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 iCARE Paper - Sample #1​

Interprofessional healthcare teams are an essential aspect of improved care and patient satisfaction as well as proper service delivery. Many clinical areas benefit from interprofessional teamwork. One such area is Vascular Access Care. With various experts' cooperation, there is a high likelihood that the facility's overall scope of care will experience an improvement. As such, supportive actions such as compassion, advocacy, resilience, and evidence-based research are important aspects of the nursing practice as they enhance interprofessional teamwork between Vascular Access Specialists and other professionals within the care setting. Therefore, nurses should strive to incorporate the four elements in their day-to-day operations in order to achieve positive patient outcomes and satisfaction.

As part of the Vascular Access Specialist professionals, our work mostly involves providing care for patients with long-term antibiotics needs or intravenous nutrition as well as other medications and blood draws. In regard, our main operations involve placing the peripheral inserted central catheter lines and midlines and caring for those who have mediports by providing access to the port when they are admitted and ensuring that the line is removed when they get discharged. Additionally, we collaborate with a whole tea caring for the patient, including the primary nurse, the patients, and their families, as well as other professionals such as the overall medical team, which includes the nurse practitioner, physician assistant, and the case manager involved in the patient's care.

There is usually a higher chance of achieving improved patient care whenever compassion, advocacy, resilience, and evidence-based practice are incorporated into the care model. As such, it is important to note that this cannot be achievable if effective communication skills are not employed throughout the care period. For, it is through communication that interprofessional teams can collaborate effectively to provide care. In our care setting, one of the areas that need improvement is our attitude to provide care and work within our clinical setting. To achieve this, it is important to employ a friendly tone when addressing other professionals in the team and help other professionals such as the floor nurses with placing IFVs to achieve continued positive care.

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Compassion

Compassion revolves around being empathetic towards patients, especially those suffering from pain, and it is vital to promoting a patient's well-being. Compassionate care is among the numerous nursing actions taken by nurses to enhance care and promote improved patient outcomes. This can work for patients in pain as well as those suffering from mental and emotional stress. In the Vascular Access Care team, we mainly show compassion to the patients through having a close relationship with them and their families. Additionally, we ensure to keenly listen and answer all questions relating to the patient's care and seek the help of the interprofessional team members in case we encounter a question that we might not be able to answer properly. Most importantly, we listen, communicate and respect each other as a team; this is our way of implementing the compassionate culture.

When compassion is incorporated in the nursing practice, it takes the nurse of the usual competent care that typically requires them to have the knowledge and skills to provide care, to an external scope of practice where they have to provide care by actions, which involve emotions. In regard, nurses' compassionate care significantly affects the overall patients' outcomes because compassion is highly associated with caring (Pfaff & Markaki, 2017).

Advocacy

Typically, a nurse advocate's main job is to ensure the patient's quality of care is maintained. In our Vascular Access team, we prioritize patient safety. Equally, for effective advocacy, nurses are tasked with maintaining ethical awareness, persistence in their practice, as well as self-confidence, maturity, and pride in the nursing profession (Levy, 2018). Additionally, our team is more concerned about the patient's needs by ensuring their plights are addressed and ensure that they receive patient education relating to the services we provide, such as the PICC line and how they work to better their treatment.

Resilience

A resilient nurse is able to deal with the day-to-day stressful clinical or healthcare environment. This helps them avoid stress, steer away from burnouts and emotional exhaustion related to their care setting. Resilience to change can therefore cause stress. For instance, in our Vascular Access team, a change in shifts in the mode of operations can change the overall service delivery as most team members struggle to adapt to the new changes. Therefore, education before a change implementation is necessary in order to maintain a high quality of service delivery. As a team, we are inclined to work together to ensure our goals are met. On the other hand, resilience can also produce positive outcomes if the teams are ready for a change; this will also involve being conscious of personal mental health and overall well-being.

Evidence-Based Practice

In our Vascular Access team, EBP has been used to improve patient outcomes and overall care throughout the years. However, it is important to note that for EBP to work effectively, there must be change. Evidence-Based practice potentially improves and changes the manner in which the nursing practice is carried out to attain positive outcomes and enhance patient care and promote patient safety. This can be done through EBP research, which can improve patient outcomes, patient safety, enhance a particular work environment, and resolve environmental issues that affect health. Additionally, EBP research can also help in evaluating social interactions and promote the development of theories. However, it must be valid, reliable, and relevant as well as promote outcomes.

Summary

The iCare model is very important in nursing as well as teamwork along with its components, including compassion, advocacy, resilience, and evidence-based practice. All these elements are put together to inform the delivery of quality healthcare services within a particular clinical setting. Nurses are typically at the forefront in ensuring that possible patient outcomes are achieved. In addition, they are at the forefront of maintaining and forming relationships with patients, their families as well as the interprofessional team in order for the teams to attain the set goals. They provide care and act as the patients' advocate during admission and patient discharge. iCARE can be very beneficial to patients who want to transition from hospital to home-based care as it promotes effective collaboration between the interprofessional teams. 

 

 

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References

Levy, N. B. L. (2018). Legal Issues...Patient Advocacy and the Nursing Role. CINAHL Nursing Guide.

