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.
For example, when patient asks for a favour to be showered despite odd timings or during busy hours, nurses have to obey their needs and meet their expectations. Therefore, patients will gradually feel that they are well taken care of during their stay in the hospital. Without good communication, there will not be a good healthcare service. The Importance of Good Communication between Patient and Health Professional, Journal of Paediatric Haematology and Oncology (2011), wrote that “Communication is the most important component of our work with patients. It is the cornerstone of our interaction with people.
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 .
Caring in nursing Being in the health profession isn’t the easiest, but it shouldn’t be the hardest either. Especially in nursing when you are in charge of the patient’s pain management. Giving out the right medications at a certain time while keeping track of symptoms they might be experiencing during the day is important. Many people now a day go into nursing for the money and it should not be like that. When you are a nurse you have to be compassionate for who you care for as well as understandable.
This can negatively affect the level of care provided to their patients. In some cases, nurses who experience high levels of stress at work can become physically ill or experience emotional “burnout”. In order to reduce some of these problems, nurses should consider taking a variety of steps to cope with stress, including, Exercise: Stay in good physical condition by using a fitness center if available or by simply taking a walk or using the stairs during a break. Talk: Choose a friend, family member or co-worker with whom to share concerns. Talking about a problem can help reduce feelings of stress.
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.
This will enable patients to talk about health issues including emotional, social, mental problems that disturb them. In healthcare, certain factors affect good nurse-patient communication which are time, language, environment, shortage of nursing staff, assumptions etc. These factors lead to error in medication, misdiagnosis and even death. So, the need for good nurse-patient communication should be emphasized in nursing practice. 3.3 Application in current job I really do know and understand the benefits of a good nurse-patient communication.
OCCUPATIONAL STRESS ISSUES AMONG NURSES The health care industry has had to deal with occupational stress factors over a long period of time. Studies have shown that, over time, health care workers are higher up the ladder with issues related to substance abuse, suicide and elevated forms of depression and anxiety linked to occupational stress. In addition to the aforementioned psychological factors, burnout, absenteeism, reduced patient satisfaction and treatment/ diagnosis errors are also resulting outcomes of occupational stress. Nursing is generally perceived as a very demanding profession. Along with the increased demand and progress in the nursing profession, there has also been an increase in stress levels of nurses who usually experience
In the critical issues the nurses are always blamed by the management and does not gets any support from them in the time of crises. Further on one more cause that leads to nurse’s shortage is that the nursing work needs physical work more. Nurses have to do physical work like giving bath, changing bed sheets, changing patient’s position, lifting bed ridden patients and many more. This physical work sometimes makes nurses tired and due to this they may leave the
Nursing is a strenuous job that demands physical and emotional resilience. Nurses juggle may different aspects in health care, from sick patients, worried families and stressed out doctors. The hours they log in are long, often requiring nights, weekends, holidays, with shifts lasting up to 12 hours and sometimes more. While many strive to become great healers, the fact remains, that the shortage of nurses is becoming a nightmare for hospital management and administration. Doctors, Hospitals, out-patient/ in-patient centers and even schools rely heavily on their nursing staff.
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
Changes may take place in the office while on leave that could cause her to fall behind. Flexibility is vital in motherhood and the workforce. A child may become sick, needing the caring mother, at any given moment. Therefore, the employee needs time to meet the needs of the child, but she should also complete the expected tasks. If she is meeting the company’s needs, flexibility should not be a problem.
Secondly, many of the employees in the hospitals have fixed job status for a very long time and when there is no scope for any growth, they get frustrated and it is seen in their performance and when they get any offer from other organization even for the same position with higher salary they tend to move out of the organization. Thirdly, I believe that flexibility is very important today with the employees, because if the working hours are not flexible, they tend to either do not prefer working here or when they get the opportunity they move out. So if wee summarize, in my experience I believe that wages, growth and flexibility are the main reasons that cause turnover in the
Given that her mentality was not severely impaired and she expressed refusal, I ended up letting her wander in a limited area while observing her behavior, and then she went to sleep after an hour or so. Working in a long-term facility requires a lot of clinical judgment and high morale from healthcare professionals because there are many patients with cognitive problems who are not aware of how they are treated. Therefore, healthcare professionals should be an advocate for older patients and respect their rights based on ethical principles. To do that, healthcare professionals should reflect their behaviors frequently to see if they respect patients’ rights, and it is also important for healthcare professionals to get proper education on ethical principles. In addition, it is essential to develop a trusting relationship between a nurse and a patient because in the relationship, healthcare professionals can communicate with older patients about their wishes and care preferences more truthfully and honestly, which in turn helps patients to make decisions about their own treatment and healthcare professionals to feel less moral
Since nursing school, a nurse is trained to prioritized and one of the major priorities is safety. Nursing is an evidence-based practice and it has been proven that the more workload given to a nurse, the increase risk to harm a patient. By increasing the ratio of patients per nurse, there is a cut in the budget but that nosey been safe could go right back with the possible law suit for negligences due to the lack of good care of an overworked nurse (Janes,