Panel Members Your Understanding of the NSQHS Assessment Answer

Question 1: National Standards and Personal Experience in Nursing Care

All acute healthcare services funded or provided by the Health Service Executive (HSE) are subject to these National Standards. While HIQA’s ongoing dispatch doesn’t cover private intense medical care administrations, agents of the Confidential Clinics Affiliation took part in fostering these overhauled Public Guidelines. All public acute healthcare services will be subject to the newly revised standards. It is trusted that private medical care suppliers will embrace these Public Guidelines deliberately ahead of any extension of HIQA’s capabilities into private medical care. These National Standards do not cover social and primary care services in the community. The development of these Standards has been phased in, with an initial focus on HIQA’s standards for acute hospitals. In order to support a uniform national strategy for the control and prevention of healthcare-associated infections in primary and community care services, additional standards will be developed. The 2009 National Standards for the Prevention and Control of Healthcare-Associated Infections should be used by service providers in these settings in the interim. In order to control healthcare-associated infections and antimicrobial resistance, HIQA encourages collaboration between acute, primary, and community health and social care services.

Clinical guidelines provide a better description of specific clinical practice details than the National Standards do. The HSE, the Health Protection Surveillance Centre (HPSC), the Royal College of Physicians of Ireland (RCPI), and the relevant suite of National Clinical Guidelines from the National Clinical Effectiveness Committee (NCEC) are examples of such guidelines that apply in Ireland. The relevant guidelines are listed in this document’s resources section.

For example I have been working as a Nurse Practitioner is a hospital for the last few months.

Situation

My placement was in the hospital’s nursing ward, which treats elderly patients who are experiencing an acute onset of a worsening disease, such as Parkinson’s, cerebral injury, tumors like hypoxia and sub-arachnoid, and are referred by general practitioners, the ambulance team, and community nurses. Patients who had carotid endarterectomy, PEGs, or RIGs also received post-operative care on the ward. For the purpose of this essay, I will focus on my own personal experience and feelings regarding how I interacted with Mrs. Amanda (pseudonym) during my time spent in a frailty ward dealing with pain and End-of-Life care. According to the NMC Code of Professional Conduct , “As a nurse or midwife, you owe a duty of confidentiality to all those who are receiving care.”, privacy and confidentiality must be maintained. This includes ensuring that they are informed about their care and that appropriate information is shared about them, and pseudonyms will be used.

Task

Mrs. Amanda was brought in by her family members during this placement after falling in her bathroom at home. She had been additionally catheterised while on the ward since she had Inconvenience of pass pee and had gone through the most recent two months getting all encompassing multidisciplinary care, for instance nursing care, physiotherapy and word related treatment and was expected for recovery when restoratively fit for release. “ The client is a comprehensive, independent being who has the privilege to simply decide and choices”. Under the nursing morals, independence is the point at which a medical caretaker should regard the client’s all in all correct to pursue choices in any event, when those decisions are not in the client’s wellbeing. Under the management of my tutor while taking care of different patients on the ward, Mrs. Amanda shouted to me that she was in extreme agony since she had been conceded with lower back torment. When I got close to her, I noticed that she was in pain. Once she got my attention, she told me that she was in terrible pain and needed more pain medication.

