Reflective Essay on Patient Care and Challenges in Implementation

REFLECTIVE ESSAY
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Table of Contents
Introduction......................................................................................................................................3
Outline of the problems...................................................................................................................3
Stakeholder analysis........................................................................................................................5
Challenges of implementation.........................................................................................................6
Tools to tackle challenges................................................................................................................8
Conclusion.......................................................................................................................................9
Action plan.....................................................................................................................................10
Reference list.................................................................................................................................12
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Introduction
Patient care is a multi-centric approach that supposes to be provided to the entire patient based
upon their physiological as well as psychological condition. In the mentioned case study, it has
been identified that a patient was suffering from a psychological issue because of which he has
consumed foreign bodies like shaves blade and nails. This condition can be referred to as Schizo-
affective disorder. Here, have found that in the medical care there was a significant gap as the
patient was not provided any kinds of psychiatric treatment in the hospital on his first visit to the
hospital with similar kinds of problem. The physical issue has been resolved and the
psychological issue has been left as such that makes him injured by himself again.
The mentioned scenario has become even worst when it has been found that the patient had
stabbed himself in the bathroom of the hospital. Depending upon this condition Gibb’s reflective
cycle, I am going to use for attempting a critical evaluation on the overall medical emergency
through self-reflection. I am going to attempt a descriptive discussion depending upon the
feelings about the incident that leads to making an evaluation on it. This condition would bring a
conclusion of the overall aspect that could help me to decide effective action for the
improvement of the condition (Sekarwinahyu et al. 2019, p.22).
Outline of the problems
At this stage, the situation is explained in a coherent way without presenting a specific
conclusion in this context. I was assigned the role of shift coordinator in the mental healthcare
hospital. I was informed about the incident take place in the bathroom of the hospital where a
patient found to stabs himself with the knife. The other patient who was also there who came out
screaming after witnessing such a horrifying scene. After running out of the bathroom, he went
directly to the patient attendant to inform him about the incident taken place. The patient
attendant rushed quickly to the spot where he found the patient lying on the floor with the knife
in his chest. He removed the knife out of his chest and summon for the nurse (The Kings Fund,
2017). The summoned nurse quickly started to pressurize the area of the wound to stop further
bleeding. In between that, the ambulance was called along with police and physician. The
physician inserted an IV line into the body of the patient for blood transfusions to prevent
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excessive loss of blood due to bleeding. I have also reached the incident spot after the screaming
to know and understand the scenario and situation of such an incident. Besides, I was also taking
notes of the actions followed by the staffs there and analyzing their ability to cope with such a
dreadful situation. In addition to that, I was also paying attention to the measures that were
undertaken by the staff member in such a difficult scenario.
To my surprise, I witnessed something quite different and unusual. The staffs at the hospital
should be well trained and prepared to face and understand such a situation. However, the scene
was quite different from my expected reality. The staffs of the hospital found to look scared and
nervous after witnessing such a dreadful incident (Mansfield-Devine, 2017). Rather solving and
attending the situation, they were panicking and putting blame on each other. I observed that the
unit manager, who was also present at the scene, found to be shouting at the staff members for
carelessness and unprofessional approach. The unit manager was getting infuriated and was
warning them regarding their careless attitudes and approach. In between, when the environment
becomes cool, I approach the unit manager and told him to come and meet me outside of the
unit. I also was greeting angry and want to know the answers for such irresponsible behaviors of
the staffs. I suggested and explained that mere shooting at the staffs is neither going to resolve
the issue nor help you out this context.
After the incident, I call upon the staffs of the other unit and request them to look over this unit
for the time being till the staffs here calm down and relax. I attempted to provide them comfort
so that I could the opportunity to indulge them into communication (World Health Organization,
2007). My aim was to know the exact reason behind the cause of failure as well as risk factors
which had been total neglect leading to such an incident.
Several issues identified in the case study such as communication, human errors, policy,
healthcare practitioners, system or process errors. I found that there is a significant lack of
communication between the nurse and physician. Furthermore, I witnessed that there is no
effective medium of communication established between the administration and nurse to
determine or address the challenges faced by the staffs during the inspection (Gopee, N. and
Galloway, 2017). Communication styles and approaches of the physician, treating team and
staffs were also not at all effective as the patients did not respond to their approaches. This
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