The Healthcare Quality Strategy For Nhs Nursing Essay

The Healthc atomic number 18 Quality schema For Nhs Nursing EssayThis stress will discuss a significant case in congeneric to the peoples priorities identified within the Health grapple Quality Strategy. The essay will butt against my discovering and views on reflection and the issues surrounding my perpetrate. I have chosen Gibbs (1988) reflective framework as it has a structured format and vi steps which follow in order starting with a exposition of the event and cobblers lasting with an action plan for future make. The steps are Description, Feelings, Evaluation, Analysis, Conclusion and Action Plan (Gray, 2007). Reid, (1993) describes reflection as a process of reviewing an experience of drill in order to describe, analyse, evaluate and so swear learning nearly practice.The economical Government introduced the Health solicitude Quality Strategy for NHS Scotland in 2010, their aim is to have got the peoples priorities which are firstly pity and merciful rung an d services, good parley and a get to explanation ab extinct conditions and comprehendments, in force(p) police squadwork amidst clinicians, diligents and others, a clean and safe maintenance environment, persistency of care and clinical excellence. Secondly, to bring together the patients priorities as well as the values of everyone working(a) within the NHS Scotland. Thirdly, by applying these three interventions and putting them into practice improvements within priority areas of the Healthcare Quality Strategy will be met (Scottish Government, 2010, p.6). This reflective account will focus on the importance of communication and will identify if the priority was met in relation to my significant event and it will encourage clarify its importance (Scottish Government, 2010, p.6).Whilst on my Management emplacement I met Janet, wholly names have been changed to protect her identity and conserve her confidentiality (NMC, 2008).DescriptionJanet is 65 years old and has b een admitted to my ward for alleviatory care. She has end stage bowel cancer and is awaiting a bed at the topical anesthetic Hospice. Janet lives at home with her husband, she has a full package of care and her boy in addition visits on a regular basis. However, Janets doctor has requested that she be admitted onto the ward as she is now confined to bed because of increased wound and a general deterioration of her condition (Dougan and Colquhoun, 2006).FeelingsWhilst carrying out my training as a student encourage, I have met a number of alleviator patients and I feel that I lack confidence when communicating with these patients and their families at this difficult time. However, as I was on this ward for a brio massive period of time I was able to build up a good rapport with Janet and her family and this allowed me to provide good patient centred care (NMC, 2008). consequently when dealing with Janet and her family at this difficult time I must treat Janet as an individ ual (NMC, 2008), provide her with the better(p) care and be caring and compassionate always (Scottish Government, 2010, p.6). I was privileged to have the opportunity to be involved in Janets care as well as working within a ward of clinical excellence (Scottish Government, 2010, p.6).Evaluation everyplace the next few days whilst looking after Janet and taking function in the ward rounds, I was able to plan Janets care, the Doctor explained to me that Janet was not going to improve and we would have to keep her comfortable and painful sensation free. lenitive care patients must have good symptom control of their pain and too nausea and vomiting. Janet was placed on a syringe number one wood to control her pain. A syringe driver is a small movable pump which is attached to the skin by a cannula and gives the patient a continuous dose of analgesics and/or anti-emetics (MacMillan Cancer Support, 2012).In relation to the Scottish Governments Programme Living and Dying Well when caring for alleviant patients a holistic approach with continuity of care is extremely important (Scottish Government, 2008) and all nurses have a central role in providing information, care and stir (Kennedy and Lockhart, 2007). Excellent communication and good interpersonal skills are paramount when caring for Janet, it is important not but to establish Janets wants and necessarily but also her families. It is imperative when relaying any information to Janet or her family make sure they understand it, if not explain the information to them again (NMC, 2008). Also when dealing with members of the multi-disciplinary team, effective teamwork is imperative again providing Janet and her family with continuity of care and the clinical excellence they select from all staff.Analysis moderating care helps to improve the quality of life for patients and their families who have to come to terms with the difficulties associated with life threatening illness. It is intimately identify ing the patients needs through accurate assessment, good symptom control and sensitive nursing care (Scottish Partnership for Palliative carry on, 2012).In addition to caring for Janet on the ward I was accustomed the opportunity to go to the Hospice and meet with Janets palliative care nurse and also be included in her multi-disciplinary team meeting. This again naughtylighted the importance of good communication and good record retention as all team members were aware of Janets circumstances and could pick up her case notes