The various middle-range theories are preferred over grand theories, as researchers need the generation of testable hypotheses. (McEwen, 2014. pp. 213-214). This discussion will identify how the middle-range theory Interpersonal Relations and how it is applicable in solving nurse fatigue. The assumption is that only nurses who work in the hospital setting are subjected to nurse fatigue, but this problem affects in the rehabilitation facilities, home care nursing, specialized clinics.
Another study, “Nursing staff perception of the use of physical restrain in institutional care of older people in Finland,” by Saarnio and Isola (2010) interviews nurses to understand how they feel about using restraints on geriatric patients. This study focused on nine categories ranging from history/background on the use of restraints, effects on mobility, alternatives, and emotional effects, just to name a few. This study shows in certain situations why restraints were chosen and the positive and negative impacts of using restraints. The purpose of this evidence based practice is to evaluate the use of restraints in geriatric patients and the effect they have on their quality of life. Restraints can prevent patients from causing self-harm; however, we are decreasing their level of function which can affect their quality of life when restrained for a long period of
This may be a typical for most healthcare organizations and many health consequences resulting from role denial and negligence. The healthcare team for conflict resolution was established, and both parties were interrogated. The session also included all the healthcare providers in the facility. However, it was good to know, that the conflict was resolved. Although, some of the physicians exhibited signs of dissatisfaction, the nurses also unveiled some claims that the issue was not properly handled, but after all was said and done, they were able to positively resolve the
Incivility in the Workplace and Impact on Nurse Retention Clinical Question The clinical question that is being addressed is whether nurse incivility leads to high turnover rates in the clinical setting. Nurse incivility is a serious issue that must be addressed. Studies have shown that incivility, such as bullying in the work environment is a major source of job dissatisfaction (Berry, 2016). It is important to understand that based on research studies, a healthy work environment is related to improved nurse retention and higher levels of job satisfaction (Ctsai, 2011). Therefore, one must come into realization that it is the conditions that nurses experience in the workplace which affect not only their turnover rate, but their physical and
This was achieved by re-examining the relationships between the hardy personality (total hardiness), primary appraisal (challenge and threat appraisal), secondary appraisal (coping options available), and coping methods (action and palliative coping) from the perspective of nurse stress in response to aggressive behaviour displayed by people with dementia. One hundred and two nurses from 15 nursing homes and hostels were sampled by way of a questionnaire. Hierarchical regression was performed to analyse the strong hypothesized relationships between the variables examined. Results indicated that resident aggression were related to an increase in nurse stress (M.34á79, SD.7á93). Of the variables examined, only threat appraisal were related to nurse stress (b.048, P < 005).
Nursing managerial identity As explained above our managers experience of their hybrid role can be organized into three separate groups depending on their perceived conflict in the hybrid role. However, as we already mentioned, our research have come to conclude additional aspects of their experience that is salient in all groups of managers as it stem from their construction of themselves in their professional-managerial hybrid role. We argue that our concept of a nursing managerial identity may be a result of how the nurse managers combine their past of a nurse with their presence of a manger, enacting the duality of the hybrid role. As through their identity construction one can understand how they experience their hybrid role as it guides
Nurses Level of Leadership and Autonomy United States Within the United States, the oncology nurses play a vital role in leadership being at the forefront of care, as well as having a wide range of autonomy. However, ultimately, the providers make the orders that the nurses have to follow. A 2013 article, Nursing Practice Environment and Outcomes for Oncology Nursing elaborate on autonomy within the oncology nursing field. A notable finding of the study was the more autonomy the nurses felt they had compared to their peers on medical surgical floors. Their research states that oncology patients normally have complex cases and require a lot of knowledge and time.
This clinical experience has really helped me to sharpen my communication skills and realize just how important it is to understand mental health. We are told multiple times in class that mental health issues can be seen on any floor and that is the truth. I’ve seen patients in my older adult clinical on the pulmonary floor suffer from issues that range from anxiety to bipolar disorder and depression. Being able to understand how to approach people that suffer from these types of illnesses, allows us, the nurses, to give the patient the best care that we can. It helps to build a trusting relationship and get to know them on a personal level.
Falls account for a majority of the injuries to patients in long term care facilities. With falls being such a prevalent problem in the geriatric population it is important for nurses to take into account many different aspects of the problem and make it a priority to reduce and even eliminate the problematic issue with the long term care setting. Nurses should be most concerned first about the safety and well being of their clients, injuries, lasting disabilities, and costs associated with the falls. “Falls account for a significant portion of injuries in hospitalized patients, long term care residents, and home care recipients. In the context of the population it serves, the services it provides, and its environment of care, the organization
She became very interested in the problems the workers faced this caused her to do research in these areas. Hamilton led many investigations into occupational diseases and their effects on the workers. Her investigations brought about reform in the working conditions of many workers in the area, and was influential in enacting the Workers Compensation Laws. (U.S. National Library of Medicine, 2003) Julia Lathrop