They only thing they wanted was answers. It is what shapes views and ways of learning. Therefore, communication plays an important role in how culture is learned and passed on. As nurses, communication is key in having a successful interaction with patients. Many patients will only need to be listened and understood.
One of the nurses, KR, voiced that it is a hassle to write up bruises and sometimes she would not write it up especially when her shift gets busy (Personal communication, March 1, 2018). ANA’s Code of Ethics (2015) has stated that “the nurse has authority, accountability, and responsibility for nursing practice…takes action consistent with the obligation to promote health and to provide optimal care” (p. 15). The nurse’s decision not to follow through with the resident’s skin issue is a failure when our ultimate goal is to provide optimal care. I have observed these attitudes towards bruises more often because most of the time I was the receiving nurse and consequently was the one to write up the bruise. When it comes to wounds, nurses differ in their opinions as to what appropriate treatment and dressing needs to be used.
However, in smaller, regional hospitals, it may be more likely that patients are known to each other. The extent to which bedside handover is appropriate in these situations remains unknown. A previous survey showed that almost 30% of 74 patients perceived the presence of other patients in the room during bedside handover as somewhat disturbing.30 it appears that nurses need to carefully consider how sensitive information is shared during bedside handover. Nurses perceived bedside handover in a positive light, believing it improved the accuracy of the information they handed over, however no comparison was done with other handover types, so this perception may not be accurate. 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.
The nurses main aim is to give as much independence back to the patient at all times. The nurse never should do something for a patient that they can do themselves eg. feeding. The model, although not recommended, is used almost like a checklist on admission of a patient to gauge their dependence on the nurse. Roper herself said that this model is simply a tool and should not be used solely alone, however, oftentimes in the UK it is (nursingtheory.org, 2013).
The answer to this question is included in many of the definitions of assertiveness- standing up for one's perspectives. Although Nurse Smith did not want to work an extra shift, her lack of assertiveness made her fail to decline the matron’s request. The last question, which forms the basis of this review of literature, was why Nurse Smith was not assertive. The search strategy thus aimed at finding out the factors that are responsible for the lack of assertiveness among nurses.
Historically, nurses have bear the burden of 'being seen as incompetent and in need of remedial assistance.' (2)This attribution of nurses has been owed to errors in the route of administration, i.e. 'entered formulas administered parenterally, oral medications administered intrathecally, IM injectibles administered via I.V', etc. (4) These MAE's account for 38% of the reported medication errors, while errors at the ordering phase account for 39% of medication errors.(2) Because the systems associated with reporting MAE's are viewed as inflicting, so many clinicians don't report errors, which do little to eliminate these errors from occurring again. It is important to implement systems that are used as non-inflicting educational tools as they are better received in the practicing
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).
Recruitment of Professional Nurses: The Evidence-Based Magnet Recognition Program® Magnet hospitals define hospitals that recruit and retain nurses by providing a positive working environment, as well as their excellence in providing high-quality nursing care (Schmalenberg& Kramer, 2008). They are international models for nursing standards. Other hospitals look to magnet organizations for ways to improve their patients’ results, reduce hospital stays, in addition to attracting and keeping the most qualified nursing staff (Yıldırım, Kısa & Hisar, 2012). In the early 1980s, the American Academy of Nursing (AAN) appointed a task force in hospital nursing practice out of concern for the numerous workforce issues that the profession was currently
However, now that she has had many years of experiences she is more open to such discussions. Getting back to Mrs. C, the writer felt that nurse A was not comfortable to discuss the topic on spirituality. Researcher had identified that majority of the healthcare providers are not comfortable in addressing the topic on spiritual, especially if the patient or even the healthcare provider is not religious or spiritual. At the same time, the topic on spirituality can be too personal (Anandarajah & Hight,
She said that she would abolish abortion, it was hard for me because I am a pro-choice, but later on, she listed me things that were wrong, in her point of view. I did not agree with most of these causes, but the way that we were discussing was peaceful and kind. This allowed me to open my mind to find a common ground. We could agree that the abortion is always difficult for a woman because she may need help from a counselor. This a very difficult subject, but from our conversation I have gained a different perspective.
Their recovery process will slow down and may not be even possible if there is no hope, if there is no looking forward to the future and the best possible outcomes. Hope has been defined as a positive and necessary aspect of human life that is a future-oriented, motivating factor (Brumbach, 1994). Nurses have the greatest and hardest role/job to create a positive expectation in patients who have to go through very tough and challenging situations when hospitalized. Nurses can create a positive energy and positive attitude towards patient’s recovery process. Optimism is very much needed in order to get a positive
The act of good mentoring can significantly impact the maturation of the nurse’s career and longevity in that position (Grossman & Valiga, 2013). The issue of nurse retention on the forefront of a nursing shortage is a critical issue that nurse leaders must address and manage to ensure the survival of their facility. Leaders must have open and ensure communication to address the questions and assist the staff with the preventable issues of fatigue and dislike for their employment. The high turnover rates with nursing affect the future nurse leaders.
Many of the 342 nurses reported they feared getting caught, and concerns that the patient’s preferences were not fully understood. This article showed critical care nurses constantly face difficult moral, ethical, and professional dilemmas regarding patient care. It is of the utmost importance for nurse’s to understand their own values so they may provide the highest care possible and deliver
Additionally, knowledge and understanding of nursing home residents vulnerability in a way to provide contact in an accepting manner, as much as possible, maintain their autonomy (Kjolseth et al., 2010, p. 44). Most nursing home residents attempt to acquire autonomy when choosing their treatment options. However, many helpers fail to take residents seriously about symptoms till it is too late. In order to aid nursing home residents in an effective manner, one must not only integrate preferences and options, but also refine nursing home environments (Choi et al., 2008, p. 545). The changes in the nursing home facilities may range from no longer including structured activities to making residents feel at home.
In response to hospitals being under staffed with nurses, Theresa Brown argues that hospitals must have a sufficiently large nursing staff in her article “When No One Is on Call”. She effectively builds her argument by using personal anecdotes and statistics. Brown begins the speech by recalling a personal story when she was in nursing school with understaffed busy nurses. A patient needed their pain medicine dose adjusted, the patient’s pain subsided, but the patient experienced shortness of breath and low oxygen levels. Brown informed the patient’s nurse that the patient needed narcan to reverse the impact from the pain medicine.