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Management and patient affairs
[Name of the Writer]
[Name of the Institution]
Introduction
Risks are the product of negligence. There is no setting in this world that is void of risk. In the realms of healthcare and nursing, there are several facts and figures that can pave the way for risky environment. In subject case study, the incompetency of reception nursing staff doomed a Russian couple to become victim of unwanted risk. It is asserted that lack of attention from reception made the couple stay for comparatively longer time. Wife was having a serious issue and she has to bear pain for a long time, waiting in the emergency room. It is important to note that it was the communication barrier that paved the way for such circumstances. As the couple was unable to convey what they want, so the nurses swapped the patient for inadequate and wrong surgical procedures. In a nutshell, there are few facts to note, the first fact refers to the incompetency of the reception staff, highlighting lack of attention from reception staff that the wife has to wait for a long time and she had to bear pain. After that language barrier made it hard for them to convey the subject matter and it lead nurses to swap wrong surgical processes.
Background
The background of case study highlights that a Russian couple visited hospital because wife was having a critical condition. As soon as they get into the hospital, there was a lack of competency of the nursing staff, taking into account that they failed to address the situation of the wife and they were made to wait in the emergency hall. The couple had to wait for a very long time because none of the nurses bothered to ask them. It is important to note that the wife failed to convey her ailment because of the language barrier and it resulted in the negligent swapped for wrong surgical procedure. The wife was not given the required surgery, in fact, her surgery was swapped with some others ailment.
Issues Identified in Case Study
There are a number of issues that are identified in the case study; taking into account that each of the issues played an equally important role in paving way for negligence that resulted in great loss to women.
Negligence
One of the major and potent issues is "Negligence”. It refers to the lack of responsibility and an inability. It would not be wrong to say that the analysis of case study leads to evident conclusion of negligence. It is the inability of nurse that patient was not given required treatment. Negligence is also found in catering to the needs of patient as they entered hospital. It is evident that the couple had to wait for a very long time taking into account that the wife was in a highly critical condition; still there was no attention from nurses.
Lack of language intelligence
Understanding is a crucial part of communication and conveyance. There is no way out to have positive communication without language intelligence. In subject case study, language barriers play a significant role. It is evident that the nursing staff failed to understand what the patient wanted to say and it paved the way for swapped surgical treatment. Side by side, it can be inferred that it was lack of communication and understanding that the couple had to wait for long in the emergency room, the reception staff failed to communicate adequately. If there would be an adequate understanding in term of language, wife could have conveyed what is required of nurses. (Blackford, et, al. 2003).
Lack of cultural intelligence
Culture intelligence refers to the analysis and understanding of the norms, values and ethics that are associated with a particular culture. It is significant to note that in subject case study, nurses failed to understand that the patients belong to Russian culture, having linguistic barriers and they should try to understand, and facilitate them. It is important to note that if nurses would be educated in terms of cultural diversity, it would be a great option to address the needs of culturally diverse people. (Blackford, et, al. 2003)
Lack of competency required to handle diversity of patients
World has become a global village with different culture amalgamate. It is not acceptable to stay confined to an individual culture. In terms of healthcare, lack of competency to handle diversity of patients is more like a dilemma. It is evident that if nurses could have managed to address culturally diverse people i.e. Russian couple, there wouldn’t have been such devastating results. (Blackford, et, al. 2003)
Lack of Nursing Competency for Cultural Intelligence
In order to comprehend and address the lack of nursing competency in terms of cultural intelligence, there are several aspects to consider. For a nurse to be competent enough, skills will not be sufficient, she should be well learned to cultural diversity, taking into account that she should be socially, emotionally, and culturally intelligent. She should have all the skills that could help her cater to ambiguous situations, confusing scenarios, and stance of negligence such as the one mentioned in case study. It is significant to note that cultural skills are one of the major paradigms that should be addressed because skills cannot be practiced without knowing the context. Cultural diversity is a major section that can help nurse to address all these aspects.
