Case Study Analysis: Clinical Nurse Leader's Role in Patient Care

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Case Study
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This case study examines the critical role of a clinical nurse leader in healthcare, focusing on a patient with type 2 diabetes mellitus, renal failure, and requiring a leg amputation. The analysis explores the responsibilities of a registered nurse within a collaborative team, emphasizing effective communication and patient-centered care. The case study identifies key health priorities, including diabetes management, pre- and post-operative care, and chronic renal impairment, while considering the patient's socio-economic factors. It highlights the importance of a multidisciplinary approach, the influence of nurses on patient outcomes, and the application of NMBA standards to ensure quality care, patient safety, and ethical conduct. The study underscores the significance of patient education, family involvement, and the effective use of resources to improve patient outcomes and promote a compassionate healthcare environment.
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Running head: CASE STUDY
Case Study
Name of the Student
Name of the University
Author Note
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1CASE STUDY
Introduction
Clinical leadership is an integral part of nursing practice as it improves the quality and
standard of care towards any patient or any community. The nurse, as a leader, reviews and
evaluates the process of treatment at an individual level to eliminate the threat of patient
security, avoid medical error, and expand the superiority of patient care distribution (Stanley
and Stanley 2018). The clinical nurse leader also supervises the duty of appointed clinical
nurse in terms of medication delivery, proper setting of intravenous done by the elected
nurse, educate the patient as well as the nurse to maintain a trustworthy relationship. The
common goal of the position is to enhance patient safety. The leader must have a unique set
of delicate qualities such as honesty, courage, creativity, and capability to handle stress
(Joseph and Huber 2015). The primary purpose of the below paper is to identify the role of
the clinical nurse in healthcare based upon a case study and to provide patient care
identifying the priority need.
Discussion
Part 1
Role of a registered nurse in a collaborative team
The role of the registered nurse in healthcare is to provide and ensure patient safety by
delivering effective care to the patient and maintaining peace and trustful relationship with
the patient as well as with the healthcare setting (Flinter et al. 2017). The main component in
a collaborative team is effective communication with the patient and also with the other
members (Altman et al. 2016). They can recognize and evaluate the patient clinical condition,
sensitive feeling, and even social needs that help the team along with the patient to avail
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2CASE STUDY
funds and thus generating a patient-centered care plan (Fix et al. 2018). There are many
remunerations of collaborative nursing such as it ensures supervision of patient along with
the nurse appointed in duty, it plans the treatment by collaborative knowledge, skills, and
experiences for a critical patient which in turn increases the knowledge of a junior nurse, it
promotes a compassionate working environment, it also highly increases the patient
consequences and satisfactory rate. It also reduces the chance of missed care within the health
care setting, and finally, it reduces the stress level of nurses (Shalala 2014).
Identification of health priorities by Clinical reasoning cycle based upon the case study
The patient in the case study is an older woman who has a history of type 2 diabetes
mellitus, which leads her to develop renal failure. The patient is admitted to the hospital for
the amputation of the left leg. The cause of can condition can be a high level of diabetes
mellitus along with hypertension. The foot ulcer is formed due to the skin tissue breakage,
which affects the bones of the feet in turn—the initial sign of this state swelling and redness
of the foot along with irritation and odor. The black tissues are formed due to ulcers of the
foot because of the absence of blood flow around the affected area. The patient also
developed the condition of gangrene, which is caused due to the severe foot ulcer, and the
state occurs because of tissue death as a result of infection. The symptoms can be severe pain.
The condition has developed due to poor circulation of blood, uncontrolled level of blood
sugar, damage of nerves, and also wounded feet. The patient is an older person and has a poor
economic condition. The improper management of diabetes has to lead the patient in the
development of infectious foot ulcers and renal failure. The immune system of the older
person is less, which makes the body difficult to fight against any infections. The caring plan
must include proper management of blood sugar levels in the body. The body of the older
person is also weak due to nerve damage, which leads to the condition of reducing the
sensitivity of the foot. The circulation of the body is also gets affected as the vascular disease
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3CASE STUDY
develops, which makes the blood supply difficult in ulcerous condition. The three most health
priority that needs to be care for this case are management of diabetes mellitus, observation
of the patient before and after the amputation of the leg, and chronic renal impairment. The
nurse and the team must also help the patient with available government resources as she has
a limited source of income. The patient needs complex care, which engages a large number of
plans and treatments.
