NHS FPX 4000 Assessment 2 Applying Research Skills Essay

NHS FPX 4000 Assessment 2 Applying Research Skills

NHS FPX 4000 Assessment 2 Applying Research Skills Essay

Applying Ethical Principles

            Nurses play an important role in the promotion of the patients’ optimum outcomes. They experience a range of ethical issues and dilemmas that challenge their practice. Nurses often employ the principles of ethical decision-making to come up with solutions that affect their patients. Therefore, this paper explores an ethical issue where those involved suspect a needle protector was sutured inside the patient’s abdomen.  

Selected Case Study and Summary

            The selected case study is ‘Incident 9: The Missing Needle Protector.’ It is a case study involving healthcare providers that include E.L. Straight, Dr. Cutrite, operating room supervisor, and chief of surgery. The operating room director informs Straight that he suspects a needle protector was left in Mrs. Jameson’s abdomen during a surgery, since a discrepancy was noted in the surgical pack count. The issue in the case study that presents an ethical problem is whether to recall Jameson and inform her about the possibility of a needle being in her abdomen or keeping quiet with hopes that she will not develop any complications. Those involved in the problem include E.L Straight, the director, Dr. Cutrite, the surgeon, operating room supervisor, scrub nurse, and chief of surgery. The affected individual is Mrs. Jameson, the patient that was operated.

Application of the Components of Ethical Decision-Making

            The components of ethical decision-making are applicable to in analyzing and addressing the issues in the case study. First, moral awareness is the initial step required in making an ethical decision. Moral awareness entails being cognizant of the ethical issues that one experiences in their practice. It is part of the conscience that makes providers aware of the potential violation of the fundamental principles that safeguard safety, quality, and efficiency in nursing and healthcare. Moral awareness in the case study entails the involved stakeholders automatically detecting the existence of an ethical issue that should be addressed to streamline the processes and systems used in the organization (Haahr et al., 2020). It also entails ensuring that the issue is addressed with a focus on the prioritization of the patient’s rights, needs, and safety in the care process.

            Moral judgment is the other component of the ethical decision-making. It entails the decisions that one should adopt in response to a morally problematic encounter. It guides what is right and wrong when addressing ethical dilemmas in nursing practice. The process entails actions that include deliberation of the issue, selection of a decision, and resolution of the problem. The key actors in the case study should obtain data about the dilemma, deliberate on an effective solution, and adopt it to resolve the stalemate. The decision should benefit to the patient and the institution. Lastly, is ethical behavior. Ethical behavior entails embracing actions that align with the moral standards in our societies. It focuses on the application of moral principles to response to a dilemma in nursing or healthcare. The primary focus in ethical behaviors is ensuring equity, fairness, and integrity in the decisions that are made in response to organizational issues (Haahr et al., 2020; Kim & Park, 2019). The involved stakeholders in the case study should demonstrate ethical behaviors by making a decision that is patient-centered and aiming at creating a culture of safety in the organization.

Factors that Contributed to the Problem

            Some factors contributed to the ethical dilemma. One of them is the lack of culture of patient safety in the organization. For example, Straight knows that Dr. Cutrite’s performance in surgery has fallen below the expected standards. Despite this, he has not recommended the removal of some of his privileges, thereby, threating the safety, quality, and efficiency of care that he gives to his patients. The lack of patient safety culture can also be seen from the lack of equipment counting before closure of surgical sites in the operating room. The lack of such standardized procedures imply that patients are increasingly at a risk of safety issues such as those experienced by Mrs. Jameson. As a result, the discoveries of missed surgical equipment are late, hence, the safety concerns. The last factor that contributed to the issue is ineffective communication. The case demonstrates poor communication among healthcare providers. For example, the scrub nurse did not raise alarm about the issue (Ceri̇t & Özveren, 2019). The chief surgeon and Dr. Cutrite are reluctant in following up and addressing the problem. As a result, it creates a culture of laxity in addressing and creating the desired safety culture in the organization.

Communication among Healthcare Professionals in the Case Study

            The healthcare professionals demonstrated the lack of open communication among them. Open communication is crucial for effective delivery of collaborative care to clients. However, healthcare providers such as the scrub nurse, chief surgeon, Dr. Cutrite, and Straight demonstrated ineffective communication. For example, the scrub nurse should have been the first person to note the missing needle protector, report to Dr. Cutrite for the necessary actions to be taken. In addition, Dr. Cutrite should have informed the chief surgeon about the issue and initiate appropriate measures. Straight should have already informed the hospital’s executive about the potential threat of Dr. Cutrite’s behavior on patient safety and the need for responsive measures to be adopted. The only individual that demonstrated effective communication is the operating room director who has brought the issue to the hospital administrator.

