health settings, nurturing the nurse-patient relationship is essential to support patients’ rehabilitation. These professional relationships also provide a safe, reliable, and secure platform for therapeutic interactions, ensuring the right medication is delivered at the right time to the right patient, thereby improving patient outcomes.

In summary, many nursing leaders have stated that healthcare organizations adopting professional nursing practice models can benefit from this breakthrough. PPM is the foundation of good nursing practice. This assessment is a valuable tool for nurse managers looking to improve their organization’s performance through PPM.

References

Meehan, T. C., Timmins, F., & Burke, J. (2018). Fundamental care guided by the careful nursing philosophy and professional practice model©. Journal of clinical  nursing, 27(11-12), 2260-2273

Murphy, S., Mc Mullin, R., Brennan, S., & Meehan, T. C. (2018). Exploring implementation of the careful nursing philosophy and professional practice model© in hospital? based practice. Journal of Nursing Management, 26(3), 263-273. 

Mattia, B. J., Kleba, M. E., & Prado, M. L. D. (2018). Nursing training and professional practice: an integrative review of literature. Revista Brasileira de Enfermagem, 71, 2039-2049.

Salami, I., Subih, M., Darwish, R., Al-Jbarat, M., Saleh, Z., Maharmeh, M., … & Al-Amer, R. (2019). Medication administration errors: Perceptions of Jordanian nurses. Journal of nursing care quality, 34(2), E7-E12

Pedrosa, A. R. C., Ferreira, Ó. R., & Baixinho, C. R. S. L. (2022). Transitional rehabilitation care and patient care continuity as an advanced nursing practice. Revista Brasileira de Enfermagem, 75

Jones-Bell, L. J., Halford-Cook, C., & Parker, N. W. (2018). Transition to Practice–Part 3: implementing an ambulatory care registered nurse residency program: RN residency and transition to professional practice programs in ambulatory Care–Challenges, successes, and recommendations. Nursing Economics, 36(1), 35-45.

Benner, P., Sheets, V., Uris, P., Malloch, K., Schwed, K., & Jamison, D. (2002). Individual, practice, and system causes of errors in nursing: a taxonomy. JONA: The Journal of Nursing Administration, 32(10), 509-523

Ankers, M. D., Barton, C. A., & Parry, Y. K. (2018). A phenomenological exploration of graduate nurse transition to professional practice within a transition to practice program. Collegian, 25(3), 319-325

Jayasekara, R., Smith, C., Hall, C., Rankin, E., Smith, M., Visvanathan, V., & Friebe, T. R. (2018). The effectiveness of clinical education models for undergraduate nursing programs: a systematic review. Nurse education in practice, 29, 116-126

Sales, C. B., Bernardes, A., Gabriel, C. S., Brito, M. D. F. P., Moura, A. A. D., & Zanetti, A. C. B. (2018). Standard Operational Protocols in professional nursing practice: use, weaknesses and potentialities. Revista brasileira de enfermagem, 71, 126-134. 

Kaya, A., & Boz, ?. (2019). The development of the professional values model in nursing. Nursing ethics, 26(3), 914-923. 

Ozdemir, N. G. (2019). The development of nurses’ individualized care perceptions and practices: Benner’s novice to expert model perspective. International Journal of Caring Sciences, 12(2), 1279-1285

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