Broadening Perspective: A Case Study on Risk Management in Nursing

This report discusses the concept of broadening perspective and its importance in risk management. It presents a case study on a patient with a hip fracture and explores the use of Discoll's reflective model in understanding and managing the risk. The report highlights the role of nursing staff in providing organized and effective care to mitigate risks.

Broadening Perspective
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Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY ..................................................................................................................................3
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................8
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INTRODUCTION
Broadening perspective is defined as a progressive mindset which is always wide-open to
grasp some theories and ideologies which are outside gathered truths and concepts (Hallgren and
et.al., 2016). People having narrow mind may not look into the subject from several viewpoints
but individual who has broad perception has emerging ideas which help in achieving any defined
task in more easier and innovative way. Risk management has been defined as a practice which
are being taken for determining the risk priorly so that the potentiality of such risk may be
evaluated and future precautions may be adopted for lowering the risk (Alam, 2016). This
management involves the nurses to be highly organised and they should realise certain impacts
and opportunities which may be utilised effectively in risk management (Leifheit-Limson and
et.al., 2015). The report is based on a case study which focus on Ms. X who has been diagnosed
from hip fracture. The report will focus on discussing Discroll's reflective model for
understanding the risk management practice in specified women.
MAIN BODY
The essay is based on case study of Mr. X, the women states that while driving from
office to home she slipped on ice while buying some groceries for home. She reports that her
right hip is in very pain since the incident and she can not bear weight. Although, she has no past
of such pain. She is an independent lady who lives with her child on her own. The medical
history of subject includes hypertension and mild heart problem. During physical check up of
right hip it was seen to be shortened and hard. The skin over thigh has no abrasion but her
constant complaint for pain confirms that she may have some major issue. After conducting a X
ray it was clear that she has a hip fracture which is severe and must be treated as soon as
possible. The patient after evaluation has given some medicine which must be taken on time for
treating such problems. She is having problem in leading her life happily due to high pain,
irrespective of such condition she is not complying with her medicine.
The risk from above case study has to be managed by nursing staff in respect to make
condition of subject stabilised (Klingner, Llorens and, Nalbandian, 2015). I have assigned for
undergoing such task in most effective way. For conducting such task I have utilised Discroll's
reflective model. As per my opinion, reflective practices have been determined as one of the key
ways through which the learning can be promoted through experiences. My experiences are
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taken in such practices which are then used in future learning and development. The reflection is
an integral part which reflects the way of adjusting to life as professional health providers and
maximising the evolution of professional recognition. Such activity enables me to assess myself
and the approaches which I have taken while completing a certain task related to health care.
Reflection process can enables an health practitioner to share their gained knowledge with outer
world. Such practice aids other care givers to use following approach which may be utilised
while performing any objective or at the time of some complicated situation. The inter
professional relationship are also improved and at the same time work practice becomes more
authentic and practical (Hollnagel and Braithwaite, 2019). Reflective models also renders a
chance to heath professional for improving the quality of work they are doing, along with this the
strengths and weakness of my work are also reflected which aids me in making positive changes
for better development.
In risk management, the steps like determination, analysing, prioritisation and
coordination has to be followed for managing from available resources (Sadgrove, 2016). Within
nursing I have came across many models of reflection but the most wide conceptual model is
'What'? Model given by Discoll in 2007. The first part of such model is WHAT, which describes
the event. At this stage full description of case study will be analysed and shared. When I was
working with some client I saw Ms. X coming with her child in hospital to get evaluated for her
pain. She consulted me for asking which doctor is best to consult with, then I suggested for a
great orthopaedic in the department. Then I returned to my work of going on round evaluation of
number of patient. My main purpose for returning to the situation is that I got emotionally
attached with the subject as she is a single mother which has a responsibility of a child and now
she is suffering from severe pain which has to be managed. Thus, purposefully I engaged myself
into the project for taking care of such client. The subject was getting her X ray done, after that
doctors and I came to know that she has a hip fracture and it need to treated immediately. If it
left untreated then it may lead to severed health issues. The reaction after analysing the case was
that given subject needs to take assistance as quickly as possible so that client does not have to
take care of child and have to conduct all house holds related activities alone (Cagliano, Grimaldi
and Rafele, 2015). Other people who were involved in this case was the doctor, me as a nurse
and other medical staff. The doctor provided a list of medicines which she was asked to follow
daily, she was also asked to visit after one week for evaluating the condition of hip. The doctor
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suggested that if the condition remain same and no improvement takes place then the hip needs
to be replaced. A complete hip replacement refers to a procedure which replaces both sockets in
hip (Stokes and et.al., 2015). And if some improvement is seen then internal fixation will be
enough to heal the fracture. For this condition, many appointments need to be fixed over several
months with constant X rays and medications. I was also involved in the process, so I gave some
nursing intervention which may assist her in making her state better. I recommended Ms. X to
avoid using plastic sheets or pillow which she might use while sleeping under bed lower
lowering the discomfort which she may experience dye to heat production in dry cast. I also
advised her to seek help of some professional to get light massage on affected area to improve
the level of blood circulation and reducing the pain as well as muscle fatigue. More day to day
interventions was suggested by me which included using ice packs and light exercises for dealing
with such condition. Every medical staff who she consulted with asked her to take her medicines
on time for making pain relieve (Hemphill and et.al., 2015). Irrespective of such suggestion, she
did not comply with her medicine and took no intervention which was needed. Due to this her
pain got worse during her next visit to hospital.
