Common challenges in health care settings


The complexities and challenges in the healthcare environment offer a substantial barrier to healthcare provision. I agree that most healthcare settings are not to the standard that promotes work spirit among nurses. The challenges are far much amplified in the emergency department that admits critically ill patients whose needs must be met in the quickest time possible. While limited resources have served to hamper the delivery of healthcare, most nurses have sacrificed to offer the best health services possible. I boast of the vast knowledge acquired throughout the course that will enable me to handle the numerous complexities and overwhelming challenges that are common in health care settings. Service delivery to the vulnerable population is far more satisfying than anything else to me. That accounts for the fact that the majority of my tasks will be based on an emergency department that deals with critically ill patients. The knowledge acquired from this course sharpened not only my practical skills but also the leadership aspect of nursing that is vital in addressing the management of pressure ulcers in the emergency department. Management of pressure ulcers in the Emergency room needs a vigorous approach in terms of patient identification, a comprehensive skin assessment, as well as a wound dressing. The knowledge acquired from this course is vital for my future career in handling pressure ulcer-related cases that occurs in the emergency room (Reid, Ayello and Alavi, 2016).

New practice approaches

Nursing practice has undergone gradual changes in terms of health service delivery. My objective has been to cope with the dynamic nature of nursing, to remain relevant to the modern ways of health care delivery. The emergency department, in particular, is one of the key departments that has experienced changes. With the emergence of modern technology and new skills, nursing is ever-changing. The primary goal for the changes is to offer the best health care services to patients. The modern nursing practice demands the application of evidence-based practice to provide patient-centered care. Numerous research practices have been designed to reveal new encounters in nursing. For example, cases of pressure sores are alarming in emergency rooms, which necessitate vigorous research on etiology. Also, researches are necessary to reveal the best method of managing patients with pressure sores in emergency departments. Among the milestones that I have witnessed in the field of nursing is the use of special dressings of wounds in the emergency departments.

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I am impressed specifically with the use of alginate dressing packs, which has the constituents of sodium and calcium- a component that speeds up the healing and remodeling process in ulcerated wounds. Alginate dressings are obtained from seaweed, a technology that has promoted health care delivery, especially to patients diagnosed with pressure wounds. Also, the current nursing practice requires the adoption of turn teams in health care facilities to assist in turning patients at risk of developing pressure sores. Cases of hospital-acquired pressure sores have been at an alarming rate. The move to adopt turn teams in health facilities has reduced the number of patients diagnosed with hospital-acquired pressure ulcers to a significantly low number. Patients at risk for developing hospital-acquired pressure wounds are identified with the help of registered nurses and clinicians. The identified patients are turned every two hours by health care providers on shift.

Inter-professional collaboration

The burdensome nature of health care deliveries necessitates combined efforts among nursing professionals. One single problem in a health care setting may require efforts from different groups of health professionals. The management of pressure ulcers in emergency rooms requires a multidisciplinary approach emanating from departments other than the ED. Failure to incorporate other professionals in managing pressure ulcers may slow down the implementation process and eventually results in poor patient outcomes. I have learned that collaboration among professionals goes beyond clinical practices. Educational context also forms a key aspect of inter-professional collaboration. I can admit that inter-professional collaboration is the best learning experience that I witnessed. All nurses operating in different health departments such as surgical, medical, outpatient, or maternity should understand that they cannot perform all the tasks in a health care setting alone. Collaboration is a basic approach to handling health care problems. The single emergency department depends on a multidisciplinary approach to managing various problems, such as pressure ulcers that sometimes remain undetected. Achieving optimal healthcare standards remains the priority for all health care settings, and such goals cannot be met without interdepartmental collaboration (Bos et al., 2016).

Health care delivery and clinical systems

An integrated health service delivery is a stepping stone to ensuring that patients receive health services of the highest standards. As a nurse, I have mastered that I am obliged to collaborate with other teams to ensure that patients receive high-quality health services.

