Contemporary Challenges in Mental Health Care Provision and Management 2 B73M20 Cohort 09/09 Student ID: 20328 Assignment: Critically analyse an incident experienced whilst in practice, allowing opportunity to explore professional responsibilities, concepts of care management and the impact of health policy/legislation on care provision. You should demonstrate fitness of practice (NMC, 2008). Submission Date: 14 May 2012 Assignment word count: 3000 Actual word count: 2967 Contents 1. Assignment 2. References 03 – 11 12 – 13 ID No: 20328 Page 2 Introduction This paper will critically analyse an incident that occurred during my placement on a forensic low secure unit. The Low secure unit provides …show more content…
Initial Responses to the incident I was surprised that there was no record of the incident and that event had not been handed over to the multidisciplinary team members who had come on shift. I thought that the nurse had not considered the incident to be a serious incident. Furthermore sexual activity, including sexual assault and harassment, does occur in psychiatric facilities and is an issue of concern (Videbeck, 2008). In this situation I felt uncomfortable when I heard the allegations however my thoughts were that it is an important issue which should not be ignored. ID No: 20328 Page 4 Issues and dilemmas highlighted by this incident Management issues Several management issues where highlighted by the incident. The analysis will focus on record keeping, effective communication, risk management and ethical issues. The day to day management issues affecting nursing practice such as record keeping, effective communication and risk management do not operate in isolation but are frequently interdependent and affect each other. The central focus will be on the observed failure by the night duty nurse to record or pass on information on Mark’s report. The Nottinghamshire Healthcare NHS Trust (2009) policy on record keeping states that a record of an event must be made immediately or within 24 hours of the occurrence. The rationale for this requirement is that an immediate record of
Poor record-keeping can have serious implications for the patient and the nurse. Professionally, colleagues rely on the information recorded on a patient to maintain continuity of care (Wood 2003). The patient’s progress could rapidly deteriorate due to poor record-keeping, holding the nurse responsible and accountable for the patient’s decline in condition. Poor record-keeping in this instance could include a nurse not documenting a nursing intervention such as administration of a medication. If this is not recorded another nurse could easily believe the patient did not get the medication and administer it again, causing overdose and possibly have severe implications for the patient depending on the medication. Another example could be if the nurse noticed the patient’s condition worsening but did not document it. Consequently the patient may get significantly worse before it is detected by the next nurse on duty. In these instances the nurse responsible for the poor record-keeping will most likely be brought to the Fitness to Practice Inquiry and as a result may lose his/her registration as a practicing nurse. If the nurse has made a grievous error a patient or family member could take civil action.
Portfolio – A description and analysis of up to 3 critical incidents encountered on school Experience A that you consider to be teaching dilemmas
The object of this essay is to discuss the role of the Assistant Practitioner. How it has emerged; how it fits into the structure and skill mix of the NHS workforce and the effect it has had on that structure. It will also outline the principles of accountability and statutory regulations that govern the day to day practice of the role.
In failure to document thoroughly and accurately the observations taken, any decisions to why a MO was not contacted or any discharge advice the nurse gave the client the CNS breached both conduct statements one and two of the code of profession conduct for nurses in Australia thus she acted in an unsatisfactory professional manner. (2013, p. 2). The reasoning behind her deficiency of documentation was that she was lacking in computer knowledge and had only two hours
The principle of raising concerns is an important feature in making sure appropriate action is taken in the interest of the public. The term “raising concerns” is described by the NMC (Nursing and Midwifery Council, 2015) as the “raising of concerns about a risk, danger or malpractice which could have a negative effect on others”. This concept is regarded as a moral obligation which gives health professionals, including nurses, an incentive to be honest, particularly when things go wrong. Raising concerns can also be referred to as “whistleblowing” which is defined as exposing healthcare professionals who are not acting appropriately in the workplace to the proper authorities, thereby preventing further harm to patients (Tippett, 2004). Another
You hear individuals let you know about how some critical occasion or individual in their lives went along and changed everything. You know about some fabulous disclosure some time or another up on the mountain, or a nearby experience with nature, even a brush with some crazy debacle, bringing the individual onto the doorstep of death. The vast majority cite exceptional occasion that is extremely one of a kind to them and catch wind of how that something now have an awesome effect on their lives, changing the extremely way in which they see life and see it. You may not observe my story to be anything marvelous, but rather for me, it has been the one most independently astonishing occasion of my life. It was the day that I met my spouse. He
The current critical incident analysis model is about the dynamic interrelationship between the main components in the critical event. Each component, the event, the political arena and the bureaucracy and adhocracy, have processes, actors and dependencies the all come together within the event. This model also shows the cyclic influence that the media has on the communication between all the components, be it positive or negative. The model acts as a conceptual framework to capture the influences each component enacts on the subsequent component and how the media can add or detract to the responses from effected components. The components themselves are characterized by shapes and colors to specify zones of action. The model serves to help the analyst conceptualize, with identification and labeling, the dynamic processes involved when dealing with an event. This analysis can therefore aid in teaching or gaining knowledge on how to apply more responsive resolution using tools and actions appropriate to the event.
