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Systems-Based Practice in Nursing

Introduction

In nursing, systems-based practice is an important method that reflects patient care from a wider perception, taking into account the bigger setting and system of healthcare (Castillo et al., 2020). This essay aims to study numerous aspects of systems-based nursing practice, including cost awareness, risk-benefit analysis, patient care quality advocacy, inter-professional teamwork, system error identification, and the development and implementation of systems solutions. By addressing the questions of how to enhance patient care, increase the healthcare system, and identify and prioritize changes, this paper will underscore the implication of systems thinking in delivering optimum healthcare.

Cost Awareness

Cost awareness is a crucial constituent of Systems-Based Practice in nursing, allowing practitioners to make knowledgeable decisions that boost patient care while deliberating financial effects. Nurses must measure the costs of numerous treatments, diagnostic procedures, and healthcare resources. This comprises comprehending the financial effect of different interventions and harmonizing it with possible patient gains. Nurses should also converse these cost considerations to patients in an understandable manner, enabling them to participate in their care decisions actively. Nurses donate to cost-effective and effective healthcare delivery by integrating cost awareness into patient care without compromising patient results.

Additionally, cost awareness stimulates nurses to promote quality patient care and optimum healthcare systems. They must actively uncover ways to avert costs through alternative treatment methods, management of out-of-pocket costs, and using available resources. By being cost-aware and actively contributing to system enhancement, nurses can play an important role in nurturing high-quality patient care and driving constructive change in the healthcare industry.

Risk-Benefit Analysis

The risk-benefit analysis is a vital aspect of Systems-Based Practice in nursing, demanding an in-depth comprehension and assessment of the possible risks and benefits linked with numerous patient care interventions. To show proficiency in this sub-competency, a nurse must thoroughly evaluate the risks and benefits of each procedure, treatment plan, and care goal (Zanotti et al., 2019). This involves considering the patient’s unique features, medical history, and preferences. Effectively communicating these conclusions to patients is similarly important, sanctioning them to participate in their care decisions vigorously. A skilled nurse performs a comprehensive risk-benefit analysis to guarantee patient safety and enhance treatment results. By integrating risk-benefit analysis into their practice, nurses can offer patient-centered care that aligns with personal patient requirements and preferences while considering the possible harm and benefits of different interventions.

Patient Care Quality Advocacy

Patient care quality advocacy is an important aspect of Systems-Based Practice in nursing, directed at upholding patient safety and guaranteeing the delivery of high-quality care. Patient advocacy incorporates numerous dimensions, including protecting patients’ rights, being their voice, giving quality care, nurturing interpersonal relationships, and sanctioning patients through education. Nurses are key in supporting patients’ welfare and protecting their interests. Comprehension and portraying patient advocacy is important for nurses as it impacts their actions and decisions in the clinical setting. Patient advocacy comprises acting on behalf of patients, protecting their independence, and championing social justice in healthcare provision. It spreads beyond just giving good care and encompasses empowering patients to advocate for themselves. Successful patient backing is enabled by efficient communication, solid nurse-patient relationships, and the readiness to confront traditional healthcare power structures. It improves patient safety, expands the quality of care, and defends patients from possible harm. Nurses, from their close and lengthy interactions with patients, are well-positioned to support them. However, nurses may face challenges in advocacy, such as multifaceted situations and fear of job loss.

Inter-professional Teamwork

Inter-professional teamwork is a vibrant and cooperative process comprising multiple healthcare professionals with varied backgrounds and expertise, and it is a crucial component in Systems-Based Practice. These professionals work together toward mutual health goals, uniting their efforts to evaluate, plan, and assess patient care (Plack et al., 2019). The significance of inter-professional teamwork has grown meaningfully due to the complex nature of healthcare organizations, the specialty of healthcare professions, and the growing intricacy of patient requirements. Effective inter-professional teamwork is important in enhancing patient care cooperation, reducing redundant work, and improving patient safety and the quality of care given. Moreover, it nurtures a positive work environment, increasing employee well-being and job satisfaction. Identifying the value of inter-professional collaboration is important for enhancing patient results and upholding a harmonious and effective healthcare system. By leveraging various healthcare professionals’ unique skills and perspectives, inter-professional teamwork contributes to comprehensive and patient-centered care delivery.

