This speaks to a fair amount of resistance amongst the staff as well as a likelihood of significant barriers to implementing nurse-led groups. It will be important to determine what has failed with this change in the past, as well as what has worked in the successful implementation of change with the same team to determine the best path forward. Furthermore, it is concerning that the nurse manager’s past attempts at communicating regarding quality improvement have resulted in a lack of feedback. As you discussed, it will be very important to build an implementation plan based upon the work described by Middaugh (2017), Heuston
In the essay, The Devil’s Bait by Leslie Jamison, Jamison emphasizes her paper about Morgellons Disease. Throughout her essay, Jamison introduces the urgency of the disease by going to a location that is known to have many people asking the doctors to believe them. The reason Morgellons Disease is an urgent topic that must be discussed is because many people feel like their voices are not being heard and ignored. Many have a disease whom they see as needing emergency treatment, however they are being told it is their brain playing tricks on them. The rhetor is compelled to speak about this issue for it gives those whom she interviewed a sense of voice and a call out to doctors to be more understanding of their patients.
By doing so it affected her personal belief she could have been cared for better, and also they failed to communicate and inform the family thus inflicting pain in them for years. They only thing they wanted was answers. It is what shapes views and ways of learning. Therefore, communication plays an important role in how culture is learned and passed on. As nurses, communication is key in having a successful interaction with patients.
Before nursing school, I wasn 't aware of the scientific basis of nursing practice. But as I move to the professional world, I ought to reconcile my personal view of nursing with evidence-based practice to provide the best care possible. My plan is to become a gerontology nurse, in part to fulfill my dream of caring for older adults, but most importantly because this area of nursing requires a lot of patience, effective listening, respect, and
This scenario has caused DD an immense amount of stress, from one child moving away to another moving home, and the recent addition of his father-in-law. who has a progressive disease, into the home. Financial resources would be stretched thin, and there would be an increase in the need for resources to provide transportation to GG’s doctor appointments. A nurse providing care to this family using the CFAM theory would need to discuss the possible resources the family has available in their community; however, their primary focus should be on the strengths the family currently has. These strengths can be assessed, and the they can use those strengths to empower the family
In regards to written communication, it is essential that the health professional is clear and concise while using relevant and simple language for the patient. In conclusion, this synthesis has explored the vitalness of therapeutic communication in improving patient-centred care. Through being more aware of one's self, using positive verbal/non-verbal language, active listening, showing empathy and building a trusting and respectful relationship, a nurse is able to create a healing therapeutic environment for the patient, leading to positive experiences and outcomes for each party
The article focuses on hospitalized older adults, but it talks about how the same can occur in a long term care facility if the patient has some sort of disease or is unable to move themselves. From this article I learned that many times nurses do not help with moving patients because they are not taught it is essential or they are not taught how to. I also learned from the article that increased mobility also leads to increased healing of certain injuries or diseases, and better overall health. An evidence based intervention the article discussed was better education and more theoretical framework for nurses about the knowledge or mobility. Another intervention the article discussed was using the knowledge and theoretical framework to change nurse’s attitudes about mobility.
Digby (2016) states that empathy is an essential quality for nurses in order to effectively care for a patient with dementia. Perhaps in this scenario I lacked the empathy to care for this patient properly? I was trying to re-orientate Margaret and reassure her that she was in the best place for receiving the help that she needed. This however did not go as smoothly as I had hoped
Poor communication is so important that the Institute of Medicine identified it as the cause of many medical errors (Institute of Medicine, 1999). The Center for American Nurses (2008) defines disruptive behavior as “behavior that interferes with healthy communication among providers and adversely influences performance and outcomes. For instance, at the beginning of the placement, I found a reason behind the occurrence of client errors and missing nursing interventions that is insufficient communication among my teammates. Meanwhile, I have learnt a more systematic presentation to turn over cases and apply. Standard protocols, such as SBAR (situation-background- assessment-recommendations) are now commonplace as a way to improve communication (Beckett & Kipnis, 2009).
However, with effective leaders present in different branches of the industry the number of preventable medical errors might significantly decrease, and the quality of medical procedures and services might improve, accordingly. Considering the presented circumstances, it becomes clear that the health care industry requires thorough and powerful interventions, especially from the position of the nursing staff that in most of the cases is in the process of the closest cooperation with the patients, their families, and treating physicians. Therefore, it becomes apparent that the issue is not always present in the type of a facility but is more actual for the people, who work at the facility. Lack of motivation, opportunities for professional and personal development, possibilities for free decision making regarding the patient’s condition all contribute
In the study done by Drossel, Fisher, & Mercer (2011), a Dialectical Behavior Therapy Skills training manual (DBT Skills) was used for caregivers of patients with dementia, mainly in community clinical settings. This was designed because of the lack of effective therapy options currently in healthcare for elderly abuse. Researchers studied the DBT Skills training manual to examine if its effect would not only help at-risk caregivers to decrease the harm towards elderly patients with dementia, but also improve quality of life for the patients. There were 24 caregivers (19 women and five men) and most were family members. The DBT Skills training entailed one introductory meeting and eight weekly sessions.
The one piece of information that will most likely affect my nursing practice will be to ensure I inquire about a caregiver’s emotional state and how he or she is coping. As an intensive care unit (ICU) nurse, I see firsthand how caregivers resume care at the hospital for his or her loved ones, even though there are health care professionals ready to take care of personal needs. It seems as if a caregiver does not know when to stop giving. A caregiver will at times, succumb under mounting challenges and tribulations at some point and will need support. For caregivers experiencing stress, self-help groups can be beneficial (Tabloski, 2014).
2004). These conditions place a great burden on our health care system, and on our health professionals (Nadeau & Measham 2006). Nadeau and Measham’s (2006) article highlights some of the challenges paediatricians face when providing appropriate health care to migrant children. One of the challenges they discuss is that most migrant families find it difficult to navigate our foreign healthcare system and are often reluctant to do so due to a deep seeded mistrust of services, hence “paediatricians and psychiatrists need to use particular strategies to invite families to invest in needed treatments” (Nadeau & Measham 2006, p. 146). They also discuss the challenges of creating a welcoming environment which instils a sense of trust within the client (Nadeau & Measham 2006).