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Related: Health administration essay writing service

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Sample Nursing Essays

Sample #1 - Patient-centered Care

How the Collaboration and Coordination Challenges have influenced the Quality of Patient-Centered Care in the United States

The healthcare industry and provision of medical services in hospitals and clinics are evolving rapidly and becoming multifaceted due to various factors that include technological developments, modifications to the medical practice, societal trends and legislative reforms. In addition, with increased incidences of healthcare issues and illnesses, medical professionals are needed to collaborate and work together to ensure the provision of coordinated care to patients. Collaboration among healthcare professionals may include the sharing of patient history and records as well as the handling of their treatment therapies and medications together among others. However, various challenges have been experienced and identified in the provision of collaborative and coordinated care, which has paralyzed and destabilized the accessibility of quality services that result in positive treatment outcomes in patient-centered care. Consequently, these challenges are elucidated upon, their influence in the provision of patient-centered care evaluated and measures to leverage the effects developed to improve the access and delivery of quality healthcare services and enhance the accomplishment of treatment outcomes by patients. This will be achieved through an evaluation of literature publications on the historical, current, future and importance of patient-centered care, the incorporation and significance of collaboration and coordination in patient-centered care in the United States. In addition, the research question will be comprehensively explained and answered by the research, the project objectives indicated, and measures to accomplish them outlined.

Statement of the problem

Lack of collaboration, communication, and coordination in most healthcare institutions has resulted in various detrimental outcomes and in worse times, death in patients. These impacts include the increased incidences of medical errors in drug prescriptions, late rescue periods, duplication of efforts, inadequate rehabilitation and the lack of needed medical supplies to treat patients among others. Duplication of efforts involves the performance of a task repeatedly like the administration of morphine to patients in the intensive care unit to subside their pain (Winge, 2016). Nurses and doctors serving patients admitted in hospitals need to communicate in regards to individual patients by consolidating their treatment and medical history to ensure the provision of accurate care and services. Lack of collaboration by physicians and bedside care staff in hospitals may result in double or repeated administration of drugs and prescriptions, which could be fatal and lethal to the involved patients as well as the failure to accomplish their treatment outcomes.

Medical errors, over the years, have been attributed to the lack of communication and coordination of care offered to patients in most healthcare institutions. In accordance with Megha and Hetalkumar (2015), medical errors include the wrong drug prescriptions, laboratory test results, and unnecessary surgeries among others. Wrong laboratory test results arises from the lack of consolidation and sharing of a patients’ medical history among physicians and hospitals, leading to the recommendation of incorrect and different medications to mistaken illnesses that end up being ineffective and sometimes can be fatal due to the lack of attention to allergies and drugs combinations (Shah & Shah, 2011). Moreover, unnecessary surgeries result in the loss of patients’ aesthetic appearance due to the presence of scars as well as complications that emanate from wrong treatment plans.

Treatment in healthcare facilities requires adequate and abundant medical supplies ensure the provision of quality care services to patients like different classes of drugs, bandages, injection syringes, oxygen tanks refills and equipment. Lack of collaboration and communication between the primary care and supplies/accounts hospital divisions causes insufficiencies, which lead to the stoppage of delivery and provision of substandard medical care services (King et al., 2013).

In addition, the medical care professionals are unable to rescue patients in time due to treatment delays and lack of, for instance, the needed equipment and medications to stabilize their heart rates and pulses as well as blood losses. Failure of medical professionals to communicate and coordinate care to patients results in inadequate rehabilitation due to wrongly formulated treatment procedures (Kirsebom, Wadensten & Hedsrom, 2013). These treatment plans govern the durations patients need to be admitted and observed before being discharged to ensure they are in proper conditions to handle themselves. Therefore, incorrect treatment plans result to early or late discharge periods, which leave the patients uncared for, overtreatment and unachieved medical outcomes. 

Research question

The research aims at answering the following questions:

  • What can leverage the impacts arising from coordination and collaboration challenges in patient-centered care?

