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Nursing Problem Solving Strategies

The document discusses 3 problems identified in a nursing college and the steps taken to solve each problem. [1] The first problem was that the outpatient department turnaround time was over 2 hours. Surveys were conducted and time flows were analyzed to improve efficiency. [2] The second problem was lack of informed consent documentation. Staff were instructed on the importance of obtaining consent. [3] The third problem was improper maintenance of nursing care plans. Templates were created and staff were trained on documentation.
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100% found this document useful (1 vote)
92 views6 pages

Nursing Problem Solving Strategies

The document discusses 3 problems identified in a nursing college and the steps taken to solve each problem. [1] The first problem was that the outpatient department turnaround time was over 2 hours. Surveys were conducted and time flows were analyzed to improve efficiency. [2] The second problem was lack of informed consent documentation. Staff were instructed on the importance of obtaining consent. [3] The third problem was improper maintenance of nursing care plans. Templates were created and staff were trained on documentation.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

M.M.

COLLEGE OF NURSING
MULLANA (AMBALA)

ASSIGNMENT

ON

PROBLEM SOLVING

SUBMITTED TO: SUBMITTED BY:


Mrs. Adiba Siddiqui Ms. Himani
Professor & H.O.D. M.S.c. (N) 2nd year
OBG Deptt. 1920711

SUBMITTED ON:
08-07-2022
The nature of nursing is complex and efforts to define it are still continuing. Virginia
Henderson (1961) viewed nursing as assisting the individual sick or well in the performance
of those activities contributing to health or its recovery (or to peaceful death) that hes/he
would perform unaided if s/he had the necessary strength, will or knowledge. Nursing is
concerned with the psychological social spiritual and physical aspects of the person rather
than only the clients diagnosed medical condition. Focus of nursing is on the needs, patterns,
responses, strengths or deficits of the whole person interacting with the environment. Nursing
is assisting the client (individual person, family, groups or community) solve his/her health
problems. Problems are the unmet basic needs, barriers in normal human responses, health
status or self care deficits. These may be the actual or potential threats to enjoying sense of
well being.
Problem-solving skill means acquiring knowledge to reach a solution, and a person's
ability to use this knowledge to find a solution requires critical thinking. The promotion of
these skills is considered a necessary condition for nurses' performance in the nursing
profession.
The nursing process functions as a systematic guide to client-centered care with 5 sequential
steps. These are assessment, diagnosis, planning, implementation, and evaluation.
Strategies for Problem Solving
Nursing students will be expected to have or develop strong problem-solving skills. Problem
solving is centered is ability to identify critical issues and create or identify solutions. Well-
developed problem solving skills is a characteristic of a successful student. Remember,
problems are a part of everyday life and your ability to resolve problems will have a positive
influence on future.
6 Steps of Problem Solving
Step 1: Identify and Define the Problem
It is not difficult to overlook the true problem in a situation and focus your attention on issues
that are not relevant. This is why it is important that you look at the problem from different
perspectives. This provides a broad view of the situation that allows to weed out factors that
are not important and identify the root cause of the problem.
Step 2: Analyze the Problem
Break down the problem to get an understanding of the problem. Determine how the problem
developed. Determine the impact of the problem.
Step 3: Develop Solutions
Brainstorm and list all possible solutions that focus on resolving the identified problem. Do
not eliminate any possible solutions at this stage.
Step 4: Analyze and Select the Best Solution
List the advantages and disadvantages of each solution before deciding on a course of action.
Review the advantages and disadvantages of each possible solution. Determine how the
solution will resolve the problem. What are the short-term and long-term disadvantages of
each solution. What are the possible short-term and long-term benefits of each solution.
Which solution will help to meet goals.
Step 5: Implement the Solution
Create a plan of action. Decide how will move forward with decision by determining the
steps must take to ensure that move forward with solution. Now, execute plan of action.
Step 6: Evaluate the Solution
Monitor decision. Assess the results of the solution. Are you satisfied with the results? Did
your solution resolve the problem? Did it produce a new problem? Do you have to modify
your solution to achieve better results? Are you closer to achieving your goal? What have you
learned?
Problem Identified 1: Turn out time of opd was above 2hours
Steps Of The Problem Solving Step Carried Out

1. Identifying The Problem  Turn Out Time of OPD was above


2hours

2. Problem Analysis  Loss of patients right.

3. Alternative Solutions  Inform to nurse manager and


Business Head.
 Survey Conduction of OPD Timing.

4. Selecting Best Solution  Turn Out Time of OPD timing was


calculated

5. Testing Best Solution  Discuss the solution with Business


Head

6. Formulation of Final Solution  Highlighted the important points


regarding documentation.

7. Implementation of Solution  Survey research of time Flow Process


was conducted for one week.

