Caring Culture: Analysis of Nurse Anaesthetist Practice and Themes

This report analyzes the caring culture within nurse anaesthetist practice, focusing on workplace observations and using the 15 Steps Challenge Tool to gather evidence. It identifies key themes impacting patient care, including deficiencies in staff-patient communication in recovery wards, inadequate display of patient feedback, insufficient attention to patient diversity and equality, and poor visibility of information on how to complain or compliment. The report provides recommendations to improve these areas, emphasizing the importance of effective communication, clear display of patient vital stats, adherence to ethical codes, and transparent feedback mechanisms. The conclusion stresses the need for prioritizing patient needs and continuous improvement in nurse training programs to foster a supportive and effective healthcare environment. The report evaluates the role of nurse anesthetists and the importance of pre-operative care.

Map and analyse the caring culture--
nurse anaesthetist

Identify an area of nursing that interests you and provide an overview
of current practice perspective
Analgesia and sedation is a process combining use of analgesics and sedatives to reduce
awareness of patients discomfort and pain, and inducing sleep, to suppress anxiety. In the
area of nursing a nurse anaesthetist assists the anaesthesia doctors in surgery and other allied
medical processes (Skår, 2010). In Australia, nurse anaesthetists are in high demand as they
provide specialised care and services in major hospital care settings. A developed benchmark
of educational systems, specialisations, practice guides and code of ethics are situated within
the sphere of nursing anaesthetics to improve the scope of care provided.
In the current practical environment, throughout the whole process of the anaesthetics, nurses
are actually responsible in assessing the vital stats of the patient, and monitor the whole
condition of the patient during the process of surgery. They moreover have to remain with
patients while they are in drowsy state, until they get full recovery from the sedatives and are
transferred to independent wards. The role of nurse anaesthetic in the care field is wide and
huge, as it brings in social, historical and environmental implications while providing care for
the patients. Within the patient caring and healthcare environment, anaesthetic nurses play a
vital role in human-to-human interaction, providing a support to doctors and patients through
care, motivational words and providing assistance while the surgery goes on (Delamaire &
Lafortune, 2010).
The main areas of professional ethics and values followed by the anaesthetic nurses, mostly
involves having human dignity, justice towards needs of others, privacy, autonomic decision
making, commitment, caring, human relations, sympathy, individual competency and honesty
(Savrin, 2009). Within the backdrop of these elements of values and beliefs, the anaesthetic
nurses also assist doctors within the operation theatres and stays with patients to monitor their
vital stats until they come out of the delirium. The main practice of nurse anesthetise are
growing particularly throughout the world, imbibing the care culture along with
specialization of the branch of anaesthesia in the healthcare industry.

Gather evidence of the workplace culture perspective and summarise
findings
Using the 15 Steps Challenge tool, the evidence from the workplace culture on nurse
anaesthetics have been provided.
The 15 steps challenges tool helps in improving and guiding the challenges experience in
healthcare setting through proper observations. The tool helps in mitigating the challenges
observed in hospital settings by the nurses through following certain questions and answers
and understanding the lacunae in various hospital setting. In this assessment, the anaesthetist
nurses form a team and identifies the various challenges faced by patients after getting
transferred to wards and coming out from their delirium stage. In the practical environment in
healthcare setting various problems needs addressing, within the sphere of anaesthesia, which
is being corrected via the observation tool. Undertaking walks across the wards are helpful in
gathering information and evidence about the problems and in providing recommendation in
dealing with the challenges (Duffield, Gardner, Chang & Catling-Paull, 2009). After
gathering the information, the feedback is forwarded to the respective administrative units for
mitigating and formulating a strategy to improve the current conditions. Moreover the
feedback provided is given on timely basis, and being obstructive and honest in a courteous
manner. While going around for walks in the wards, the nurses are sensitive towards the
patients are always welcoming in attitude, providing safety first. Moreover, they are
involving and caring along with being calm and well-organised.
Inside the recovery wards, the main things which are viewed by the anaesthetist nurses is to
look after the vital stats of the patient, the recovery rate of the patient and the way other
nurses approach needs of the patient from the 15 challenges tools. the most common
challenges observed are miscommunication among the patients and nurses in recovery care
units, low feedback of patient vitals are displayed, equal treatment are sometimes not meted
out correctly and information for feedback and complains are not present.
From the observation, following recommendations can be meted out:
Providing sufficient communication among nurses and patients are vital, as the patient is in a
state of delirium and requires more care and support to come out of sedatives. Furthermore,
the feedback of the vital stats of the patients should be carefully displayed and monitored
effectively. For these regular checks on serious patients and maintaining a folder, system is