The significance of the study

The research findings will be distributed and disseminated to different county hospitals boards, which will further dispense to hospitals and the healthcare professionals to ensure enhancement and provision of collaborative and coordinated care to patients.

The scope of the study

The research will focus on the collaboration and coordination challenges, the impacts on patient-centered care and measures needed to be adopted by medical facilities to control them.

 

Literature review

Patient care has evolved over the years with the development of better treatment models, incorporation of technological advancements lie electronic health records (EHRs) and individuals involved in the patients’ treatment program. In the early ages, people used medicinal herbs and medicine men to treat patients. Nowadays, different pharmaceutical companies have developed advanced and more effective drugs. Physicians and support staff used to be the deciding individuals regarding the treatment plans and options for patients. Currently, patient-centered care encompasses the consideration of patients’ cultural beliefs, lifestyle, values and personal opinion regarding their achievement of health outcomes through individually approved and selected treatment procedures with the physicians’ assistance. For instance, a patient can decide to undertake a tumor-removal surgery and medications or chemotherapy for cancer treatment. In such a situation, the involved healthcare professionals are needed to educate and advise the patient on the benefits and side effects of each treatment option for informed decision-making.

Patient-centered care models have been adopted in most healthcare institutions to improve the delivery and accessibility of quality and affordable care to patients as well as incorporate them in the achievement of their health outcomes. To accomplish this, healthcare professionals like doctors, nurses, radiologic technologists, pharmacists and support staff are needed to communicate and collaborate to address the patients’ health needs correctly through properly coordinate care systems and plans. Furthermore, patient-centered care necessitates that the healthcare providers develop as the patients’ advocate by striving to offer health care services that are effective and safe (Reynolds, 2009). It is related and linked to sufficient patient satisfaction, prescribed treatment plans, positive health outcomes, adherence to recommended lifestyle modifications and affordable care.

Patient-centered care definitions have been debated on for the longest time with no conclusive results. The “Patient-Centered Care Improvement Guide” also refers to it as the actors involved in establishing the provision of healthcare around the patients’ needs (Planetree & Picker Institute, 2008). Tanya McCance (2011) views patient-centered care as a multifaceted and multidimensional notion that changes the nursing capabilities to involve the patient and physicians for the aim of achieving better results. Therefore, by consolidating the aforementioned definitions, it is clear that patient-centered incorporates the patient’s ideas and views in their treatment processes and plans. More research needs to be done to acquire a uniform and globally accepted patient-centered care perspective.

Elements of patient-centered care

For the patient-centered care models to function effectively, they require to take into consideration four basic elements that include communication, autonomy, using an integrated approach and the treatment of the whole individual. Autonomy is the ability and capacity of an individual to make personalized decisions. Therefore, in healthcare, a patients’ autonomy involves their ability to make decisions based on their treatment options and expected health outcomes. The doctors and nurses are expected to consider the patients’ and family’s’ opinion while developing the treatment procedures. The patient has the right to accept and deny a treatment plan suggested by a doctor. For instance, a patient suffering from obesity may be required to eat less and exercise more or take drugs that suppress their appetite. Moreover, expectant women can decide on having normal or induced labor during delivery through a series of advice and recommendations by the doctors (Moore et al., 2014). The patient can decide to act in accordance with the doctor’s advice or request for other treatment alternatives. Treatment of a whole individual involves the consideration of the patients’ emotional, psychological, mental and physical wellness to enhance their quality of life.

Communication is a key element in building and maintaining patient-physician relationships. Medical practitioners in patient-centered care are obligated to communicate to the patients on their illness state, treatment options and expected results (Brennan et al., 2015). In return, the patients are expected to ask questions and obtain answers regarding the information given by the doctors and nurses. Moreover, through communication, patients are able to communicate about their conditions and experienced pains. The utilization of an integrated approach aids in the provision of health care services through a multidisciplinary team that may include nutritionists, therapists, psychologists, doctors, surgeons, pharmacists, and social workers. The team is required to offer advice and suggestions regarding the patients’ treatment plan. For instance, a pharmacist is required to give the accurate drug prescriptions to treat the diagnosed illness while a nutritionist is needed to give dietary recommendations to ensure the accomplishment of healthy lifestyles and recovery.

