Doctor Karim is talking to Yasmin who is a patient about her depression. Yasmin: Walks in with her body slouched, arms crossed and her eyes looking down onto the floor. Doctor Karim: Hello, how may I help you today? Yasmin: Hello Doctor Karim I have had a bit of a problem within this last month which I think is affecting my
Making a decision to use the restrains is not straightforward or easy for nurses. It is need daily legal and ethical decision making. Sometimes, using restrains has so many advantages and disadvantages that put the health care providers to decide what is right and what is wrong. In respect to the restrains dilemma, using restrains can be effective in controlling the patient’s behavior and violent. According to the ethical theories, using restrains is acceptable
The conflict that stands out most is the near miss incident that occurred. As Brian pulled aside the night shift nurse who was reported for not scanning the insulin, he was made aware that the nurse did scan the dose before giving it, however the scan did not save in the EMR. The only thing I potentially would have changed would be pulling in the night shift and day shift nurse to talk through the incident with them, to avoid any rumors from beginning. After completing this rotation, I feel that a leader/manager is a vital part of the nursing team. They are responsible for ensuring patient safety and quality care, as well as advocating for their nursing staff.
There is diversity even between families and the reason is because we are all different and unique. Health providers must have this in mind when attending people from different cultures. Avoiding to do so might cause mistakes and unfair treatment. Individuals go to health care providers in order to heal, however over the course of history injustice has happened in the health care system. By doing so it affected her personal belief she could have been cared for better, and also they failed to communicate and inform the family thus inflicting pain in them for years.
Our participants said that patients’ presence not only prompted outgoing nurses to remember information that should be passed on, it also prompted oncoming nurses to ask questions and seek clarification, which may account for the perceived accuracy of bedside handover. In conclusion, this case study of bedside handover used by nursing staff in six wards in two hospitals provides a description of its structures, processes and perceived outcomes. This information may be used as the basis for standard operating protocols for more widespread implementation. Importantly, to date, measurable benefits of bedside handover for nurses and patients are yet to be firmly
Sally, I appreciate your insightful post regarding beginning nurse led groups on an inpatient psychiatric unit. I know that this can be a challenging transition to go through and your assistance will be instrumental in its success. Your assessment that the nursing staff appear frozen and lacking motivation to make the necessary adjustments in their work to begin leading groups seems accurate. You describe that the manager has been unsuccessful in unfreezing staff attitudes regarding this change for over two years (S. Rothacker-Peyton, personal communication, July 22, 2017). This speaks to a fair amount of resistance amongst the staff as well as a likelihood of significant barriers to implementing nurse-led groups.
One ethical obligation nurses are required to fulfil during their shift is to ensure no harm is done to their patient. Due to nursing shortages and too many patient’s, nurses are finding this hard to do. Ethics help nurses make the right decisions with the guidance of their morals, but due to shortages and overworked nurses they tend to feel dissatisfied with their jobs. This results from unsafe work environments, lack of time for communication and quality care of patients. “Understaffing and overtime hours have been associated with increases in patient mortality, hospital-acquired infections, shock, and bloodstream infections” (Kane et al., 2007b).
It reflects the exploration of one's thoughts, beliefs, behaviours, approaches and values (Bibi, 2016). In healthcare, nurses are constantly interacting with individuals who may not share the same characteristics, therefore, it's very important to recognise these differences in order to successfully develop a therapeutic alliance which will lead to a healthy therapeutic relationship (Rasheed, 2015, p. 213 - 214). Nurses that don't take into consideration self-awareness tend to project personal opinions and beliefs onto those who may not share the same values. (Rasheed, 2015, Bibi, 2016) Therefore, being aware and staying neutral will allow nurses to be person-centred, participating in active listening and having mutual understanding. Reflection is an important aspect of self-awareness and allows health professionals to look back and analyse practices, identifying which aspects need further development (Rasheed, 2015, p. 214, Bibi 2016).
They need a capability to see large picture, foresee the implication of the decisions made and also to actively seek for innovative solutions. Autonomous played important role where these abilities of making decisions and taking action in their personal and professionals’ (Rodwell, 1996). Critical thinking can be defined as a capability to manipulate thinking skills when it involves in critical thinking activities and it includes ‘defining the problem’, ‘judging the credibility of information’, ‘making accurate suggestions’, and ‘making rational value judgments’. Critical thinking also does not mean the whole activity is just carried out by thinking, however, it is the process that leads to the outcome of a compressive decision. By thinking critically, the nurses will be able to meet the requirement of the patient within their responsibility and
The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings . ( Schubert et al 2012 ) . However , Nursing clinical rounds lead nurses to interact with patients, respond to their interest , and adjust the unsatisfying conditions. regular nursing rounds provide an opportunity to recognize patient needs by progress nursing procedures. Although hospitals worker various methods of rounds for hospitalized patients, the main components of all rounds are pain preventing, bathing, changing position, and environmental comfortable .
Over the years, she has taken oxycodone for treatment of her back pain due to other pain medications not offering relief. Ms. Davis has been compliant with her medications since her accident and only has gotten refills as scheduled by her prescription. At the last visit, Ms. Davis mentioned she had run out of her 60 pill supply of oxycodone that was prescribed and that she needs a refill because her pain is preventing her from performing household chores. She thinks her son might be stealing her medication considering that she has not taken more than the recommended dosages. After her physician spoke with her about ways to prevent her son from taking her medication and the consequences of her son taking her medication, Ms. Davis refuses to take any action against her
An ineffective healthcare policy that I experienced in my practice is skin assessment sign-off at shift change. Although an excellent policy, this was unsuccessful due to inadequate staffing and working long hours. In the Intensive Care Unit (ICU), some patients are high acuity and the nurse-to-patient ratio needs to be one-on-one. Other times an ICU nurse can have three patients due to low staffing. Jooste and Prinsloo (2013) stated that when a hospital is low on staffing, the aftermath can affect the patient’s quality of care as well as their safety.
Mike’s mother, Theresa is also chronically ill which results in her needing numerous procedures done and many doctor’s appointments. This may also be seen as a risk factor for the family due to the high stress this illness has caused Theresa and the rest of the family, as well as the financial strain it is putting on them (2004). The family did not report any spiritual affiliations
On the night she was disciplined she was reported by another nurse that she was not acting right and was slurring her speech, confusing coworkers, names, appeared disoriented and staggered while walking. Because of her impairment the director of nursing at her facility requested that she have a drug screening which came back positive for
This is for documentation as to reason why my daughter Cadence Lookabill has had so many unexcused absenses. Cadence has struggled with chronic allergies for years and with those allergies she has a lot of mucus which causes vomiting and diarrhea. I have taken her to the doctor for these issues and they just send her home saying there is nothing they can do, so I didn’t take her on those days. If she had strep throat or any other illness I did. Cadence was given notes for the dates in question, she did not get the notes to the appropriate person and after she failed to give them those notes she threw them away.