Nurses need to make sure that they aren 't there just to collect their paycheck, but to caring their patient. Appearance is what other people look patient might judge, the nurse by their appearance. When it comes to nursing, a nurse 's appearance encourages assurance in the patient. For example, a nurse who walks into patient 's room with ungroomed hair and wrinkled and untidy scrubs, a nurse would lose trust and respect from a patient. In addition, if the nurses look careless on their appearances, their coworker, patients, and their families will see the patient as sluggishness and
The qualities and characteristics of a ESTJ interfere with this job due to the tendency to be uncomfortable in uncertain and or risky situations, and they do not like change. ESTJs would rather take the traditional way out of things and would like to know exactly how things are going to happen so that they can prepare and organize for the upcoming events. In the intensive care unit patients are critically ill and may even die. With this being said most of the time nurses in this unit may need to use new trails, medications, approaches, techniques, or they may even have to work with a new colleagues or authorities. People who are ICU nurses and are the ESTJ type may have strong difficulties when it comes to day to day duties in this unit, and could cause a multitude of issues that are not acceptable on such critical circumstances.
Since nursing homes tend to provide care to a vulnerable population they can be taken advantage of, overlooked or mistreated by staff and with residents potentially underreporting these incidents due to fear of retaliation by staff identifies this as significant ethical issues among nursing homes. The use of restraints that restricts a resident, whether physical or chemical applies to the ethical considerations within a nursing home as it not only impacts the resident, it can affect staff members and other resident’s safety. There is always the conflict between providing the resident with a fair amount of decisions regarding their activities of daily living, special accommodations, and independence. However, there is also the reflective issue of whether these freedoms impact the safety and the ability to comply with the institution's policy and how they are handled to deliver ethically appropriate customer service to those
This is very critical as it helps in the diagnosis and also helps me to get to know the patient’s history [Doctor 1]. However, one challenge with regard to patient active participation in the encounter process is the lack of role clarity. Both doctors and patients shared this view. Some patients are not sure of their role in the consulting room…some believe that with the minimum or scanty information, doctors should be able to diagnose and treat them accordingly [Doctor 7]. It is quite worrying that some patients come to the consulting room and try to suggest what to prescribe for them.
The Francis report is clear confirmation that when the 6C’s, a therapeutic relationship and ethical boundaries are ignored in patient care it becomes a major barrier that leads poor healthcare. (Department of Health, 2013). It is evident that a therapeutic relationship and effective communication underpins good healthcare (Brown & Bylund, 2008). Communication is therapeutic and building relationships is the cornerstone of nursing work, particularly with patients who have learning disabilities or mental health issues (Clarke, 2012). With such patients, nurses have to consider emotional factors as the patients may find it hard to listen, concentrate and communicate if they are emotionally, scared, anxious or maybe just do not understand the
The nurse should observe the way in which the patient acts towards each staff member (are they afraid, permissive, angry, scared around a particular member of staff?) The nurse concerned could ask the family to make sure that the patient has not withdrawn large sums of money out of their bank account or keep a record of what the patient is spending their money on incase of financial abuse. The nurse concerned could also ask the family for any behavioral changes in the patient since a certain care giver started looking after the patient or since they had been admitted into the care of the
But, without trust patients are less-confident that decisions made are in their best interest. communication influences understanding and cooperation increases trust between both parties, nurses must monitor their interaction with patients to avoid a false sense of security. This false sense may cause potential harm to patients because substitute treatments are not offered. So, to lighten or reduce this concern the nurse must understand and listen to the patient’s life circumstances. A failure to do so may limit how much the patient’s concerns are considered in the decision making process(
as cited in Roberts 2004). Autonomy is described as an individual’s right to self-governance around their care and the requirement of healthcare professionals to respect these decisions (Kirby et al. 2004). However the patient and healthcare professional can sometimes have conflicting views regarding a person’s capacity for autonomy particularly persons who are acutely unwell. Despite JB expressing his dislike of being placed in seclusion, nursing and medical staff agreed JB’s capacity to make an informed autonomous decision was impaired due to his current mental distress.
From the perspective of a person within the health sector, autonomy may and may not be practical for the purposes of preventing liability from litigation and avoiding ethical criticism, especially when it 's measured against the patients’ best interests. In certain circumstances such as cases where patients don 't have the decision-making capacity, then nurses may treat the patient without consent. This type of situation is usually grounded on the principle of necessity. When professionals working within the health sector act under necessity, they must be able to prove that they did no more then what was necessary and in the best interests of the patient. This is a common problem in today 's nursing homes as many residents are not of sound mind and are unable to make decisions that affect them.
Grief Counseling for Pediatric Nurses I believe that pediatric nurses should have ready access to grief counseling and support groups in order to help them easily deal with the loss of patients. Pediatric nurses are not just expected to be a health care provider; they are also supposed to be a caring person who is able to make the scary environment of a hospital feel more like a home to these children. These individuals are around these children almost 24/7 and they do tend to get attached, but when that child is taken away from them, it is going to affect them both personally and in their work. Access to things such as grief counseling and support groups within the hospital setting will help pediatric nurses be able to go into a case more
The United States culture is a completely different experience for the Hmong people, something that is very foreign and unusual for them. The Hmong people and Lia’s family especially are faced with huge culture shock when it comes to the United States heath care system. They are use to more spiritual practices, while the doctors are focused on using strictly medication in order to heal patients. These completely different methods make it difficult to finding a common ground when trying to heal Lia. Many things that the Hmong culture is accustom to are not very well excepted in the US culture.
2004). These conditions place a great burden on our health care system, and on our health professionals (Nadeau & Measham 2006). Nadeau and Measham’s (2006) article highlights some of the challenges paediatricians face when providing appropriate health care to migrant children. One of the challenges they discuss is that most migrant families find it difficult to navigate our foreign healthcare system and are often reluctant to do so due to a deep seeded mistrust of services, hence “paediatricians and psychiatrists need to use particular strategies to invite families to invest in needed treatments” (Nadeau & Measham 2006, p. 146). They also discuss the challenges of creating a welcoming environment which instils a sense of trust within the client (Nadeau & Measham 2006).
Those who are in a mental institution program should be taken seriously and not be treated as if they were invisible. People usually do not get the help they need because they do not know where to start and the job of the nurses and doctors are to take care of them. A mental illness does not go away on its own, it is something that the person has to work on even if it is a long process, the progress will be made. People are terrified of what will happen to them or what others think of them, which means everyone needs to make them feel comfortable or else their journey to getting the cure will not be overcomed. People cannot accept their serious illness, but doctors should be able to accept helping them out and supporting them.