Patient-centered care process (PCCP)

The patient-centered care process (PCCP) utilizes a person-centered approach, which relies on the physician establishing a relationship with the involved patient. The physician and support staff are required to follow strictly the procedure and collaborate with other professionals like nutritionists and psychologists to ensure the patients’ health and outcomes are optimized. The procedure involves five steps, whose intensity depends on the type of health care service to be provided under any setting. The first step involves the collection of any information regarding the patient to have a well-informed understanding of their medical history, lifestyle habits, cultural traditions, health objectives, drug prescriptions, present diagnosis, and status. The gathered information is subject to confirmation from other sources like other health care institutions and professionals (Winge, 2016). Assessment is the subsequent step, which encompasses the evaluation of the gathered information and examines the patients’ treatment therapies and the expected goals to recognize the issues and control them to acquire optimal care. Risk factors, health literacy, immunization status, prescribed medications’ safety, and effectiveness are among the aspects assessed in the patient-centered care process.

Planning follows the assessment step, which comprises of the development phase of the patient’s treatment plan and procedure that addresses the treatment therapy objectives, drug-associated problems like allergies for an optimized therapy, education on self-empowerment for the patient and needed support for care continuity (Bonner, 2015). The plan is developed in collaboration with other healthcare providers, professionals and support staff. Implementation of the care plan follows in cooperation with other health care institutions, professional and caregivers to address the identified medication-linked issues to develop preventative care like vaccinations start and administer the recommended drug therapy and delivery of self-management training sessions (PharmD & PharmD, 2018). Finally, follow-up and monitoring appointments are scheduled to track the effectiveness of the prescribed medication therapies, clinical outcomes, patient’s feedback and progress made in the accomplishment of health goals.

Collaboration and care coordination

Person-centered care comprehends the consideration of individual patients’ insights and sentiments in their treatment processes to ensure their attainment of positive health outcomes. Collaboration and coordination involve the incorporation of the patient, family members, community resources and health care providers with shared objectives that aim at fulfilling the individuals’ healthcare needs. Coordination consists of setting up face-to-face meetings with a team of specialists to formulate a patient’s treatment procedure, establishing teamwork among the involved health care professionals, information sharing on the medical history, monitoring and tracking the treatment progress and cooperating on the changes needed to increase the quality of life (Elwyn et al., 2014). Collaboration and coordination in the delivery of healthcare services considering the patients’ views are significant in resolving the prevalent medical errors in the healthcare industry.

Objectives

The research objective will revolve around understanding the collaboration and coordination challenges and assessing the impacts experienced in the provision of patient-centered care. Moreover, measures to control and reduce the effects will be formulated to ensure patients’ quality of life is improved and treatment outcomes achieved. Some of the strategies will include the adoption and development of team collaboration portals, and communication systems with properties and features that allow healthcare professionals to communicate and share information regarding patients.

References

Bonner, L. (2015). “Pharmacist’s patient care process gains traction.” Pharmacy Today, 21 (7), 58-59.

Brennan, P. F., Valdex, R., Alexander, G., Arora, S., Bernstam. E. V., Edmunds, M., Kirienko, N., Martin, R. D., Sim, I., & Skiba, D. (2015). “Patient-centered care, collaboration, communication and coordination: A report from AMIA’s 2013 Policy Meeting.” Journal of the American Medical Informatics, 22 (1), e2-e6. https://doi.org/10.1136/amiajnl-2014-003176

Elwyn, G., Lloyd, A., May, C., van der Weijden, T., Stiggelbout, A., Edwards, A., … & Grande, S. W. (2014). “Collaborative deliberation: A model for patient care.” Patient Education and Counselling, 97 (2), 158-164.