System Error Identification

System error identification is vital to Systems-Based Practice (SBP) in nursing and medicine. It comprises identifying and understanding the flaws or weaknesses within the healthcare system that can result in errors and compromise patient safety. Nurses should be watchful in recognizing system failures and successes and comprehending their influence on patient results (Shahmoradi et al., 2021). By actively participating in error identification, healthcare professionals can contribute to a constant enhancement culture, where lessons learned from mistakes are utilized to implement needed changes and improve patient care. SBP inspires a practical method to address system errors, proposing minimizing harmful events and expanding healthcare delivery’s general quality and safety.

Developing and Implementing Systems Solutions

Developing and implementing systems solutions is an important aspect of Systems-Based Practice (SBP) in nursing. It entails enthusiastically addressing system errors and inadequacies recognized during patient care. Healthcare professionals must cooperate to advance efficient approaches and interventions that can improve care delivery and patient results. By implementing an active method, healthcare teams can recognize areas requiring enhancement and work collectively to implement evidence-based solutions. This may include reorganizing workflows, revising protocols, integrating new technologies, and boosting communication among team members. Developing these solutions needs input from all pertinent stakeholders, including physicians, nurses, administrators, and patients. Once possible solutions are recognized, careful consideration is given to prioritizing the changes. This process involves assessing the possible influence of each solution on patient safety, care quality, and healthcare efficiency.

Questions to Consider

How can to improve the care for patients?

To enhance patient care, nurses can emphasize numerous aspects, comprising constant education to stay informed with evidence-based practices, participating in reflective practice to recognize areas for improvement, and actively looking for patient feedback to address personal needs and preferences. Additionally, nurturing a patient-centered method and encouraging open communication within the healthcare team can improve patient care experiences.

How can to improve the system of care?

Improving the system of care needs a collaborative effort among healthcare professionals. This entails recognizing system errors and inadequacies, promoting policy changes, and involving quality improvement initiatives. Enhancing interprofessional teamwork and promoting a safety culture is vital in improving the healthcare system.

 How would you identify and prioritize change?

To identify and prioritize change, healthcare teams must conduct thorough assessments of the healthcare system, gather data on patient outcomes, and seek feedback from patients and colleagues. Each change’s potential impact and feasibility are carefully evaluated to ensure that the most effective and achievable solutions are implemented first.

Conclusion

Systems-Based Practice (SBP) in nursing and medicine is an essential method that considers the wider context of patient care and healthcare systems. Stressing cost awareness, risk-benefit analysis, patient care quality advocacy, interprofessional teamwork, system error identification, and developing and implementing systems solutions, SBP endorses optimal patient results and safety. By actively involved in these aspects of SBP, and healthcare professionals can steer positive change, improve patient care, and underwrite to a more effective and patient-centered healthcare system. Adopting the principles of SBP is crucial in nurturing continuous improvement and maintaining high standards of nursing practice.

References

Castillo, E. G., Isom, J., DeBonis, K. L., Jordan, A., Braslow, J. T., & Rohrbaugh, R. (2020). Reconsidering Systems-Based Practice: Advancing Structural Competency, Health Equity, and Social Responsibility in Graduate Medical Education. Academic medicine: journal of the Association of American Medical Colleges95(12), 1817–1822. https://doi.org/10.1097/ACM.0000000000003559

Plack, P. T., Margaret, M., & Scott, R. (2019). Systems thinking in the healthcare professions: A guide for educators and clinicians.

Shahmoradi, L., Safdari, R., Ahmadi, H., & Zahmatkeshan, M. (2021). Clinical decision support systems-based interventions to improve medication outcomes: A systematic literature review on features and effects. Medical Journal of the Islamic Republic of Iran35, 27. https://doi.org/10.47176/mjiri.35.27

Zanotti, K., Somasegar, S., Hooper, M. W., & Hopp, E. (2019). Improving value-based care education in a fellowship by incorporating ACGME competencies. Journal of Graduate Medical Education11(6), 668-673. https://doi.org/10.4300/JGME-D-19-00311.1

 

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