Patient Debriefing

THESIS STATEMENT: Hospitals should improve staff allocation as it can be detrimental to not only patients but also employee 's work performance and health, hospitals need to hire additional staff or better manage their current employees.

This essay will discuss the concept of resilience, it will also discuss the topics of the risk and protective factors that contribute to resilience, what makes us resilient and what are the factors of resilience that affect the healthcare consumer and professional. Resilience is the ability to ‘bounce back’ in difficult situations or adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress, such as family and relationship problems, serious health and wellbeing problems or workplace and financial stressors (American Psychological Association, 2016). Resilience is not something people have or don’t have, it’s to do with behaviours, thoughts and actions that are taken during a difficult time. People are

There will be a need for dense system modifications to combat burnout on its every level. Physicians have intense workload of managing an increasingly medically complex patient population in a short time, for less money, and come out with better outcomes. There are no potential remedies for health care workers burnout in hospitals let alone in individual primary health care practice (Wessels et-al, 2013 Pg. 322). Payment models should be revised to incorporate the value for patient counseling and team-based approaches such as care coordination. The organization of health care facilities should also be revised in such a manner that leadership focuses on the creation of a culture that supports employee wellbeing and sustains resilience. Some organizations ensure the wellbeing of their workers by setting up and prioritizing on recognition programs for their passionate workers. Also, programs for interdisciplinary teams can come together and discuss the emotional and psychological aspects of patient care which can improve foster empathy and

A personal health inventory for spiritual and emotional assessment is important especially for health care workers to combat burnout. Overtime, caregivers especially nurses can build up anxiety, stress, and even depression due to exhaustion. Care giving work is physically, spiritually and emotionally exhausting (Grand Canyon University HLT-310V, 2015). This paper will explore the spiritual, emotional, compassion fatigue, and burnout inventory of this author. In addition, discussed will be ways to promote spiritual, and emotional growth while combating burnout.

Emergency nurses treat patients that are in a state of an acute illness or trauma. They deal with many critical situations and have to deal with doctors, family members and other healthcare workers (Johnson & Johnson, 2014). The environment of an Emergency Department is stressful and nurses often observe many tragedies, which can lead them to experience symptoms of compassion fatigue (CF) (Duffy, Avalos, & Dowling, 2015). CF has been called the cost of caring and is a side effect of helping others who have experienced some form of trauma (Figley, 1995; Boyle, 2015; Yoder, 2010). The symptoms attributed to CF are often physical as in headaches, stomach upset, insomnia and chronic fatigue; or emotional as in apathy, cynicism, irritation,

As I pursue my career in nursing education, my multi-dimensional approach is evident by the immediate focus either on a patient improved care through meeting her or his needs, having students/coworkers ' development and growth in view as well as delineating the role of nursing. However, ultimately all roads lead to Rome, and here Rome represents adequate patient care. Therefore, this course allowed me through a thorough examination of a wide variety of nursing theories to reveal the tremendous importance of Orlando 's Deliberative Nursing Process Theory in the nurse-patient interaction. Thus, one of the reasons why my attention was drawn towards this theory was not only the significance of nurse 's response to a patient 's distress through

The contributing factors for compassionate fatigue are the feeling of unprepared to care for those who are suffering, death overload and moral distress. Staff members with compassionate fatigue, feel emotionally exhausted, but they keep going, caring for others even though it hurts them.When compassionate fatigue is unresolved, it leads to burnout which develops gradually. Other factors that contribute to burnout are lack of resources, inadequate staffing, poor communication, incivility, and ineffective management. One’s dissatisfaction

There are no clear cut principles on debriefing modalities. Debriefing is conducted after the simulation lab and are generally led by a facilitator. These guided discussions allow for reflection and feedback to identify strengths and/or gaps in clinical practice. To establish best practice for debriefing,

This study only focused on critical care nurses in a selected tertiary hospital assigned in units namely the Medical-Surgical Intensive Care Unit, Neurovascular Intensive Care Unit, Cardiovascular Unit and Telemetry. This only focused on critical care nurses with compassion fatigue. The study elucidated the lived experiences of critical care nurses experiencing compassion fatigue. Eidetic or descriptive phenomenology alone was not enough to suggest intervention or be a basis for such. It is because it is considered “weak” evidence by some. However, such a study is a great basis for future studies (Polit and Beck 2012).