Pfaff, K., & Markaki, A. (2017). Compassionate collaborative care: an integrative review of quality indicators in end-of-life care. BMC palliative care, 16(1), 65. https://doi.org/10.1186/s12904-017-0246-4

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Sample #2

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Nursing Action in Interprofessional Collaboration

Interprofessional collaboration is an important aspect of quality patient care in the modern world. It is the means through which health professionals with diverse knowledge, skills, and talent collaborate to achieve a common goal. Health organizations have a critical role in promoting interprofessional collaboration to attain improved staff knowledge, better relations, communication, and documentation. Such is the role of my current health care organization towards quality care. The organization is committed to relieving suffering and promoting the quality of life for people with terminal illnesses.

The Interprofessional (IP) team consists of home care nurses, physicians, nurse aids, pain control specialists, dieticians, and social workers. Irrespective of their efforts to facilitate better patient care, there are constant complaints of ineffective pain relief from patients in home hospice care. The latest dashboard report revealed a lower than the state level score on effective pain management. Major challenges include; ineffective pain reporting from nurses, reliance on pharmacological pain relief approaches, and compassion fatigue. It is important to evaluate the impact of the iCARE concept towards attaining better patient scores and improved patient outcomes.

Compassion

Compassion is a basic nursing component towards patient-centered care. Someone can see, understand how another is feeling, and get a genuine desire to offer assistance. It is more of empathy but with a yearning of offering assistance to change the status quo. Similarly, compassion in patient care is about empathy, respect, and recognition of personal characteristics. In nursing care, compassion means determining and respecting a patient’s opinions, values, and beliefs (Babaei & Taleghani, 2019). Compassion is also a holistic approach in hospice care. It is the IP team’s role to support the patient and the family in the diagnosis, disease process, death, and bereavement.

Ineffective pain control is a threat to compassionate care for hospice patients. The major challenge in my organization is ineffective pain reporting about a patient’s pain from the home care nurses. A quality improvement approach would help change the status quo. A credible solution is to provide and teach other nurses about a standardized pain assessment tool like the pain diary. The patient needs to fill in the source of the pain, intensity, duration, possible triggers, and the pain's response to pain medications. The information can help the IP team to develop effective patient-centered measures towards effective pain management and better patient outcomes. It is also part of providing compassionate care through efficient interprofessional collaboration.

Advocacy

Nurses are patients advocates by respecting and supporting a patient’s and family’s best interests during patient care. It is also a professional obligation to clarify any miscommunications from the IP care team to the patient and the family. A major challenge in my practice towards effective pain management is the reliance on pharmacological approaches and ignoring the non-pharmacological measures for chronic pain management. Mu et al. (2009) state that non-pharmacological measures are effective in pain management by changing the physiologic, psychological, and social aspects of pain. To change the current practice and act under patient advocacy, I will assume the responsibility of teaching the IP team members about the efficiency of non-pharmacological approaches in pain management. I will use 'super trainers' and brochures to continuously remind the team of the approach towards better patient pain control. It will be consistent with advocacy of a patient's best interests towards effective pain control and better outcomes.

Resilience

 Resilience is the ability to recover from a difficult challenge or situation. Nurses in hospice care work with patients with chronic illnesses requiring increased attention to the intended care plan. It is common for the IP team in my organization to report burn-outs as a major limitation to efficient collaboration. My role as a nurse is critical to increasing resiliency to help the team develop effective coping mechanisms irrespective of the demanding nature of hospice care. Like Yilmaz. (2017), I will focus on educational measures focusing on mentoring relationships, intellectual flexibility, emotional intelligence, attaining life balance, reflective, and critical thinking skills. It will help the team develop high-level resilience to overcoming difficult situations in hospice care, improve IP relationships, and decrease burn-outs. It is also paramount to achieving better patient outcomes.

Evidence-Based Practice

Evidence-based practice (EBP) is the standard for quality improvement measures in patient care. It is an integration of research, clinical expertise, and a patient’s preference to solve clinical challenges (Black et al., 2015). EBP can be a critical component of improved patient care for my organization. As earlier mentioned, hospice care is a challenging aspect of patient care through unique challenges in the care plan. My organization is proof of this challenge through ineffective pain control for home hospice care patients. My role would be to sensitize the home care nurses about EBP to solve existing challenges. They can utilize the approach to gather the best evidence about effective pain control, inform the IP team about the findings, apply the approach, and assess the result collaboratively. It would be a crucial contribution of nursing action towards individualized care through EBP towards better patient outcomes.

Summary

The iCARE concept is an effective approach towards guiding nursing actions in quality improvement measures. As part of the interprofessional team, they can utilize the iCARE concept to influence best practices towards better patient outcomes. In my organization, it can help solve ineffective pain management in home hospice care through increasing patient advocacy, resiliency, compassion, and EBP in patient care.  The actions are part of improving the interprofessional team's efficiency towards better patient outcomes.

 

 

References

Babaei, S., & Taleghani, F. (2019). Compassionate care challenges and barriers in clinical nurses: A qualitative study. Iranian journal of nursing and midwifery research, 24(3), 213.

Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015). Promoting evidence-based practice through a research training program for point-of-care clinicians. The Journal of nursing administration, 45(1), 14.

Mu, P. F., Chen, Y. C., & Cheng, S. C. (2009). The effectiveness of non-pharmacological pain management in relieving chronic pain for children and adolescents. JBI Evidence Synthesis, 7(34), 1489-1543.

Yılmaz, E. B. (2017). Resilience as a strategy for struggling against challenges related to the nursing profession. Chinese Nursing Research, 4(1), 9-13.

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