Debriefing After Codes

Running head: REFLECTION.

Reflection

Student’s Name

Institutional Affiliation

REFLECTION. 2

Reflection

The care of patient encompasses various issues and processes that allow the process to be

smooth and safe to the patient’s consumption. In the process of care, various incidences occur

which in one way or the other may lead breach the safety of the care user. The nursing leadership

has a role in the correction of the incidences as well as providing an avenue for the development

of knowledge among the staffs to pave the way for quality care. This adjustment can be achieved

via debriefing after codes which provide an opportunity to analyze events and teach each other

(Copeland & Liska, 2016). This article dwells on the debriefing after codes as well as other

emerging issues within the gynecological hospital cancer center which is my area of practice.

Debriefing after a critical event refers to a conversation between two or more people

within a setting with various aims including reducing stress and its effects that are associated

with the occurrence and improving the team’s performance in the case such an event reoccurs in

future to make the patient care and outcome better. Besides, the debriefing after codes allows

discussion of various actions and encourage reflection of the various processes that traversed

during the incident. The implementation of debriefing after codes within our unit is essential in

providing a platform for the review and betterment of the entire team's performance which is

crucial in improving the quality of care as well as the patient outcomes.

Debriefing after a critical event is a practice that is not only beneficial to the patient but

also to the entire working force within a care unit as in our case (Copeland & Liska, 2016).

These advantages are manifested through various aspects that the act demonstrates as well as

deals within the process of its practice. The various elements that are usually encountered within

healthcare centers and are displayed by implementing debriefing encompasses: New practice

approaches, intra-professional collaboration, health care delivery and clinical systems, ethical

REFLECTION. 3

considerations in health care, population health concerns, the role of technology in improving

healthcare outcomes, health policy, Leadership and economic models, Health disparities. All the

above issues within our setting marked a change within our department which will be the center

of focus in this journal.

New practice approaches

The gynecological hospital cancer unit which forms my area of practice is mandated with

the task of providing various services to cancer patients. The services range from cancer

screening, treatment as well as palliative care for those in their final stages of the condition. For a

reasonable period, the nurses in the unit engage in service provision to patients especially those

in advanced stages of cancer up to the period of peaceful death. Due to the chronic nature of the

condition, the service provision within the setting is ever stressful both to the family members

and the nurses who are ever catering to the needs of the patient. In the case of code events, the

attachment between the patient and the staffs as well as the family members is lost.

In countering the impacts of the working condition together with its outcomes, the

introduction of debriefing after codes acts as a new approach to the facility in promoting its

services. This new approach will see the nurses, as well as other healthcare, provide creating a

platform where the code vents can be discussed (Blankenship et al., 2016). In the long haul, an

opportunity to assess and correct mistake is provided, and this can mark a period of change for

the unit. Besides, it is of certainty that through debriefing after codes, other new approaches to

care can be introduced since everyone is given opportunity to contribute during the session.

Intra-professional collaboration

The association occurs within one or more disciplines within the same profession. In the

process, togetherness among the staff members is promoted (McDougall et al., 2016). The

REFLECTION. 4

collaboration within our unit targeted the registered nurses, registered practical nurses and nurse

practitioners with the aim of having a condusive environment. The implementation of debriefing

processes will in a manner promote the intra-professional collaboration as the various nursing

professional will come together and discuss the situation at hand. It is from such partnership that

unity and cooperation intensify within the unit.

Health care delivery and clinical systems

For the care users within the gynecological unit to enjoy optimal health, they have to

benefit from the high quality and safe care provided by the healthcare providers. The various

systems that are utilized within the facility have been essential for the delivery of care. The

provision of a range of services concerning cancer diagnosis as well as management has seen the

public benefitting from easy access to cancer services. It is also critical to note that the facility

has been applying the report and recommendation of the Institution of Medicine. This move has

seen intervention geared towards outreaches to the public hence reducing the burden of cancer

through preventive and promotive measures. The delivery systems within the unit have been

further enhanced by the debriefing processes which usually act as teaching avenues for new

methods and strategies for care provision.

Ethical considerations in health care

In most cases, the decisions that are made within the care units entail ethical implications

which affect the patients, the healthcare providers as well as the healthcare leaders. Some of the

ethical issues that have been evident within our facility entail admission of patients, reporting of

colleagues in case of incidences or misconduct and respecting of religious beliefs of both patients

and other staff members. Through continuous training and debriefing, the promotion of ethical

practices has led to the development of better healthcare provision that is of standard value.

REFLECTION. 5

Population health concerns

Having worked in the cancer unit for a reasonable period, it is apparent that the

population that is served by the hospital has a significant burden for the various types of cancer.

