The abilities to delegate, and supervise other healthcare workers is not an easy job. Delegation is one of the most complex nursing skill. It takes clinical judgment and practice. RNs are required to assess and evaluate the needs of the patient and then utilize the appropriate caregivers in order to achieve desired patient outcomes. For an example a post-op elderly patient is receiving IV antibiotic and PRN IV pain medicine.
The Joint Commission determines the highest priority patient safety issues and how best to address them (The Joint Commission, 2016). Treatment issues and errors have been a focus of the Joint Commission however the errors in diagnosis leading to inaccurate treatments have not been of serious concern to be placed on the dockets (Berenson et al., 2014). The Society to Improve Diagnosis in Medicine and the Institute of Medicine are examining this problem. It is currently made up of mostly physicians and other healthcare professionals. As the current trend continues with Nurse Practitioners practicing at the primary and acute care levels, it is imperative that nurse practitioners should definitely be a large part of the committee by the IOM through their Health Care Quality Initiative (Berenson et al.,
Working overtime signifies many variables such as working over 40 hours every week, mandatory as well as voluntary overtime, working paid shifts, extended shifts and working two shifts back to back (Kunaviktikul et.al.). The institute of medicine (2004) recommends nurses to avoid working beyond 12 hours per day and past 60 hours in a week, but the recommendation is often not followed through in the nursing profession (as cited in hahtela, paavilainen, mccormack, slater, helminen, suominen, 2015, p. 932). Nurses are perceived to be the once that are mandated to work overtime in the healthcare facility compared to any other health care professionals (Golden & Wiens-Tuers, 2005 as cited in Bae & Brewer, 2010, p.99). Increased physical injuries
Finkelman, describes power as the ability to influence others and their decisions (2012). Based on Finkelman’s description of power I would consider myself as a powerful nurse. Often as a registered nurse, I have to utilize the power of persuasion through education and patient empowerment to convince and promoted healthy behavior changes to decrease re-hospitalizations. Furthermore, as an employee I am on a quality and improvement committee that meets monthly to identify ways the hospital can improve quality care, reduce cost, and implement evidenced bases cares/interventions. In comparison with my previous hospital employers it is my personal opinion that my employer is considered a safe place for nursing when it comes to patient to
Preparing students and new nurses to transition from being new to the field and help them to achieve competency and proficiency is still remain concern in our hospital or work area. A lot of nurses are refusing to be a preceptors or mentors and not valuing sources of academic support. “The coaching/mentoring process provides the opportunity to continually seek open, honest, and timely feedback as well as an opportunity to share one’s experiences and wisdom”
To develop a retention strategy is to identifying the factors that motivate nurses to stay. Among these are a positive working environment, high standards for quality care, respect for each employee and opportunities for professional growth. Place hires new staff on other units during orientation so
One will coordinate with patient care, monitor the patient’s management, take vital signs, provide medication, prepare patients for exams, and work with medical teams. Working as a registered nurse, or any nurse can be rewarding. The greatest advantage of becoming a registered nurse, is probably earning hands on experience with patients. One should have clear communication skills, the ability to work with others as a team, should be very organized and have great critical thinking skills, and most importantly should be dependable and have high stress tolerance. As stated before, RNs can work in different hospital facilities, doctor’s offices, clinics, schools, military hospitals, and prisons.
Nurse managers can begin to learn these habits with self-evaluation and support from peers in the medical field. Challenges for Nurse Leaders Nurse managers create health work environments for caregivers and positive outcomes for patients.  A health work environment is a positive setting where caregivers feel engaged with their work and pursue growth opportunities. Positive patient outcomes result when staff
Becoming a Professional Nurse and Personal Attributes Needed To Establish An Effective Professional Relationship. The 2006 article “What Makes a Nurse” by Rush and Cook and Davis’ 2014 article “Emphatic Nurse” both describe important qualities for becoming an excellent nurse. This paper compares and contrasts key concepts proposed by the researchers such as communication, attitude, skills, knowledge and empathy. This paper will also consider life experiences and personal attributes to determine adequate qualities that nurses should have. Being a nurse is more than just giving medications, changing linen or providing personal care to patients.
This large investment in the development of our newer nurse will improve the care at the bed side, reduce the incidence of errors and improve job satisfaction. Experienced nurses can also use simulation to gain valuable practice with low volume high risk activities/situations. The lived experiences in the simulation lab help to develop skills nurses can use with real
Sally then arrived to the hospital and that’s when me and two other student nurses took our spots. The two students nurses with me were also nervous and anxious, but since we had three brains working together I had faith that we could hand this simulation. Sally seemed to be unaware of what surgery she was having, thinking she came to amputee her leg. We then stated the surgery she was having and that no amputation would take place. Sally also had a question on informed consent, which we explained to her and told her daughter can be the new health proxy for her.