            The communication approaches that should be used to prevent the occurrence of the issue in the future include open communication, providing feedback, encouraging teamwork, and consistency. Open communication eliminates potential errors in the care process. It also strengthens the effectiveness of the interprofessional collaboration among the different healthcare providers involved in the care process. Providing feedback improves the organization’s systems and processes. The healthcare providers build on successful communication strategies, which eliminate ineffective approaches in the care process. Teamwork ensures collectivism in the realization of the desired care outcomes. The successful communication approaches should be utilized consistently to ensure sustainability in best strategies for providing care in the organization (Grace & Uveges, 2022). Non-effective communication approaches contribute to care outcomes such as increased error rates, patient and provider dissatisfaction, and rise in patient morbidity and mortality statistics in an organization.

Effectiveness of the Approach used by a Professional to Deal with the Problems

            The approach taken by the operating room director to deal with the problem was effective. His decision to inform Straight about the problem is desirable since its raises the existence of the issue and the exploration of potential solutions that should be adopted. The director ensured that rather than keeping quiet, as seen from the other actors in the case study, he reported the issue for the management and senior healthcare providers in the organization to embrace an effective and ethical solution. This case study provides several lessons for health care professionals. First, it raises the need for the creation of patient safety culture in healthcare organizations. Healthcare providers should be held responsible and accountable for their actions to enhance safety and quality outcomes in the care process. It also increases the need for the healthcare providers to embrace open communication. Open communication would foster enhanced coordination of the care given to patients. Lastly, the case study raises the need for standardized procedures in health organizations (Grace & Uveges, 2022). For example, procedures such as counting surgical equipment before closing surgical sites should be in place in the organization.

Possible Solution

            The proposed solution would be recalling the patient and performing investigations such as abdominal x-ray or ultrasound to assess if the needle protector was left in the abdomen. The patient would then be informed about the problem should the diagnostics reveal the presence of the protector in the abdomen and be requested to consent for its removal. The case should be used in the organization to raise the need for safety, quality, and efficiency among the healthcare providers. The proposed solution is effective in building relationships across disciplines since it increases the providers’ awareness about their responsibility in ensuring that patient safety is prioritized (Ceri̇t & Özveren, 2019). It will also enhance the use of effective interventions by healthcare providers that will minimize such occurrences in the future.

NHS FPX 4000 Assessment 2 Applying Research Skills Essay Conclusion

            In summary, this paper has explored a case study involving a patient who underwent a surgical procedure and the healthcare team suspects that a needle protector was left in her abdomen. The components of ethical decision-making should be applied to address the issue. The organization should create a culture of patient safety and use of effective communication to prevent similar occurrences in the future. An effective solution to the problem is having the client recalled and diagnostics performed to determine if the needle protector was left in her abdomen.

NHS FPX 4000 Assessment 2 Applying Research Skills Essay References

Ceri̇t, B., & Özveren, H. (2019). Effect of hospital ethical climate on the nurses’ moral sensitivity. The European Research Journal, 5(2), Article 2. https://doi.org/10.18621/eurj.423324

Grace, P. J., & Uveges, M. K. (2022). Nursing Ethics and Professional Responsibility in Advanced Practice. Jones & Bartlett Learning.

Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2020). Nurses experiences of ethical dilemmas: A review. Nursing Ethics, 27(1), 258–272. https://doi.org/10.1177/0969733019832941

Kim, W.-J., & Park, J.-H. (2019). The effects of debate-based ethics education on the moral sensitivity and judgment of nursing students: A quasi-experimental study. Nurse Education Today, 83, 104200. https://doi.org/10.1016/j.nedt.2019.08.018

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• Salar, A., Kiani, F., & Rezaee, N. (2020). Preventing the medication errors in hospitals: A qualitative study. International Journal of Africa Nursing Sciences, 13, 100235. https://doi.org/10.1016/j.ijans.2020.100235

The above study was conducted to investigate the strategies for preventing medication errors. The study utilized a qualitative study design that involved 1 physician and 16 nurses. Purposive sampling was used in the selection of the study participants.

Thematic analysis of the obtained data showed that participants reported themes that included acting professional and presenting technical strategies as effective ways of preventing medication errors. The article was included in the annotation because it provides insights into the provider perceived interventions to prevent and minimize medication errors.

The article therefore strengthens the need for professionalism in reducing and preventing medication errors.

• Tong, E. Y., Roman, C. P., Mitra, B., Yip, G. S., Gibbs, H., Newnham, H. H., Smit, D. V., Galbraith, K., & Dooley, M. J. (2017). Reducing medication errors in hospital discharge summaries: A randomised controlled trial. Medical Journal of Australia, 206(1), 36–39. https://doi.org/10.5694/mja16.00628

The above study was conducted with the aim of determine the effect of having pharmacists complete the medication management plan in the discharge summary on the rate of medication errors. The study was a randomized controlled trial where patients’ discharge summaries for between March and July 2015 were evaluated.

The intervention included placing patients into either intervention or control group. Those in the intervention group had pharmacist review their discharge summary plans while those in the control group received usual care. NHS FPX 4000 Assessment 2 Applying Research Skills.