Action

Moved toward Mrs Amanda and presented myself fully intent on laying out a wonderful medical caretaker patient relationship. I guaranteed Mrs. Amanda that I will have a word with a certified medical caretaker and will be back. I approached Michael and inquired whether Mrs. Amanda would require painkillers due to her severe pain. Michael then, at that point, asked me where could Mrs be. Amanda’s medication graph”? He also asked me a few questions rather than purchasing Mrs. Amanda’s painkillers. How do you have at least some idea that she is in such serious torment as you have quite recently portrayed to Me? Have you requested her with the trust strategy from torment scale What kind of pain relievers have been given to Mrs. Amanda and for how quite a while in the past were these given to her? I was embarrassed and eager to make amends at the same time as he went on and on. I couldn’t address any of the inquiries he posed and I assume I was overpowered with compassion as opposed to sympathy for the patient. I presented to Mrs. Amanda’s medication graph and Michael clarified for me that from her medication diagram accounts, she is on PRN paracetamol and the last dose was 30 minutes prior in this way she will require a survey from the specialist to check whether she could require one more course and dose of the pain relieving. As a student nurse, I asked for additional assistance because I had no idea what else was going on with Mrs. Amanda other than the fact that she stated that she was feeling very exhausted. As a nurse, it is critical to use critical thinking when resolving issues pertaining to direct patient care. We respond to each person’s pain, distress, anxiety, or need with compassion and kindness because compassion is central to the care we provide. Following conversation with Michael, I felt that Mrs. Amanda was awkward, in torment and one of the medical services colleagues referenced that Mrs. Amanda’s important bodily functions were somewhere in the range of eight and nine, respiratory rate 28, oxygen immersions 89-91% and motivated oxygen 14-15 liters through facial covering. As this concerned me, I referred Michael to ensure safety in accordance with the NMC code of 2015 so that we could work toward Mrs. Amanda’s best interests. This is where my time usage abilities came set up, I made an opportune report to the specialists who responded properly since heroxygen levels and circulatory strain were low. According to my understanding, monitoring a patient’s blood pressure and heart rate is crucial for preventing cardiac arrest. The members of the multidisciplinary team gathered data that provides insight into the nature of the Issue and suggests potential solutions.

Result

Under the trusts nearby strategy, “palliative consideration group try to further develop the patient’s nature of life when they are dealing with issues related with life-restricting diseases and their points are to forestall and alleviate languishing by distinguishing their need over significant level evaluation and treatment of agony and different issues which can be physical, personal, social or otherworldly”. Mrs. Amanda was extremely dissatisfied with her medication when one of the palliative team members arrived on the ward and informed the doctor to prescribe PRN midazolam 2.5 mg. The medication was administered intravenously. In palliative care and other situations where a higher strength may be more appropriate to administer the prescribed dose and where the risk of overdosing has been risk assessed, the use of high-strength midazolam should be considered as per 2018 BNF NICE Drugs.

Reflection

In addition to taking care of Mrs. Amanda, I was given the chance to participate in a meeting with the hospital’s palliative care team. This made it more important to have good communication skills and keep accurate records so that everyone involved in Mrs. Amanda’s care knew exactly what was going on. In terms of communication, I felt like I was getting more comfortable, especially with the members of my family, because I had established a relationship that was both professional and friendly and trustworthy.

Question 2: Nurse Resilience in Challenging Work Environments

As a nurse, I have developed self-esteem mainly by reminding myself of my own qualities and strengths. Apart from that, I try to replace all of my negative thoughts with positive ones. In addition, I also keep up a supportive or encouraging social network of my nursing colleagues. I interact with them regarding issues and draw on my combined experiences. This profession can be very strenuous emotionally as a nurse I go through a lot including losses of patients to angry families (Nursing Central 2021). In this situation, talking with my support system helps me a lot to alleviate stress and tension. Along with these, I try to be flexible as much as possible and also attempt to face challenges in order to overcome difficult situations effectively and efficiently. Also, I accept changes as this will help me to understand that people have to push forward for the nursing practice's success (KIM & CHANG 2022).

As newly registered nurses, a high level of resilience plays an important role that allows them to cope with stressful conditions and also adapt positively which further leads to mental health and psychological well-being maintenance (Nursing Central 2021). According to a recent study, the resilience of nurses has the ability to lower the burnout of nurses effectively. In addition, it also assists to enhance the overall nursing care quality. Also, a high level of resilience assists the newly graduated nurses to develop and grow by concentrating on their inner selves as well as finding methods of coping with issues on their own (Leverence 2015).

References

KIM, EY & CHANG, SO 2022, ‘Exploring nurse perceptions and experiences of resilience: a meta-synthesis study’, BMC Nursing, vol. 21, no. 1.

Leverence, K 2015, Become a More Resilient Nurse, ONS Voice.

Nursing Central 2021, 5 Ways to Build Resilience in Nursing, Nursing CE Central.
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