Cultural Diversity
Cultural diversity refers to the attribute of resilience attitude and keen attention in order to know concerns of patients. Competency in cultural diversity is an attribute that fulfills the stake of public services. Cultural Diversity includes the following main features
Overcoming language barriers
A nurse should try to overcome language barriers taking into account that all the languages can’t be learnt but there are certain strategies that could be incorporated such as sign language, written text and asking help from another colleague belonging to the same culture. (Chew, et, al. 2004)
Overcoming cultural stereotypes
Cultural stereotypes refer to overgeneralized thinking that is associated with any culture. A common example of this stance could be found in African culture. A nurse should be duty bound without adhering to cultural stereotypes; she should try to impart equality and equity. (Chew, et, al. 2004)
Overcoming any biases and opinions
Professionalism and sense of vigilance require actions that should be void of all opinions and biases. A nurse should treat all the patients with equality, taking into account that she should try to act in accordance with actuality rather than relying on biases and opinions. (Chew, et, al. 2004).
Acting in a professional manner to avoid any ambiguities and negligence.
It is mandatory for a nurse to perform all her duties in accordance with her role. It is asserted that nurse should deal with all the patients in a highly professional manner. She should try to clarify and address all the ambiguities, side by side she should try her best to negate negligence. (Chew, et, al. 2004)
Negligence of Nurses on Behalf of Language Diversity
Negligence on the basis of language diversity is one of the major aspects to address. It is affirmed that nurses especially those handling the reception services and interviews of the patient should be well trained to address language diversity. It is significant that not all the patients would be good at language adhering to diversity, so the nurse should be well learned to cater to language difference such as pronunciations and dialects. It is the duty of nurse to understand and ensure that there should be no negligence on the basis of linguistic and geographical paradigms. Nurses should be trained to incorporate reliability, verifiability, and validity while recording data. Reliability refers to the facts that all the information that is recorded by the nurse should be valid for long term use. Verifiability highlights that a nurse should not try to overgeneralize, she should try to document everything in accordance with the information that is conveyed by the patients. Validity stresses the correctness of information.
It is a common observation that these three or any of the three aspects are ignored while recording information. A clear illustration can be found in this case study as well; there are a number of cases in which negligence in recording information lead to devastating results. It is affirming that nurses should be trained to make precise and valid documentation, taking into account that details will consume time and it may hamper or affect others. Besides recording and documentation, a nurse should be well aware of her actions. The necessary characteristics for documentation are associated with the staff this is held responsible for reception. It is important to note that a nurse should be vigilant enough to perform her duty. Any negligence in terms of dealing with patients my results in a life-threatening situation such as wrong decisions, giving wrong dosage or recommendations for surgery. It is also a common observation that nurses take instruction for granted, usually, it is the stress of work that a nurse couldn’t maintain vigilance and it results in long term negative impact on the health of patients. (Chew, et, al. 2004).
Wait Time, Negligence and Cultural Profiling
It is asserted that the couple had to wait for a very long time so that they can get women treated. It is significant to note that the nursing staff should be vigilant enough to address the needs of patients Side by side, it can be asserted, and as it was a Russian couple their nationality can be one of the reasons of negligence. It is a common observation that in all settings, diverse people are directed to have a seat and they are usually addressed at the end. It would not be wrong to say that it is hard to comprehend marginalized groups, taking into account the gaps in terms of vocabulary and pronunciation but it never means that their needs will not be addressed. Nurses should be trained enough to address the wait time that none of the patients has to wait for a long time. Lack of competency of nursing depicts that there was a lack of staff that could facilitate everyone, taking into account that the lady had to wait for a very long time. A nurse should be well aware of cultural profiling, elaborated that culture differs from each other in terms of various disciples such as beliefs and social order.
