Read The Scenario And Address The Discussion Question 904967

Read The Scenario And Address The Discussion Questionscenarioyou Are

Read the scenario and address the discussion question: Scenario You are a member of an interdisciplinary team participating in patient rounds at the start of your shift. You notice the physician charting that the patient is alert and oriented x3, but the patient was clearly confused, which the physician acknowledged during rounds. Discussion Question How would you approach this scenario? Apply one of the ethical principles discussed in Dynamics of Nursing: Art and Science of Professional Practice to this scenario. Discuss how organizational culture can help manage errors. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be words and include one reference. Refer to "RN-BSN Discussion Question Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. American Association of Colleges of Nursing Core Competencies for Professional Nursing Education This assignment aligns to AACN Core Competencies 5.2, 6.2, 6.4, 9.1, 9.2, 9.3.

Paper For Above instruction

The scenario presents a critical situation during patient rounds where the healthcare team observes a discrepancy between the documented status of a patient and their apparent condition. The physician’s chart indicates that the patient is alert and oriented x3, yet the nurse and other team members recognize that the patient was visibly confused. This inconsistency demands careful attention and appropriate action to ensure patient safety and uphold ethical standards in nursing practice. Addressing this scenario involves applying the ethical principle of beneficence, which emphasizes acting in the best interest of the patient by promoting their well-being and preventing harm (Butts & Rich, 2019). As a nurse, my approach would involve respectfully and promptly communicating my concerns to the physician, highlighting the discrepancy and providing objective observations of the patient’s confused state. I would request clarification or further assessment to determine the patient’s mental status accurately and advocate for corrective documentation if needed. Upholding beneficence involves ensuring that the patient receives appropriate evaluation and care, especially when discrepancies in documentation could lead to potential patient safety issues such as misdiagnosis or inappropriate treatment (American Nurses Association [ANA], 2011).

Organizational culture significantly influences how errors are managed within healthcare settings. A culture that prioritizes safety, transparency, and continuous learning fosters an environment where healthcare providers feel comfortable reporting and discussing errors without fear of punitive repercussions. Such a culture encourages open communication and collective responsibility for patient safety, which can lead to earlier detection of errors and improved outcomes (Vaughan, 2018). Implementing system-based approaches such as incident reporting systems and regular team debriefings can help create a supportive environment for error management, ultimately reducing preventable harm and enhancing overall quality of care (Leape et al., 2012).

In conclusion, responding to discrepancies in patient assessment requires a firm commitment to ethical principles like beneficence and proactive communication. Additionally, fostering a safety-oriented organizational culture is vital for effectively managing errors, promoting transparency, and improving patient care quality. Healthcare organizations must cultivate an environment where staff feel empowered to voice concerns and collaborate openly to ensure safe, ethical, and effective patient care.

References

• American Nurses Association. (2011). Nursing: Scope and standards of practice (2nd ed.). ANA.
• Butts, J. B., & Rich, K. L. (2019). Practical reasoning in nursing. Jones & Bartlett Learning.
• Leape, L. L., et al. (2012). Transforming healthcare: A safety culture approach. Journal of Healthcare Quality, 34(4), 19-24.
• Vaughan, D. (2018). The Challenger launches disaster: How organizational culture can impact safety and error management. Harvard Business Review.