The amputation needs special care and treatment, which will provide safe and quality
care for the patient. The treatment plan needs a collaborative action of nurses, practitioners,
and also patients' families. The care must be based upon the patient's health status and
relevant external factors such as socio-economical. The nurse must patient must be well
observed, and vital signs must be recorded during the preoperative period. The information
about physical assessment, discussion about the pain of limbs, and previous medications must
be well accounted for. Dressing the operative area regularly is also essential as the patient is
an older person with diabetes, which might lead to the development of other chronic
infections. The nurse must also educate the patient and the family about the post-operative
care and discharge plan by giving special attention in diet plan and movement. Physical
therapy can also be included in the caring plan. The nurse must provide knowledge about the
diet plan, along with medications for the reduction of blood sugar. Drugs such as
phenylalanine, lispro insulin can be recommended for the patient. The renal problem must
also be managed for this purpose. The nurse must guide the patient with daily consumption of
fluid. The skin and body must be monitored due avoid the risk of further development of
ulcers in the body.
The case needs collaboration of a different team of nurses from the preoperative stage
to the post-operative stage. The care and monitoring of patient condition before the operation
such as assessing the vital signs, providing knowledge about the disease and the plan of
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4CASE STUDY
treatment in a simple language as the patient is not much educated can be done by a team of
nurses in the preoperative stage; the surgical management team must be well informed about
the documentation of the patient and also acquire about the risks and management of disease,
the preoperative team of nurses plays a vital role as they ensure the patient safety and control
by maintaining proper dressing of the operated area, providing medication, it is also essential
to inform the supervisor about the condition of the patient and lastly, the discharge
medication plan and management can be done by a nurse. This collaborative effort will
enhance the patient safety and quality of care for the patient, along with increase the
knowledge of nurses appointed in various departments in this case.
Part 2
Role of the nurse can influence the patient outcome in a collaborative team
The nurse plays a vital role in improving patients' health. The purpose of a nurse in
collaborative team is to promote patient safety and deliver empathetic care—the appointed
nurse can help in maintaining proper documentation of physical examination in the
preoperative phase (Hamel and Vossing 2017). The unreported condition can lead to a further
complications during the surgery phase. The team of nurses in charge of the post-operative
period plays an important role in maintaining patient safety. The proper hygienic condition
needs to be maintained as the patient is an aged person having diabetes, which can lead to the
development of infection, sepsis, and also urinary tract infection in the body. The appointed
nurse must be well skilled in handling the equipment and observe the patient effectively in
terms of medication and vital signs. The nurse can motivate the patient by communicating
effectively, which will develop a trustworthy and healthy relationship with the patient. The
nurse must assess the mental state of the patient as well, which will decrease the anxiety and
worries and result in a better health outcome (Kourkouta and Papathanasiou 2014).
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5CASE STUDY
Effectively listening to the patient's needs enhances the quality of care, especially for the
older patient. Older patients are prone to falling; special attention needs to be given in this
case as the patient had an operation (Bahrami et al. 2019). The patient must be guided with
simple language because and medication plan must be readily available sources as the patient
had a limited source of income. Failure in collaborative care can influence the patient in
terms of both mentally and physically. The scope of practice must be based upon the nurse
practice act, which ensures the quality and protection of care towards any patient. The leaders
must monitor the care process that is given in every step of treatment following the guide of
ethics and conduct (Lubbe and Roets 2014). The process will help in learning different care
process that is delivered to the older patient during the operation, post-operative cure, and
also in terms of a diet plan. The field and scope of learning are multi-disciplinary as it will
guide the nurse in learning person-centered care. The Healthcare system often faces many
challenges for providing quality care, along with a cost-effective treatment plan (Wilberforce
et al. 2016).