King, B. J., Gilmore-Bykovskyi, A. L., Roiland, R. A., Polnaszek, B. E., Bowers, B. J., & Kind, A. J. (2013). “The consequences of poor communication during transitions from hospital to skilled nursing facility: A qualitative study.” Journal of the American Geriatrics Society, 61(7), 1095-1102.

Kirsebom, M., Wadensten, B., & Hedstrom, M. (2013). “Communication and coordination during transition of older persons between nursing homes and hospital still in need of improvement.” Journal of Advanced Nursing, 69(4), 886-895.

Megha, S., & Hetalkumar, S. (2015). “A case of medication error.” J Pharmacovigil, S2:007. doi:10.4172/2329-6887.S2-007

Moore, J. E., Low, L. K., Titler, M. G., Dalton, V. K., & Sampselle, C. M. (2014). “Moving toward patient-centered care: Women’s decisions. Perceptions and experiences of the induction of labor process.” Birth, 41 (2), 138-146.

PharmD, J. C., & PharmD, J. L. (2018). “Implementing the Pharmacist’s patient care process at a public pharmacy school.” American Association of Colleges of Pharmacy, 82 (2), 6301.

Planetree & Picker Institute. (2008). “Patient Centered care: An idea whose time has come.” Patient Centered Care Improvement Guide, http://www.patient-centeredcare.org/chapters/introduction.pdf

Reynolds, A. (2009). “Patient-Centered care.” Radiol Technol, 81 (2), 133-147.

Shah, H. D., & Shah, M. (2011). “A case of look-alike medication errors.” Indian Journal of Pharmacology,  43: 482-483.

Tanya McCance, B. M. (2011). “An exploration of person-centeredness in practice.” The online Journal of Nursing.

Winge, M. (2016). “Collaboration and coordination challenges in patient-centered care: Models and information services.” Department of Computer and Systems Sciences, 141.

 

Sample #2 - Interdisciplinary Care

Background Information Summary

 The patient is a male who is 43 years old. He has a medical history of medical noncompliance, severe hypertension, heart failure, and hemorrhagic stroke. The stroke manifests itself with memory loss. The patient’s past medical history was presented to the Carolinas Medical Center Emergency Department through the emergency medical services.  The past medical history of the patient can be a leading cause of the patient’s present illness. The patient had several vital signs. The first was he had a mild headache that worsened with time. He also vomited a lot. Subsequently, the patient was found unconscious in the bathroom of his home. After he was tested for blood sugar, it was discovered that it was normal and it did not respond to Narcan. He also had marked hypertension, which was between 150 to 160. The patient also had obstructive hydrocephalus, and he was emergently incubated for persistent GCS 3 on arrival. EVD was also placed on the patient.

In addition to that, either a hemorrhagic stroke can be a brain aneurysm, or it can be a leak on the weakened blood vessel. If the blood spills in or around the brain, a swelling is created, the pressure is exerted, and the tissue and cells in the brain are damaged. There are two types of hemorrhagic stroke, subarachnoid and intracerebral.  The patient’s hemorrhagic stroke is intracerebral. Moreover,  some of the ICU diagnosis that was discovered in the patient includes the use of ETOH (Ethyl alcohol) which is mainly found in alcoholic beverages, acute hypertension,  acute encephalopathy, hypoactive Delirium, Fever, Acute Kidney Injury (AKI), Right Thalamic  ICH with an IVH in the large volume. Within the first 24 hours, the Tmax was 99.9. Tmax is used to refer to the time after a drug has been administered when there is a maximum plasma concentration that has been reached when the absorption rate is equal to the elimination rate. The EVD was 260ml, and it was raised to more than 10cm of water.

Laboratory and Diagnostic Tests

Several laboratory and diagnostic tests were done on the patient to determine the disease he had. The first tests were based on physical examination. The general tests involved the patient opening his eyes to verbal stimuli to test for hypersomnolence. The patient was also to interact appropriately and answer all the questions that the medical practitioners asked. He was also to ensure that he had no acute distress and he was to stay awake. His eyes were tested, and it was discovered that he had PER, a conjugate gaze, his conjuctiva was clear and he had a poor convergence. His Hent was also tested, and it was discovered that he had head normocephalic, he had a positive and active EVD draining and his mucous membrane was moist. Moreover, his cardiac was also tested, and his heart had a regular rate and rhythm, and it was normal S1 and S2. It also had normal peripheral perfusion, and there was no low extremity edema.  

