Thursday, February 27, 2020

Devastatingly Human - An Analysis of Registered Nurses' Medication Essay

Devastatingly Human - An Analysis of Registered Nurses' Medication Error Accounts--NURSING - Essay Example According to Camire et al (2009), "given the large body of literature about patient safety, the limited evidence available to guide clinicians in selecting strategies to prevent and disclose medication errors in critically ill patients is surprising. Nevertheless, patient safety is a first step in providing high-quality health care, and ensuring the safety of patients is everyone’s responsibility and challenge." Since administration of accurate medication is the most embedded principle of nursing; any event of medication error jeopardizes the livelihood and identity of the professional self. Trieber and Jones (2010) analysed the medication error accounts of registered nurses through direct interview with them in order to facilitate better understanding of the perceives error of medication administration errors and to understand strategies employed by the nurses to deal with them. It is often difficult to quantify medication administration errors which are the most common medic al errors in the United States. However, only less than 5 percent are reported (Trieber and Jones, 2010). The Institute of Medicine or IOM has recognized medication administration error as an important target task and has attempted to study and analyze various aspects of environment of the nurses which contribute to errors. This included work design, organizational management and organizational culture. However, the institute failed to include certain aspects of nursing profession like perfectionism, self-sacrifice and duty and also issues related to gender and recent technologies. The institute also did not include the perceptions of nurses who are the frontliners in administration of medication to hospitalized people. This is important because; it is these nurses who are involved in both preventing medication errors and committing medication errors and nurses are emotionally affected when they commit a medication error. The main strategy to prevent medication error is by following the basic principle of "five rights"; right patient, right time, right route, right medication and right dose (Bates, 2007). There is no consensus on the definition of medication error and as to when the error must notified. While most nurses opine that giving wrong medication to a patient is wrong, only a few agree that giving the medication late is also wrong. Thus, discrepancies exist in the definition. Thus, if the rights definition is applied, the number of medication errors would actually escalate more than the estimated number (Trieber and Jones, 2010). Several error reduction technologies have come up which are said to help in decreasing medication errors. These include patient charting through computers, arm-bands that are bar coded, and dispensing cabinets that are automated (Bates, 2007). Other strategies to reduce medication errors include decrease in the number of medicine which look alike or sound alike and application of read back and confirm strategy for orders that were delivered verbally (Trieber and Jones, 2010). There is still controversy as to whether these strategies and procedures introduced to reduce medication errors actually help in reduction or errors or complicated the problem. Some researchers like Koppel et al (2008; cited in Trieber and Jones, 2010) are of the opinion that these recent gadgets actually confuse the nurses and worsen medication errors. Infact, in their study, they found that computerized

Tuesday, February 11, 2020

The Second Rich Generation in China Interview Report Essay

The Second Rich Generation in China Interview Report - Essay Example e most expensive private universities in Los Angeles and he is planning to transfer to the University of South California where his father made half-million dollars in contributions. Since Mr. Mo Han falls under the category of the second richest generation in China, he has a good understanding of this group of individuals and the implication of their lifestyles. Although it took me some time to fix the meeting, I was glad that at the end he could spare me an hour to meet him. When the taxi dropped me off, I found out I was in front of a tremendous villa, and there was a brand new white Lamborghini in front of the villa. After I explained to the guard why I was here, he took me to the back of the house, and there was a gigantic swimming pool there. Han was lying on a chair next to the pool with his sunglasses on. â€Å"Hi, I am†¦Ã¢â‚¬  â€Å"I know who you are, let us get started.† Han interrupted my introduction. To begin, I started by imploring the meaning of the term the SRG that hits most of the media channels occasionally. Han took off his glasses and said, â€Å" a group of people just like me, young and rich, get the money from their family†. A question that emerged from this point was how his parents got that rich while most of the people in China are still worried about how to pay their rent. After flashbacking, Han told me the story of his family. Han’s father operated a small steel factory after he graduated from col lage. After a few years because of the sharp insight, he decided to sell the factory and started doing the real-estate business, and that is the period which Chinese real-estate market just started growing. Han termed this period as the period of â€Å"economic boom† when many investors benefited from a growing public demand. After this, we looked at the negative connotation that the word SRG has come to have in the recent past. In his opinion, this group of people including him has persistently lived a filthy lifestyle. â€Å"We want people to know