Critical Thinking Journal Entry on Lack of Accountability and Duty of Care in Healthcare

Running head: JOURNAL ENTRY
CRITICAL THINKING JOURNAL ENTRY
Name of Student:
Name of University:
Author’s Note:

JOURNAL ENTRY
1
Introduction
I was involved in the care of the patient name Mr M at clinical placement, who have
undergone total knee replacement surgery two day before in Queensland hospital. My role was to
assist the patient with his daily living activities as he has become immobile due to knee surgery.
In this clinical experience, I was working under the supervision of senior registered nurse in day
shift. The patient complains of discomfort while lying in bed and was facing problem in eating. I
needed assistance of my senior nurse to provide effective care to the patient in his mobility. I
inquired for her, however she was not available in the floor. I also tried to contact her and asked
for her guidance in assisting Mr M. She responded in negative manner and said that she is
involve in other work and have not time to assist him. She suggested to take help from other
staffs. When I returned to the patient as I was one hour late, patient was in great discomfort and
was unhappy from the service and complained for lack of care. I tired to reposition him with
assistance of other staffs in the floor.
In this clinical scenario at the time of my clinical placement, I have identified lack of
accountability and duty of care among the health care professional in the organization process.
They pay no attention on the need of the patient which has led to distress, and its impact can be
seen in their physical and mental health. Due to such unethical behaviour of RN, I have analysed
that there is the need for quality improvement within the health care organization as it may have
negative consequence in the health of the patient. It can also lead to increase in stay of patient,
late recovery and high health burden. This also have poor impact on the reputation of the health
organization.