Additionally, his respiration rate was tested. There was no accessory muscle usage. The abdomen was also tested, and it was discovered that it was nontender, soft, nondistended and its bowel sounds were active. The physical examination also entailed testing of genitourinary which was not performing, and the neuro-mental status was tested to show that he was hypersomnolent to show that the verbal stimuli had been awakened and he was oriented to one place and the person only. The naming unimpaired was also tested, and the memory had delayed with the recall.   His cranial nerves were also tested, and it showed that they had II-XII gross intact on the visual inspections. However, it was discovered that the motor examination was limited to the patient’s mentation and it was discovered that the left side was weaker than the right side. This was mainly noted through the abduction of the shoulder and hip flexion. The sensory was also tested, and it was grossly intact to light touch. The patient also underwent several blood tests. The first was complete blood count whose main aim was checking for the level of platelets. Platelets are a component of blood that helps the blood to clot. This test also checked the levels of electrolytes in the blood to see how kidneys are working. The patient also went through a clotting time test, which checks the quality of blood clots and if the clotting takes too long, this is a sign of bleeding in a patient.

Medications

The patient was given several medications to treat him. The first drug  has a trade name which is Amlodipine and its brand name Norvasc. The drug is classified as calcium channel blockers. The therapeutic use of Amlodipine is that it is used to treat blood pressure with or without the help of other drugs. It lowers high blood pressure, prevents heart attack, stroke and kidney issues. It works by relaxing the blood vessels, and it enables blood to flow easily. It also prevents Angina, which is a type of chest pain and it increases an individual’s ability to exercise. Some effects of the drug include  one may feel lightheaded, dizzy, his feet or ankles swell, and flushing may also take place. He was to take 10mg of the drug, and he was to take 1 tablet daily.

 In addition to that, he was also administered with was Hydralazine. The trade name of the drug is Apresoline while Hydralazine is the generic name. The major uses of this medicine are that it is used in  high blood pressure treatment, it treats kidney problems, heart attacks, and stroke. It belongs to the medical class of vasodilators since it relaxes blood vessels for blood to flow through them easily. The major side effects of the drugs include a headache, a fast heartbeat, loss of appetite, vomiting, nausea, dizziness, and diarrhea. The patient was to take 100mg, and he was to take 2 tablets Orally three times a day.

The other important drug that was administered to the patient was Carvedilol. Its trade name was Coreg, and the generic name was Carvedilol.  The drug is mainly used in treating blood pressure and heart failure. However, it could also be used after an individual has had a heart attack, and this is to improve the chance of survival in case the heart is not pumping well. Cavedilol belongs to a class known as alpha and beta blockers. Some of the side effects of the drug are that it causes lightheadedness, diarrhea, drowsiness, impotence, dizziness and even tiredness. The patient was to take 25mg oral tablet 3 times a day.

Nursing Diagnoses

  1. Large volume right basal ganglia hemorrhage with extension

The nurse discovered that the 45- year- old male  had a large volume of hemorrhage in the right basal ganglia. The vessels in the right basal ganglia are vulnerable to rapture and tear, and that is how the patient began bleeding in this area.

Primary Intervention

The patient underwent several tests such as the MRI (Magnetic Resonance Imaging) scan and a CT (Computerized Tomography) scan. The tests were to see the level of damage the hemorrhage caused. The patient also underwent therapy where he was to be educated on what to do and what to avoid in ensuring that he was getting better. He  also underwent a mechanical clot removal to prevent the bleeding.

