Nursing-sensitive indicators have been comprehensively used to monitor and report the quality of nursing care. According to Xu (2015), these are numerical measures in which the effectiveness of nursing care relies on. This also includes cost efficiency and organization’s performance. The outcome and process of nursing care are reflected on as well. In most cases, nursing-sensitive indicators have been used without the support of a clear theoretical basis, making the process to be less effective (Xu, 2015). In Mr. J’s case, poor understanding and application of nursing-sensitive indicators is the reason for the inconsistency of diet follow-up. If the nurse could have understood the basics well, a red, depressed area that is similar to severe sunburn could not have been ignored too.
A pressure ulcer is one of the main health problems that affect a good number of adults (Lyder & Ayello, 2008). There is a constant increase in the percentage of pressure ulcers victims of total patients every year in several health facilities around the world. Since there is an increase in aging population, poor healthcare services, shortage of nurses, and occurrences of pressure, this problem is most likely going to persist in coming years. Pressure ulcers prevention has been a concern for years. It is constantly associated with nonexistent and poor nursing care, therefore, a visible mark of caretaker negligence. How often risk assessment on pressure ulcer should be done is the key point to its prevention. There are a number of risk factors in this scenario that must be observed keenly. These are stress, the red, depressed area and the partaking of the unspecified diet.
Delegate your assignment to our experts and they will do the rest.
According to Lyder and Ayello (2008), a failure of the entire healthcare system, including the failure of nursing team leads to a collapse of staff cooperation and skill. Here, there is no cooperation between the supervisor, the nurse, and the worker. This leads to poor communication, hence, the inappropriate passage of hospital data about the patient. The supervisor and the nurse might get along but the worker is always left out. That is the reason why a secret agreed upon is let into the patient’s ears by the worker. Because of this, the daughter calls a physician who gives her direction to take after her father’s diet is messed up, this is even after he has consumed up to three-quarters of the food served. This is an evidence of poor quality patient care in the hospital. This adds stress to the patient and through his, his patient is most likely going to contract pressure ulcers.
In this scenario, using the worker to resolve an ethical issue is the best solution to ethical issues raised. The nurse is completely ignorant. For instance, Mr. J’s red depressed area is ignored. Furthermore, the nurse does not make follow up on dietary requirements of the patient. The patient’s daughter is also constantly made to believe that the services being offered to her father are the best, not considering their Jewish culture, which discredits consumption of pork. The worker is competent and ethical. Meals reach the patient on time. It is only unfortunate that the worker is not made aware of Mr. J’s diets concern and that is why he is put on a regular diet with other patients. Otherwise, the worker realizes the mistake and makes a formal apology to the patient’s daughter. This is the best a colleague can do.
References
Lyder, C. H., & Ayello, E. A. (2008). Pressure ulcers: a patient safety issue.
Xu, X. (2015). Identification of nursing-sensitive indicators for nursing quality monitoring and reporting in an Australian context (Doctoral dissertation, Victoria University).
