Unprofessional Behavior and Patient Safety Case Study
Unprofessional Behavior and Patient Safety Case Study
Patient safety and the promotion of high-quality services are the two primary goals of nurses. However, sometimes, hospitals may experience unprofessional behavior of nurses that may impact patients and determine their safety.Unprofessional Behavior and Patient Safety Case Study. Therefore, the medical staff, including managers and leaders, should use different strategies and policies to avoid conflicts and problems as it happened in the case when the medical assistant forgot to report on the patient’s blood pressure changes and provoked conflict with the clinical staff.
Bowie, Skinner, and de Wet (2013) offered root cause analysis to investigate patient safety incidents and improve organizational management.Unprofessional Behavior and Patient Safety Case Study. Unprofessional behaviors may impact patients in a variety of ways, and the solution of problems may be rather challenging for a hospital and patients’ families (Martinez et al., 2015). Therefore, each step has to be taken in a proper way, recognizing goals and expectations.
Root cause analysis can be used to understand the reasons for unprofessional nurse behaviors and clarify the improvements that can be offered to organizations (Bowie et al., 2013). In the case under discussion, the poor work of nurses can be explained by the lack of communication, an inability to express personal and professional opinions, and no intentions to listen to each other. The result of such negligence lies in the possibility to put a life of a patient under threat.
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Patient safety is a core value of any hospital, and nurses cannot challenge this issue. They have to work hard and demonstrate their best skills. Martinez et al.Unprofessional Behavior and Patient Safety Case Study. (2015) suggest such practices as speaking up and openness insurance as the best solutions to prevent unprofessional behaviors. Nurses have to learn how to talk to each other and find time to discuss patients and their concerns in any condition.
References
Bowie, P., Skinner, J., & de Wet, C. (2013). Training health care professionals in root cause analysis: A cross-sectional study of post-training experiences, benefits and attitudes. BMC Health Services Research, 13(1), 50-60. Web.
Martinez, W., Etchegaray, J. M., Thomas, E. J., Hickson, G. B., Lehmann, L. S., Schleyer, A. M.,… Bell, S. K. (2015). Speaking up’ about patient safety concerns and unprofessional behaviour among residents: Validation of two scales. BMJ Quality & Safety, 0(1), 1-10. Web.
Senior executives and medical directors from public and private healthcare organisations across Singapore gathered at a briefing seminar presented by Cognitive Institute to learn how to address unprofessional behaviours of doctors and staff that negatively impact the safety of patients.
The seminar was led by Cognitive Institute’s Medical Director, Dr Mark O’Brien and supported by Managing Director Matthew O’Brien, Senior Clinical Educator Kirsten Dyer and Senior Medical Education Consultant Louise Cuskelly. Unprofessional Behavior and Patient Safety Case Study.
It examined issues facing healthcare organisations around the globe, including cases of avoidable error leading to patient harm.
Dr O’Brien overviewed an internationally recognised, evidence-based programme that supports organisations and healthcare professionals to deliver the highest levels of safe and reliable care.
Delivered in partnership with Vanderbilt University, the Promoting Professional Accountability Programme complements the well-established Speaking Up for SafetyTM Programme by Cognitive Institute. These programmes support a speaking up culture and address behaviours that undermine patient safety initiatives.
Dr O’Brien said, “Both programmes work together to provide clinicians with the skills to respectfully speak up if they see a colleague acting in a way that may put a patient at risk”.
“We know the issues these programmes address are critical for a healthcare organisation striving for high reliability and quality care,” he said.
A study on the effectiveness of the Promoting Professional Accountability Programme has shown that most physicians who receive interventions respond with an 80% reduction in their complaint risk score.1 Unprofessional Behavior and Patient Safety Case Study.
As part of Cognitive Institute’s organisation-wide Safety and Reliability Improvement Programme, two large Singaporean public hospitals; KK Women’s and Children’s Hospital and Khoo Teck Puat Hospital have partnered with Cognitive Institute to implement the Speaking Up for Safety and Promoting Professional Accountability Programmes. Both organisations have demonstrated high levels of support and commitment from organisational leaders, which is vital for successful implementation. Unprofessional Behavior and Patient Safety Case Study.
Cognitive Institute’s Managing Director, Mr Matthew O’Brien explained that the programme supports healthcare organisations to build on their quality and reliability improvement initiatives. He said it created a systemic, positive environment where clinicians can support each other to deliver safe care, and address unprofessional behaviours that impact safety culture.
Unprofessional Conduct according to the Arkansas State Board of Nursing is detailed in ASBN Rules and Regulations, Chapter 7, Section XV, #6. The section states the following conduct are considered unprofessional. Failing to assess, evaluate, and intervene, Incorrect documentation, Missappropriation ofresidents property, Medication and Treatment errors, Performing or attempting to perform procedures that the nurse is untrained to do, Violating confidentiality. Neglect/Abuse or failure to report these incidents, Failing to report violations or attempted violations to the ASBN, Inappropriate delegation of duties, Failing to supervise, Practicing when unfit.
What is Abandonment? According to the ASBN abandonment is broken down into two categories patient abandonment and job abandonment. Patient abandonment is the nurse taking the assignment and establishing a nurse-patient relationship then severing that nurse-patient relationship without giving reasonable notice to the appropriate person (supervisor, employer) so that arrangements can be made for continuation of nursing care by others. The employer may have another meaning of abandonment, staying over shifts when there is no relief, making the nurse work on scheduled off days. These situations are not governed by ASBN and are not punishable. The employer can fire you for these offenses though.
The ABSN have set guidelines for convictions for crimes that bar you from holding license in the state of Arkansas.Unprofessional Behavior and Patient Safety Case Study. These convictions are as stated. Capital murder, murder 1st and 2nd degree, battery 1st degree, sexual indecency/assault, incest, child pornography, offenses against the family, felony adult abuse, theft of property, promotion of prostitution 1st degree, stalking, arson, endangering the welfare of a minor 1st degree, aggravated robbery, terrorist threatening 1st degree, kidnapping, robbery, violations of uniform controlled substances act. If an nurse that is convicted of one of these crimes may voluntarily surrender there license. When the court requirements are met the convicted nurse may submit a request for a wavier. With the waiver request the nurse must provide evidence that thee court order has been met, rehabilitation, and provide letters of reference. Unprofessional Behavior and Patient Safety Case Study.
