Research has focused on negative rather than the positive patient outcomes for the simple reason that adverse outcomes are more likely to be documented in the medical record. This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks.
Unfortunately, at this moment, there is little improvement regarding the quality of patient care since the To Err Is Human report was published in 1999, by the Institute of Medicine (IOM, 1999). Presently, health care provider education should focus more on the demands on quality and safety. The beginning of Quality and Safety Education in Nursing (QSEN) was created to integrate quality and safety competencies in nursing education. For this reason, nursing schools should reinforce and focus on the competencies of QSEN, within the curricula of the baccalaureate programs. Therefore, the researcher will study the perception of nursing students in the final year of the baccalaureate program about the six QSEN competencies.
Cultural baggage attributes to propensity by one person to place his or her culture, a way of thinking and behavior above all others (Andrews & Boyle, 2016). It would be important for nurses to respect the patient’s view of things, although it might not be correct or just plain different. While it is hard to disregard the background that each nurse is coming from, the patience and attempt to understand would assist in the proper assessment. From personal experience, I recall a patient coming from a different country, who did want to deal and even talk to the nursing staff, and demanded to see the physician with every concern. Ethnocentrism is a view of a group of people placing themselves in a center and making themselves superior to others, while all other groups of people excluded from it (Andrews & Boyle, 2016).
This way, the subordinates would take inspiration from the head nurse regarding work and may look up to him/her and might turn up early for work as well. I do not see myself in either of the occupations because both careers requires dealing with patients in a calm manner and being considerate at all times. I, on the other hand, do not have the ability to be considerate as my level of being calm is not the kind that would help me in the medical field. Furthermore, the head nurse has the leadership of being autocratic. In this kind of leadership styles, they make certain to have the orders given to their subordinates.
It is because nursing has to make profession decisions for the clients; those decisions need to base on their knowledge. If lack of knowledge will make nurses having wrong decision, then it will harm for clients. The knowledge also can help us providing useful and valid advices to clients. And nursing needs to change the treatments or decisions based on the condition of client, those changings are based on the knowledge and observation. Those advices and assesses will improve the health state of clients.
The order was increased but even so Kim and Amy thought he dose was not appropriate. If the patient has expressed that comfort care is all she wants and she appears in pain, then are we really doing our job as nurses? Even if the dose of pain medication would slowly kill her, she would be out of pain. The ethics in nursing can be extremely complicated, therefore it is important to know where you stand on an issue and remind yourself to let that get in the way of your care. Nurses just want to care for their patients and make them comfortable.
In his theory he argues that while a person aims to meet their basic physiologic needs, they seek to meet successively higher needs in the form of a hierarchy in the order of safety, belonging, esteem, and self-actualization on top (Black, 2017, p. 155). Although Maslow’s hierarchy of needs is based on basic human needs, I believe that it is a useful organizational framework that can be used to assess a patient, strengths, limitations, and the need for nursing interventions. An example of this framework in use, could be a terminally ill patient that is in isolation. The nurse should use their understandings of the need for autonomy and physiology to provide appropriate care for the patient and their family in accordance with their needs, in this case, possibly emotional and psychological distress from their illness and isolation. I believe that nurses can transform patients’ lives by empowering them to take an active role in managing their health.
Centuries ago nurses are considered as an assistant to a doctor whereby they are more to a helper to the doctor and their main job scope are to follow the doctor’s order or their superiors order. Florence Nightingale or best known as a “lady with the lamp” has changed the way that societies think about nursing. She had critically thought of a way to reduce the death among soldiers due to infection by improving the sanitary conditions of the hospital stay. She instituted the creation on an invalid kitchen where appealing food for patients with special dietary requirements were cooked. She established a laundry so that patients would have clean linens and she also instituted a classroom and a library for patient’s intellectual stimulation and entertainment.
In the early 1990s there was a lively debate in the nursing literature about the value of sociology 's inclusion in nursing curricula (Cooke 1993, Sharp 1994, 1995, Porter 1996, Mulholland 1997). The catalyst was an article by Cooke (1993), that appeared in Nurse Education Today, which was broadly supportive of the benefits of sociology for nursing but critical of its current mode of integration into nurse education. According to Cooke, the importance of the sociological imagination (Mills 1959), as a vehicle for encouraging nurses to distance themselves from taken-for-granted assumptions and to look at the social world through a new interpretative lens. Further, the Cooke encourages a more critical perspective within nursing. He adds that the Sociology has been inclined to be used for professional purposes.
They need nurse leaders who are efficient and eliminate factors that cause the feeling of dis-empowerment among nurses (Casper et al, 2009) Leaders must enhance knowledge, work towards patient protection and safety and committed to the organization (Edward and Daniel, 2005).Nurse leaders must have the ability to tailor in different care settings and bring the level of care to high standard (Radwin and Alster 2002, Thompson et al.2007). Older people need to be cared for like babies so better coordination and satisfaction of patients should be the primary aim of nurse leaders (WHO,2007). In the writers clinical setting work constraints and load is ever on increase unable to meet patients demand. Nurse managers assigned to patients due to less staffing. Furthermore, responsibilities from administration of the ward makes nurse mangers feel frustrated easily and dealing with staffing issues, duty rota, patients ' complaints all these increases the workload.