This article discusses the importance of quality and safety, evidence-based practice, applied leadership, and community and population health in nursing practice. It includes personal experiences and references to support the discussion.
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Professional Roles and Values 1
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Quality and safety: During my visit round to the psychiatry ward, I experienced a patient with dementia. He became aggressive and it was disturbing other patients in the ward. I calmed down through talking to him instead of becoming angry on him. I gave him assurance to him that nurses and other healthcare providers are for the well-being of the patients and not harm them. It resulted in calming him and preventing harm to others. Hands on experience in error prevention and error reporting in clinical rotation helped in improving quality and safety.Implementation of performance measures proved helpful in measuringqualityandsafety.Personalexperienceexhibitedthatmedicalknowledge, interactionandcommunicationskills,professionalism,practice-basedlearningand improvement and system-based practice are important aspects for the provision of nursing practice with quality and safety (Johnson et al., 2016). Evidence-based practice: Nursing practice in the United States follows American Nurses Association Standards of Practicewhich isbased on utilizationof research data and criticalthinking.Clinical experiences exhibited that evidence-based practice is helpful in searching, assessing, applying and communicating newer knowledge and skills in the clinical rotation. Reference data from the literature proved useful in monitoring patient charts to solve patient problems, to prepare for the next clinical round and provide quality care to the patient during clinical rotations in different clinical departments (Ferwana et al., 2012). Evidence demonstrated that application of glue during catheterisation is helpful in reducing failure of catheterisation. I proposed to apply glue during catheterisation. It was made mandatory to apply glue and it was instructed to all the wards. After that glue was applied for twomonthstothepatients.Itresultedinthesignificantreductioninthefailureof catheterisation after application of glue. Applied leadership: In clinical rotation, nurse need to work in the interdisciplinary team. Personal experience exhibited that applied leadership proved helpful in communicating in more professional and effective manner in different clinical rotations. Clinical rotations help in building key behaviours related to leadership in the nurses which help in strong foundation for effective nursing practice. It helps in improving knowledge and experiences which are useful in 2
delivery of safe and effective nursing practice in different clinical departments (Stanley & Stanley, 2018). During my first year of nursing practice, I was highly influenced by mentor and leader. She was having more than 10 yrs experience. She taught me all the theoretical and practical aspects of nursing practice. It helped in improving my clinical competence. I am sure, my rise to professional nursing is mainly due to her effective leadership quality. Community health and population health: Community health is based on integrated efforts of individuals for the promotion of health in geographically or culturally specific population. Population health is an outcome-based approach directed towards management of health of specific group of people. Intervention to diverse group of individuals proved effective through provision of community health and population health. Personal experience exhibited that identification of health and social indicators proved helpful in improving community and public health. In community and population health, even though implementation of strategies differs from each other, health outcomes are similar (Barrett et al., 2016). During my posting in the paediatric ward, I educated parents about the importance of scheduled immunization. It helped in significant improvement in the adherence to the immunization schedule by these parents. 3
References: Barrett, A., Terry, D.R., Lê, Q., & Hoang, H. (2016). Factors influencing community nursing roles and health service provision in rural areas: a review of literature.Contemporary Nurse, 52(1), 119-35. Ferwana, M., Alwan, I. A., Moamary, M. A., Magzoub, M.E., & Tamim, H. M. (2012). Integrationofevidence-basedmedicineintotheclinicalyearsofamedical curriculum.Journal of Family and Community Medicine, 19(2), 136–140. Johnson, F. L., Mate, K.S., & Moses, J.M. (2016). Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Academic Medicine, 91(4):503-9. Stanley, D., & Stanley, K. (2018). Clinical leadership and nursing explored: A literature search.Journal of Clinical Nursing, 27(9-10), 1730-1743. 4