On Monday, 8/31/15 Claimant Silvia Salazar reported for work pain-free according to Supervisor Edward Blanco and Supervisor Kirk Esparza.

Compassion fatigue is probably more common in nursing then is acknowledged in health care. According to Todaro-Franceschi (2015), many nurses do not realize they are experiencing compassion fatigue (p. 53). Compassion fatigue or burnout slowly develops over time which results in emotional exhaustion (Todaro-Franceschi, 2015, p.53 ). However, many nurses pushed through this moral distress to care for their patient. Nevertheless, the quality of care decreases because they become task oriented and their zeal for caring diminishes. Todaro-Franceschi (2015) describes the process as a natural defense mechanism to prevent overexertion of the individual (p. 53).

In 1984, Andrew Jameton defined “moral distress” as a phenomenon in which one knows the right action to take, but is constrained from taking it.1There are many causes of moral distress causes and how it is manifested and it can lead to low morale among staff and in some instances can cause employees to quit their job or change their careers. Moral distress has been identified among nearly all healthcare professionals, but most studies have focused on nursing, as it was first recognized among nurses. Moral distress occurs when the healthcare professional comes across a situation where they are forced to choose between what the healthcare provider is best for the patient, but that conflicts with the healthcare organization, the

As earlier mentioned, Lazarus and Folkman’s theory has three main concepts. Stress, cognitive appraisal and coping; on the stress concept, a major underpinning is the impact of stress on an individual which is based more on the individuals’ feeling of vulnerability, threat and ability to deal with the stressful situation or event. Compassion fatigue is a culmination of the effects of continuous and cumulative process that is caused by compassionate care to terminally ill patients and exposure to stress (Coetzee and Klopper, 2010). Utilizing the concept of stress as proposed by Lazarus and Folkman (1984), compassion fatigue nurse victims must make a determination of what should actually amount to

Employees who work in chaotic environments that exert extreme demands such as in an Intensive Care Unit (ICU) have been diagnosed as being at high risk for burnout (Embriaco et al., 2007). These employees frequently worked overtime due to the nature of their jobs. IUC's are opened 24 hours per day and employees work in a shift system which includes a night shift. Patients at ICU's are often in life-threatening situations requiring doctors and nurses to be on constantly alert and responsive at very short notice; often decisions have to be made about suspending life-support treatment for patients. The environment in an ICU is extremely chaotic and stressful; prolonged exposure to ICUs make health care professional susceptible to burnout. In addition high-pressure environment, dysfunction within an organisation has been correlated with burnout amongst employees (Leary et al., 2013); dysfunction was defined as the use of avoidance and coercion tactics by supervisors. Leadership styles that are forceful and lacks clear direction create confusion, stagnation and stifle creativity. n this way dysfunctional leadership may cause the perception of lack of productivity, desensitisation and exhaustion or

A sample of 200 nurses was compared to 147 nurses sampled from the same hospital wards after 5 years and revealed a significant increase in nurses’ workload, involvement with life and death situations, and pressure from being required to perform tasks outside of their competence. Although nurses working in public hospitals generally reported more stress than private hospitals, surprisingly nurses’ satisfaction with their job increased particularly in public hospitals, which may be attributable to age, improvements in monetary compensation, and organizational support. (Elsevier B.V Elsevier B.V. Elsevier B.V; 2009) Joel E. Dimsdale, San Diego and La Jolla, (2008) reviewed the conceptual issues in defining stress and then explored the ramification of stress in terms of the effects of acute versus long-term stressors on cardiac functioning. Examples of acute stressor studies are discussed in terms of disasters (earthquakes) and in the context of experimental stress physiology studies, which offer a more detailed perspective on underlying physiology. Studies of chronic stressors are discussed in terms of job stress, marital unhappiness, and burden of care