Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”
- Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.
- Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.
- Initial Post: Minimum 200 words excluding references (approximately one (1) page)
- Response posts: Minimum 100 words excluding references.
peer discussion 1
My clinical practice project focuses on assessing and treating pain in patients in light of their culture, values, and needs. Ultimately, I am assessing how patients of differing cultures perceive and manage their pain. The concept for my project is in line with the QSEN competency of patient-centered care as I am seeking to ensure that each unique patient receives the best care possible, and specifically in the area of pain for this project. Patient-centered care can be defined as the identification and acknowledgement of patients as participants in their care; furthermore, it is respecting and complying to their individual values and beliefs when providing care (QSEN Institute, 2019). This is an essential component of care and that is why there are many organizations that align with it.
One of these organizations that I chose to work with is the Transcultural Nursing Society. This organization aims to ensure all nurses are well trained in transcultural nursing practices so that all nurses can meet the cultural needs of patients. This organization does many things to support their mission, including: setting standards for health care systems, publishing articles on culturally competent care in their journal called Journal of Transcultural Nursing, and assisting leadership in cultivating environments where culturally competent, exceptional, and safe care is provided for all people (Transcultural Nursing Society, 2019).
The Journal of Transcultural Nursing has countless articles on the varying subjects within nursing care and how different cultures play into them, including how differing cultures perceive and manage pain. Something that could be helpful to do further research on is if there are different interventions for managing pain that work better for certain cultures. For example, African Americans often rate their pain higher than others, are less likely to show signs of and report pain, and are less willing to use pain medications (Booker, 2016, p. 76). If more research was done to investigate the reasoning behind these inclinations and what treatment options they are willing to use, it can lead to a better understanding and education of nurses on how to care for this type of patient. African Americans are just one example, but this type of research could be applied to all different cultures which would result in a higher understanding and better practice for nurses.
A possible solution for this concept would be to create a questionnaire to assist nurses in more effectively assessing their patients of varying cultures so that they get an accurate picture of their pain and how to effectively manage that pain. It is the hope that this questionnaire would create a safe dialogue between nurse and patient so that trust is developed, safety is maintained, and pain does not go untreated.
There are many different types of cultures in the world so it is no surprise that there are many different cultures present in health care systems. This makes the QSEN competency of patient-centered care a bit more detailed as a patient’s culture can have a significant effect on their health care preferences (QSEN Institute, 2019). This applies to their perception and treatment of pain, which is the subject of discussion for this clinical practice project. It is the hope that with the use of existing research and the development of a questionnaire that nurses can be educated and knowledgeable about how to properly assess patients pain and effectively treat their pain all in a way that is respectful and conscious of their culture.
Booker, S. Q. (2016). African Americans’ perceptions of pain and pain management: A systematic review. Journal of Transcultural Nursing, 27 (1), 73-80. Doi: 10.1177/1043659614526250
QSEN Institute. (2019). Graduate QSEN competencies. Retrieved from http://qsen.org/competencies/graduate-ksas/
Transcultural Nursing Society. (2019). About us: Our story. Transcultural Nursing Society: Many Cultures One World. Retrieved from https://tcns.org/abouttcn
Peer discussion 2
CLINICAL PRACTICE PROJECT UPDATE
Going into this class I knew the Clinical Practice Project would take up a lot of my time. To be successful in my project I made sure to choose a topic that is important to me. In this week’s assignment I will introduce my Clinical Practice Project with its QSEN competency, discuss how the Federal Drug Administration supports my project, discuss areas in my project that need further research, and discuss the proposed solution to my project.
I work for CSL Plasma, the topic I selected for my Clinical Practice Project was donor adverse events during plasma donation. Adverse events are when a donor experiences one or more of the following; loss of consciousness, vomiting, allergic reaction, citrate reaction, cardiac event or large hematoma. My goal was to decrease the rates of donor adverse events with quality improvement as my QSEN competency. To accomplish quality improvement in my Clinical Practice Project I ran data reports to determine the outcomes of the current process used and then made improvements and changes to the process used; my goal was to continuously improve the quality and safety of plasma donors (QSEN Institute, 2019).
The Federal Drug Administration supports my project because they do the same thing; they strive to protect the public health by insuring the safety, effectiveness, quality and security of blood and blood products (FDA, 2019). The FDA works independently and with other agencies to monitor adverse events in the collection of blood and blood components and to develop and enforce quality standards to decrease the number of adverse events (FDA, 2019). For CSL to operate they must be FDA accredited, the FDA can show up at any time to audit CSL to make sure we are following the protocols set in place by them to ensure the safety of the donors.
Even though many risk factors have been identified that would put a donor at risk for an adverse event, the largest population at risk has yet to be identified (Thijsen, & Masser, 2015). Research is needed to identify precisely who is at risk of experiencing an adverse event; also, further research could be done on how to prevent adverse events and how to lower the negative effects adverse events have on donors if they occur (Thijsen, & Masser, 2015).
My proposed solution is to expand education for first time donors to lower their odds of experiencing an adverse reaction; donating plasma is relatively safe but it is sensible for someone to know how to avoid risks before becoming a donor. Also, to ensure accurate measurements are taken of the donor’s health to be sure it is safe for them to donate plasma.
I chose the topic of donor adverse events because in my field of work it is very important. To ensure the safety of plasma donors quality improvement needs to be a continuous process; we should always strive to improve the safety of plasma donors. The FDA helps us do this by setting guidelines and holding CSL to the highest standards. Further research can be done to ensure the safety of our donors. My proposed solution to lower donor adverse events is to provide donors with the education they need and to take accurate measurements of their health to ensure their safety.
Food and Drug Administration (FDA). (2019). What we do. Retrieved from https://www.fda.gov/
QSEN Institute. (2019). Graduate QSEN competencies. Retrieved from https://qsen.org/competencies/gr
Thijsen, A., Masser, B. (2017). Vasovagal reactions in blood donors: risks, prevention and management.
Transfusion Medicine, 29(1), 13-22. doi: 10.1111/tme.12488