important. For improving equality, the code of ethics and code of conduct in the hospital
should b updated, so that every patient is treated equally. Moreover, information should be
properly provided to the patient family, so that complain system and feedbacks are prominent
(Parker & Hill, 2017).
Identify themes from your observation or story and analyse
perspective.
From the 15-Steps Challenge Tool used for gathering evidence-based knowledge on Caring
Culture as displayed in a work environment, certain themes have been identified which needs
proper attention regarding improved service providence and delivery. On the basis of CQC
standardised assessment evidence on service user and service providers have been obtained
wherein the nurse team have efficiently explored the care delivered to the service users/
patients. The caring culture of Nurse Anaesthetists have been deciphered via the Toolkit via
question-based assessment which have helped in obtaining the Caring Culture observation.
The quality indicators like staff-patient interaction, display of proper patient feed-back,
patient dignity protection, patient information via friendly formats, patient empowerment,
patient diversity and equality aspects, patient complaint and compliment visibility have all
been thoroughly assessed and the underlying 4 themes have been selected and analysed from
the observation as lacking in care-giver service delivery:
1. Lacking of staff-patient communication in recovery ward
The interaction between a patient recovering from anaesthesia and the anaesthetist nurses is
of vital importance post their transfer to the recovery ward/unit. The patient health and fast
recovery of the same relies on how the anaesthetist nurses handle the care situation, and
specifically relies on their behaviour and information delivery (Berg, Kaspersen, Unby, &
Frisman, 2013). The Doctors’ prescribe certain vital medical information which needs to be
followed post-anaesthesia which must be followed rigorously by the nurses. During the phase
of anaesthesia elderly patients often suffer from delirium and they take longer hours to regain
back their normal state of homeostasis. This is the most critical time and stage where an
anaesthetist nurse needs to serve with extreme dedication. All these factors added to constant
care, good behaviour, patient interaction, increased patience and proper medical care comes
handy are become the factors behind determining the success behind anaesthetic care of
patients.

2. Lacking display of patient feedback
Patients after surgery and post anaesthesia, often suffer from a lack of self-consciousness and
their feedback on the care received from the nurses, is mandatory in developing the hospitals
services. The feedback form must be filled in duly by the patients and transparency must be
maintained during submission of the same to the hospital’s chairman or to the Organisation’s
sponsor.
3. Patient diversity and equality are not being met
Different patients belong in different cultural group and ethnic groups, with diversified food
preferences, culture and languages pertaining to their region/locality. All of these patients
must receive equality in care and treatment as delivered by the anaesthetic nurses irrespective
of their cultural differences or ethnicity and diversified languages. Nurses should be properly
trained to address the language barrier and cultural barrier of patients from different
ethnographic settings.
4. Poor information visible to patients on “how to complain/compliment”
The patients’ must be given due preference as they are the direct service user and their care
and needs must always be fulfilled with equality in care and handling (Alspach, 2013). Any
complaint from their end and measures on how to complain about any service lacuna, needs
to be addressed and monitored routinely via staffs enrolled to collect patient feed-back in the
form of complaint or compliments. Transparency and honesty should be maintained in the
process.
Conclusion
The assessment on work-place care culture on Anaesthetist nurses have discussed certain
themes which needs to be prioritised in delivery care to post-anaesthetic patients and which
steps need to be followed in a hospital setting to improvise the services received by the
patients and to improve upon the services delivered by the anaesthetic nurses. The feedback
from the patients must be addressed and monitored properly after the entire record of the
process has been submitted to the Chairman of the organisation or the sponsor. Transparency
in data analysis and handling must be maintained in the arena of patient feedback generation.
The positive side of service delivery and care delivery must be maintained and prioritised in
the routine nurses training programs. The necessary backlogs must be reviewed and routinely

monitored by reliable hospital staffs positioned for the same, via updated nurse training
facilities and patient service delivery programs. This will help the caring culture to progress
and develop to the fullest in a health-care setting.

Self-evaluation
In this assessment, I have taken the area of nursing that is named as Anaesthesia Nursing. It
provides a greater insight into the clinical practises of nowadays. I have highlighted the roles
of nurses particularly in the field of Anaesthesia as well as preoperative care for the patients.
However, from my findings I gained the knowledge that communication among the staffs,
provision of providing patient feedbacks can be improved. Accordingly, meeting of the needs
in relation to equality and diversity also plays a vital role. By working on this assignment, I
have gained knowledge in the healthcare and associated training needs. It has made me aware
of the different perspectives of the patients and their relative wants for improvements from
our healthcare system.

References
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sciences.
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