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ALHLT 3933 - Healthcare Issue - Case study

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Southwestern Oklahoma State University

   

Healthcare Management (ALHLT 3933)

   

Added on  2020-03-02

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ALHLT 3933 - In this report, we discussed the analysis of the healthcare issue through a reflective cycle and helped gain insight into the importance of the problems and uncertainties around healthcare practice and policy considerations.

ALHLT 3933 - Healthcare Issue - Case study

   

Southwestern Oklahoma State University

   

Healthcare Management (ALHLT 3933)

   Added on 2020-03-02

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Running head: REFLECTIVE ESSAY Reflective essayName of the StudentName of the UniversityAuthor note
ALHLT 3933 - Healthcare Issue - Case study_1
1REFLECTIVE ESSAYBrief descriptionThe critical analysis of any issue or event through reflection cycle is helpful in increasingknowledge and understanding of the professional practice in aspects of behaviour and values inthe healthcare and determines how behaviour will change in the future. It provide an insight intoa particular incident that contribute to personality development and aids in ensuring continuouslearning and role improvement. In the similar way, the analysis of the healthcare issue throughreflective cycle helped to gain an insight into the importance of issue and uncertainties aroundhealthcare practice and policy considerations. The incident took place during the second year of the placement while working at thesurgical ward. During the wound examination, the doctor examined the wound without washingthe hands with soap or alcohol. It was astonishing and surprising for healthcare professionals toexhibit such a malpractice in this profession, as hand hygiene is the simplest activity for cross-infection reduction. The five moments of hand hygiene also reduces the infection rates bycleaning hands in the right way and time. Therefore, in the next section, analysis of this incidentthrough Gibb’s reflection cycle will be done followed by uncertainty of health practice or policyand actions required to enhance hand hygiene in professional health practice. Gibb’s reflection cycleIncidentThe incident occurred during the second year of my nursing placement. I was assigned towork in the surgical ward and under the supervision of my senior. My mentor instructed me totake care of a seventy-year old man. The patient had undergone abdominal surgery and wasinstructed for wound dressing removal for the doctor to examine during the round off. I removed
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2REFLECTIVE ESSAYthe wound dressing under his guidance through a non-touch procedure. I cleaned the wound asinstructed. At that moment, my mentor was called for visiting another patient and was advised tostay with the patient until the doctor come for the visit. The doctor was busy examining another patient and to my surprise, I noticed that doctorcame straight to my patient and started examining his wound. Before examining my patient’swound, the doctor without using alcohol or soap wash. I also noticed that doctor’s sleeves werelong and concerned cuff contamination with the wound. At that time, I thought of what to do orsay to the doctor by summoning courage, I realized that it was too late as the doctor was alreadyexamining my patient. FeelingsThis incident alarmed me. It is expected that being a healthcare professional, he wouldwash his hands with soap or alcohol before examining the patient. However, it did not happenand was astonished by the incident. I felt intimidated that as he is a doctor, he would be moreexperienced as compared to a nursing student. I did not want to embarrass him and kept quiet. Idid not confront the doctor in front of the patient, as it would concern the patient. However, I gathered some courage and later spoke to my senior about this incident. Hesuggested that he would talk to the doctor about the whole incident. My mentor took and spoketo the doctor aside. My mentor asked the doctor that whether he had washed his hands beforeexamining the patient. He looked shocked and was alarmed. He said that he had a busy scheduleand missed it. Finally, my mentor discussed the five moments of hand hygiene and he assuredmy mentor that he will wash his hands before touching any patient in the future.
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3REFLECTIVE ESSAYEvaluationThis incident was shocking for me. It was also surprising for me. I regret that I wouldhave acted before the doctor examined the patient. However, by the time, I had summonedcourage; the doctor already examined the patient. However, I was pleased that the doctorresponded in a positive manner when my mentor confronted him. He was empathetic when mymentor provided feedback and I have observed that he had changed his practice after the incidenthappened. I have also learned the importance of assertiveness with my colleagues and mostimportantly the five moments of hand hygiene for best health practice. AnalysisHand hygiene is the most important factor to prevent hospital related infection rates andcross-contamination. According to World Health Organization (WHO), one in 25 patients whoare admitted in hospital suffer from hospital borne infections. Even the healthcare professionalsare at risk for infection as they are in continuous contact with the patients. This prevention ofinfections is important in medical setting. It safeguards the patients and ensures highest qualityof care in the healthcare. The improvement of hand hygiene is important to prevent and reducethe spread of hospital-associated infections. Recent guidelines provided by the Department ofAustralian Commission on Quality and Safety in Health Care (ACSQHC) states themaximization of implementation of hand hygiene practices. The Nursing and Midwifery CouncilCode of Professional Conduct, (Section 8), states that nurses have the responsibility to identifythe risk and try to minimize to safeguard patient safety and deliver highest quality of care. Thisstatement greatly implies in this incident as the patient was under the supervision of my mentor.
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