Ethical considerations in healthcare

I can admit that nurses are struggling to cope with the pressure of code ethics that governs patient care. Seeking help from experts is vital when it comes to an understanding of the ethical principles that pertain to nursing care. In the ED, nursing required to express a high level of professionalism when it comes to handling patients. Doing no harm and ensuring patient safety is a priority. Patient assessment for the risk of pressure sores also follows ethical conduct. As a nurse, I have learned that knowledge of ethical practices and codes of conduct forms the fundamental basics in ensuring a good working environment.

Population health concerns

Patients admitted to the ED have been neglected on issues pertaining to the management of pressure wounds. Blames cannot be rested on health facilities and their caregivers since emergency departments are always overwhelmed with critical issues that are more serious than managing pressure sores (Magny et al., 2017).

The role of technology in improving health care outcomes

Technological advancement has dominated health care delivery over the past few years. Right from admission to a health facility, the technology applies until the patient is discharged.  The use of technology has improved patient outcome in terms of disease diagnosis and planning of appropriate care patients. In the emergency rooms, technology is employed in monitoring patients, such as vital signs and general progress of patients. The use of technology has improved the identification rate for pressure ulcers as well as patients at risk of developing pressure sores. As a nurse, I have learned that technology is important when it comes to patient management (Hernandez, 2019).

Health policy

Outlining the core goals in nursing is one way of driving nursing practice in the right direction. Without defined objectives, a nursing practice can seem disorganized and staggering. The vast experience adds to the competencies demanded in planning and executing nursing interventions geared to promoting health care qualities. In the facility I work on, there is a set vision that guides on the performance of the organization. All employees are reminded to work on a common vision. Evaluation of performance is carried out annually.

Leadership and economic models

Organizational relationship with employees is vital in ensuring the delivery of high-quality health services. As a nurse, I understand that the role played by good inter-disciplinary interactions within a health facility. In my line of practice, I wish to express a high standard of leadership skills by merging different departments with one clear goal, to promote patient outcome.

Health disparities

Nurses have the responsibility of ensuring equity and fair access to health services to all, free from all forms of discrimination. Emergency rooms, for instance, admitpatients of all ages but with a relative severity of health conditions. The cases of health disparities arise when one group of people is subject to better health care services compared to other groups. I have learned that assessing the level of access to health services to populations is very important when it comes to providing equitable health services. Health inequalities are dependent on a number of factors, such as geographical location, socioeconomic status, among others. Based on the experience, I have learned to deal with issues of health disparities that are common in the nursing profession.


Nursing practice is so dynamic to the extent that it needs the incorporation of learned knowledge and that acquired through experience. The management of pressure sores in the emergency rooms needs a new approach that combines caregivers and their institutions to have a common goal. The staffs need support with resources to handle cases of pressure ulcers within the ED. Technological advancements have proved effective during patient assessment within emergency rooms to identify those patients with an increased risk of getting pressure sores. Early detection is vital in the preventive episodes of pressure sores.


Reid, K., Ayello, E. A., &Alavi, A. (2016). Pressure ulcer prevention and treatment: use of prophylactic dressings. Chronic Wound Care Management and Research3, 117.

Hernandez, M. J. (2019). Pressure ulcer prevention: A quality improvement project (Doctoral dissertation, Bradley University).

Magny, E., Vallet, H., Cohen-Bittan, J., Raux, M., Meziere, A., Verny, M., … &Boddaert, J. (2017). Pressure ulcers are associated with 6-month mortality in elderly patients with hip fracture managed in orthogeriatric care pathway. Archives of osteoporosis12(1), 77.

Bos, B. S., Wangen, T. M., Elbing Jr, C. E., Rowekamp, D. J., Kruggel, H. A., Conlon, P. M., … & Grubbs, P. L. (2016). Pressure Ulcer Prevention: Where Practice and Education Meet. Journal for nurses in professional development32(2), 94-98.

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