Week 5 respond to faculty
docx
keyboard_arrow_up
School
Chamberlain College of Nursing *
*We aren’t endorsed by this school
Course
NR500NP
Subject
Health Science
Date
Dec 6, 2023
Type
docx
Pages
2
Uploaded by EarlAtomMoose28
Week 5 respond to faculty
According to the lesson in week 5, complex adaptive systems are learning organizations
that aren’t stagnant, but rather considers healthcare as a dynamic process. A complex
adaptive system welcomes the many changes that occur within the organization, a
characteristic necessary for the success of healthcare and healthcare related
organizations. Organization systems have three levels: micro-, meso-, and
macrosystems. The highest level is the macrosystem which signifies the community or
organization. At the community level, leaders in the macrosystem level can be
government entities, regulatory agencies, and professional organizations. For the
organizational level, leaders are made up of the chief executive officer, president, chief
financial officer, and chief operations officer. The middle level is the mesosystem, which
exemplifies an organization and major divisions within the healthcare organization. This
level is managed by nurse managers and directors. Lastly, the microsystem level
embodies a department within an organization. In relation to the healthcare
organization, patient care units consisting of patients, families, and patient care teams a
brought together in a collaborative approach to provide care. This level is where direct
services are managed.
Anticipating my future practice area, an issue or concern that may arise would be
dealing with types of interprofessional practice or nurse to physician relationship in a
complex adaptive system. Although my current hospital and clinic are very much
collaborative and use an integrative and interprofessional practice between nurses and
all other healthcare professionals, I did experience a hospital in which healthcare
providers modelled parallel practice. For instance, changes in primary care practices
prove that conversation between system and organizational members is significant in
the success of interventions to improve healthcare delivery (
Complex adaptive systems
Identify Innovate Demonstrate Encourage
, 2010). Relative to parallel practice, each
provider or consult at this hospital worked independently and did not collaborate with
each provider in the delivery of patient care. I found this method to not work well as it
separated each provider and there would be miscommunication and overlap of orders.
Additionally, nurses were becoming middlemen in relaying messages from one
physician, let’s say internal medicine to another specialist, cardiologist. As a result,
there were strains in the healthcare system and overall, in the microsystem level where
we are providing direct services to patients and patient families. To address this issue,
we can develop effective strategies for improvement, breaking the culture at this
hospital. Meetings and/or huddles with providers that would involve all aspects of the
team to unite and discuss the patient’s plan of care. Furthermore, there was a high
turnover rate for nurse managers in this telemetry unit. If we were to incorporate and
implement these strategies for improvement, the mesosystem level involving the nurse
managers and directors would also have positive outcomes, hopefully maintaining the
retention of staff. Introducing interprofessional collaboration to resolve this issue can
tackle problem areas of miscommunication. Similarly, the work environment would be
more open-minded, there would be shared decision making and mutual regard for all
healthcare professionals.
Alma,
Great example and an issue that can create not only possible complications or negative
patient outcomes but also general confusion for both patients and providers as well.
Unfortunately, the trend away from primary and towards specialized care introduces an
increased risk for communication breakdown in other areas as well as patients also
have numerous providers they are following with in the outpatient setting.
I believe that in parallel practice, the role of nurse is significantly important as a messenger
among physicians, specialists, and patients. From my experience, lack of communication
between physicians and specialists caused great confusion to not only patients but also me as a
nurse. There were often duplicated or missing orders, missed diagnosis, unnecessary tests, and
premature discharge. These led to failure in continuity care and patients’ safety. At that time, I
realized that it is very important to collaborate and communicate with each other among
healthcare providers. A nurse plays a key role between them in order to have the best outcome in
patient care.
Communication is very important component in healthcare systems.
Lack of communication among healthcare providers negatively results in patient’s outcome.
Miscommunication between physician and nurse often caused duplicated tests, failed in
the
shared goalhigh quality, cost-effective medical care.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help