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Related Concept Videos

Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Obedience01:08

Obedience

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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Errors occurring during blood pressure monitoring01:25

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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
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Current Trends in Nursing II01:30

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Nurses' Legal Responsibilities II01:23

Nurses' Legal Responsibilities II

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Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
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Related Experiment Video

Updated: Mar 6, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Operational Failures Detected by Frontline Acute Care Nurses.

Kathleen R Stevens1, Eileen P Engh2, Heather Tubbs-Cooley3

  • 1Professor and Director, Improvement Science Research Network, MC 7949, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78229-3900.

Research in Nursing & Health
|March 16, 2017
PubMed
Summary
This summary is machine-generated.

Frontline nurses frequently encounter operational failures (OFs), system breakdowns hindering patient care. This study found nurses are key to identifying these failures, offering valuable insights for improving hospital reliability and patient safety.

Keywords:
medical-surgical nursingoperational failuresorganizational learningpatient safetyprocess improvementquality improvement

Related Experiment Videos

Last Updated: Mar 6, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Nursing Practice

Background:

  • Operational failures (OFs) are system process breakdowns impacting patient care quality and safety.
  • Nurses, as frontline providers, are uniquely positioned to identify OFs but have been underutilized in previous research.
  • Understanding nurses' direct experiences with OFs is crucial for enhancing healthcare system reliability.

Purpose of the Study:

  • To describe the rate and categories of operational failures (OFs) detected by frontline nurses during direct patient care.
  • To investigate nurses' experiences with system failures that impede their ability to deliver safe and effective care.
  • To highlight the potential of frontline nurses' observations for improving organizational reliability.

Main Methods:

  • A multi-site study involving 774 nurses across 67 medical-surgical units in 23 hospitals.
  • Nurses systematically recorded data on encountered OFs during 10 work shifts over a 20-day period.
  • Analysis of 27,298 reported OFs to determine rates and categories.

Main Results:

  • Nurses reported a high rate of 6.07 OFs per shift.
  • The most frequent OF category was Equipment/Supplies; the least frequent was Physical Unit/Layout.
  • No significant differences in OF rates were found based on hospital size, teaching status, or unit type.

Conclusions:

  • Operational failures are frequent and diverse across hospital system processes.
  • Frontline nurses can provide organizations with critical, real-time information on system operations.
  • Leveraging nurses' detection of OFs can significantly improve organizational reliability and patient safety.