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Nursing degree essay - Literature review Example

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I am a staff nurse in the Emergency Department in one of largest university teaching hospitals in the South West of England. For confidentiality purposes, the name of the trust will be withheld in accordance with the code of professional conduct (NMC 2006)…
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Download file to see previous pages Much has been written in terms of nursing literature on the function and process of patient handover in the general nursing practice; however no studies were found pertaining to the handover process between nurses in the emergency department and those in the critical care environment. Introduction In the nursing practice, there are different processes and procedures which form a significant part of quality patient care. These processes often impact on the outcome of patient care with the nurses being prompted to deliver the best type and the best quality in their services. For the most part, patients benefit from such practices and procedures; however, there are instances when these processes and procedures are not adequately carried out during the practice. In the emergency department, critically ill patients are often encountered and they often end up being referred to the intensive care unit. Assessments in the emergency unit are carried out on these patients. Such processes yield essential information pertinent to the patient’s care. After such data is gathered and the patient is referred to the ICU staff, information is then handed over to the ICU staff. In some instances however, the information handed over is incomplete or is not adequately explained to the nurses in the ICU. Such situation represents a failure of communication between the two nursing teams. In some instances, essential information is not turned over to the critical care nurses because the focus seems to be on the critical condition of the patient. Aside from incomplete information relayed, there also seems to be a lack of clarity on the data transmitted during the handover process. Handover has been highlighted in the emergency unit I am currently working with as an important process. I have been taught that it can influence the quality and continuity of patient care. Even with these instructions however, there are still many instances when there are issues and incomplete data transmitted during the handover process. Based on these considerations, it is safe to assume that there are gaps in our current knowledge and practice, especially in terms of patient handover to the intensive care nurses. This paper shall now explore a detailed progress report between nurses in the emergency department and the critical care unit in their transfer and handover of critically ill patients. It shall seek to establish the possible factors affecting an effective handover process and the different gaps and issues seen in the practice and the application of this procedure. Databases I began my search for appropriate literature by accessing the electronic data bases available in my work place. These databases included the CINAHL and the Cochrane Library. I was also able to get tips from the librarian on how to find appropriate materials for my research. The subject matter was very wide and in order to narrow down my search, I generated keywords like communication, critical care, documentation, patient handover and emergency department. A combination of these keywords was also conceptualized. I recorded all the information I gathered in order to ensure that I would not miss vital data during my search. Even after applying this database search, I still came up with a wide range of information. I then had to compile a list of electronic databases which were able to assist me with my ...Download file to see next pagesRead More
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