Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
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.
Discussion PART ONE: Find two articles regarding conflict management in nursing from the SXU library CINAHL database but not already listed in discussions. The articles should be about conflict management in the workplace NOT about conflict with patients and families. Post the reference in APA 6th edition format in discussions and then include a 4-5 sentence summary of each article. Find new articles, Please do not post an article already used by a classmate.
Virginia Henderson indicated that the priority of the nurse is to help patients do what they would have done themselves if they were in good health. The ANA took it further by developing the Code of Ethics for Nurses which provides guidelines that they must follow to be diligent in their field. Provision 1, for example, stipulates that "the nurse must practice with compassion and respect for the inherent dignity, worth and unique attributes of every person" (Olson & Stokes, 2016). Being in the hospital can be frightening for patients and families. When illness strikes, they must leave the comfort of their home and entrust their lives to strangers.
In some hospitals, you 'll automatically see an obstetrician. In others, your midwife or GP will refer you for an appointment if they have a particular concern, such as previous complications in pregnancy or chronic illness. You can ask to see an obstetrician if you have any concerns that you want to discuss. This care provided will not only include visits of patient specific to the pregnancy, but for any other health issues; such as common ailments, aches, pains and mental health concerns.
“Leaders are those individuals who are out front taking risks, attempting to achieve shared goals, and inspiring others to action” (Marquis & Huston Pg. 40). The writer had the pleasure of interviewing Mrs. Olaleye-Abner, a registered nurse at the department of behavioral health and developmental disability. She has been a nurse for 30 years and currently in the position as an RN supervisor. She works night shift starting from 11pm to 7:30am. The writer choose to interview her because of her wealth of experience in the nursing field.
There is a lot of technical and clinical information that the one will need as a nurse: critical thinking and communication skills, patient assessment skills, understanding disease management protocols and development of care plans (just to name a few), most of which is only obtainable through college or technical school and on the job experience. Respect for the patient, the patient’s support system, as well as, respect for yourself is another essential trait necessary to be a successful registered nurse. If patients are sick or worrying about what might be wrong with them, they are going to understandably be anxious or upset (and probably both). Part of practicing compassion as a nurse is recognizing situations like this – and so many more – and striving to help patients maintain their dignity through it all. This requires honest and straightforward communication.
Do nurses correctly know how to differentiate between objective and subjective data? Objective data are observable and measurable data obtained through observation, physical examination, laboratory and diagnostic testing while subjective data are information from the client's point of view including feelings, perceptions, and concerns. For example, a nurse writes “patient sleeps well last night”. In this context, “well” is treated as observable data. However, “well” is too broad to explain, not specific and can be questionable.
When making judgments, nurses bring into account their knowing of the patient (Benner, Tanner & Chesla, 2009). Tanner (2006) described the “knowing the patient” as the center in nurses’ clinical judgment. This “knowing” includes a knowing of the patient’s pattern of responses, nurses’ engagement with the patient and knowing him or her as a person. Among all decision makers surrounding, only the frontline nurse at is in closest proximity to the patients, only they can fully appreciate patient needs and conditions. It is this emphasis on patient and their needs that allows for tailored judgment and interventions.
As mention in the article “Florence Nightingale Biography” published in The Biography.com website in 2018 Nightingale got hundreds of scrub brushes and asked the least ill patients to scrub the inside of the hospital from floor to ceiling…in addition to hugely improving the sanitary conditions of the hospital, Nightingale established a kitchen with her own money where food for patients with special dietary requirements was prepared. She also established a laundry so that patients would have clean close as well as a classroom and library for intellectual stimulation and entertainment (Biography.com). At night Nightingale would walk around doing her nightly checks on her patient making sure they were okay that is where she got her other two nick names “The lady with the lamp” and “the angle of the Crimea”. With the changes she did to the military hospital Nightingale reduced the mortality rate by two-thirds. After the Crimean War was over and the left back to Lea Hurst.
Throughout they day they are constantly charting and observing a machine of each patients heart rate and blood pressure. They do this every hour. They are in constant contact with doctors unlike the nursing home when its only if a patients is seriously injured. Also another big difference is if something is wrong with a patient at a nursing home they have to call the doctor at the hospital they have to use your brain and figure what the thing to do.
The typical day for my job shadow host requires them to be on their feet often. She was assisting the nurse 's and taking care of the patients and helping them with certain task. When she has a problem with a patient she calls other nurses aides ' that work with her for some assistance. The environments she work in are inside the hospital room. I also observed her feeding some patients food because they couldn’t feed themselves.
CNA Dorothy is a valuable asset to your facility she was willing to help at every turn without an attitude or frown on her face. Your CNAs or over worked and under staff, most RN’s refuse to help with patient care such as baths, feedings and patient waste(BM). One CNA should not be required to feed, bath, turn and clean patients alone without any assistance. (Especially ventilation patients this a job for two people.)
At the end of the meeting, I observed the team (nurse, social worker, and nurse practitioner) debate on the patients’ request for increasing their level. The decisions were mainly based on the patient’s behavior and interaction with other patients on the wing. Being compliant with medication, therapy, group sessions, and self-care were also factored in the consideration. I did observe an RN and psychologist discuss a plan to prevent two patients from arguing or becoming violent. They were discussing ways that were fair to both patients without compromising their needs or care.