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HNB 1205 FOUNDATION IN NURSING

   

Added on  2020-02-23

7 Pages1651 Words60 Views
Running Head: FOUNDATIONS OF NURSINGFoundations of Nursing Name of the StudentName of the UniversityAuthor Note

1FOUNDATIONS OF NURSINGThe Australian commission have developed some standards in response to theextensive public and stakeholder consultation. These are recognised as “National Safety andQuality Health Service Standards”, and ensure the safety and quality of wide variety of healthcare services. The paper focuses on the sixth standard, which refers to clinical handover. Thisstandard “describes the systems and strategies for effective clinical communicationwhenever accountability and responsibility for a patient’s care is transferred”. Theintention of this standard is to ensure relevant clinical handover, on time and in structuredmanner, that will support the patient care. The purpose of this paper is to outline the nurses’responsibilities in regards to effective patient handover, communication and documentation. According to the standard on clinical handover, it is the process of transferring thepatient’s responsibility to another person for some or all aspects of care either temporarily orpermanently. The clinical handover may change based on the patient’s situation. For instancethere are different situation of handover such as during patient’s admission, due to change inshift time, transfer of patient to intra and inter hospital. There are different methods ofhandover including face-to-face, through written orders, or via telephone or throughelectronic handover tools. The handover can take place at the patient’s bedside, in a commonstaff area, clinic reception or at hospital. Nurses must be highly responsible at the time ofclinical handover as the current processes are highly variable. These variations may beunreliable leading to risk for patient safety. Thus, nurses must use standardised process andfit the clinical handover solutions for the purpose. It will increase the likelihood of the criticalinformation to be transferred and acted upon (Bain et al., 2013). To ensure safe transfer of the patient information, the nurses can use the ISBAR tool.It stands for “Identify, Situation, Background, Assessment and Recommendation”. This toolalso allows the accurate identification of the patient and of those participating in hand over.The situation refers to the condition of the patient in current moment. Background informs of

2FOUNDATIONS OF NURSINGthe factors that led to the situation. Assessment includes knowing what caused the problemfollowed by recommending on way to improve the situation (Kitney et al., 2016). As perliterature review, this tool has been found effective in safe transfer of patient information inboth clinical and non-clinical situation. It acts as teaching tool for the patient and the familyto handle the illness. According to Sujan et al., (2015) the tool gives an opportunity for thehealth care team to discuss with the patients and decide the information that is necessary to betransferred. For instance, loss of excess blood from the surgical patient can be mentioned inthe hand over. This tool is simple, memorable and logically structured. It prevents poorcommunication as the tool is designed to collaborate with the medical officers, healthmangers, allied health professionals, rural and remote area staff, inpatient staff in addition tonurses and midwifes. Such structured content is necessary to reduce patient clinicalmanagement errors (Johnson et al., 2016).According to Kitney et al., (2016) the adaptation to ISBAR involves changes and tomanage the change, the nurse can follow the eight steps of John P Kotter. Kotter had putforward eight steps for change management. The principles of change management align withthe actions required to introduce ISBAR framework. Most importantly, the nurses must beable to identify the need for clinical communication intervention and know the rationale forintervention. Secondly, the nurse must use the critical thinking skills to identify the leader orcultural influencers so that it becomes easy to use the tool. Good leadership skills areessential to allow the handover to occur at correct time. It is the responsibility of the nurses to use the relevant policies and procedures in theconcerned organisation and take an action to maximise the effectiveness of these policies andprotocol meant for safe handover. It is the responsibility of the nurse to execute thedocumented structured process. Nurses must set appropriate location and time for handover,and simultaneously maintain and continue patient care. The nurse must exhibit high level of

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