K.S.: Thank you for giving me this opportunity. My practice is majorly focused on geriatric care. An issue with geriatric care is a single patient with multiple health conditions. Such multimorbid conditions impair the sensory and cognitive functions of the elderly patients we care for. Evidence shows that such multimorbid conditions affecting the sensory and cognitive functions of the elderly are responsible for multiple safety issues in geriatric care, including falls, fractures, lacerations, bedsores, and medication errors (Huh & Shin, 2021). To counter these safety issues, we are developing a safety program focused on improving the safety of geriatric patients under nursing care. The program includes education of nurses on caring for frail elderly patients, installing monitoring gadgets, and walking assist rails. The costs of this program will include costs related to educating the nurses on safe geriatric care, purchase of the monitoring gadgets and guard rails, and installation of the monitoring gadgets and guard rails at the geriatric ward. This program is expected to reduce the number of falls and related safety issues, including fractures. This will improve the experiences of the nurses and elderly patients as well as injury-related increases in the length of stay.
K.S.: The safety program targets geriatric elderly patients at risk of falls and geriatric care nurses.
K.S.: Nurses have firsthand experience with safety issues within geriatric care. Nurses are uniquely qualified to inform health policies and program planning due to their educational qualifications, rich communication skills, leadership role in healthcare, association with healthcare business, and nature of practice settings (Milstead & Short, 2019). Their proximity to the patient makes nurses the source of the most valuable insights that can help design the program. For instance, Betty. T. is a geriatric nurse who has been in service at the geriatric ward for the last 13 years. She has enough experience with all safety issues that occur. She can point out the at-risk patients and help design the safety measures based on the observed individual patient behaviours and preferences. Another example is that all of the nurses in the unit understand the needs of each patient and can help implement the program in a more targeted way for each patient to help avoid instances of trial and error, which can be costly.
K.S.: As per the American Nurses Association (ANA) (n.d.), advocacy, whether legislative or political, is at the core of nursing. The advocacy role in nursing is not about positions or titles but is a part of being a nurse. As the nurse leader and an advocate for nurses’ inclusion in the design, development, and implementation of the patient safety program for geriatric patients, I want to ensure that the program is patient- and person-centered with regards to the elderly patients’ and geriatric nurses’ preferences. I have a role in pushing for the inclusion of the nurses in the program as they can effectively voice the needs of the patients, their concerns, and their preferences with regard to the program. I have input into the design decisions as I am a nurse and have a better understanding of the state of geriatric patient safety and the current needs of each patient. I believe I can further influence the program’s design by encouraging other nurses to provide input in the safety program’s development.
K.S.: The roles in healthcare program implementation include translating the program from theory to practice. As they are in direct contact with the patients, nurses also report on the response of the patients to the program. They also play the role of educating the patients on the program and what it entails. And most importantly, nurses manage organizational change when implementing new practices (Ham-Baloyi, 2022). Their role, however, varies between the design and implementation of healthcare programs. For example, during the program’s design, their role is to inform the program’s design to ensure it aligns with the patient’s need