Many nurses, identifying with the self-sacrifice culture, promote presenteeism by reporting to work despite illness and expecting fellow nurses to do the same, 2. Nurses feel obligated to report to work despite illness to prevent coworkers from suffering through poor staffing ratios, 3. A nurse reporting to work despite illness assumes that their presenteeism leads to better patient outcomes than their absenteeism would, 4. When nurses are faced with the conflicting demands of caring for patients and meeting targets, the potential to compromise integrity arises, 5. When working in a culture that promotes presenteeism while also placing high demands on nurses with high staffing ratios, nursing fatigue becomes prominent.
Nursing is concerned with all the variables affecting a patient‘s response to stress, which is interpersonal, intrapersonal and extrapersonal in nature. The concepts of the metaparadigm of nursing under the Betty Neuman system model aim towards the development of a person in a state of wellness having the capacity to function well by adapting the patient’s self to the environment. The theory focuses on the concept of the whole person as an open system. The concept is multidisciplinary as nurses use the nursing process format and prevention as an intervention to collaborate with the healthcare team and through this model, it addresses the problem of the patient in the hospital or in healthcare
Ophthalmology consultation was taken and it was cured in a week time by bandaging of eye. 3-4 mm septal perforation was seen in one patient. 6.66% patients showed synechiae formation which were later on excised under local anaesthesia. Some kind of residual deformity was seen in one-fourth patients, the most common of which was dorsum deviation in 20% patients, broad dorsum in 10% patients, residual hump and residual saddling in one patient each. Newer cosmetic complaints were recorded in 16.66% of patients.
2-The age range of patients 25-93 years . 3-12 were male and 36 were female patients. To assess the effect of topical 0.75%Metronidazole Gel on malodorous Cutaneous Ulcers. 1-By day 7 ,malodour had fallen to 11% and by day14 to 4%. 41 patient (95%) of 43 patients at 14 days reported decreased smell.
In the article titled, "The Lived Experience Of Pediatric Burn Nurses Following Patient Death." (Kellogg), nurses who work in the pediatric burn unit are interviewed about what they do as well as how they deal with the loss of patients. The conclusion of these interviews is that these individuals do not feel well prepared enough on how to properly handle the death of a patient and they all seemed to agree that grief counseling would have greatly increased their ability to get through these tough losses without starting to hate their job or not doing their job well enough. Another real life account comes from a working NICU nurse whom I interviewed named Clorinda Bryant. She told me all about how she absolutely loves her job and how she loves working with all the babies, but she concluded that by saying that it is a tough job to perform because “these babies have just come into this world and it seems unfair that sometimes they are taken out of it so quickly.” (Bryant) She told me how the hospital she works at does not have any services available to its workers regarding counseling and that if they need help dealing with a loss, they are expected to get their help outside of work and not deal with it there.
Nurses on this floor are so eager to help each other out. The main actions I see every nurse on this floor take are assessing frequently, administering medications, caring for the patient and family, as well as playing with the child in hopes of making them feel their age in a hospital setting. I observed two different patients today with two totally different situations. Just because patients are on the same
I was able to create better therapeutic communication skills, pick up on the patient’s ticks, learn how to assess for triggers, etc. I will use this in the future because I will come in contact with patients who suffer from a mental illness on any floor I work on. They may not as serious as some of the patients I worked with on this clinical rotation, however, it is still important, as a nurse, to recognize and address mental health issues with patients. I also learned just how important self-care for nurses is. It doesn’t take long for nurses to begin to feel burnt out and lose passion in what they do.
Through communication also teamwork will take effect. The courses related to time management and stress management should be given to all employees that know how to resolve stress by self. Conclusion From this reflective practice it is very useful to me so that planning time and teamwork always practiced. Safety and patient needs is very important. Make a piece of work according to a standard of care will be able to help from doing something wrong.
Jennings et al. (2011) offer valuable insight from their ethnographic study conducted on a medical and surgical ward, which explored how administration of medication impacted upon nursing time. They reported that much of the nurses’ day was spent in the preparation and administration of medication and was complicated by the demands and availability of technical devices used to administer the drugs. With no clear start and finish to the essential task of administering medication, nurses adapted their practice to incorporate the constant demands of this function with the delivery of nursing care. Settings within the hospital with high volumes of admissions, high levels of activity and patient acuity such as the AMU are referred to by Jennings (2008) as turbulent, meaning that there may be sudden and unpredictable changes to the workload at any given time during a shift consequently affecting the time available to nurses to provide care.
Patients have benefited greatly from individualised care plan based on the activities of daily living. Using this model has helped to assess independence and potential in activities of daily living , it helps to determine what intervention should be taken out to increase independence as well as ongoing support needs for any dependency that still exists for the patient. When assessing a patient, nurses assess how much their life has changed due to the illness, injury or admission of care, later plan a way of increasing independence and quality of life. This leads to interventions that support independence in areas that may be difficult for the patients to address alone, it helps to promote maximum independence for the patient. This model helps approach and organise care of patients.
It’s agreed that Shivonne was a key player in the transitioning of Infusion Clinic to Outpatient hospital. The transition was not an easy task – but Shivonne managed through professionally. Shivonne was once described as an “overachiever” during the transition. Shivonne received an email asking her to check on auth status for one of the patient listed in email. Shivonne checked on all three patients listed in email to close loop.
A foreseen problem with DNR’s is whether to treat the patient or not. I feel that patients with DNR orders deserve treatment. The emphasis of treatment is a shift from the traditional lifesaving efforts to a treatment of palliative care, Hospice. In other words, a humane and dignified way of approaching the impending cessation of life. As a nurse working on an oncology and renal unit, I encounter patients in different stages of acuity.
The functional action plan will include management from each major function in the organization i.e. ; transfer agency, learning and development, client relations, intermediary operations, and marketing. The functional action plan will outline the specific actions needed in order, to address each strategic goal, responsible party for accomplishing that objective, and a timeline for completion. The relationship between HR and managers is extremely important as HR is dependent on managers to carry out the programs that were designed by HR (Gomez-Mejia, 2016). If the programs are not followed through, then the strategic plan will fail.