It is the duty of nurses of analyzes condition of patients, taking into account that somewhere, it was the cultural identity of Russian couple that made them a victim of negligence. It is one of the obligations of the nurse to address inclination of human instinct, taking into account that all unapparent stances should also be addressed along with the one that is already visible. In case of any ambiguity, a nurse should seek guidance from community welfares programs or workshop that has the intention and art to build a campaign. The same can be recommended to patient. Among all the other mentioned hurdles, one of the famous aspects is ‘social groups”. It is assertive that nurses should not select a group on the basis of their belonging; in fact, they should try to make efforts that can address their needs. In the case of major complication social groups and welfare groups should be contacted because they usually have ample back up for foreign people. Side by side, nurses should try to communicate actual policies and roles that could affect them. (Morath, et, al. 2003).
Possible Implications and Applicable Legislations
These are several implications that can be adopted in order to address the increasing ratio of negligence. The first and major stance is criminal negligence taking into account that nurses should be made clear that they can be accustomed to criminal negligence that results in punishment. It is important to note that nurses should be taught that a major negligence can result in a threat to life for itself denying the type of negligence. A nurse could be made responsible for a life-threatening situation. Negligence should be termed as a violation of a professional code of conduct berceuse it will make accused liable to several punishments. Nurses should be made clear that violation is a crystal approach to dismissal of job or punishment. It can be inferred that negligence is a violation of the integrity of the patients and it can make a nurse liable to serious punishment because there is nothing more precious than self-integrity. It is affirming that treating negligence as the violation of “healthcare integrity” is also a major stance that could be counted as an implication to negligence because negligence is a crackdown of the actual official conduct and carelessness towards required duty. (Melynk, et, al. 2017)
There are several other claims that can be applied to the nurse or any staff member who would be guilty of negligence. It has been highlighted that negligence is a multidimensional stance it can have a number of devastation for the patient himself and his family. One of the basic aspects is financial loss, as negligence is a breach of factual conduct so money would be required to fix or make efforts to fix the gap. Sometimes negligence can lead to emotional distress for the patient and his family as seen in the subject case study. As negligence will cause some sort of hampering, it will drift away from the actual conduct and it may lead patient to increased bills and anticipated future medical care. Negligence is an evident stance of pain and suffering for both patient and his family as found in subject case study as well, taking into account that it can further lead to disfigurement and scarring as well. (Melynk, et, al. 2017)
Recommendations
There are certain recommendations that could be used in order to manage the stance of negligence. It is asserted that nurses should be trained to adhere to cultural competency, taking into account that a nurse should have competency skill. Nurse should be trained to address patient diversity, such training should be imparted that could attract nurses towards patient with the passion to understand and help them. It is asserted nurses should try to address patient diversity and cultural differences, taking into account that preceding documentation should be made. There should be verifiable and valid conversation. It is significant to note that documentation should not be too precise that there would be a lack of information neither it should be much detailed that the patients have to suffer because of such exaggeration. (Chew, et, al. 2004).
Conclusion
In accordance with an exegetical analysis of case study, major errors and the areas of improvement are found. It can be asserted that it is one of basic obligations of health care system or ensure that none of patients should become a victim of negligent action or ambiguities. It is affirming that this negligence can be too strong to tarnish the stance of living and impose life-threatening positions.
References
Blackford, J. (2003). Cultural frameworks of nursing practice: exposing an exclusionary healthcare culture. Nursing Inquiry, 10(4), 236-244.
Chew, L. D., Bradley, K. A., & Boyko, E. J. (2004). Brief questions to identify patients with inadequate health literacy. health, 11, 12.
Melnyk, B. M., Fineout‐Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves the implementation of evidence‐based practice, healthcare culture, and patient outcomes. Worldviews on Evidence‐Based Nursing, 14(1), 5-9.
Morath, J. (2003). Changing the healthcare culture: the consumer as part of the system of care. Frontiers of Health Services Management, 19(4), 17.
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