Dignity is how people, think, feel or behave in relation to worth or value of themselves and others. Treating a person with dignity is to treat them in a way that is respectful of them as individuals and of worth. An individual’s race, gender or ethnic background should be irrelevant to the care that is received. Dignified care or the loss of it can have devastating effects on a patient or individual’s well-being leaving them feeling let down or embarrassed. This alone can make the patients stay at the hospital an unpleasant experience which they may later on be fearful of, they may also take a dislike to the nurse who was involved in their care at the time (Kateb, 2011).
As sexual harassment among the nursing population becomes more of an issue, this could be a possible contributing factor to why this type of violence is becoming more prevalent. As the public’s view of nursing and nurses becomes skewed, behavior that was previously seen as wrong could now be seen somewhat acceptable. This paper will explore the prevalence and effects of sexual harassment, and will describe a possible plan of action to help decrease these uncomfortable and unwanted advances.
It is important to record accurate and complete information as well as knowing and adhering to the agency’s policies and guidelines (Creasia & Parker, 2011, p. 215). This helps inform other providers of the important facts needed for patient care without having to filter out the unnecessary details. Colleagues should be able to look at a nurse’s notes and continue
For the best explanation of the critical incident meaning, I had asked myself, why incidents may occur at a young age? In my opinion, significant role most children came to USA from different countries and their families had different cultural background. Moreover, the children had various social - cultural background, and accordingly, some of them need more time to adapt in the new environment. The best way to escape and prevent difficult situations is clear understanding and communication with children. The teacher having the ability and various strategies in managing of diverse classroom will probably increase positive relationship with young students. The main role of the teacher is regulating conflict situations and manage them.
Providing health service to the client and managing the situation as per the need are the primary aspects of leadership and management practices. During my clinical placement of mental health nursing, I was allocated to community mental health service. One day at the end of the shift in the afternoon, the duress alarm went on. All the staff ran to check what was wrong. There was a client with the borderline personality disorder in the doctor’s room. And she was treating under the Mental Health Act 2000 as involuntary treatment order. She was agitated and burst into anger. The client was banging on the table and started screaming. She was not ready to come out of the room and neither letting doctor and
Conduct statement 8 says a nurse build and preserves health care consumers trust in nursing. Nurses always work to protect the honour of helpless and feeble people due to their illness and lack of knowledge. Nurses must take preventive measures to protect children, weak and mentally ill people from sexual and physical harm. A nurse should always stay in their professional boundaries while dealing with ill persons and their families. Indulging into sexual relationship with the vulnerable persons in their care is inappropriate for nurses whether it’s consensual or not.
Every health professional has a duty of care to patients. Specifically, it is nurses who play an important role in the quality and safe delivery of patient care. They have the major responsibility for the implementation of policies and procedures in an organisation. Thus, it is essential that all organisations support their staff from all levels of care to deliver the best service in every patient. In addition, every organization is required to offer unwavering encouragement and resources to support staff to perform their duty of care to the best of their ability. The high incidence of risk in the health care settings such as adverse events, near misses, errors, and other clinical incidents have created great concerns for healthcare organizations. Not only they have effects on patients, but also they have shown significant impact on socioeconomic status. For this reason, it is expected that all health care professionals will engage with all elements of risk management to ensure that there is delivery of quality and safe patient care. This paper will critically discuss three (3) episodes of care from the case study Health Care Complaints Commission [HCCC] v Jarrett [2013] Nursing and Midwifery Professional Standards Committee of New South Wales [NSWNMPSC] 3 in relation to Registered Nurse’s [RN] role as a leader in the health care team, application of clinical risk management [CRM] in health care domains, accountability in relation to clinical governance [CG], quality
Socially, recording and reporting are veritable tools on the hands of nurses and other health workers because they show a compilation of well rounded record of their patients’ trip through services and encourages the continuation of care for the patients within and between services. Nurses should be careful, precise, reliable while carrying out this particular duty because any step in wrong direction can bring death, shame, conflict between the doctor or nurse and the clients. They are to be kept secret according to the ethics of nursing regardless of the tool used in recording and reporting.