The Healthcare Quality Strategy Nursing Essay

The Health boot Quality system wangle for EssayThis essay pass on discuss a signifi senst resolution in relation to the peoples priorities identified within the Healthcargon Quality Strategy. It result to a fault discuss my role as a student obligate in relation to a persevering who is receiving mitigatory tutorship. The essay will demonstrate my understanding and views on reflection and the issues surrounding my practice. I gravel chosen Gibbs (1988) reflective framework as it has a structured initialise and six step which follow in order starting with a description of the event and ending with an action contrive for future practice. The go are Description, Feelings, Evaluation, Analysis, Conclusion and Action protrude (Gray, 2007). Reid, (1993) describes reflection as a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice.In May 2010, the Scottish governance introduced the Healthcare Quality St rategy for NHS Scotland, their aim is to relieve the peoples priorities which are foremost feel for and compassionate staff and services, near conversation and a pretend explanation about conditions and treatments, effective squadwork between clinicians, long-sufferings and others, a clean and untroubled care environment, continuity of care and clinical excellence. Secondly, to bring together the uncomplainings priorities as salubrious as the values of everyone working within the NHS Scotland. Thirdly, by applying these tether interventions and place them into practice betterments within antecedence areas of the Healthcare Quality Strategy will be met (Scottish Government, 2010, p.6). This reflective account will focus on the importance of chat and how it can affect individuals. It will identify if the priority was met in relation to my significant event and it will that polish off its importance (Scottish Government, 2010, p.6).DescriptionWhilst on my Management Pl acement I met Janet, she is 65 years old and has been admitted to my cellblock for p altogetheriative care. She has end stage bowel cancer and is awaiting a bed at the local hospice. All label brook been changed to protect her identity and maintain confidentiality (NMC, 2008). Janets GP has requested that she be admitted onto the defend as she is now confined to bed because of increased pain in the neck and a general deterioration of her condition (Dougan and Colquhoun, 2006).FeelingsWhilst carry oning out my training as a student absorb, I have met a design of p each(prenominal)iative patients and I feel that I lack confidence when communicating with these patients and their families at this difficult time. However, whilst on this placement I was sufficient to build up a good rapport with Janet and her family and this anyowed me to provide good patient centred care (NMC, 2008). Therefore when dealings with Janet and her family at this difficult time I moldiness treat Jan et as an individual (NMC, 2008) and I essential provide the shell care for my patient 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).EvaluationWhen caring for alleviative patients a holistic approach with continuity of care is extremely classical and all cheers have a central role in providing information, care and support (Kennedy and Lockhart, 2007). superior communication and good interpersonal skills are paramount when caring for Janet, it is important non only to establish Janets wants and needfully however also her families. It is exigent when relaying any information to Janet or her family make certain they understand it, if not rationalize the information to them again (NMC, 2008). Also when dealing with members of the multi-disciplinary police squad, effective teamwork is pre ssing again providing Janet and her family with continuity of care and the clinical excellence they require from all staff. I feel the Quality Strategy aim was achieved, as all staff when looking by and by Janet dealt with her in a caring and lull manner at all times, in turn providing Janet with the best care, whilst she was on the ward (Scottish Government, 2010).AnalysisPalliative care helps to improve the quality of behavior for patients and their families who have to come to terms with the difficulties associated with life threatening illness. It is about identifying the patients needs through accurate assessment, good symptom control and sensitive nurse care (Scottish Partnership for Palliative Care, 2012).When planning Janets care I moldiness take a holistic approach and look at her physical, psychological, social, stirred and environmental needs. This included not only the patient, the hospital and any multi-disciplinary team members exclusively also her husband and an y other family members she would like involved (Dougherty and Lister, 2011). As Janets condition could change from day to day her care plan was reviewed on a daily basis and updated accordingly (Dougan and Colquhoun, 2006).Good communication is paramount when dealing with my patient, it is important to listen and support them and make sure any information they have been stipulation, do they understand it, if not explain it to them again (NMC, 2008). It is also important to document any care given to the patient in accordance with the NMC guidance on record holding (NMC, 2009).In accessory to caring for Janet on the ward I was given 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 high-pitchedlighted the importance of good communication and good record keeping as all team members are aware of Janets circumstances and can pick up her bill and know exactly what is happening with Janet at any given moment (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 relationship between nurse and patient, good communication skills again helps to reduce fear and anxiety at this stressful time (Dunne, 2005).When dealing with patients who are receiving palliative care the peoples priorities are applicable. All nurses must be able to make the patient as comfortable as possible, be aware of their wants and needs and provide a safe and clean environment (Scottish Government, 2010, p.6).On reflection this event has brought further awareness of the level of involvement of staff members from nursing auxiliaries, nurses and consultants. This was shown by the number of multi-disciplinary meetings, assessments, re-assessments, written correspondence and working hours placed into looking after this patient (NMC, 2009). All staff members were committed to providing the correct input and treatment for this patient and to make her last few days as comfortable as possible (Scottish Government, 2008).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 watch the best possible attention. Nurses have a duty to ensure that the care 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, thusly making Janets stay in hospital as comfortable as possible. The code provides values, which can be adapted to any setting and as long 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 individu al, listen to their wants and needs, then a positive 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 keep my knowledge and skills up to date (NMC, 2008).Identify StepsThrough experience of this placement and in relation to my transition from student nurse to staff nurse the steps to facilitate an utility and development would be to ensure effective communication with all staff and all members of the multidisciplinary team. This includes accurate record keeping and assembly of all relevant information from the patient and their family in order to deliver safe effective patient care. It also promotes a positive nurse patient relationship and offers reassurance at this difficult time (Dunne, 2005). In addition palliati ve care does not only deal with cancer patients but with patients who have long term chronic illnesses such as triple sclerosis, heart disease and respiratory problems, therefore palliative care is relevant today and also in the future because we will be caring for an ageing population (Scottish Partnership for Palliative Care, 2012)In conclusion and in relation to The Healthcare Quality Strategy I feel that Janet was looked after in a caring and compassionate manner at all times and the nursing auxiliaries and nurses looking after Janet worked well together putting her first and treating her with respect at all times (Scottish Government, 2010).ConclusionIn conclusion and in relation to The Health Quality Strategy and my transition from student to nurse, 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 whe re practice needs improvement and given me a greater insight into my own role as a registered nurse.