What are the possible implications in Jill’s delivery of care that could arise because of the treatment that she is experiencing? Since Jill is being treated in a demeaning manor, to a point where she feels that everyone wants her to fail, it will greatly impact her care. She is not confident in her care to begin with, due to her uncertainties and having to ask questions without getting helpful or informative responses. Since her mind and confidence are not one hundred percent there with her patients, she may miss important signs and symptoms of a patients deteriorating condition. Loosing patients will only add to Jill’s remorse about being a novice ICU nurse and leaving her m/s
This often means that there is little to no time to teach or nurture the new nurses to the unit. Jill is faced with the realization that her new colleagues don’t have the time or means to train her without safety stepping away from their patients. The hospital failed Jill by not having a proper program to integrate the employee into the new unit. By using her chain of command, Jill could ask to shadow an experienced ICU nurse, rather than starting out with her own patients and not knowing the proper care or protocols of the new
With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages.
If you are preceptor Amy has to follow, and not become your shadow. As preceptor nurse impact, someone life in positive away is a big responsibility because you need to find what factors motivate new nurse and through the communication find out method of training for example, visually or verbally. But really first step is identified if the nurse truly wants to become a mentor using a self-knowledge of own attitude, beliefs and biases. In my opinion, the other second shift RNs I am not include in this situation, except for continue precepting Amy at the end of the oriented period. I will propose one of the second shift RNs preceptor assignment who has most nurse preceptor skills to help Amy accomplish her goal in Emergency
The initiation of change in clinical practice is a common process and can be emotionally demanding to adapt. One support strategy that can be implemented to assist staff in managing and sustaining purposeful rounding is coaching and mentoring. It is evident that there is a lack of understanding in the purpose of nurse rounding and integrating it into the staff’s routine (Fabry, 2014). Hence, the lack of awareness in the rationale behind rounding can affect the engagement of the change. Coaching staff may include providing in-service two-way learning program before implementation of rounding.
This case study highlights the conflict that can arise between nurse practitioners (NP) and physicians due to lack of proper communication, poor physician attitude, and lack of respect. Clarin (2007) labels these items as barriers that inhibit effective collaborative care and ultimately hinders the goal of medical institutions. In this case study, the way that the physician treated the new NP encourages other physicians in the practice or staff members that it is acceptable to treat another provider in this manner. This poor behavior will continue the cycle of disrespect and distrust when we should be collaborating with one another in the healthcare field. Not to mention, creates an unhealthy work environment.
There are several reasons that health care providers dismissed the sign and symptoms of Lewis’s deterioration. I personally believe that it is because of new nurses who are still learning and are lack of experience. The nurses that are proactive in their job are vigilant and are on the watch for their patient’s health and safety. They are the advocate and are there for their patient at all times. Another thing is the broken equipment.
Some workers mistreat disabled clients with no respect. We should take action like Alison While and Louise Clark did by writing the article called Overcoming Ignorance and Stigma Relating to Intellectual Disability in Healthcare: A Potential Solution, to spread the message on making a better health care system. Allison and Louise wants to find a way to improve a positive environment for them. “The UK Learning Disability Consultant Nurse Network 2006 set out their vision of learning disability nurses leading the way to the achievement of positive health outcomes for this client group through a collaborative approach to address barriers to social inclusion. This is perhaps overambitious given that many people with intellectual disabilities are not known to what remains of learning disability services and with the nursing specialty in decline with very limited research and development standards.” This is great idea to contribute in the health care system for people with disabilities.
I struggled to understand opposing perspectives, particularly since even within the context of an ethical decision-making framework, they did not always appear logical. This experience has allowed me to recognize within myself that consideration and imagination of other people’s perspectives is a weakness for me, and I will need to incorporate strategies into my nursing practice to accommodate this. Specifically, incorporation of lines of questioning that will enlighten me as to other perspectives to consider will help me to develop comfort with this area. Ethical decision-making is an integral part of nursing practice, and the ability to do so is a vitally important to effective nursing practice. Examining Helen’s situation within the context of McDonald’s Framework for Ethical Decision-Making (2001) allowed me further insight into the values and biases that influence my decision-making.
Long hours and shortage of personnel can lead to routines of practice, which can hinder the development of patient centered care in hospitals. Even when patient centered care is valued, the demands of caring for many patients at a time can restrict the professionals’ ability to provide physical and emotional support, and respect for their patients’ preferences (Kelly, 2007). Recommendations Patients ought to understand that nurses do everything to ensure their safety. They should not demand what is unachievable from nurses. To achieve this, the government must engage the public on their rights once they visit a health facility.
That will encourage and motivate others to work as a team and help each other. Identify the barriers of change, which might be the staff nurses who are skeptical of change. They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later.
Given this adversity, our emergency department is encountering staffing challenges and is not meeting appropriate staffing ratios. However, the current staffing challenges are not due to lack of support from administration. Is it ethical/legal for nurses to refuse to provide care and work a shift if they believe it jeopardizes their license? According to the American Nurses Association a registered nurse may, based on their professional and ethical responsibilities possess the professional privilege to refuse a patient assignment that places patients or themselves at risk for harm (American Nurses Association,
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. The potential nurses were not mentored and nurtured by the senior nurses as in the past leading to decreased job satisfaction and decreased staff
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.
There is a lot of talk about nursing homes not being very good to the patient and there is a lot of elderly financial abuse and physical abuse that goes on sometimes in nursing homes when you become a nurse you have to be good at what you do and if you only there for a paycheck then it 's not the job for you. I am passionate about becoming a registered nurse and I love taking care of people so when I will take the course and I felt like a failure I wanted to give it all up. When I took my certified nursing assistant exam I pass it and I started to apply for jobs and within the next few days I was getting calls I started a new job as a certified nursing assistant and I had to attend a training and I 'm already good at what I do. Being at the hospital and or nursing home is such a good feeling because you are making people around you happy who may not have family that home or pet or people to just talk to. I want to continue my education by going to college and getting my bachelors in nursing and then maybe my masters to become a nurse practitioner and then I can open up my range of help to people.