Collaborative Intervention

As a nurse, I also had sessions with the patient and his family to teach them on the patient’s condition and what they were to do to ensure that he had a quick recovery. I also hastened the pending appropriate administrative process was of great benefit to the patient from being an inpatient to an outpatient.  This was done once the main team cleared the patient. The patient needed an ongoing assessment in a bid to determine the appropriateness of the inpatient rehabilitation as his medical and function courses progress.  As a nurse, I integrated both specialized expertise and knowledge as I used dynamic surveillance in a bid to try to identify problems that trigger the nursing actions (Kusi, Dahlke & Stahlke, 2018). This is mainly done to manage the signs and symptoms of a patient. The first intervention is cooperate care. This is described as a form of apprenticeship and guided participation. Using this intervention, the nurses guide, support and challenge the lay individuals for the purpose of participating in skilled activities until there is a transfer of responsibilities to these individuals

2. Neurostimulation

Neurostimulation could be defined as modulation of the nervous system using both invasive and non- invasive means.

Primary Interventions

 

If the patient remained to be hypoarousable during the therapies the patient underwent during the day when EVD was discontinued, it was evident that the patient was eligible to become a candidate for the neuroticism agents.  The patient was also in a lot of distress, which had been caused by his unresponsiveness. There was also a return of blood gas, which was not significant in explaining the patient’s medical history.

Collaborative Interventions

 In a bid to ensure that I made good decisions  as  a nurse on the case of my patient, I had to consult in neurosurgery and critical care, and it was found out that the patient had EVD, which had been placed at the bedside of the neurosurgery. When there was an extensive discussion with the family and the medical practitioners, there was a need to admit the patient in the Intensive Care Unit (ICU). This was to help in the continued evaluation of his neurology and any intervention in the pending patient’s change in his intervention in the future. Due to this reason, the patient’s systolic blood pressure transferred and it was between 150s- 160s during the period of transfer. I also ensured that the patient was not going through  a lot of stress that could harm his nervous system and I made sure that he was always calm.

It was discovered that the patient had a high blood pressure which was more than 150 and this led to the deterioration of his health.

Primary Interventions

The patient was given medications such as Amlodipine and Hydralazine to reduce blood pressure.  The patient also underwent therapy to ensure that the blood pressure had reduced. The patient also underwent several tests such as the  heart and  kidney tests to find out the extent of the blood pressure.

Collaborative Interventions

I also used independent nursing interventions. These are the interventions that are sanctioned by the Professional Nurse Practice Act. Such interventions do not need any direction or order from another health care professional. In the same way, I also intervened through performing skilled nursing procedures. I did the nursing procedures using my knowledge and skills in a way that will benefit the patient’s health at long last.

 I also did ongoing monitoring to the patients. I always put my patients first before anything else. Due to this reason, I constantly went to see my patients ensure that they were doing well. The main aim of this was to make sure that their health was not deteriorating in my absences and it was also a way to help me know where I was in my career, what I had done, what I expected and what would later happen.  As a way of monitoring the patients, I administered both advanced and general nursing care (Kusi, Dahlke & Stahlke, 2018). This helped me to care for the patients effectively, and it also helped me to gain more knowledge about how patients with different critical illnesses were to be treated. I also learned to prescribe a diet to the patients in a bid to help them get better.

 Interdisciplinary Nursing Care

Several members make up the interdisciplinary team. Their main function is to care for the people who are critically ill.  The first individual is a clinical nurse specialist who is registered and has additional training as a nurse at either the masters or doctoral level. The main aim of the specialist is for them to provide direct care to the patients and improve the patient’s outcomes through training, research and showing improvements in healthcare delivery (Reiter-Palmon, Kennel,  Allen & Jones, 2018). Other members of the team include  registered  dietitian who will help educate the patients on good nutrition and an audiologist who is registered and plays the role of providing hearing health to the patients and evaluate both the hearing and balance problems using vestibular assessments as well as a specialized auditory. The team also includes a physician assistant. This individual works alongside a physician to help him in the treatment and diagnoses of an illness.

