Leeman & Sandelowski (2012) discuss multiple methodologies for use in qualitative research that contribute to increasing the body of practice-based evidence. Select one methodology discussed in the article and compose a PICOT question from the work environment that an advanced practice nurse could amend to the selected methodology for qualitative inquiry Propose one strategy related to how to disseminate the evidence to this PICOT question
Conclusion In nursing, critical thinking is the ability to think in a systematic and logical manner, solve problems, make decisions, and establish priorities in the clinical setting. Nurses need to develop critical thinking skills to make sound clinical judgments and to provide safe, competent patient care. Nursing requires constant decision making. What should I do first? What is the most important thing to do at this time? Prioritizing nursing actions involves recalling important nursing information as well as using complex problem-solving skills to make decisions in order to provide safe and effective patient care. Other tips for nurses at the bedside to improve safety include practicing mindfully, communicating clearly, reporting unsafe conditions and errors, responding to error justly, and recognizing personal limitations (Hershey, 2015).
All of us want to believe that we will never be involved in an error that harms a patient. But as is evident, errors that result in patient harm do occur. This creates what has become known as the second victim, a term coined by Wu (2000) to describe the pain and suffering experienced after making a healthcare error. A nonjudgmental, supportive, and compassionate environment is recommended with the use of such responses as “This must be difficult, are you okay?” or “Can we talk about it?” or “You are a good nurse working in a complex environment” (Hershey, 2015, p. 149). Creating a defensive environment does not allow the nurse at the sharp end of care to contribute to the safety process and therefore does nothing to increase patient safety. Thus, “responding to second victims with openness and compassion is not only the right thing to do, it is also the safe thing to do” (Hershey, 2015, p. 149).
CASE STUDY 4-1 ▪ JIM FULLER
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