NRS 415 Topic 4 DQ 2

Discussion: You are a member of an interdisciplinary team participating in patient rounds at the start of your shift.

 NRS 415 Topic 4 DQ 2 Assessment Description

Read the scenario and address the discussion question:?

Scenario

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.

Discussion Question

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 NRS 415 Topic 4 DQ 2 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.

 NRS 415 Topic 4 DQ 2 Sample

Approaching this scenario requires professionalism and demonstrating critical values like respect and honesty for enhanced accountability. The initial step is to communicate with the physician respectfully by discussing the discrepancy. The physician may have made an error while charting or misunderstood the patient’s situation (Riley et al., 2021). Therefore, he should politely be reminded about the error when alone. The interaction and communication should be in a non-confrontational way while focusing on the patient’s wellbeing. It is important to remind the physician of the error noticed while doing rounds so that he can correct it for better outcomes.

The above scenario requires the effective application of ethical principles related to nursing dynamics as discussed by Green (2022).  NRS 415 Topic 4 DQ 2 These include autonomy, fidelity, justice, beneficence, and veracity among others. The ethical principle that applies to the situation is veracity, which refers to the obligation to tell the truth and honesty in one’s interactions. Veracity as an ethical principle is critical in healthcare as it promotes trust, respect, integrity, and accountability among healthcare providers and patients. By addressing the discrepancy in the patient’s chart, the provider upholds this principle, ensuring the patient’s records accurately reflect their situation.

Organizational culture plays a critical role in addressing emerging errors.  NRS 415 Topic 4 DQ 2 For instance, an organizational culture founded on open and engaging communication based on a set policy, transparency, and learning from errors is essential in managing and reducing mistakes. In this situation, if the organization fosters a collaborative culture where interdisciplinary team members raise issues and concerns without any fear of reprisal and reprimand, it can amicably address such errors (Riley et al., 2021). As an organizational culture promotes patient care and contributes to continuous learning and improvement of the healthcare team. Organizational culture teaches employees best practices to ensure they make effective decisions and take necessary actions for better patient outcomes.

 NRS 415 Topic 4 DQ 2 References

Green, S., (2022). Advancing Professional Standards. In Grand Canyon University, In Dynamics

            In nursing: art & science of professional practice (2nd ed., pp. 83-141). Grand Canyon

            University.

Riley, J. M., Beal, J. A., & Ponte, P. R. (2021). The exemplary practice life of the nurse. Journal

            of professional nursing, 37(5):1018-1025. DOI: 10.1016/j.profnurs.2021.07.003  NRS 415 Topic 4 DQ 2