 The nurse also plays the role of constantly monitoring the patients in a bid to make sure that they are fine at all times.  The patients are also educated on the right diet that they should follow in a bid to get better and dietitians to play this role very well (Kusi, Dahlke & Stahlke, 2018). Nursing also carries out patient education where they tell the patients on what they are supposed to do and what they are not to do in a bid to ensure that they are better.

Therapeutic Modalities

 Several therapeutic modalities could be used in the management of critically- ill patients. The first modality is Iontophoresis. It is described as a form of E- Stim that is used in the administration of medication. There are electric currents that help push topical drugs via the skim into the bloodstream. This helps in reducing inflammation and even muscle spasms through the act of breaking up the mineral deposits.  The other modality is Transcutaneous Electrical Nerve Stimulation, which helps in the management of both acute and chronic pain.  A nurse's responsibilities work to the extent that he manages the therapeutic modality and he works together with other medical practitioners in a bid to ensure that the patients recover well (Reiter-Palmon, Kennel,  Allen & Jones, 2018). The nurses also have the responsibility of putting the lives of the patients before their own lives. Due to this reason, the nurses should always show care and support to the patients, and they should also treat them properly.

 The nurse also plays the role of ensuring that critically- ill hemorrhagic patients go for oxygen therapy, dialysis, and ventilator therapy. They can do this by ensuring that as the patients are undergoing this therapy they are comfortable, and they continuously monitor the patients and take care of them during this period of therapeutic modalities. For example, as a patient goes through oxygen therapy, the nurse ensures that the patients do not fall short of the oxygen.

Nursing Role Reflection

My role as a nurse helped me to interact with the members of the interdisciplinary team effectively. The interdisciplinary team prefers a direct and clear communication style. They prefer the nurse always to give a clear explanation of the patient to their family members and what decisions the family has to make. In the same context, the communication styles of the nurse should also be open since I did not hide any information about the patient from their relatives. This clearly showed them the patient’s situation, and from them, they had to make decisions on the way forward in ensuring that the patient is treated effectively (Reiter-Palmon, Kennel,  Allen & Jones, 2018). The impact of my own communication style to others was that there was no situation where the patient’s family did not know the patient’s health condition. The style was also critical since it helped the family and loved ones to know the patient’s condition clearly and I also gave them the options we had as medical practitioners for the patient to become healthy and they had to  consent.

 In addition to that, it is factual that the organizational framework of the interdisciplinary management did not hinder the quality of care or outcomes for an individual who is critical- ill. At times, there were system barriers, and the facilitators did not carry out their roles effectively within the hospital (Kusi, Dahlke & Stahlke, 2018). However, when such a situation arose, the interdisciplinary team came up with a way of ensuring that the hospital’s normal programs were up and running. I think that the organization can hire more facilitators to ensure that the patients are well taken care of, and they can give hire more healthcare practitioners to take care of the patients. In a bid for me to develop professionally, I will ensure that I communicate with my patients in a clear manner and I will always be caring to the patient and ensure that I offer them the best services.

 

References

Kusi, A. E., Dahlke, S., & Stahlke, S. (2018). Nursing care providers’ perceptions on their role contributions in patient care: An integrative review. Journal of Clinical Nursing, 27(21/22), 3830–3845. https://doi.org/10.1111/jocn.14534

Reiter-Palmon, R., Kennel, V., Allen, J., & Jones, K. J. (2018). Good Catch! Using Interdisciplinary Teams and Team Reflexivity to Improve Patient Safety. Group & Organization Management, 43(3), 414–439. https://doi.org/10.1177/1059601118768163

