There has never been a shift where nurses can say I did everything that I needed to do today. Nurses set very high standards for themselves because they know that the consequences of error can be catastrophic. Nurses also know what the standard of care is like in the area where they are working. The things that matter to nurses about where they work are positive relationships between staff, teamwork, autonomy and job satisfaction.
There are many procedures where patients are sedated. In many instances, patients are sedated when undergoing some form of endoscopy. But endoscopy is not the only type of procedure where a patient is sedated to decrease discomfort as well as improve the procedural conditions. Some patients have described the endoscopy process as uncomfortable and distressing.
Nursing quality improvement (QI) is hard. Improving your own and your team’s practice is hard. It takes a lot of effort to change things for the better. The resources that are required are immense.
There is not a day that goes by when a nurse is asked to advise about diet. In particular, about how much fat and sugar should we eat.
The call goes out. “I need someone to check medication with me.” Nurses are always looking for someone to check medication. But there has been little evidence that the practice of double check reduces drug errors.