8. Evaluation  Every Department of OPD is taking


care of maintaing time in OPD.
PROBLEM IDENTIFIED 2 : Informed consent was not taken

1. IDENTIFYING THE PROBLEM • Informed consent was not taken


before admission in OT.

2. PROBLEM ANALYSIS • Unethical behavior


• Loss of patient’s right

3. ALTERNATIVE SOLUTIONS • Inform to Nurse Manager


• Instructing every single staff about
importance of informed consent

4. SELECTING BEST SOLUTION • Instructing every single staff about


importance of informed consent

5. TESTING BEST SOLUTION • Discuss the solution with peer group

6. FORMULATION OF FINAL • Highlighted the important points


SOLUTION

7. IMPLEMENTATION OF • Every staff is instructed about the


SOLUTION importance of informed consent at
bed side

8. EVALUATION • Every staff is taking care of getting


informed consent by physician before
the procedure.
PROBLEM IDENTIFIED 3 : NURSING CARE PLAN

1. IDENTIFYING THE PROBLEM • Nursing Care Plan was not


mainatined properly

2. PROBLEM ANALYSIS • Unethical behavior


• Loss of Documentation

3. ALTERNATIVE SOLUTIONS • Inform to Nurse Manager


• Instructing every single staff about
importance of Nursing Care Plan.
• Making Templates

4. SELECTING BEST SOLUTION • Maintaining Templates in Life Trenz


system

5. TESTING BEST SOLUTION • Discuss the solution with peer group

6. FORMULATION OF FINAL • Highlighted the important points


SOLUTION regarding Documentation

7. IMPLEMENTATION OF • Every staff is instructed about the


SOLUTION importance of Documentation
regarding nursing care plan.

8. EVALUATION • Every staff is taking care of maintaing


nursing care plan procedure.

Common questions

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The failure to obtain informed consent before admission to the OT presents ethical challenges such as unethical behavior and violation of patient rights. Solutions proposed include informing the Nurse Manager, instructing staff about the importance of informed consent, selecting the best solution by emphasizing this instruction, and implementing this solution by ensuring all staff adhere to this protocol before procedures.

The sequential steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation. They function together as a systematic guide to client-centered care by enabling nurses to gather and analyze client information, develop a care plan, implement strategies for care, and evaluate the outcomes to ensure effective care delivery.

The evaluation step contributes to achieving better results by assessing the effectiveness of the implemented solution, identifying any new issues, and refining strategies for improvement. In the OPD timing case, evaluation involved ensuring that every department maintains time effectively, reflecting on the outcomes of surveys and documentation to maintain improvement and adapt strategies as necessary for continued efficiency.

Documentation plays a crucial role in nursing care by ensuring that care plans are appropriately maintained and ethical standards are met. To improve documentation, the steps taken included instructing staff on the importance of nursing care plans, developing templates within the Life Trenz system for consistency, and evaluating staff adherence to these protocols.

The systematic six-step problem-solving process enhances critical thinking and solution-finding in nursing by breaking down problems into manageable segments. It helps identify the root causes, encourages brainstorming of multiple solutions, enables thoughtful evaluation of solutions, and emphasizes monitoring and refining solutions to improve outcomes. This structured approach ensures thorough analysis and effective solution implementation.

In selecting the best solution in a nursing scenario, potential short-term benefits may include immediate resolution of the issue and improvement in patient experience. Long-term benefits might involve sustained improvement in processes, increased patient safety, and enhancement of the healthcare facility’s reputation. These factors help in achieving goals effectively and maintaining high standards of care.

Maintaining templates in the Life Trenz system was chosen as the best solution for the nursing care plan problem because it provides a structured method for ensuring consistent documentation. This solution helps to address the issue of unethical behavior and documentation loss, as it offers a standardized approach that staff can reliably follow.

Strong problem-solving skills impact nursing students by allowing them to identify critical issues, develop effective solutions, and implement these solutions successfully. This ability is crucial for nurses to address and resolve everyday challenges, ultimately enhancing their future performance in the nursing profession by promoting better decision-making and client care.

The document illustrates the application of problem-solving steps for addressing the extended OPD turn out time by identifying the problem, analyzing its impact on patient rights, developing solutions such as informing management and conducting surveys, selecting the best solution, and testing it through discussions. It further involves implementing the solution by researching time flow processes and evaluating the results by ensuring all departments maintain time effectively.

Virginia Henderson's definition of nursing emphasizes a comprehensive approach to care by stating that nursing is concerned with not just the medical condition of clients but also psychological, social, spiritual, and physical aspects. It involves assisting individuals, whether they are sick or well, to perform activities contributing to health, recovery, or peaceful death, which they would do unaided if they had the necessary strength, will, or knowledge.

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