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Nursing Management - Essay Example

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Nursing Management Date Student Number: Tutor Name: Tutorial Time: Abstract This report aims to address the following objectives: (1) to outline your proposed change providing a clear rationale for the change; (2) to present a force-field analysis of the forces that are driving and restraining the proposed change; and (3) to suggest a strategy that might be used to help bring about the change Table of Contents Abstract 2 Proposed Change 4 A Force-Field Analysis of the Proposed Change 6 Strategy 7 Appendix 9 Reference List 10 Proposed Change Ward rounds has been a central activity of hospital life for hundreds of years and described as “a parade led by the senior doctor, with j…
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Nursing Management Essay
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Nursing Management

Download file to see previous pages... 193). In line with this, the author proposed that representatives from the medical staff should also monitor, evaluate and approve the written records of the ward rounds, in addition to chief nurse or nurse managers. Reasons for changes include: incomplete records of ward rounds and documentation of patient questions when documentations are checked and monitored by chief nurse or nurse manager only; use of a ward round checklist tool improves trainees' performance in communication and documentation during ward rounds (Bradfield, 2010, p. 193); any needed intervention from other members of the multidisciplinary team could immediately be well accounted for and included within the scheduled patient care; closer clinical supervision of junior doctors results in better patient outcomes (Kennedy, et al. 2007, p. 1080); and double-checking reduces medication errors in a nursing context (Bomba and Prakash, 2005, p. 68). In addition to the inclusion of medical staff in monitoring, evaluating and approving written records of ward rounds, the author also mentioned the use of a ward round checklist tool. A ward round checklist is an important tool used to ensure and improve overall standards of care by reflecting on all the work and decisions that are of importance to patients (Herring, Desai and Caldwell, 2011, p. 21). In this paper, the author adopted Caldwell Checklist to use in ward rounds. Caldwell Checklist is grouped according to health team’s work pattern, preparation before going to the bedside, patient consultation, relevant bedside charts, ceiling of care, discharge planning, planning, documentation, summing up, and any conversation with relatives and in which yellow-colored areas represent essential check domains and while those white areas represent domains applicable only to some patients such as blood glucose chart (see Fig. 1) (Herring, Desai and Caldwell, 2011, p. 21). The use of Caldwell checklist in a ward round may improve the standards of care because of its simplicity that takes up only one side of the A4 paper, ease of adaption in clinical context, and recording of matter that has been considered and decided, if needed. Upon establishment of the proposed changes and the checklist that would be adapted, the next step is to integrate the proposed changes and the checklist into the institution’s operation. This could be done by creating a medical group for ward rounds that includes medical staff, chief nurse or nurse managers, consultant, and other professional observers. One of the members of the medical staff will act as a leader and each nurse will do their routines in assessing, monitoring, evaluating, and documenting client’s concerns and conditions. The leader will assign a checker (either the chief nurse or nurse manager) that will observe nurses’ documentation of ward rounds, ensure everything to be covered, and report and correct any ...Download file to see next pagesRead More
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