It is perhaps the hope that creating algorithms, good computer programs, and standard protocols will replace the expert. Expert nurses are vital in each specialty of nursing. Dr. Benner makes it clear that, expert nurses are infinitely adaptable with their responses in an unfolding situation, because they are able to engage situated, context driven reasoning that shifts between the general and the particular, and draws on similar past experiences. The expert nurse has the ability to teach and mentor the preceding phases of learning for the learning nurse. If the profession of nursing does not support expert practice or foster the development of expertise, it risks losing what is fundamental to nursing
Critical Thinking: Tanner (2006), had introduce the term ‘thinking like a nurse’. When I read this article I was wondering what it means and takes to think like a nurse, I am a nurse by profession and yet I don’t even know what it means. In order to be a professional nurse, nurses are required to learn to think like a nurse. To my surprise, to be able think like a nurse, a nurse got to clearly defined and understands what is critical thinking and clinical reasoning. Both terms are powerful terms and these terms explain the mental processes nurses use to make certain that they are doing their most excellent thinking and decision making for their patient’s better outcomes.
Understanding your patient’s situation and having empathy towards them will help you get through the tough days. Becoming a CNA is a great first step towards a long-term career in the nursing industry. If you want to take on a bigger role, later on, and apply in various nursing jobs, you can brush up on your skills and take additional courses. Getting the full picture on what is a CNA can be beneficial before you decide it this is the right job for you. Job Responsibilities of a CNA 1.
The potential salary, starting salary and the potential for moving up in the medical field. The employment outlook, or is the field saturated and therefore more competitive? What is a Registered Nurse? A Registered Nurse is a nurse that provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members (“What is Nursing?”). Some of the responsibility and/or duties
Post incdents review and debriefing of the staff team and clients has a positive impact on staff and client to learn from the incident and plan , so as to avoid repeating violence again. It is practiced in our hospital however, it is limited and not practicing effectively. Nurses would however utilize support from collegues and the incharge (informal supports) rather than from organization in structured way. Significantly, nurses need to feel safe and supported when they been assaulted and victimized. This cam be achieved through formal support program like debriefing system following the incident.Additionaly, it is necessary that
For a nurse, effective discharge planning is important. According to BMJ (2008) discharge planning is a process that’s focuses on the coordination of services and care after a patient’s discharge from hospital. In Ian and Judi’s case the discharge planning they received left them in fear and desperation. AHRQ (n.d) express that effective discharge planning involves the client and family by giving them adequate preparation as this reduces unplanned readmissions, improves client outcomes and increase client satisfaction. It is evident in the article that Ian and Judy’s experience with discharge planning was less then optimal.
In contrast, if working with other healthcare providers become difficult, the quality of patient care, health promotion, and established teamwork strategies will become difficult to implement. Therefore, nursing teamwork with other health-care professionals is essential in the transition of patient care. Personally, teamwork is sometimes difficult to attain, especially if the team lacks professional and personal respect for others. For example, one time I had an upcoming nurse disrespectfully inform me that my physical assessments needed work. Despite my new nursing graduate status, those comments had a great impact on my professional growth as a nurse.
I observed that nurse researchers are held in high esteem by the younger nurses and student nurses who are mentored by the nurses. In clinical areas, I educate my patients based or recent findings that will improve nursing care. I have realized that a major barrier to evidence best practice in our profession is lack of research reports and articles because of the difficulties involved in accessing such reports and articles. 6.2 SOCIAL CONTEXT The body of knowledge underlying nursing needs to be extended and nurses must learn to make decisions which have a research base. Research is costly in terms of money, time, energy and expertise.
One strategy of implementing this intervention is introducing staffing models such as self- scheduling and primary nursing (Butler et al., 2011). This strategy is vital in that it might reduce the number of nurse early retirement or resignations. This is due to the nurses directly being attached to these patients. The last step according to AHRQ (2013) is acting which focuses on refining the change. In determining if these interventions have been successful in tackling the issues, it is vital to have a checklist that focuses on the effectiveness of the interventions.
The Nurse's Role in Prevention of Medication Errors Many of the main job duties of a nurse revolves around medication and medication administration. With that being said, one of the most common errors in patient care has to do with medication administration. There have been many changes made to reduce the errors that are made during the medication administration process, however there are still medication errors occurring. Nurses are not solely to blame for all medication errors but they do play a crucial role because they are the last person doing a safety check before that medication gets to the patient. Nurses go through extensive training on medication checks during nursing school, as well as, during the orientation phase of where they are employed.
(2008). I would like to challenges Chief Nurse Executives (CNEs) to lead the journey and highlights how patients, their families, and health care organizations would benefit immeasurably if CNEs stepped forward and accepted this leadership role, then and only then can the best practice changes begin to improve what we as nurses already know. The processes of leading are intended to enable more people to develop into leaders and more people to share the roles of leading, to enhance the quality and safety of patient care (Stone P. Hughes R, Dailey M.
Hello 901231637, Your interview along with your thoughts on how your interview impacts you was very interesting to read. Hearing about your NP 's struggles during her education was an unfortunate, but common, experience. It is good to know that professionals we look up to have also experienced the same feelings we have as new nurses. Some of the barriers NPs face are "limited number of clinical sites and preceptors, concentration of educational programs in urban areas, and limited funding" (Fitzgerald 2012). I would like to know if these, or any other barriers, were a problem for your NP and what steps she took to overcome them.