Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions.
(Fact sheet: heart and disease). Stress is difficult to measure, but we all know what it feels like and how we cope in stressful situations. (Fact sheet: heart and disease, 2005). Stress is a naturally occurring phenomenon in the life of a nurse. As a nurse, we work with people that are hurt or in pain which results in stress for the patient and also may lead to stress for the nurse.
Sally, I appreciate your insightful post regarding beginning nurse led groups on an inpatient psychiatric unit. I know that this can be a challenging transition to go through and your assistance will be instrumental in its success. Your assessment that the nursing staff appear frozen and lacking motivation to make the necessary adjustments in their work to begin leading groups seems accurate. You describe that the manager has been unsuccessful in unfreezing staff attitudes regarding this change for over two years (S. Rothacker-Peyton, personal communication, July 22, 2017). This speaks to a fair amount of resistance amongst the staff as well as a likelihood of significant barriers to implementing nurse-led groups.
The story is mostly told in present time, but there is a single flashback, where our narrator recalls an event that took place earlier during the week “Last week, during wardrobe fittings (…)” (p. 2, l. 38). In the story, we meet several main characters and a few minor ones. First, our protagonist Tess. She is 15 years old, and plays the Nurse in Romeo & Juliet. We learn that she has 88 lines, appear in 11 of 24 scenes, has no costume changes and finds her role hard to play.
Abstract/Purpose: (please refer to separate file) The worsening problem of hospital nursing shortage has resulted to inadequate nurse staffing, which affects our nursing care to our patients and our satisfaction towards our job. Understanding how nursing staffing levels affect both patient and nurse outcomes prompted these researchers to conduct a study on hospital nurse staffing levels (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002). The purpose of their study was to examine the relationship between the nurse-to-patient ratio and surgical patient outcomes, specifically patient mortality and mortality following complications nurse retention as well as the factors that influence nurse retention (Aiken et al., 2002). The study was conducted
Over the next approximately 6 months, Peg made an amazing recovery and though she was the last of the 4 other girls to get to Sheltering Arms she was the first to be discharged to go home. She shared many great memories with the girls and Peg’s parents came every Sunday not only for Peg but for Dorothy, Alice, Shirley, and Renee. The day Peg was discharged, her mother took her out early and they drove to The University Hospital so Peg can walk for him. It was a great accomplishment and not many were able who were diagnosed with polio. Many were restricted to iron lungs, wheelchairs, walking sticks, and some passed away.
One November evening of eighth grade, I came home to learn that my older sister, Julia, had gone to a hospital to be treated for depression and anxiety. I was told that she would only be there for a week. After this one week, Julia was transferred to a different hospital where she remained for two months. During these two months, we never knew when Julia was going to come home. It sometimes took weeks to see if a certain medicine was working for Julia and so her recovery process was very ambiguous.
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).
There is a lot of technical and clinical information that the one will need as a nurse: critical thinking and communication skills, patient assessment skills, understanding disease management protocols and development of care plans (just to name a few), most of which is only obtainable through college or technical school and on the job experience. Respect for the patient, the patient’s support system, as well as, respect for yourself is another essential trait necessary to be a successful registered nurse. If patients are sick or worrying about what might be wrong with them, they are going to understandably be anxious or upset (and probably both). Part of practicing compassion as a nurse is recognizing situations like this – and so many more – and striving to help patients maintain their dignity through it all. This requires honest and straightforward communication.
However, this can also work against the authoritative position that doctors hold. If someone with a PhD preforms malpractice the audience is easily angered because a medical doctor is someone who all should be able to trust. While the nursing students where observing the medical staff during clinicals a student reported of “a doctor performed frequent and unnecessary vaginal examinations to improve his practice skills” (pg. 593). By using credibility the author was able to support the purpose of their article to inform the audience of malpractice and ethical conflicts in the medical
For caregivers experiencing stress, self-help groups can be beneficial (Tabloski, 2014). As a nurse, I must extend my concerns for the caregiver as well. In conclusion, living old can be picturesque with today’s advances in medicine, however, the aftermaths of aging can deteriorate bodily systems. Living with a loved one diagnosed with chronic illnesses can profoundly impact a caregiver’s life to the point that it paralyzes social life as well. With the same token, the deep-seeded love for the loved one flows unfaltering and permeates to the core of the heart.
What new strategies can we introduce to reduce moral distress among practicing nurses compared to current strategies that would reduce moral distress and increase retention of experienced nurses? According to a survey conducted Woods, Rodgers, Towers and La Grow (2015), 48% of nurses surveyed considered leaving their position due to moral distress. Some nurses may even leave the profession. This should be a major concern for nurse managers because retention of experienced nurses is essential for mentoring new nurses, provides a balance of experience in patient care settings, and leads to improved patient outcomes. Moral distress occurs when the nurse perceives a conflict between their expected actions and their personal moral convictions.
In the field of nursing practice nurses frequently experience situations which encourage them to think about ethical and legal aspects to make decisions. In this case study author will examine different ethical principles and legal possibilities which could be applied to make decision. In this case, a nurse is suffering from debilitating motor neuron disease. She realise that disease is progressive and in short time she will be in last stage of disease. She is worried about emotional and financial effects of disease on her family.
The transition is also stressful for the nurse practitioner, thus making the NP feel inadequate, overwhelmed and incompetent. Fortunately, there are steps that can help this transition run smoothly. Incorporating strategies to have a successful transition is not impossible since nursing is one of the largest part of healthcare. Acknowledging the different transition phases, from phase 1 which starts in school and graduate program and phase 4 which ends in graduation to workplace, would make the novice NP be confident. But the phase that stands out the most is phase 2, that includes confusion, emotional stress, and anxiety.
You are right, it is difficult to review a medication especially in an emergency situation, plus you were a new nurse at that time, so you were still getting familiarized with drug doses and uses. I recall an incident maybe 3 years ago. I have a patient who was DNR and in coma due to critical low sodium level. I notified the primary physician and he ordered a hypertonic fluid, I believe 3% with a fast rate. I was already a nurse for 6 years at that time and I have never given a 3% IVF before.