One critical patient care concern that impacts nursing practice is the safety of the clients that are placed under the care of practitioners. The well-being of patients in healthcare institutions is a crucial determinant of the quality of the services that the clients receive. Thus, the Institute of Medicine (IOM) has established that patient safety cannot be distinguished from the high standards of healthcare services that practitioners offer within health care institutions (Hughes, 2018). Therefore, the definition of patient safety provided by IOM characterizes the efforts thereof as those that are geared towards preventing harm on patients through the mitigation of errors, learning from the mistakes that occur and the creation of a safety culture that involves patients, care practitioners, and organizations (Kircheva & Konstantinov, 2016). Hence, following the overwhelming evidence depicting that a significant number of patients are harmed in the process of care delivery, it has become crucial to assess the complex care system and redefine its structure to complement the competence of practitioners, including nurses, in the delivery of care (WHO, 2017). The various factors that determine the outcome of patient treatment must be carefully aligned to facilitate the realization of positive care outcomes, a goal that can be realized through the creation of a safety culture.
The middle range presumption that can be implemented to address concerns on the well-being of patients within care institutions is the priming patient safety theory. The ideology was promulgated by Groves and Bunch (2018), who established that enhancing patient welfare within care settings can be realized through the establishment of safety culture communication. Resultantly, because nurses are the practitioners that are most involved in the delivery of bedside care to patients, Groves and Bunch (2018) theorize that priming the patient well-being goal through safety culture communication can reinforce the efforts made by care institutions to influence the behavior of nurses in a manner that impacts client welfare positively. The authors establish that the implementation of their proposed strategy activates the previously held beliefs on patient safety goals and enhances the perceived value of the measures nurses can take to facilitate the realization of the objectives thereof. Consequently, the implementation of the priming patient safety theory is expected to result in the prioritization of risk assessment and task performance among nursing practitioners to enhance client well-being. The named efforts continue until nurses reduce the identified hazards and risks associated with patient care encounters (Groves & Bunch, 2018). Thus, the theory explained above requires the emphasis of the connections between safety outcomes and nursing interventions to facilitate the structuring of the primes of patient safety into communicative activities that can be executed within care institutions.
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The promulgators of the priming patient theory do not identify a grand nursing philosophy from which they base the principles of their proposition. The assessment of the provisions of the approach created by Groves and Bunch (2018) establishes that it may have its basis in the human becoming ideology promulgated by Rosemarie Rizzo Parse. Parse’s (2015) proposition guides nursing practices towards the focus on the quality of life in both the lived and described states. It emphasizes the establishment of nursing goals based on the need to rate the quality of life from individual perspectives. The three main assumptions of Parse’s (2015) theory focus on rhythmicity, transcendence, and meaning.
First, the meaning assumption establishes that the becoming of humans is characterized by the free choice of personal meaning in situations associated with the inter-subjective process of living value propositions (Parse, 2015). The latter aligns with Groves and Bunch’s (2018) proposal establishing the necessity of the linkage of nursing interventions and patient outcomes to facilitate the enhancement of the well-being of clients. Secondly, rhythmicity assumes that human becoming is about co-creating patterns that enable the relation of mutual processes with the universe (Parse, 2015). The named concept supports Groves and Bunch’s (2018) determination establishing that care institutions must structure their patient safety primes into communicative activities that characterize nursing practitioner practices to create a culture that is centered on client welfare. Thirdly, Parse’s (2015) theory assumes that human becoming co-transcends multiple dimensions with emerging possibilities, necessitating constant transformation that exceeds set limits. Similarly, Groves and Bunch (2018) determine that for nursing practitioners to meet patient safety needs, they must develop their professional skills and keep up with the latest evidence-based practices. Thus, the comparison of the concepts of Groves and Bunch’s (2018) theory with Parse’s philosophy establishes that the propositions made by the formerly named authors have their basis on Parse’s grand theory.
Groves and Bunch’s (2018) theory of priming patient safety can be used in the implementation of nursing actions to safeguard the well-being of clients in the assessment process by increasing the focus of practitioners on the evaluation of risk factors that could have detrimental health effects. During diagnosis, nurses can apply their knowledge on the latest evidence-based practices to determine the health needs of their patients and initiate the process of planning for care. The planning process can be guided by precise communication between nursing practitioners and other medical professionals involved in the care of a specific patient to ensure the implementation of the identified actions is based on informed and integrative care provider decisions. Consequently, the evaluation of the outcomes of patient care can be founded on the association of the results realized with nursing interventions, establishing that the theory promulgated by Groves and Bunch (2018) can facilitate the betterment of patient welfare.
References
Groves, P. S., & Bunch, J. L. (2018). Priming patient safety: A middle‐range theory of safety goal priming via safety culture communication. Nursing Inquiry , 25 (4), e12246.
Hughes, R. G. (2018). OVERVIEW OF PATIENT SAFETY AND QUALITY OF CARE. Introduction to Quality and Safety Education for Nurses: Core Competencies for Nursing Leadership and Management , 1.
Kircheva, A., & Konstantinov, R. (2016). Patient safety–concept and characteristics of safety. The human factor impact. Scripta Scientifica Salutis Publicae , 2 , 132-137.
Parse, R. R. (2015). Rosemarie Rizzo Parse’s humanbecoming paradigm. Nursing theories and nursing practice , 263-277.
World Health Organization. (2017). Patient safety: making health care safer (No. WHO/HIS/SDS/2017.11). World Health Organization.