The results showed that having the pharmacists complete medication management plan led to the identification of at least one medication error in 61.5% summaries of the intervention group when compared to 15% in the control group.

This article was included in the annotation because it shows the role of the pharmacist in the elimination and minimizing of medication plans. Therefore, the article informs the need for inter-professional collaboration in the prevention and minimization of medication errors.

Assignment: Applying Research Skills Paper

Assessing Credibility and Relevance of Information Sources

The credibility of the information sources was maintained by ensuring that the selected sources were published within the last five years. Individuals with professional qualifications in healthcare must also have published the articles.

The articles must also have topics related to medication errors. The last approach was ensuring the clarity of the methods used and reporting of findings. NHS FPX 4000 Assessment 2 Applying Research Skills.

• Heneka, N., Shaw, T., Rowett, D., Lapkin, S., & Phillips, J. L. (2018). Exploring Factors Contributing to Medication Errors with Opioids in Australian Specialist Palliative Care Inpatient Services: A Multi-Incident Analysis. Journal of Palliative Medicine, 21(6), 825–835. https://doi.org/10.1089/jpm.2017.0578

The above study explored the factors that contribute to medication errors in the use of opioids in Australian Specialist Palliative Care Inpatient Services. The study was a multi-incident analysis design where opioid analysis was done on errors reported in two Australian specialist palliative inpatient services.

The analysis showed that 78 opioid errors were reported. The majority of the errors (78%) occurred during opioid administration, omitted dose (34%), and wrong dose (17%). The results further showed that 59% of the reported errors led to opioid under dosing while patient harm was reported in 37% of the errors.

The factors that increased the risk of medication errors included poor clinical communication, workload, distraction, and non-compliance with policy. This article was included in the annotation because it provides insight into the prevalence and factors contributing to medication errors.

It therefore informs the need for the exploration of clinician and patient factors that influence safe delivery of medications.

Question Description

Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need.

For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research a current health care problem or issue faced by a health care organization that is of interest to you.

NHS FPX 4000 Assessment 2 Applying Research Skills

Assignment: NHSFPX 4000 Capella University Applying Medication Errors Research Paper

Question Description

I’m working on a nursing exercise and need a sample draft to help me study.

Applying research skills

• Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need.

For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research a current health care problem or issue faced by a health care organization that is of interest to you. NHS FPX 4000 Assessment 2 Applying Research Skills Essay

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care. NHS FPX 4000 Assessment 2 Applying Research Skills.

• Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

• Assess the credibility and relevance of information sources.
• Summarize what was learned from developing an annotated bibliography.
• Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.

Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.

• Summarize a health care problem or issue and describe a personal interest in it and experience with it.
• Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
• Write following APA style for in-text citations, quotes, and references.

Assessment Topic: Medication Errors

Assessment Topic: Medication Errors

Short Description:

A medication error is a preventable adverse effect of a patient taking the wrong medication or dosage, whether or not it is evident or harmful to the patient. Medication errors can be a source of serious patient harm, including death.

Potential Intervention Approaches:

• Medical staff education
• Packaging improvements
• Patient medication safety training

Keywords for Articles:

• Medication administration
• Medication errors
• Medication safety

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Content

• Print
• Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

• How do you approach a problem or issue within your organization? NHS FPX 4000 Assessment 2 Applying Research Skills.
• How often do you need credible information to solve a personal or professional problem?

Credible information is information that is trustworthy. One of the best sources for credible information is the professional literature of the field you are studying; in your case, health care. Professional literature is research that has been written and reviewed by other people in your field.

The following resources can help you as you complete your research and seek out professional literature on a health care topic.

• Gennaro, S. (2016). Why write? Journal of Nursing Scholarship, 48(2), 117.
• U.S. National Library of Medicine, National Institutes of Health. (n.d.). Evidence-based practice and health technology assessment. Retrieved from https://hsric.nlm.nih.gov/hsric_public/topic/evidence_based_practice/
• Rollins, J. A. (2017). Healthcare: It’s “So complicated.” Pediatric Nursing, 43(2), 58, 102.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need.

For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research a current health care problem or issue faced by a health care organization that is of interest to you.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

• Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

• Assess the credibility and relevance of information sources.
• Summarize what was learned from developing an annotated bibliography.
• Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.

Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.

• Summarize a health care problem or issue and describe a personal interest in it and experience with it.
• Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
• Write following APA style for in-text citations, quotes, and references.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking. NHS FPX 4000 Assessment 2 Applying Research Skills.

Socratic Problem-Solving Approach

The Socratic Method is a teaching style in which teachers ask students questions designed to stimulate more complete thinking and deeper insight. It also relates to the steps of performing scientific research.

When the Socratic approach is applied, students are prompted to look more closely at your ideas, question your assumptions and accepted premises, and view your choices through a rigorous lens. NHS FPX 4000 Assessment 2 Applying