Introduction Nursing judgment refers to a clinical assessment concerning person’s response to health situations or how vulnerable the response is to individuals, household, clusters or the entire community. Clinical judgment consists of two main sections, descriptor, and attention on examination inclusive critical aspects of examinations. In some cases, exceptions are made on judgment and given in one term like anxiety, pain, and dehydration. Clinical officers should not concentrate most on diagnoses from focused challenge but to risks realized (North American Nursing Diagnosis Association, 2005). Before developments made while classifying clinical judgment, nurses were not guided by and standards while relating to their client's challenges.
Nurses also work closely with ultrasound technicians and patients. Nurses act as the messengers between patients and doctors. They also act as messengers for physicians when they can not be present. The nurses are the ones caring for patients, and taking all that information to the doctor, then if the doctor orders an ultrasound, the nurse then takes that information to the patient. After consulting the patient, the nurse would put in the order and ensure that the ultrasound was scheduled (and took place if within a hospital).
At the end of the meeting, I observed the team (nurse, social worker, and nurse practitioner) debate on the patients’ request for increasing their level. The decisions were mainly based on the patient’s behavior and interaction with other patients on the wing. Being compliant with medication, therapy, group sessions, and self-care were also factored in the consideration. I did observe an RN and psychologist discuss a plan to prevent two patients from arguing or becoming violent. They were discussing ways that were fair to both patients without compromising their needs or care.
Clinical Nurse Leaders are part of an interdisciplinary team members working together to plan and implement most effective patient care. There are differences in terms of leadership. Family Nurse Practitioners act as a leader related to patient care in terms of patient diagnosis, treatment modalities for the wellbeing of the patient and community. Registered Nurses with their work experiences can work as clinical nurse leaders and monitor the care provided by the nurses on the unit. They participate in other nursing organizations or committees and provide suggestions to improve health care system.
The Effects of Working the Night Shift, written by Julia Tortorice, is an article about it affects health or nurses and how it affects their families. The author also mentions that currently acts are pending to improve staffing and the overall health of nurses. The author successfully uses humor and the logical appeal of pathos to make it easier to understand. She also gives advice of what a nurse can do which will help me brain storm my solutions in my paper. For instance, Tortorice (2014) says, “Studies have suggested that napping nurses suffer from less fatigue than non-napping nurses” (p. 3).
A Compassion Fatigue Among ED Nurses Problem When one thinks about nursing, caring, empathy, and compassion come to mind. There is a link, an unbreakable union, for nurses that "compassion fatigue is the cost of caring for others in pain" (Boyle, 2015, p. 49). Compassion fatigue (CF) and its impact on nurses are predominant problems in many Emergency Departments (ED). Nurses perform a number of procedures throughout the day, but primarily the thing that they deliver the most is themselves (Harris & Quinn-Griffin, 2015). Nurses give care, succor, kindness, and tenderness to patients, families, other nurses; support to doctors and advanced practitioners, and give directions to medical technicians, nursing assistants, and other staff every
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
Amputation and Disturbed Body Image Disturbed body image is defined as confusion and/or dissatisfaction in the mental picture of one’s physical self (Doenges, Moorhouse, Murr, 2014). One cause of a disturbance in body image is amputation of a body part. Amputation is a life altering event for patients, which may leave them frustrated and unable to cope. The purpose of this paper is to prove that having some form of support system promotes self-acceptance, in patients with an amputated body part. The nursing article “Caring for Patients with limb amputation” is a research article and discusses pre- and post-operative care, discharge planning and resources available for reintegration into the community.
Nurses are at the core of multi-professional teams as they collaborate with multiple other medical and non-medical role-players (Jones, 2006:20). While doctors generally head-up multi-disciplinary groups, it is often nurses, who have direct contact with both patients and other professionals, who are in a better position to manage healthcare teams (Kosinska & Niebroj, 2003:71; King, 2000:63). An example of effective nurse leadership was evident at my CHC visit, where the clinic manager is a nurse who collaborates with all team players. I particularly noted that she did not give orders, but mentioned how she called meetings with staff members, presented them with objectives and lead them to suggest solutions. She acknowledged that certain members, especially doctors, were not always happy with her leadership, but that she solved these challenges by suggesting compromises that best served the patients’
Nursing care is provided to every patient under the direction of a Registered Nurse which has the responsibility and accountability for the assessment, nursing interventions, delegations to PCA’s (Patient Care Assistant). For instance, nurses can delegate to PCA’s or unlicensed staff to take vital signs, to draw blood, to bathe patients, patient ambulation, etc. The manager has the responsibilities to maintain qualified staff to perform all the tasks, also is responsible for the overall budget, performance improvement, staff retention, etc. The delegation from charge nurse is going to depend on the floors where they work. Some floors allow the charge nurse to take up to two patients, and others, charge nurses only supervise and help other nurses as necessary.