One barrier that embodies multiple categories of barriers is a circumstance where the loved ones of a vegetative patient are requesting all measures to be taken despite very low odds. Financially, these desperate measures are commanding a vast amount of resources that boost costs not only for the hospital but for the family as well. Legally, the healthcare professionals are required to respect the patient’s wishes and if they wish to remain attached to expensive machines, the healthcare professional must adhere to those desires. Another ethical and legal barrier for families is knowing when to pull the plug and when to wait for a miracle. Letting go of a family member is an excruciating task to ask of anyone; however, if a patient requests to not be hooked up to life preserving machines or requests to have a DNR code status, the family must legally respect those wishes although it may not seem ethical to them.
Trust relationship is a kind of interactive process that requires care and concern (Chin, 2001). In this incident, if I told any incorrect information to my patient, she would start to suspect whether I am a medical student or not and start not to believe me. Hence, our relationship would be destroyed. It is important for us to stand from patients’ point of view to think about their thought and ensure the information shared must be accurate before starting any conversation with the
Over the years I have learned to participate without feeling the need to dominate the situation. I have also learned to trust others to contribute to group work and do their part. Throughout this facilitation process I felt an unusual sense of powerlessness, a lack of control over both the content, as well as the presentation and I often felt as though I wasn’t heard, or that my opinion didn’t matter. There was too much noise and confusion with other members desperately needing to control things. However, upon reflecting on this facilitation process I have come to realize that at the bedside in nursing I will be interacting with some very strong personalities, in particular frightened and frustrated patients and family members.
In may ways, some of my greatest strengths are my greatest weaknesses. I struggle with delegation, I do too much care taking of feelings and may not delegate sufficiently or push hard enough for results. Most importantly, I dislike disappointing others and I agree to do too much. This leaves me over tasked, and I am not sufficiently organized to manage it well because I struggle to delegate. While it is critical to my professional success to identify my key strengths and weaknesses with the intent to enhancement the positive and mitigate the negatives I think it's important for me to define what I want to do, in health care, before I can assess how best to tailor my action
A registered nurse saves a life almost daily. I love helping people and if I hold the degree of a RN I could do just that. I have always wanted to know what it was like to be in the field around so many different people and different cultures concerned about the lives of others more than I am are concerned about my own. I wonder what it is like working long shifts with people that have had a bad day, and will I be able to conduct myself in a way that does not affect my job. The first place that I looked
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective.
Technology is a self-perpetuating as well as a seductive force that requires specialist care by those who use it. For example, the configuration of the devices that are directly linked to the patient may be risky to the nurses especially if the technology is advanced. Consequently, the entire critical care team requires frequent training and capacity building. Some devices which are introduced may not be efficient enough to provide patient safety. This puts the nurses at the risk of mishandling the patients, if the new devices fail to
Patients in different healthcare settings are vulnerable due to their conditions and sometimes lack the ability to share their challenges such as poor quality treatment and hospital-associated infections. There are cases when hospitals undermine ethics and ignore their patients’ values and interests. Healthcare professionals therefore have a responsibility to empower their patients with information on important medical decisions. However, some nurses ignore the need to communicate the risk of hospital-associated infections leading to undesirable outcomes. In cases when a hospital records a higher rate of HAI, it is important to inform a patient of the risk.
It is because being the one responsible for a person’s life is huge role and responsibility, and it will never be an easy job. At the end, whether I make it through or not, I will always keep in mind that nursing is not just about caring and compassion, it is also about being creatively smart and precise about plan of care for the
The most dominant characteristic overall that being a nurse requires is resilience. Nurses must resist the symptoms of stress and be able to quickly recover from difficult situations. A study in the book Support for Caring and Resiliency Among Successful Nurse Leaders, supports the practice of self-care, responsibility, and reflection to increase resilience (Dyess, Prestia, and Smith 108-110). Self-care involves attending to self-cues by listening to the body to maintain balance. For instance, having a job in the health department can seem never-ending, and as a result pushes clinicians to continue working until the job is finished, despite how tired and possibly burnt out he or she is.
Hello Naicka, You raised the important point regarding the time issue and overwork that contributed to insufficient feedback and guidance to students. I completely agree with you that clinical teachers face a daunting challenge of simultaneously caring for patients and teaching learners in a time constrained environment. This issue could not only affect the teaching process, but also it could compromise the comprehensive patient education.
Lancaster Advocacy (2006) cited in Community Care (2006), believe that “Older people can be particularly vulnerable”. Many, older people will go straight into a care environment straight after hospital. Some may have been treated poorly in hospital but “find it difficult to challenge doctors, nurses or social workers”. The ageing process can suppress people; consequently, they not strong enough to face the stress of taking on complaints systems alone (Lancaster Advocacy, 2006 cited in Community Care, 2006). Therefore, advocacy can ensure that if the person wishes to make a complaint, they will be well informed of the options open to them and will be able to access external independent support in order to pursue said complaint (Advocacy QPM,