Clinical Discuss: Two Areas Of Difficulty You Encountered

Clinicaldiscuss Two Areas Of Difficulty You Encountered Or Two New Nur

Clinical discussion: Describe two areas of difficulty you encountered or two new nursing interventions you learned this week at your clinical site. You may also choose to share one of each. Please remember to respond to two of your peers.

CAPSTONE: The Institute of Medicine’s report, The Future of Nursing: Leading Change, Advancing Health, addresses the need for nursing leadership; it discusses the potential for nursing to lead improvement and redesign the healthcare delivery system. Take a look at the video Transforming Care at the Bedside: Empowering Better Nursing Care to see what some nurses have done to improve healthcare in their facilities.

Based on your nursing experience, what change would you like to implement to improve care? What are the first steps you would take to implement the change?

Paper For Above instruction

Throughout my recent clinical experience, I encountered several challenges and learned new nursing interventions that significantly contributed to my professional growth. Two notable areas of difficulty involved managing complex patient medication regimens and effectively communicating with distressed patients. Additionally, I learned innovative interventions such as advanced wound care techniques and implementing patient-centered communication strategies that promote healing and engagement.

The first difficulty I faced was understanding and managing intricate medication schedules, which required meticulous attention to detail and a thorough understanding of pharmacology. Given the vulnerability of certain patient populations, ensuring accuracy in medication administration was critical to prevent errors, adverse reactions, and ensure optimal therapeutic outcomes. This challenge underscored the importance of double-checking medication charts, collaborating with pharmacists, and employing electronic medication administration records efficiently.

The second area of difficulty involved effectively communicating with patients experiencing high anxiety, confusion, or emotional distress. Such situations demanded not only clarity and empathy but also the ability to de-escalate potentially volatile interactions. Developing skills in therapeutic communication, such as active listening, using calming language, and demonstrating genuine empathy, helped to improve patient cooperation and comfort. Overcoming this challenge highlighted the importance of establishing trust and providing holistic, patient-centered care.

In terms of new nursing interventions, I learned about advanced wound care techniques, such as the application of negative pressure wound therapy (NPWT). This method promotes faster healing by removing excess exudate and reducing edema, thereby decreasing the risk of infection. I also became familiar with implementing patient-centered communication strategies that foster trust and cooperation, facilitating better clinical outcomes and patient satisfaction. These innovative approaches emphasized the importance of continual learning and adaptation in nursing practice.

Looking ahead, I am motivated to initiate a quality improvement project at my facility aimed at reducing medication errors through the integration of barcode scanning technology. The first steps would include proposing the project to the nursing leadership team, gathering baseline data on current medication error rates, and collaborating with IT specialists to ensure the proper implementation of barcode systems. Education sessions for nursing staff would also be essential to ensure proper usage and adherence to new protocols. Through these steps, I believe nursing can lead meaningful improvements in patient safety and overall care quality.

References

• Institute of Medicine. (2010). The Future of Nursing: Leading Change, Advancing Health. National Academies Press.
• Ulrich, B., et al. (2010). Transforming Care at the Bedside: Empowering Better Nursing Care. Agency for Healthcare Research and Quality.
• Peirce, S., & Taylor, B. (2017). Advanced Wound Care Techniques. Journal of Wound Care, 26(9), 524-530.
• Johnson, M. A., & Smith, K. L. (2018). Strategies for Effective Therapeutic Communication in Nursing. Nursing Education Perspectives, 39(3), 183-185.
• Gould, D., & Mullan, B. (2018). The Use of Barcoded Medication Administration to Reduce Errors. British Journal of Nursing, 27(11), S4-S11.
• World Health Organization. (2019). Medication Safety in Health Care. WHO Press.
• Capuano, T., & Martinez, B. A. (2020). Nursing Leadership and Healthcare Improvement Strategies. Journal of Nursing Management, 28(5), 789-796.
• Rosenfeld, K., & Tripp-Reimer, T. (2019). Patient-centered Communication Techniques in Nursing. Nursing Clinics of North America, 54(3), 415-429.
• American Nurses Association. (2015). Nursing's Agenda for Healthcare Transformation. ANA Publications.
• Smith, J., & Lee, R. (2021). Implementing Technology to Improve Patient Safety. Journal of Healthcare Engineering, 2021, 6691286.