Another stage of such model is 'SO WHAT', which aids in analysing the event. It
involves in reflecting the type of feelings and behaviour associated with such situation. At the
time of event, I felt that the women is in high need and she immediate assistance to cope up with
her personal and professional problem. With her medical history I got to know that she also
suffers from hypertension. Due to all this, I felt concerned and bad for the subject and wanted to
help further. The feeling which I had for that particular lady was not different from other because
she is a single mother and out of sympathy I always want to help those who tries to manage their
life on their own. After knowing her medical history I felt more concerned and supportive. When
I got to know that she did not take her medicine on time and did not undergo my interventions
then my concern grew more. So I asked to assist her as a professional nurse for taking care of her
for making her condition balanced. I used to visit her house for few hours in which I took care of
her pain by giving her light massage and medicines on time. I also helped her in taking care of
baby while she did outside work. Now I do not feel any trouble because I assisted her in all
possible way professional. The effects of my constant support and care was highly effective on
the all patients, by reminding such subjects to take medicine on time lower the pain to high
extent (Vincent and Amalberti, 2016). All health issues and adverse effect were mentioned by
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me to Ms. X if she does not take her hip fracture seriously. The event that happened changed my
life in more positive way, I got to know about me tat I am highly sensitive and emotional person.
I can get to any extent to help someone who is alone and want assistance in professional way. I
noticed that I did every right things and conducted all medical practices and also gave
appropriate nursing intervention to the lady for helping her. This indicate that my behaviour is
helpful and supportive. The actions which I took was all under medical ethics and they followed
beneficence, justice, non maleficence and autonomy. My all action were under such ethical
principles, I was fair when it came to provide support and care to patient. No harm was done
while treating the lady, all nursing intervention were conducted for doing good and were right to
do as such situation. The medication and treatment which was provided to the client by me was
only given after taking consent of her. I encouraged her to take decision on her own and
communicated with her effectively. I was answerable and accountable if any wrong happened
while providing her care or support. Veracity and fidelity was also maintained by me during all
processes, I was completely truthful about with client about what medication they need to take as
prescribed by doctor. I also kept promise by rendering high and quality care to the client for
lowering her pain.
The last stage of Discroll's reflective model is 'NOW WHAT', which focus on proposed
action following the event (Healy, 2016). If I chosen to do nothing in such case, it would have
felt bad and unpleasant for may medical career. According to me, it was my responsibility to
undergo all actions which may be utilised for providing her better care in all circumstances. The
new experiences which I learnt from such practices helped in enhancing my skills in clinical
practices. The communication skills got improved and I could motivates people more effectively.
The main learning aspect from such event was importance of good medical care in people life.
Due to the medical services which was provided to subject, she was able to work efficiently
within few days. The risk which was highly managed by providing good care and medications at
appropriate time not only helped the client but also uplifted behavioural and developmental
changes (Torchia, Calabrò and Morner, 2015)
CONCLUSION
From the above report it can be concluded that, as per my opinion Broadening
perspective has been characterized as a advanced outlook which are always widely open to hold
some ideologies and theories which are presented in outside collected truths and ideas. Individual
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having constrictive mind does not look into the subject from various point of view but people
who has wide percept has rising ideas which assist in achieving highly defined task in more
quick and modern way (Salmond and Echevarria, 2017). Risk management has been defined as a
practice which are undertaken for deciding the risk priorly and adopting such measures which
can be easily applied in mitigating the risk in most effective way (D’Andreamatteo and et.al.,
2015). I looked into the case of Ms. X and helped her to get through her hip fracture by
providing effective quality attention and support as per professional nursing ethics.
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REFERENCES
Books and Journals
Alam, A.Y., 2016. Steps in the process of risk management in healthcare. J Epid Prev Med, 2(2),
p.118.
Cagliano, A.C., Grimaldi, S. and Rafele, C., 2015. Choosing project risk management
techniques. A theoretical framework. Journal of risk research, 18(2), pp.232-248.
D’Andreamatteo, A. and et.al., 2015. Lean in healthcare: a comprehensive review. Health
policy, 119(9), pp.1197-1209.
Hallgren, M. and et.al., 2016. Exercise, physical activity, and sedentary behavior in the treatment
of depression: broadening the scientific perspectives and clinical
opportunities. Frontiers in psychiatry, 7, p.36.
Healy, J., 2016. Improving health care safety and quality: reluctant regulators. Routledge.
Hemphill III, J.C. and et.al., 2015. Guidelines for the management of spontaneous intracerebral
hemorrhage: a guideline for healthcare professionals from the American Heart
Association/American Stroke Association. Stroke, 46(7), pp.2032-2060.
Hollnagel, E. and Braithwaite, J., 2019. Resilient health care. CRC Press.
Klingner, D., Llorens, J.J. and Nalbandian, J., 2015. Public personnel management. Routledge.
Leifheit-Limson, E.C. and et.al., 2015. Sex differences in cardiac risk factors, perceived risk, and
health care provider discussion of risk and risk modification among young patients with
acute myocardial infarction: the VIRGO study. Journal of the American College of
Cardiology, 66(18), pp.1949-1957.
Sadgrove, K., 2016. The complete guide to business risk management. Routledge.
Salmond, S.W. and Echevarria, M., 2017. Healthcare transformation and changing roles for
nursing. Orthopedic nursing, 36(1), p.12.
Stokes, J. and et.al., 2015. Effectiveness of case management for'at risk'patients in primary care:
a systematic review and meta-analysis. PloS one, 10(7).
Torchia, M., Calabrò, A. and Morner, M., 2015. Public–private partnerships in the health care
sector: a systematic review of the literature. Public Management Review, 17(2), pp.236-
261.
Vincent, C. and Amalberti, R., 2016. Safer healthcare. Cham: Springer International Publishing.
World Health Organization, 2017. Patient safety: making health care safer (No.
WHO/HIS/SDS/2017.11). World Health Organization.
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