NRS 415 Topic 4 DQ 2
Read the scenario and address the discussion question:
You are a member of an interdisciplinary team participating in patient rounds at the start of your shift. You notice the physician charting that the patient is alert and oriented x3, but the patient was clearly confused, which the physician acknowledged during rounds.
How would you approach this scenario? Apply one of the ethical principles discussed in Dynamics of Nursing: Art and Science of Professional Practice to this scenario. Discuss how organizational culture can help manage errors.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 5.2, 6.2, 6.4, 9.1, 9.2, 9.3.
In this particular case, it is of the utmost importance to resolve the apparent difference that exists between the charting of the physician and the state of the patient that was observed during rounds (Dellenborg & Enstedt, 2023). Taking an approach that is appropriate would require arguing for paperwork that is both clear and accurate, and that is in line with the real situation of the patient. Because you are a member of the interdisciplinary team, it is essential that you communicate openly with the physician (Dellenborg & Enstedt, 2023). Truth-telling, also known as truthfulness, is an ethical value that can be utilized while dealing with this situation. Being true and honest in one’s communication is an essential component of veracity. Veracity is a value of ethics that is respected when concerns are voiced regarding the correctness of the charting and when the significance of transparent documentation is emphasized (Dellenborg & Enstedt, 2023). This guarantees that the real condition of the patient is appropriately portrayed in the medical records, which in turn promotes the safety of the patient and the quality of care that they receive.
The management of errors and the promotion of a culture of safety are both significantly impacted by the culture of an organization. When it comes to properly managing errors, an organization’s culture that places a high emphasis on openness, open communication, and a dedication to learning from failures is better suited to do something (Al-Swidi et al., 2021). In this particular instance, a culture inside the organization that encourages healthcare personnel to report discrepancies or errors without fear of being punished for doing so contributes to the creation of a more secure environment (Al-Swidi et al., 2021). It is possible for companies to implement corrective actions, such as further training or process improvements, in order to prevent similar difficulties from occurring in the future if they acknowledge and resolve faults as part of a process of continuous improvement inside the organization. An organizational culture that places a higher priority on patient safety than on assigning blame contributes to the creation of a supportive environment in which healthcare professionals may work together to provide high-quality care (Al-Swidi et al., 2021).
Al-Swidi, A. K., Gelaidan, H. M., & Saleh, R. M. (2021). The joint impact of green human resource management, leadership and organizational culture on employees’ green behaviour and organisational environmental performance. Journal of Cleaner Production, 316, 128112. https://doi.org/10.1016/j.jclepro.2021.128112
Dellenborg, L., & Enstedt, D. (2023). Balancing hope at the end of life organisational conditions for spiritual care in palliative homecare in Sweden. Social Science & Medicine, 331, 116078. https://doi.org/10.1016/j.socscimed.2023.116078