Reply 1 and 2

Reply 1

The article that I chose for my discussion post this week was a Qualitative study article. The title of the article is “Disability and Rehabilitation”.

The authors of this article are Lucía I. Floríndez, Mike E. Carlson, Elizabeth Pyatak, Jeanine Blanchard, Alison M. Cogan, Alix G. Sleight, Valerie Hill, Jesus Diaz, Erna Blanche, Susan L. Garber, and Florence A. Clark.

The purpose of this study is to identify circumstances leading to medically serious pressure injury development in medically underserved adults with SCI during a lifestyle-based pressure injury prevention program and provide recommendations for future rehabilitation approaches and intervention design (Floríndez et al., 2019).

Learning about patients with spinal cord injuries (SCI) and how they are at increased risk for developing pressure injuries makes me more aware of what kind of care they need and what approach is best when caring for them. Changes I would recommend based on the article are to implement more education for these types of patients, especially about wound care (Floríndez et al., 2019). I would also recommend the need for reaching out to social services to ensure that these patients have all the necessary equipment and supplies needed for wound care. While all of these are necessary for the patients, it is important for health care providers to first understand their patients by ensuring their socio-economic status, language skills, mental functioning, and cognitive functioning are prioritized. Effective communication is key and patients must be communicated with so that they comply with the recommendations.

Reference: Floríndez, L., Carlson, M., Pyatak, E., Blanchard, J., Cogan, A., & Sleight, A. et al. (2019). A qualitative analysis of pressure injury development among medically underserved adults with spinal cord injury.  Disability And Rehabilitation42(15), 2093-2099.  https://doi.org/10.1080/09638288.2018.1552328

 

 

Reply 2

 

Title of article: Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study.

Authors: Hazel Heng, Debra Kiegaldie, Susan C. Slade, Dana Jazayeri, Louise Shaw, Matthew Knight, Cathy Jones, Anne-Marie Hill, and  Meg E. Morris.

Purpose: The purpose of this article is to provide a clear perspective on the certain barriers that health care providers are facing regarding falls prevention education, with possible solutions to eliminate these barriers.

Type of Study: Qualitative.

I believe this article is very important for all healthcare providers to analyze because the main purpose is patient safety, which should be the main priority for all healthcare workers. As a future nurse, this will influence my practice, because as I was reading the articles I was noting down the possible barriers that enable providers to provide patients the proper education on falls, which include limited interprofessional communication regarding falls, perceived patient-related barriers, as well as others (Heng et al., 2022). Based on this article, I would recommend implementing better strategies to help patients understand falls education in a better way, as well as basing the delivery of the education to each patient in an individual way since not everyone learns the same way. There are other changes that can be implemented, but starting with these two, will make a difference in patient education about falls.

Reference:

Heng H, Kiegaldie D, Slade SC, Jazayeri D, Shaw L, Knight M, et al. (2022) Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study. PLoS ONE 17(4): e0266797. https://doi.org/ 10.1371/journal.pone.0266797

Reply 1

pisode 7, of Saving Sara, Kenny was revealed to be a different character than what we are normally accustomed to seeing. In this episode, Kenny was committing an unlawful act and was stealing supplies from the hospital. However, it came to light that the supplies were for a disadvantage homeless diabetic client. Kenny’s reasoning behind stealing supplies was that his patient was using the same syringes which was leading to infections. In this case Kenny is displaying post morality as he was breaking the rules for what he believed was the greater good. Although Kenny is confident that his actions were justified, Sara realizes there is no good reason for hospital theft and that there are better ways to provide this patient greater care. If Kenny would have gotten caught by management, the outcome would be totally different, and he wouldn’t have known about hospitals program to help patients that need resources. The benefits that came from Sara reporting Kenny to Cathleen was that Sara was familiar with the resources available to at risk patients. The importance in Sara communicating with Kenny, is to inform him of his unlawful acts of stealing from the company, and coach him on providing alternative resources to those in the community that may be in need. As an effective leader, Sara meeting with Kenny and explaining what he did was wrong and proper channels he should go through next time this occurs, is showing that oppose to reprimanded him, she is also taking this time to have a teachable moment (Saving Sara, 2022).

 

 

Reference

Week 7 Saving Sara, Episode 7: Confronting the Elephant In The Room. Welcome to West Coast University Portal. Retrieved October 4, 2022, from

Reply 2

According to Kohlberg’s theory of moral development, each level includes two stages. The three levels are pre-conventional, conventional, and post-conventional. According to the theory of moral development, Kenny’s actions align with the signs of stage five of moral development. This is because Kenny decides to steal supplies from the hospital, but not for himself but to give them to the man who is experiencing homelessness. According to this stage, the individual has an awareness that rules might work against certain people while altogether benefiting others. It also states that protecting someones life is more valuable and important than sometimes following the rules. When Sara reported the incidence it resulted in benefiting both Sara and Kenny, and this is because they both were able to find out that the hospital has special programs in place for these kind of situations. When Sara opted not to report Kenny, she was accused of not knowing what was happening in the unit that she is supposed to be leading and managing. What Kenny did was inappropriate even though his intentions were kind. Kenny realized that there is always a way to help others without getting in trouble at work, and putting others at risk as well (Yoder-wise, 2014).

References

Yoder-Wise, P. (2014). Leading and Managing in Nursing – 5th edition. Elsevier.com. Retrieved 05 October 2022, from https://www.elsevier.com/books/leading-and-managing-in-nursing/yoder-wise/978-0-323-44913-7.

0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *