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APA
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Health, Medicine, Nursing
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English (U.S.)
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Week 5 Discussion Responses

Essay Instructions:

Respond by Day 7 to at least two of your colleagues’ postings in one or more of the following ways:
1-Ask a probing question.
2-Expand on the colleagues’ postings.
3-Offer polite disagreement or critique, supported with evidence.
In addition to, but not in place of, the above you may:
Offer and support an opinion.
Validate an idea with your own experience.
Make a suggestion or comment that guides or facilitates the Discussion.
***This is what they are writing about
One of the issues facing nursing practice is that of accountability. Nurses are increasingly held accountable for errors in an effort to improve patient safety and quality-care delivery. Throughout this degree program, this issue has been presented. Reflect on what you have read about quality and safety and the many presentations on this important issue. Consider the ANA’s Code of Ethics and its application to patient safety and quality-care delivery. You may also want to review some of the earlier media presentations including that of Dr. Don Berwick in NURS 3005, Dr. Lucille Joel in NURS 3000, and the media presentations for this week. With these thoughts in mind, read the following scenario and respond to the questions below.
Tower 4 West is a 36-bed medical unit. The nurse leader, Renee, is a new leader, and her performance is evaluated based on the number of medication errors reported on her unit. As a result, she has told everyone very clearly that she will tolerate no errors and that she wants the unit to have zero medication errors each month. When an error does occur, she meets individually with the nurse, writes up the nurse’s error, and puts a report in the nurse’s performance review files. She has put two nurses on performance probation. As a result, the nurses on the unit are afraid to report when an error occurs, and they have begun to cover for each other and not report errors. You are a staff nurse on the unit, and you want to serve as a leader in creating a blame-free environment.
What’s wrong with Renee’s approach to medication errors?
What first steps would you take to change the culture?
How do you think the ANA Code of Ethics applies, or does not apply, to this situation?

Essay Sample Content Preview:

Week 5 Discussion Responses
Name
Date
Response to Kathleen
It is imperative to understand how the workplace environment worsens the problem of medication errors. Clearly, Renee’s approach to dealing with the medication errors is alienating the nurses because of her leadership style. To have a better patient safety culture, then Renee ought to have focused on shared responsibilities to make it easier for the nurses to report concerns about the medical errors. The nurse leaders are well placed to establish a culture based on patient safety rather than a blame culture (Goh, Chan, & Kuziemsky, 2013). The quality improvement approach is consistent with patient-centered care and would not only have improved the quality standards, but also patient safety. Open communication allows the nurses to report about the medical errors, while the leaders situate that actions are undertaken to investigate and avoid such errors in the future. Other than this, is the need to document the errors as this improves patient safety when the care teams have reference on past medical errors. Nur...
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