As noted by the variables just mentioned, the nurses specifically wanted a leadership and organizational structure that supported Participatory involvement, as well as flexibility for work scheduling and personal/professional development. In addition, nurses wanted to work in an institution that had a clearly defined professional practice model that used the skills and knowledge of the professional nurse. Today, many health institutions have been accredited in accordance with the criteria of the Magnet Registration program by the American Nurses Credentialing Centre (ANCC) within the ANA (ANCC, 2011) In (Yıldırım, Kısa & Hisar, 2012).
Nursing is not just about treating the ill, it is focused on the quality of care that we are delivering to our patient according to their individualized needs. Nursing is much more than just the physical aspects it also what we see internal wellness. Nursing has given me new challenges every day, pushed me to my limits. Nursing has taught me to think critically and used my clinical judgment.
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
Nursing has never been simple or easy, nor is serving as a patient advocate. However, it is important to include advocacy as a part of nursing. Advocacy is standing up for the rights of all individuals and must include interpersonal relationships between nurses, patients, professional colleagues, and the public. Nightingale’s experiences in nursing demonstrated to her the value of advocating for nurses and patients.
It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).
Continuous relationships with the care team, individualising of care and providing care that anticipates the patient’s needs all achieve best care delivery. (Wagner et al 2001). However the course of any chronic disease is determined by personal attributes, social influences and the professional treatment delivered. Yet, nurses and healthcare professional can try to maintain steady control of any chronic disease by accurate management. The TM model can be used along with other nursing models of care for effective
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.
She was selected as a Fellowship of American Academy of Nursing (FAAN). In summary, her journal explains two research studies she completed with the provided funds at her disposal. The first study incorporated King’s concept of time. Although nurses think it is more time consuming to use the bar code to scan patient’s bracelet before giving medication, it has improved the level of patient safety. Messmer’s current research study shows that communication between all members of the health care team, regardless of their position, attribute to the success of benefiting the most important person, the patient.
In order to determine how a nurse works as a professional, it is important to first define the duties of a nurse. Potter et al. says that according to the American Nurses Association, it includes: "the protection, promotion, and optimization of health and abilities; prevention of illness and injury; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the care of individuals, families, communities, and populations" (2015, p. 2). While ideas of what constitutes professionalism in the field of nursing have long remained the same, nurses are now held to an even higher standard.
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).
I have informed my mentor about Mrs. A’s concerns and she was given comprehensive information about the support groups and organisations that are there to help her and her family during her admission (NICE, 2011). Besides, providing therapeutic communication to encourage the patient to give consent to the admission is an act of beneficence because it prevents causing harms and improves the patient’s wellbeing (Edwards, 2009). It was a good experience for me since I have learned the importance of communication as one of the fundamental aspects in nursing (Balzer Riley, 2000). I have learned that therapeutic communication works wonders. I was complimented by my mentor who boosted my confidence and encouraged me to continue doing better since provision of reassurance and honest compliment from the preceptor is a foundation for student development and independence (Ingwerson, 2014).
The Nightingale Pledge is in itself a moral oath for nurses. It is by some standards considered outdated or perhaps old fashioned, but undeniably there are points that still ring true today in modern nursing. The specific point I would like to touch on is the last line of the pledge. " With loyalty will I endeavor to aid the physician in his work, and devote myself to the welfare of those committed to my care. " In my opinion, I believe this quote is saying that for a nurse, it is his/her obligation to follow the physicians orders to a fair degree and to dedicate his/her efforts to his/her