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Running Head: COMPETENCY 1

COMPETENCY 5

Competency

Culture of Excellence in Nursing. Personally I would omit this whole page. Transformational leadership aims to instill change in an organization and encourage other key stakeholders to follow to work in line with its mission and achieve the vision. Cultural encounters affect the nurses directly in that they are required to engage in cross-cultural interactions with clients from different cultural backgrounds (Arthurs, Bell-Gordon, Chalupa, Rose, Martinez, Watson, & Bernard, 2018). For example, music therapy in practice would establish a small change by introducing keyboard Playmats in the children's inpatient unit, and piano in the adult units. And the significant change from the little intervention is that it seeks the leadership attention to purchase the keyboard Playmats and piano, which would improve the patients' heart rate, restlessness and anxiety mitigation, and brain stimulation for a better healing. Therefore, changing the organizational culture is a gradual process, and the leaders at all levels have a crucial role in improving behavior and culture in the facility setting.

Cultural excellence in nursing ensures that caregivers and other medical practitioners can effectively deliver quality services, considering the patient's social, cultural, and linguistic demands. Cultural excellence is a significant contributor to healthcare provision quality among persons of all cultures (Papadopoulos, Shea, Taylor, Pezzella, & Foley, 2016). Thus, for cultural excellence, there is a need for an increase in cultural competency in nursing practice by assessing cultural differences, examining the variance, recognizing the differences, communicating, and negotiating with the patient to achieve quality care in a culturally diverse environment. The competency framework focuses on the employees’ traits to develop harmonization strategies through pre-service education, in-service training, and experience. The nurses will be able to approach diverse situations using the skills learned and talents. Make it an email, with a cordial greeting to the staff, tell you how much you need their help to make this new equipment successful and offer the FAQ as you seek their assistance in making it a team effort to improve safety for all nurses and clients.

FAQ Document

Why do we need this change? Use some facts (good supportive references)

Increase in med errors? Regulatory commission encouragement? Make THEIR job easier (give stats and examples from literature). Remember th Pillar of excellence is Fostering a culture of Continous Quality improvement ( is this a step in that Magnet direction?)

Most nurses are faced with deciding the medicine and dosage to administer for a patient if the medication record kept is not clear. Notably, nurses who manually check-in and out will tend to make errors on the dosage or medicine type. The clinical nurses would quickly scan the bar code on the cards or badges on the patients’ bands. The data is transferred electronically to the software to generate medication details that should be administered and make approvals or disapprovals and warnings about the administration. This model assures the patients’ safety and by ensuring harmless and correct drugs and therapies are executed (Shah, Lo, Babich, Tsao, & Bansback, 2016). Therefore, adopting an electronic bar code system for the medication details retrieval would significantly assist the nurses in accessing medication patterns and thus mitigate the chances of medication errors on dosage or medicine.

What we currently use works well, why change now? Everyone needs more time with the patient, Putting the meds where the patients are, in a COW, or extention of the system? Look up kinds of administration systems, wow them with features that can pull nurses together on the idea of safety, quicker access and happier patients. Remember that 3rd Pillar…Promoting Patient Centered care, this will allow you to accomplish this.

`The current medication retrieval system is time-consuming. It is not much efficient when dealing with emergency cases since a nurse must retrieve from a central area outside the unit or away from the patient’s bed and the return on the bedside. However, the bar code system is more efficient in offering service and maintaining closeness with the patient for a more straightforward observation of their progress. The new system promotes more accuracy in practice by ensuring an appropriate medication has been administered at the right time.

Honestly, as a nurse, how will this new piece of equipment help me better perform my professional role? Here is that 2nd Pillar (Engage from the bottom up, get buy in? Ask questions, who doesn’t want to be empowered?

As a nurse or caregiver, this system will increase your operational efficiency since it is more simplified, faster, and saves time that could be used to attend another extra patient. Since the nurses have a professional role in ensuring the patient’s safety, the barcode medication system decreasing the chances of adverse drug events and data errors in the environment, the practitioner can identify administration patterns for the patient’s safety and health. Additionally, other than administering medications, the nurse will have ample time to interact with the patients, observe their response to drugs, and report to the physician for a compelling strategy. I like your ideas here in this section.

Focus on what the assessment person has asked for and make an Email that wows her and your make belief staff. Great Start!

References

Arthurs, K., Bell-Gordon, C., Chalupa, B., Rose, A. L., Martinez, D., Watson, J. A., & Bernard, D. P. (2017). A culture of nursing excellence: A community hospital’s journey from pathway to excellence® to magnet® recognition. Journal of Nursing Education and Practice, 8(5), 26-36. https://doi.org/10.5430/jnep.v8n5p26

Papadopoulos, I., Shea, S., Taylor, G., Pezzella, A., & Foley, L. (2016). Developing tools to promote culturally competent compassion, courage, and intercultural communication in healthcare. Journal of Compassionate Health Care, 3(1), 2. . https://doi.org/10.1186/s40639-016-0019-6

Shah, K., Lo, C., Babich, M., Tsao, N. W., & Bansback, N. J. (2016). Bar code medication administration technology: A systematic review of impact on patient safety when used with computerized prescriber order entry and automated dispensing devices. The Canadian Journal of Hospital Pharmacy, 69(5), 394.  https://doi.org/10.4212/cjhp.v69i5.1594