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NURSING 5109 An Introduction To Evidence Based Health Care

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NURSING 5109 An Introduction To Evidence Based Health Care

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NURSING 5109 An Introduction To Evidence Based Health Care

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Course Code: NURSING 5109
University: The University Of Adelaide

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Country: Australia

Questions:
Part 1: Evidence-Based Decision Making
Using your analysis of the evidence-based management process and the information and insight gained from your research, determine how the selected issue can be resolved. If necessary, extend your research by gathering additional data and information. Consider the following questions:What can be updated?What can be applied to improve the process?What are the best decisions to make for the organization?Why are these the best decisions? What evidence supports them?What are the requirements for turning knowledge into action?Present the results of your research and your decisions and recommendations in the form of a paper to stakeholders. Consider how your conclusions relate to the EbM process and how best to organize the information.
Part 2:
Organizational Behavior, Power, and LeadershipThink about one type of power that you believe would be most effective for a leader in health care. Respond to the following:How does this type of power help the leader become more effective?How do managers attempt to resolve conflicts?Which methods for conflict resolution do you feel are most powerful and productive? 
Answers:

Part 1: Evidence based decision making to resolve medication error:
In USA the incident of medication error has been found be common within healthcare facility (Batch & Vanderveen, 2016). Medication error can be defined as the preventable event that may leads to the consequence of patient harm and affect the aspects of patient safety while the medication process is under the control of healthcare facilities or the consumer as well. The incident of medication error may include under prescription, over prescription, inappropriate prescription and wrong drug or dose administration (Maaskant et al., 2015).
In order to resolve the issue of medication error it is important to update the system of the health care facility in an effective manner. In this regards the healthcare facility should update the process of documentation of each patient, because well written plan to document the needs, drugs, dosage and timing of medication could help the healthcare staffs or professionals to follow the written plan during administration of medicines to avoid medication error (Keers et al., 2014). On the other hand the process could be computerized to minimize the error during documentation (Schiff et al., 2015). Furthermore, safety checklist could be used to reduce the medication error (Maaskant et al., 2015). In addition the process of monitoring the patients could be improved to identify any maltreatment to escalate the care immediately and introduce effective treatment to reduce the effect of medication error (Keers et al., 2014).
The best decision for the organization to avoid medication error should be adequate training process for the healthcare staffs and professionals in order to inform them about the prevalence and severe effect of medication error. It could help to create individual level awareness (Maaskant et al., 2015). On the other hand training could help the healthcare staffs and the professionals to learn about appropriate medication process and they could be encouraged to use the appropriate management process such as using documentation or written plan, computerized method for documentation, proper monitoring to identify the mistakes and self-awareness to avoid medication error (Berdot et al., 2016). Thus, the decision of introducing adequate training could be considered as the best decision as it could help to turn the knowledge into clinical practice.
Thus it can be concluded that, with the solution of reducing medication error it is important to update the system of healthcare facility such as the process of documentation, using safety checklist, computerized method and monitoring process. The organizations could introduce training to teach and encourage the health care staffs and professionals about the process of avoiding medication error. Such decision could be considered as the best decision as it could help to use the knowledge in clinical practice.
Part 2: Organizational behavior, power and leadership:
One of the most effective power of the leader in healthcare facility is the effective communication. Effective communication helps the leaders to communicate with the staffs, professionals and the patients as well to identify the issue and introduce adequate strategies to manage the issue in an effective manner (Schneider et al., 2015). Additionally communication helps to engage with the staffs and patients and they could share their problems without any hesitation. Furthermore, effective communication could help to manage the medical team and encourage the team members to collaborate to effectively to provide quality service and resolve serious issue such as medication error (Men, 2014).
Conflicts in the healthcare organization is a common issue and such conflicts may arise due to different issue for example, professional difference, personality issue, power struggles, lack responsibility and others (Shrivastava, Shrivastava & Ramasamy, 2018). Thus, it is important for a leader to use effective strategies to resolve conflicts. The managers identify the factors contributing to the conflicts such as shift work, resource allocation, workload, diversity, cultural factors, physical space and others to address them to resolve conflicts. They encourage the people to value different cultures, perceptions, roles, ethnicity and gender to avoid conflicts. Routine assessment, feedback and meetings are arranged to resolve conflicts. In addition, if needed the managers take adequate legal steps to manage the conflict (Latreille & Saundry, 2016).
One of the effective ways of resolving conflicts used by the leaders is arranging meeting to discuss the matter face-to-face with the people involved in the conflict. In the meetings the leaders could talk to the people and identify the issue by giving opportunity to the people to speak their points and use effective strategies to mitigate the issue or they could sort out their issues by speaking to each other. Such process helps to resolve issue confidentially (Shrivastava, Shrivastava & Ramasamy, 2018). Thus, it can be said that properly managed meetings is one of the effective way to resolve conflicts in healthcare.
References:
Batch, R. M., & Vanderveen, T. W. (2016). U.S. Patent No. 9,427,520. Washington, DC: U.S. Patent and Trademark Office.
Berdot, S., Roudot, M., Schramm, C., Katsahian, S., Durieux, P., & Sabatier, B. (2016). Interventions to reduce nurses’ medication administration errors in inpatient settings: a systematic review and meta-analysis. International journal of nursing studies, 53, 342-350.
Keers, R. N., Williams, S. D., Cooke, J., Walsh, T., & Ashcroft, D. M. (2014). Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Drug safety, 37(5), 317-332.
Latreille, P. L., & Saundry, R. (2016). Toward a System of Conflict Management? Cultural Change and Resistance in a Healthcare Organization. In Managing and Resolving Workplace Conflict (pp. 189-209). Emerald Group Publishing Limited.
Maaskant, J. M., Vermeulen, H., Apampa, B., Fernando, B., Ghaleb, M. A., Neubert, A., … & Soe, A. (2015). Interventions for reducing medication errors in children in the hospital. Cochrane Database of Systematic Reviews, (3).
Men, L. R. (2014). Strategic internal communication: Transformational leadership, communication channels, and employee satisfaction. Management Communication Quarterly, 28(2), 264-284.
Schiff, G. D., Amato, M. G., Eguale, T., Boehne, J. J., Wright, A., Koppel, R., … & Bates, D. W. (2015). Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. BMJ Qual Saf, 24(4), 264-271.
Schneider, F. M., Maier, M., Lovrekovic, S., & Retzbach, A. (2015). The perceived leadership communication questionnaire (PLCQ): Development and validation. The Journal of psychology, 149(2), 175-192.
Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2018). Conflict management in the field of medical education and healthcare. International Journal of Academic Medicine, 4(1), 91.

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