2023 During your practicum determine what clinical problem or issue the organization is facing Discuss two implications

During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

One of the issues i have witnessed at the organisation im working with is nursing shortage which leads to the nurses who are present to possibly face nursing burnout which could directly implicate and affect nursing through lack of or reduced patient safety and satisfaction. 

In the majority of studies studied, low health and moderate to high levels of burnout are linked to poor patient care results such as medical errors and lack of standard care ( Hall et al., 2016).Burnout is a “state of critical fatigue that occurs as a result of persistent stress and being over worked. The stress could is realated to work coupled with that os life, resulting in feelings of work-related exhaustion and a reduction of personal achievement. Nurse burnout causesnurses to experience feelings of dread about their jobs, mental and physical fatigue, sleep problems, and depression causing the nurses to become disengaged from their patients.

Two biggest implications will be increase in infections and low ratings with lack of patient satisfaction. The nurses will loose some focus at some point which may potenetially lead to patient disengagement. If patients do not trust and believe their nurses then a lot will go wrong with the health care system. 

Reference

Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016). Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PloS one, 11(7), e0159015. https://doi.org/10.1371/journal.pone.0159015

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During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

Working in mental health hospital has been challenging as well as rewarding for me. After discussing practicum topics with my preceptor and understanding the clinical issues the organization is facing, I have decided to work on patient safety concerns for my capstone course.

Patient safety has been one of the major concerns working with patients with post-traumatic stress disorder. This program is newly started in our organization, treating patients with major depressive disorder, dissociative identity disorder, and post-traumatic stress disorder. Here patients are treated a little differently than other departments of the child, adolescent, adult, and eating disorder unit. Restrictions are not much as of others units. Here, patients are helped to work on their coping skills, internal work, and commitment to safety in the community. Safety concerns for self and others are considered a major priority in our trauma science program. According to World Health Organization (2021), public health issues are widespread: 450 million people worldwide suffer from mental or behavioral disorders, and almost one million people commit suicide each year. Depression, alcoholism, anxiety, and bipolar disorder are among the top ten causes of disease worldwide. In most countries, nurses are the largest group of professionals providing mental health care in both primary and specialist health services.

The two main nursing implications in mental health are building a professional nurse-patient relationship wherein the clear-cut boundaries are set for both patient and nurses, what can be discussed and what is not healthy for a therapeutic relationship. Because many times patients get so attached to particular nurses, based on how they deal with patients and become so dependent on these nurses to have them functioning their daily lives. Another essential nursing implication in inpatient care and especially in mental health nursing is effective communication, both verbal and nonverbal. For example, our patients have multiple triggers, so the right choice of words are crucial in developing a bond with these patients. They can read your body language very well, and they can very well manipulate things to work for them. Therefore, it is essential to establish a therapeutic nurse-patient relationship to help them in their treatment planning.

Reference

World Health Organization (2021), Developing Nursing Resources for Mental Health. Retrieved from https://www.who.int/mental_health/policy/mnh_nursing/en/

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