and know exactly what was happening with Janet at any given time (NICE, 2004). This meant that when I was communicating with Janet and her family I was more confident and I was able to communicate in a language that they understood (Dunne, 2005). As well as building a trusting kind between nurse and patient, good communication skills helps to reduce fear and anxiety at this stressful time (Dunne, 2005).In relation to Janets transfer from hospital to Hospi ce the Liverpool Care Pathway (LCP) was put in place, this model allows all staff on the ward and any multi-disciplinary team members guidance on all elements of Janets care. It provides a holistic approach to Janets care and support for her family in the last few days of her life (Marie Curie Palliative Care Institute Liverpool, 2012). intimately communication is paramount when dealing with the palliative patient as this forms the basis of a good nurse/patient relationship which greatly improves care and helps to reduce anxiety and stress for patients, relatives and carers (Kennedy and Lockhart, 2007). At the time of this experience I matt-up I communicated well with Janet and her family and the care I keep opened was to a high pattern and to the best of my ability. She appeared less anxious than when she was initially admitted onto the ward. I felt my mentor and myself displayed good communication skills, through verbal and non-verbal communication which in turn was upheld throu gh good record keeping and accurate authentication throughout Janets hospital stay (NMC, 2009).On reflection this event has brought further awareness of the level of involvement of staff members from auxiliaries, nurses and consultants. This was shown by the number of multi-disciplinary meetings, assessments, re-assessments, scripted correspondence and working hours placed into looking after this patient (NMC, 2009). all(prenominal) staff members were committed to providing the correct input and treatment for this patient and to make her last few days as comfortable as viable (Scottish Government, 2010), which also ensured clear communication and collaboration between the doctors, family and nursing staff (Scottish Government, 2010).ConclusionThis reflection has demonstrated the difficultly in caring for palliative care patients. It requires a holistic approach to ensure that the patient and their family receive the best possible attention. Nurses have a duty to ensure that the ca re they deliver is of an acceptable standard (NMC, 2008). While participating in ward rounds I took on board the doctors instructions and carried out and prioritised the care of my patient, therefore make Janets stay in hospital as comfortable as possible. The order provides values, which can be adapted to any setting and as unyielding as these are followed, nurses will be able to carry out their legal and professional duty of care (NMC, 2008).Action PlanPalliative care is a sensitive subject to deal with but I feel that as long as you treat the patient as an individual, listen to their wants and needs, then a optimistic outcome can be accomplished. Communication and good interpersonal skills are once again highlighted as an essential part of good nursing practice. I must be an effective communicator and be able to provide a high standard of care at all times and this is imperative when dealing with palliative care patients. I must also keep my knowledge and skills up to date (N MC, 2008).In relation to my transition from student to staff nurse I am aware of how important everything I have learned throughout my training is, from personal care, comfort, empathy, a caring and compassionate manner, clear and effective communication, prioritising care and being part of a team and this is only a very small portion of what I have learned. I will take all of this knowledge with me and put into in practice when I am caring for patients and their families in the future as a staff nurse.Identify StepsThrough experience of this placement and in relation to my transition from student nurse to staff nurse the steps to facilitate an improvement and development would be to ensure effective communication with all staff and all members of the multidisciplinary team. This includes accurate record keeping and the arrangement of all relevant information from the patient and their family in order to deliver safe effective patient care. It also promotes a positive nurse-patien t relationship and offers reassurance at this difficult time (Dunne, 2005). In addition palliative care does not only deal with cancer patients but with patients who have long term chronic illnesses such as multiple sclerosis, heart illness and respiratory problems, therefore palliative care is relevant today and also in the future because, we will be caring for an ageing state (Scottish Partnership for Palliative Care, 2012)ConclusionIn conclusion reflection is closely making sense of the daily challenges which are put before you, as a student nurse transitioning into a staff nurse its about keeping my skills and knowledge up to date and reflecting on my daily practice in order to achieve the best outcome for my patient (Taylor, 2006). Bowie (2010) states that positive practice should be highlighted as it allows others to learn from it and provides opportunities to improve the safety of patient care. Reflecting on these events has helped me to identify areas where practice needs improvement and given me a greater insight into my own role as a registered nurse.