Fishbone Diagram Analysis for Improving Patient Care in Nursing

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

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NURSING
Introduction
The purpose of this assignment is employ Fishbone diagram in order access the
possible causes underlying failure in delivering effective patient care. In order to accomplish
this, the assignment will initiate with a patient based on the previous experience of the author.
The illustration of the case study will be done on the basis of the guidelines stated by the
London Protocol which includes : what happened, Who was involved, When did it happened,
how severe was the actual or potential harm, likelihood of recurrence, what were the
consequences. After illustrating the case study, a detailed analysis of the risk factors
associated in relation to the patient will be done via the use of Fishbone diagram. At the end,
the assignment will highlight the aspects of improving safety and the quality of the patient
care under the framework of the clinical governance which includes consumer participation,
clinical effectiveness, effective workforce and risk management.
Case study
The patient story is based on my previous experience as a trainee residential nurse
under age care settings. I was assisting my mentor residential nurse in providing care to a 70
years old woman (Mrs. X) who was suffering from musculoskeletal complications
(osteoporosis). That was my second day in the training and my mentor was out for lunch.
During this time, Mrs. X stated that she needs to go to bathroom. I helped Mrs. X in getting
down from head and provided minimal assistance in her steps towards bathroom. At this time
Mrs X stated that she is feeling uncomfortable without her walker but I thought that Mrs. X is
suffering from lack of confidence and insisted her in walking independently without the use
of walker. Once she entered the bathroom, I stood aside and asked her to seat over the
commode independently. Mrs. X took steps forwards and then in an attempt to grip some
support near the commode, she lost her balance and slipped on the ground. The outcome of

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NURSING
the problem was severe as Mrs X suffered from knee injury and mentally she become scared.
Later her sons and my mentor nurse informed that Mrs. X suffers from visual problems. The
test undertaken by the neurologist later highlighted that Mrs X has problem in hand-eye co-
ordination. The likelihood of recurrence is however, low if proper information about the
patient’s healthy history is briefed in detailed to the care giver.