Through the debriefing and the continuous medical education programs, it turns to be apparent

that the population has lifestyle modification as a health concern. This indicator is critical in the

formulation of intervention strategy. Other public health concerns were alcohol use and tobacco

use which were essential contributing factors to the development of the cancerous conditions

(Brownson et al., 2017).

The role of technology in improving healthcare outcomes

With the revolution which has been occurring in the health sector, technology has taken

center stage of developing the care of patients. By introduction of health informatics within our

unit, the sharing of information, administration of drugs as well as follow up of patients have

been enhanced. The electronic health record system has improved the storage and retrieval of

data (Payne, Embi, & Sen, 2015). Besides, the technology has been essential in care of the

critically ill patients especially in the management of the terminal conditions. The use of drug

pumps, cardiac monitors, ventilators, CT scan machines, MRI, and radiotherapy equipment have

all enhanced the care provided to cancer patients. In the long haul, improvements in the patient

outcome have been enhanced.

Health policy

As a nurse, there is belief in the health care policy which is guiding our practices as well

as the health of the public. Nurses ventures into the health policy arena through means of health

policy advocacy, analysis and research, the development of the desired policy, implementation

and the evaluation of the outcome against the set standards (Blank, Burau & Kuhlmann, 2017).

REFLECTION. 6

During the debriefing sessions and the departmental meetings, it emerged that some of the issues

within the unit are policy related. This determination was associated with the emerging

incidences of cancer conditions and the overall dieting of the population. The high incidence and

prevalence rate of lung cancer made the staff members think of inability of the smoke-free

policies in the provision of cleaner air for the residents. At the same time, other issues such

aggressive marketing of unhealthy foods such high calorie and low nutritious food led to the

feeling of policy deficit in regulation of the sales by the co-operate marketing agencies.

Leadership and economic models

Nursing leadership is critical to ensuring that the care provision is kept up to date and set

standards. The facilitation that the nurse leaders provided during the processes of debriefing after

code events provide the opportunity to educate and provide appropriate guidance to keep the

entire team moving and improve the quality of care. In countering some of the problems that the

department experiences, the various economic models employed by the nursing leadership

included recruiting the right person to do the right jobs, prioritization of the needs of both

patients and staffs considering them equal and recruiting more staff especially when the demand

is high to reduce burnout (Vemer et al., 2016). For proper leadership within the nursing

profession, the nursing leadership ought to involve the nursing staff in the various processes that

they opt to undertake thus promote unity of purpose and authority.

Health disparities

Within the gynecological unit, various individuals receive care without specific

inequality as everyone is treated with equity and respect that they deserve. However, the

population being handled indicates a range of health disparities within the population. The

various factors that characterize these populations entail the socioeconomic position, gender,

REFLECTION. 7

race, geographical location and sexual orientation. Some specific cancer disparities entail the less

frequent use of proven screening tools, high cancer death rates as well as the high rates of

advanced cancer determination (Braun et al., 2015). These disparities act as an alert to the entire

nursing team towards impacting each of them. At the same time, there is need to consider

individuals as unique and providing them with care according to their needs as this allows caring

for the disparities.

Conclusion

It is essential for the analysis of the care situation within various settings to allow

improvement in safety and quality of care being provided to the patients. This move can be

achieved not only by the nursing leadership but also the nursing staff which is key members in

the implementation of various care strategies. Debriefing after critical events is a vital process

that allows the discussion of various issues about the care provided to the patient. The process

allows for the analysis of various events and enables teaching of the healthcare team hence

leading to improvement in the care of patients especially when a similar event reoccurs.

REFLECTION. 8

References

Blank, R., Burau, V., & Kuhlmann, E. (2017). Comparative health policy. Springer.

Braun, K. L., Stewart, S., Baquet, C., Berry-Bobovski, L., Blumenthal, D., Brandt, H. M., ... &

Espinoza, P. (2015). The National Cancer Institute’s Community Networks Program

Initiative to reduce cancer health disparities: Outcomes and lessons learned. Progress in

community health partnerships: research, education, and action, 9, 21.

Copeland, D., & Liska, H. (2016). Implementation of a post-code pause: extending post-event

debriefing to include silence. Journal of Trauma Nursing, 23(2), 58-64.

McDougall, A., Goldszmidt, M., Kinsella, E. A., Smith, S., & Lingard, L. (2016). Collaboration

and entanglement: An actor-network theory analysis of team-based intraprofessional care

for patients with advanced heart failure. Social Science & Medicine, 164, 108-117.

Payne, P. R., Embi, P. J., & Sen, C. K. (2015). Translational Informatics.

Vemer, P., Ramos, I. C., Van Voorn, G. A. K., Al, M. J., & Feenstra, T. L. (2016). AdViSHE: a

validation-assessment tool of health-economic models for decision makers and model

users. Pharmacoeconomics, 34(4), 349-361.

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