Moreover, knowledge, competency and confidence, gain through clinical experience. Furthermore, novice nurses are taught to practice on simulated patients, which may increase their self-efficacy, self-confidence and clinical judgment. According to Stefanski and Rossler (2009) Use of simulator in nursing training develops skills without compromising patient safety and it also allows novice nurses to work on a critically ill patient. Undoubtedly, it is true that nurses are taught during their nursing programs on simulators but literature says working on simulator does not make them confident enough to providing competent care in life and death situation. (Greenwood, 2000, as cited in Saintsing, Gibson & Pennington, 2011).
INTRODUCTION Acute pulmonary oedema is a rare, but life-threatening problem which may cause significant morbidity and mortality in pregnant women. It may occur due to pathologies such as pre-eclampsia, sepsis, amniotic fluid embolism, fluid-overload or beta-adrenergic tocolytic drugs during the antenatal, intrapartum or postpartum periods. Moreover, pre-existing cardiopulmonary diseases may worsen due to the superimposed effects of physiological changes related to pregnancy (1). Management of these patients is a challenge for the anaesthesiologists, because there are no controlled studies or guidelines pointing out the best type of anaesthetic technique in these patients (2). CASE A 38 years old, pregnant patient with a history of rheumatic
Abandonment and Nursing The career of nursing is more than just healing the sick. Nursing often causes nurses to face moral and ethical dilemmas. “Ethics refers to principles of right and wrong behaviors, beliefs, and values (Zerwekh & Garneau, 2015, p. 420).” When new graduate nurses begin their careers the first twelve months are a great time to gain a better understanding of personal beliefs and how they can affect patient care. Nursing is a highly respected profession and patients will seek advice from nurses. Therefore, nurses should learn how to react to situations that may not align completely with their own personal moral or ethical beliefs.
As the nurse manager has been trying to implement this change for quite some time now it will likely be challenging to create a sense of urgency, the staff may be desensitized to hearing the message at this point. Furthermore, it appears from your description that the nurse manager has not been able to successfully empower the staff and fully implement change (S. Rothacker-Peyton, personal communication, July 22, 2017). Does she lack credibility with her staff? If so, a strong guiding team as described by Middaugh (2017) will be even more important. Perhaps, they will build the credibility that the nurse manager has been unable to successfully
FETAL DISTRESS The terms fetal distress and birth asphyxia are broad terms which may point at an adverse condition affecting the fetus. Fetal distress is a a term used to describe a situation where the clinician feels that the fetus is hypoxic or acidotic or is at risk of becoming so and this concern is significant enough to warrant intervention, usually in the form of operative delivery100. Fetal asphyxia is clinically defined as progressive hypoxaemia and hypercapnia with significant metabolic acidemia100. In practice, obstetricians put great emphasis on monitoring of the fetal heart rate patterns as the main means of assessing fetal well- being in labour, whether done by intermittent auscultation or continuous electronic methods. However,
A good nurse shows great care for their patients trying to get them back to good health. So many neonatal nurses save babies lives by just being there for them and treating them everyday so they can become a healthy baby and go home to their family. These nurses keep these many babies alive, ones of which should have died the first day of entering this world. I think a lot of people take for granted the things that doctors and nurses do for a living. People do not realize their job is to give the best most humane care possible.
I have personal experience working in the medical field I get to assist Registered Nurses both novice and experienced. Working with an inexperienced nurse can be tense sometimes. Novice nurses tend to overlook important details of a patients evaluation because they are not experienced enough to pick up on the subtle clues and signs exhibited by the patient to get the full detail of the patients true condition. According to the article Do educational outcomes correspond with the requirements of nursing practice: educators’ and managers’ assessments of novice nurses’ professional competence, “.... nurses working in practice complain of novice nurses insufficient clinical and patient management skills” (Holland K et al). For this reason in obtaining a baccalaureate degree, the novice nurse may get a more comprehensive understanding of caring for their patient.
Simkin P (1992)2 stated that although childbirth typically concludes within a single day, women often remember their experiences vividly, even decades later. Health professionals have long understood that the childbirth process can be unpredictable. However, given a healthy outcome, the extent to which the birth environment supports a woman’s medical and psychological needs may have a major role in determining whether she is satisfied with the experience Beck CT (2011)3 stated that childbirth is a significant life event. Although most birth experiences are positive, some women perceive giving birth as a traumatic event and may even experience post-traumatic stress disorder. It is essential that nurses and childbirth educators understand how
Case Scenario 6 – Caesarean section – patient choice Delivery by a Caesarean section has become more common over the last several years for a number of various reasons. The old saying “once a c-section, always a c-section”, however, no longer is true. Many women who have had a baby by Caesarean section could deliver their next child vaginally if they so choose. In this case scenario, clinicians are confident that the labour would progress without a complication and that there would not be a need for a Caesarian section. However, the clinician’s opinion conflicts with the mother’s wish to have a C-section.
Nursing is a profession that can be challenging nowadays because nurses will be seeing patient or career’s expectation of services that cannot be met with existing resources. As a graduated nurse leader currently working at one of the government hospitals in Malaysia under the Female Medical Ward, the job can be both advantageous and challenging at the same time. Good communication is very important between nurses and their patients as it will lead to a successful outcome of nursing care of each patient. Besides, communication between the nurses has never been more crucial as well. As a nurse, leadership skills have to be well-demonstrated as well as to have a positive outlook.
Most patients do not know what advance directs are, so we should clarify the information and make sure they are satisficed with their decisions. If the patient in the last minutes of surgery wants to change anything in the advance directs, we should give them a chance to change it. Even in preoperative phase, we want to teach the patient what will happen after surgery and things they should do like ambulation. As the nurse you should explain what the purpose of ambulation is to the patient. You should always teach and educate the patient about their well being.
Blood to and from the heart is mixed together with no direct flow pattern therefore causing distress. If not recognized early the outcome could be fatal during first year of life. Surgery performed during the first few months of life can result in positive outcomes. A surgical repair in the heart creating flow to and from the heart with the remaining vessel as well as an artificial one consisting of medical tubing (conduit) allows for corrective and successful course of blood. Majority of babies that undergo this type of surgery repair have high survival rates.
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
The consequences of oral health diseases are significant and adversely impact quality of life for millions of Americans each year. The nondental health care professionals have the potential to play a significant role in addressing the oral health needs and reducing oral health disparities. This article presents an interprofessional faculty tool kit that builds upon The Essentials of Baccalaureate Education for Professional Nursing Practice as a framework for preparing professional nurses with basic knowledge, skills, and attitudes in oral health promotion and disease and injury prevention across the life cycle. According to author barriers to quality oral health care is inadequate education of health care professionals in basic oral health .So to improve to this there is an addition of more content with in the course. But according to me rather than focusing on adding, changing and updating content, nurse educators must focus on expanding their evidence-based pedagogical strategies to engage student in learning about oral
What new strategies can we introduce to reduce moral distress among practicing nurses compared to current strategies that would reduce moral distress and increase retention of experienced nurses? According to a survey conducted Woods, Rodgers, Towers and La Grow (2015), 48% of nurses surveyed considered leaving their position due to moral distress. Some nurses may even leave the profession. This should be a major concern for nurse managers because retention of experienced nurses is essential for mentoring new nurses, provides a balance of experience in patient care settings, and leads to improved patient outcomes. Moral distress occurs when the nurse perceives a conflict between their expected actions and their personal moral convictions.