Nursing Research Topics Suggestions

  • Microbiome

  • MRSA

  • Multiple Sclerosis

  • Neonatal Medicine

  • Nurse Practitioners

  • Neurosurgery

  • Menopause

  • Mental Health and Psychiatric Nursing Non-Hodgkin's Lymphoma

  • Nurse Career and Education

  • Nutrition

  • OB/GYN and Women's Health Nursing

  • Otolaryngology

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  • Migraine

  • Minimally Invasive Gastrointestinal Surgery (MIGS)Osteoporosis

  • Otitis Media

  • Ovarian Cancer

  • Pain Management

  • PAD

  • Palliative Care

  • Obesity and Weight Management

  • Optometry Pancreatitis

  • Parenteral and Enteral Nutrition

  • Pediatrics/Neonatal Care Nursing

  • Pulmonary Arterial Hypertension Pediatric Ophthalmology

  • Peptic Ulcer Disease

  • Psoriasis

  • Restless Legs Syndrome Rare Diseases

  • Reimbursement and Quality

  • Parkinson's Disease

  • Health Diversity

  • Healthcare Reform & the ACA

  • Heart Failure

  • Hepatitis B

  • ADHD

  • Affordable Care Act (ACA)

  • Alzheimer's Disease

  • AMD and Retinal Disease

  • Electronic Health Records

  • Emerging and Reemerging Infectious Diseases

  • End-Stage Renal Disease Antibiotic Resistance

  • Antiretroviral Therapy

  • Anxiety Disorders

  • Arrhythmia & EP

  • Arthroplasty

  • Asthma

  • Benign Prostatic Hyperplasia (BPH)

  • Brain Cancer Atopic Dermatitis

  • Atrial Fibrillation

  • Autism

  • Acne

  • Acute Coronary Syndromes (ACS)

  • Acute Leukemia Bariatric Surgery

  • Barrett's Esophagus

  • Bone and Mineral Disorders

  • Breast Cancer

  • Cardiovascular Risk Reduction

  • Cataract and Refractive Surgery

  • Bioterrorism/Disaster Medicine

  • Bipolar Disorder

  • Bladder Cancer

  • Celiac Disease

  • Child and Adolescent Psychiatry

  • Cornea and External Disease

  • CV Imaging

  • CVD Prevention

  • Cystic Fibrosis

  • C. difficile

  • Dental and Oral Health

  • Depression

  • Diabetic Microvascular Complications

  • Chronic Kidney Disease

  • Chronic Leukemia

  • Clinical Cardiology

  • Clinical Trials

  • Dialysis

  • Ethics

  • DSM-5

  • Eating Disorders

  • Ebola

  • Erectile Dysfunction

  • Exercise and Sports Medicine

  • Fibromyalgia

  • Fracture

  • Gallbladder and Biliary Disease

  • Genomic Medicine

  • GU/Prostate Cancer

  • Glaucoma

  • Gout

  • Hypogonadism

  • Patient Safety

  • Pediatric Dermatology Renal Cell Carcinoma

  • Reproductive Endocrinology

  • Rheumatoid Arthritis

  • Residents

  • Sjögren's Syndrome

  • Skin Cancer

  • Perioperative Nursing

  • Pneumonia

  • Pregnancy

  • Prostate Cancer Sleep Disorders

  • Spinal Disorders

  • Stroke/Cerebrovascular Disease

  • Thrombosis

  • Thyroid Disease

  • Schizophrenia

  • Seizures

  • Sepsis Trauma

  • Type 1 Diabetes

  • Type 2 Diabetes

  • Urinary Incontinence & OAB

  • Adolescent Medicine

  • Aesthetic Medicine

  • Women's Sexual Health

  • Substance Abuse and Addiction

  • Systemic Lupus Erythematosus

  • Colorectal Cancer

  • Zika Virus

  • Wound Management

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  • COPD

  • Head and Neck Cancer

  • Headache

  • Hepatitis C

  • HIV Transmission & Prevention

  • Hypertension

  • GERD

  • Geriatrics

  • GI/Colorectal Cancer

  • GI/Noncolorectal Cancer IBS and Chronic Constipation

  • Immunization

  • Infertility

  • Inflammatory Bowel Disease

  • Hodgkin's Lymphoma

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  • HPV and Cervical Cancer Influenza

  • Insulin Therapy

  • Integrative Medicine

  • Interventional Cardiology & Surgery

  • Joint Disorders

  • Kidney & Pancreas Transplant

  • Lipids & Metabolic

  • Lyme Disease

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