SIM 436 Activity 3 Critical Thinking Incident 

SIM 436 Activity 3 Critical Thinking Incident

SIM 436 Activity 3 Critical Thinking Incident

Activity 3: Critical Thinking Incident

Nurse practitioners encounter critical incidents in their nursing practices resulting in unintended outcomes, which compromise patient’s well-being and quality of life. Additionally, the outcomes of such occurrences are devastating to nurse practitioners and other healthcare professionals. Therefore, critical thinking is a crucial part of nursing practices since it enables nurses to make good decisions and communicate with multidisciplinary team members effectively to resolve the problem. This discussion will describe a critical incident in the workplace and did not contribute to the patient’s well-being. Additionally, it will analyze the event using the questions from the course textbook. It will also include a reflection of the event. Finally, it will address steps that a manager can adopt to prevent the recurrence of the incident in the future.

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A Description of a Critical Incident

The critical incident occurred in the cardiac unit. Three nurse practitioners were off on this particular day, leaving an intern nurse in charge of a 75 years old male patient with heart failure. The patient’s condition was stable in the past two weeks. Unfortunately, the patient started breathing rapidly, had shortness of breath, had a faster heart rate, and was sweating. The nurse did not understand the dangerous symptoms that a patient with this condition might demonstrate; thereby, she thought that the symptoms shown by the patient were usual. For this reason, she did not initiate oxygen therapy, which involves giving high concentrations of inspired oxygen to a patient with heart failure (Sepehrv & Ezekowitz, 2016). This therapy would enable the patient to breathe in extra oxygen to meet the body’s oxygen needs. Although oxygen therapy does not cure heart failure, it prevents serious complications associated with low oxygen, including damage to the heart muscle and the brain (Majumder, 2016). Lack of adequate oxygen damaged the patient’s brain and heart muscle resulting in prolonged hospital stay for further medical attention.

Analysis of the Event-based on Question from the Book

The book provides some questions to guide during the analysis of a critical incident.

Question 1: “Was the nurse confident in his or her reasoning?” (Rubenfeld & Scheffer, 2015). May be: The nurse intern might have been confident in her reasoning since a person with cardiac complications is likely to develop the demonstrated symptoms, including rapid breathing, shortness of breath, and faster heart rate.

Question 2: “Was the nurse engaged enough to really want to understand fully?” (Rubenfeld & Scheffer, 2015). No: The nurse intern was not interested in understanding fully the symptoms that might indicate that a patient with heart failure requires special care.

Question: “Did nurse keep trying to resolve the problem?” No: The nurse intern did not attempt to address the problem.

Question 4: “Were there any intuitive signs of this happening?” No: No danger was anticipated since the patient’s condition was stable in the past two weeks.

Reflection

This critical incident occurred due to a lack of proper scheduling of the off days for the nurses working in the cardiac unit. The nurse intern was in charge of the patient with heart failure due to the department’s shortage on that day. The nurse intern was not fully engaged in understanding the incident fully. Consequently, she did not attempt to address the problem.

Measures for Preventing such Incidents in the Future

A manager can take some steps to prevent such incidents from happening in the future. First, a manager should ensure that nurse practitioners are given different off days. This action will ensure that a nurse intern has a qualified nurse to guide and supervise during care delivery. The nurse will supervise an action taken by the intern if his or her condition deteriorates to prevent any dangers that might not contribute to the patient’s well-being. Secondly, the manager should ensure that nurse interns have the basic knowledge and skills required in respective departments interested in working. Interns with some knowledge will understand symptoms that indicate that they are in danger, thus initiating an appropriate action to prevent them from further complications. Thirdly, the manager organizes training for the intern to equip them with basic skills and knowledge to enhance their care delivery in their respective departments. For instance, nurse intern attached to the cardiac unit can be educated about danger signs that patients with heart failure might demonstrate. Additionally, the intern can be educated about the significance of initiating oxygen therapy when a patient with heart failure experiences deficient oxygen levels. Finally, the manager should ensure that the healthcare facility has adequate oxygen for a patient who might need it.

References

Majumder, A, S. (2016). Management of heart failure – an update. Bangladesh Med; 43 (1): 36-45.

Rubenfeld, M. G., & Scheffer, B.K. (2015). Critical thinking TACTICS for Nurses: Achieving the IOM competencies (3rd ed.). Sudbury, MA: Jones and Bartlett.

Sepehrv, N & Ezekowitz, J, A. (2016). Oxygen Therapy in Patients with Acute Heart Failure: Friend or Foe? JACC: Heart Failure; 4, (10): 783-790. https://doi.org/10.1016/j.jchf.2016.03.026

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Activity 3
Critical Thinking Incident
Think about and analyze a specific situation that has occurred in your work setting and the impact critical thinking had on that specific situation.

Think back to a critical incident in your workplace that affected patient safety, had an unintended outcome, or did not contribute to the well-being of the patient. Reflect on the incident to identify why the breakdowns in quality and safety occurred.
Refer to Box 5-4, Guidelines for Analyzing CT (Rubenfeld & Scheffer, 2015) to examine an event/incidence, to synthesize what happened, and how to prevent it in the future.
In the format you have chosen to show mastery:

A description of a critical incident that occurred in your workplace that had an unintended outcome or did not contribute to the well-being of the patient.
An analysis of the event using the questions from box 5-4. Use these questions to analyze the event- it is not necessary to use all of them, but the ones that pertain to your event. You can then use the information from your answers to identify and talk about the incident, what worked well and what did not.
Your reflection of the incident, what the breakdowns were and why they occurred.
What steps a leader/manager can take to prevent future incidents or describe how you would create an environment where these incidences are less likely to happen; for example, what would you do differently?

Reading and Resources

Read Chapter 7 In Rubenfeld, M. G., & Scheffer, B.K. (2015). Critical thinking TACTICS for nurses: Achieving the IOM competencies (3rd ed.). Sudbury, MA: Jones and Bartlett.

Additional Instructions:

All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Think about and analyze a specific situation that has occurred in your work setting and the impact critical thinking had on that specific situation.

Think back to a critical incident in your workplace that affected patient safety, had an unintended outcome, or did not contribute to the well-being of the patient. Reflect on the incident to identify why the breakdowns in quality and safety occurred.
Refer to Box 5-4, Guidelines for Analyzing CT (Rubenfeld & Scheffer, 2015) to examine an event/incidence, to synthesize what happened, and how to prevent it in the future.
In the format you have chosen to show mastery:

A description of a critical incident that occurred in your workplace that had an unintended outcome or did not contribute to the well-being of the patient.
An analysis of the event using the questions from box 5-4. Use these questions to analyze the event- it is not necessary to use all of them, but the ones that pertain to your event. You can then use the information from your answers to identify and talk about the incident, what worked well and what did not.
Your reflection of the incident, what the breakdowns were and why they occurred.
What steps a leader/manager can take to prevent future incidents or describe how you would create an environment where these incidences are less likely to happen; for example, what would you do differently?

Reading and Resources

Read Chapter 7 In Rubenfeld, M. G., & Scheffer, B.K. (2015). Critical thinking TACTICS for nurses: Achieving the IOM competencies (3rd ed.). Sudbury, MA: Jones and Bartlett.

Additional Instructions:

All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.

3 to 4-page paper. Include title and reference pages.