SNPG927 - Clinical Governance Essay
Added on 2020-03-02
9 Pages2248 Words33 Views
Running head: PROMOTING CLINCIAL EXCELLENCEPromoting quality care of patient by analysing an incidentName of the StudentName of the UniversityAuthor Note
1PROMOTING CLINICAL EXCELLENCENursing profession is one of the largest healthcare related workforce. Nurses analyse apatients’ needs and health demands, they execute care plans, and maintain medical records(Lindrooth et al. 2015).While working as an associate nurse, I was directly involved with thedelivery system of the hospital, focused on caring for my patients and their family. This essaywill present a reflective overview of an incident which occurred and will analyse the possiblemethods of clinical governance that could have produced a better patient outcome in the incident.I will use the Driscoll’s reflective framework to narrate the incident.What?The situation, which I will explore, occurred during my work as an associate nurse inIndia. The patient was Jyoti (name changed) had been admitted to the emergency departmentafter complains of nausea, chest pain, palpitations, trembling and dizziness. On assessing hermedical records I realized that she was on medications, for anxiety disorder prescribed by theGP. She was also suffering from depression. Her mother accompanied her and was extremelydistressed and for not being able to protect her daughter from mental issues. As a young girl shewas diagnosed with anxiety and oppositional defiance disease which often made her aggressive.Owing to the severity of her symptoms, I was immediately advised by the doctor-in-charge tokeep in a seclusion room. Seclusion and restraints should be the last resort of intervention tomanage behavioural emergencies in mentally ill patients. However, the doctor adopted thatmeasure to immobilize her (Sherwood and Barnsteiner 2017). She was confined in a room,which was poorly lit and drab. I was instructed to go there and introduce myself to her. Iapproached the room where she was and introduced myself. I tried to explain about her mentalhealth condition and assessment. However, she began to shout ' get out, go away'. I wasuncertain regarding my proceedings this response was completely unexpected. I therefore
2PROMOTING CLINICAL EXCELLENCEreturned to my senior to report the incident. There was miscommunication between the twograduate nurses attending the incident and they failed to inform the doctor about her current stateof mind. An hour later when I was again instructed to go to her room along with one of the twonurse trainees, to give him medicines, she escalated into a meltdown. She did not want to takethose medicines. The nurse talked to her in some language, unworthy of respect and made fun ofher mental state. I was agonised. Jyoti became aggressive and punched and hurt the nurse. Wealerted the staff to control her. They grabbed her and threw her to the bed. She wailed andhowled and gasped for breath. While shouting at the staff, she fell from the high bed and sufferedinjuries in the head. I ran to call the doctor and informed her mother as well. She became calmafter taking pain killers and dressing the wound . My mentor returned after speaking discreetly toher and for an hour and disclosed that she had experienced a panic attack which made heragitated. She felt isolated and traumatised inside the dark room. Moreover, while being broughtto the seclusion room, she had received lewd remarks from some of the staff members regardingher health. When the nurse talked to her inappropriately, it caused her meltdown and sheattacked the junior nurse. I felt relieved that she was ready to allow me complete her mentalhealth analysis (Miraglia and Asselin 2015).So what?I was horrified with what had just happened. From my nursing knowledge I knew thatclinical excellence and patient safety promote high quality healthcare practice. Clinicalexcellence encompasses different aspects of proving patient centred quality care like clinicalknowledge, humanism and professionalism, diagnostic acumen, interpersonal skills, skilfulnegotiation and having a scholarly approach to the situation (McCaughan and Kaufman 2013).My view on clinical excellence was influenced by my philosophical approach to nursing, my
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