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HNN320 Leadership and Clinical Governance

   

Added on  2020-04-13

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Running head- NURSING LEADERSHIPHNN320 Leadership and Clinical Governance Assessment Task 2Name of the StudentStudent NumberName of the UniversityWord Count- 2594Author Note

1NURSING LEADERSHIPTeamwork within a clinical setting requires coordination, cooperation and communication between the healthcare staff to achieve desired patient outcomes and improved patient satisfaction. Communication is regarded of utmost importance for providing high quality patient care services. Breakdowns in communication have resulted in medication errors and otherhealth problems that may contribute to health complications (Brock et al., 2013). Errors due to ineffective or miscommunication can also be fatal for a patient. Research evidences suggest that poor communication creates adverse impacts on hospital care. The most common type of provider-to-provider miscommunication includes, poor documentation, failure in interpreting themedical records of the patient and miscommunication about clinical status of a patient during handover (James, 2013). On the other hand, provider-to-patient communication issues encompass, lack of clinical literacy, lack of informed consent, language and cultural barriers, lack of empathy towards patients and incomplete follow-up of instructions (Verlinde et al., 2012). Nursing leaders play a vital role in fostering verbal and nonverbal communication within the setting, which helps in establishing mutual understanding and in managing conflicts. One major tool that is implemented across clinical settings for fostering effective communication is the ISBAR (Identifying and Solving BARriers to Effective Handover in Inter-hospital Transfer). The primary purpose of this tool is to provide its users with the capacity to get adapted to the clinical setting, while implementing and evaluating clinical communication approaches during clinical handover in a healthcare organization (Kerr et al., 2014). This assignment will illustrate on the development of another strategy in a hospital setting to promote patient safety while improving communication among the employees. The aim of the essay is formulation, development and

2NURSING LEADERSHIPimplementation of an effective communication tool, other than ISBAR that will enhance communication among the healthcare professionals in a ward, thereby improving patient safety.Evidences from research states that documenting critical information regarding a patient and communicating them to the staff and the concerned family members helps in improving patient safety. One strategy that has been identified that can eliminate medication errors and can improve patient safety is the implementation of patient safety checklist and alerts. Documenting relevant patient information and alerts in these checklists improves patient outcomes (Van Klei et al., 2012). This view was supported by a systematic review that assessed the impact of surgicalchecklists on teamwork quality and communication in an operation setting. The review evaluated20 articles that were based on considering safety checklists as a primary intervention for improving communication issues to maintain patient safety. The WHO Surgical Safety Checklistis designed in a way that encompasses three phases of sign-in, time-out and sign-out. 7 of the 20 articles reported in the study utilized the WHO safety checklist while, the other 13 were based onimplementation of safety checklists that were in accordance with the national recommendations. The results of the study showed that checklist implementation resulted in a significant reduction of miscommunication events. Furthermore, the review also reported that checklists helped in strengthening team feeling and a improved discussions of critical events, which in turn produced enhanced patient outcomes. Thus, the review was successful in providing evidence for the fact that checklists are increasingly gaining importance as an effective strategy for enhancing communication and improving patient safety. However, certain limitations were associated with the research methodology and quality of the study that were included (Russ et al., 2013).

3NURSING LEADERSHIPThis view was further supported by another study that investigated the effect of the WHO surgical safety checklist on enhancing communication and reducing complications among patients (Fudickar et al., 2012). This study recognized that fact that poor teamwork and inadequate communication resulted in maximum errors in medication, which in turn contributed to violation of patient safety. It extensively searched for articles that contained information on the effectiveness of the proposed checklist and compared the outcomes on the perioperative morbidity, mortality and patient safety. The results were consistent with the previous findings and displayed an increase in patient safety. Furthermore, the study results demonstrated the beneficial effects of the checklist on correct guideline implementation and found a significant reduction in the complication rates among patients who underwent emergency surgeries. The study was also effective in providing evidences for an improvement in interdisciplinary communication and teamwork that directly influenced safety culture. The fact that a patient safety checklist contains relevant information on the patient history, prior medications, aspects ofa surgery, its duration and the expected blood loss, was appropriately communicated between theconcerned healthcare staff. Thus, effective communication through checklist implementation worked towards safeguarding the patients. In addition, further support was provided by Böhmer et al., (2012) in a study that evaluated the quality of interprofessional communication and perioperative safety standards before and after the implementation of safety checklists. The study surveyed the attitude of employees related to safety aspects of patients in perioperative period and communication quality. The results were consistent with the previous findings and showed that positive effects were observedwhile verifying the written consent of patients, cognizance of names and quality of

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