The leaders are responsible for solving problems in the healthcare department, and it
also influences the patient's behavior. The nursing lead, in this case, can manage the situation
by motivating the patient and the appointed nurse, which will, in turn, reduce the stressful
situation and challenges for both the nurse and the patient. The appointed leader, in this case,
can check the process of treatment by reviewing the documents of progress reports made by
the nurses of different departments (Sfantou et al. 2017). The leader can explain the plan of
treatment to the patient family and involve them in the decision-making process, which will
also enhance the chance of care through effective communication. They can also check the
patient in the emergency condition during complicated state like in case of infection due to
diabetes mellitus. They can also explain the therapeutic relationship that is happening in the
patient by observing and assessing the state to the nurses and the health practitioners, in this
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6CASE STUDY
case, the leaders can explain the effectiveness of the treatment plan to the nurses and also to
the family and doctors. They help in avoiding conflict between patients and the healthcare
system.
Part 3.
NMBA standards
Standard 1 of NMBA states that nurses must critically think and organize a plan to
provide the best care for the patient with the help of personal experience as well as respect all
the culture of people seeking treatment. Here, in this case, the patient belongs to a different
community and also has a limited education; the nurse must ensure and provide quality care
to the patient. Standard 2, states that the nurses must involve in a therapeutic relationship
with both the patient and the healthcare officials. Here, in this case, the nurse and the leader is
responsible for effectively communicating with the patient and the family and explain the
treatment plan and provide support. Standard 3 can also be applied in this case as operation
patient needs a timely response, which reduces stress in the patient and promotes support, it
also states to review the information and report which is essential for nursing leaders in this
case. Standard 5 is also applied as this will evaluate and modify the care and set goals of
treatment effectively. Here, the patient needs person-centered care with the priority of health
care such as operative care, diet plan, and also patient safety. The standard 6, is vital for this
case as it ensures quality care to the patient (Nursing and Midwifery Board of Australia,
2016). The patient has many complications and needs intricate attention in terms of
diagnosis, assessment of physical examination before the operation, and also special care for
after post-operation. The development of supervision can be done by effectively reviewing
the standards of care in each department of this case. The supervisor can also plan the patient
in providing resources as the patient is poor and has difficulty in management. Self-
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7CASE STUDY
awareness and personality development can also be done by the learning and experiences of
this case. Patient healthcare can be improved by applying correct equipment in all the
department of operation, using appropriate tools and medications.
The study helps me in better understanding the roles and responsibilities that are
important in a clinical setting. I will supervise the condition of the patients as regularly
especially the older person who is suffering from chronic long-term illness. I will also
effectively communicate with the patient in easy and simple language to provide mental
support which will help in help them in developing a trustworthy relationship with the team
of practitioners and in the treatment process. As a supervisor I will also check the progress
note at a regular interval to reduce the chance of wrong treatment. I will also communicate
with the doctors and report the findings to adhere the new short and long-term interventions. I
will also try to arrange funds for the poor elderly patients with low income. Another
important role of any supervisor is to guide the trainee nurses as well. I will also help the
nurses in understanding the treatment plan and also help make them understand the use and
dosage of medicines. I will also ensure that the ethical issues that is raised is effectively
solved. The legal issues such as mandated reporting must also be checked, as I supervisor
also will also ensure the same. I will also show concern towards the family as it is an
effective part in providing better treatment and family-centred care. It also helped in
understanding the important of countertransference in a healthcare. I will use this scope to
make a trustful relationship between the patient and our team. It will also help the patient in
gaining a better understanding. I will also ensure that the duties are based upon all the
standards of NMBA such as taking actions after proper supervisions, importance giving in
person-centred care, and finally providing a quality care.
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8CASE STUDY
Conclusion
The above paper discussed the clinical leadership and its importance in collaborative
treatment planning and care. The clinical nurse leader directs the duty of allotted clinical
nurses in terms of drug delivery, proper setting of intravenous done by the appointed nurses,
educates the patient as well as the nurse to maintain a trustworthy relationship. The paper also
discusses a case study and identifies the three most health priority problem that needs to be
done in providing proper healthcare. It also focuses on the health outcome of the patient
based upon a case study related due to the absence of collaborative care. Lastly, the paper
discusses the standards of NMBA that are appropriate and related in this case.
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9CASE STUDY
References
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10CASE STUDY
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