Impact of Hospital Admission Care at a Pediatric Unit Hospitalization especially in children causes great emotional impact. Anxiety is created by being away from the home environment which can be more traumatic for children than for the adults. From the time of admission to a hospital, specifically when unplanned, is considered the most stressful moment for both the children and the parents. The admission care process is defined as “the first nursing care a child receives when he or she is admitted to the hospital, where the child’s health condition and needs will be assessed” (Macias, 2015 p. 285). According to the research, parents’ and children’s anxiety can be significantly reduced depending on how the admission process is conducted. …show more content…
As for data triangulation the textbook further explains, “Data triangulation involves the use of multiple data sources for the purpose of validating conclusions. There are three types of data triangulation: time, space, and person” (Polit & Beck, 2010 p. 327). Only person triangulation was used throughout this study. Polit and Beck (2015) explain, “Person triangulation involves collecting data from different types or levels of people, with the aim of validating data through multiple perspectives on the phenomenon” (p. 327). Even though only one method of triangulation was used, a sufficient amount of data was gathered. The information collected contained one common theme, six categories and quotes from focus groups used to illustrate findings drawn from the discussion (Macias, 2015). Given all the data that was obtained a sufficient depth and richness was …show more content…
In practice, this study can truly impact the nursing discipline. In guiding health care professionals towards better care of the patient and family members from the beginning of admission, the patient and parents will gain trust and confidence during such a stressful time. The admission process is the first form of treatment and that creates a baseline as to the experience and care that will be continued until being discharged. These findings can create a new approach for professionals to treat admissions not only as the first phase rather in a holistic approach to the care they will
The majority of our society holds the notion that nurses are no more than trained professionals, working for a doctor, who simply provide medical care for the sick and informed. However, what nursing means to me goes deeper than that belief. Nursing is a profession in which individuals are responsible for not only the care of the sick and infirmed but are also responsible for being a support system and an educator, as well as an advocate for the promotion of optimal care. In today’s society, nurses are an important part of any medical facility’s investment. This paper will address the many different aspects of nursing in which nurse’s act as not only caregivers but also act as, counselors and educators.
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
Nurses play a big role in supporting the parents while their child is in the NICU. Showing compassion and demonstrating caring actions when caring for the patient makes it more likely that the parents will trust the nurse and the information the nurse gives them regarding their child’s condition. This trust is important as it helps the parents feel confident in the decisions they are making about their child’s care. When the parents of an ill child in the NICU have decided to terminate treatment palliative care by the nurse and other healthcare providers comes into play. Palliative care is keeping the child comfortable by treating the symptoms and being there for the parents and child physically, emotionally, and spiritually (Eden & Callister, 2010).
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
I was able to see how stressful it was for parents who also had children at home and had to be at the hospital taking care of their child. Also, for the first time I experienced having to deal with parents who were arguing about their child’s care. I realized how whenever the patient’s mom was out of the room, the child was behaving appropriately for his age, but when the mom would come back into the room, the child would behave differently.
It will seek to demonstrate the appropriateness in supporting the patient and their family, whilst reflecting upon personal experience, and how literature may influence the healing effectiveness. The factors that enhance and inhibit the learning environment will be explored and suggested techniques to improve clinical learning will also be discussed. Finally the nurse-patient learning relationship will be explored along with the application of teaching and learning strategies will be examined.
The transition from student to a qualified nurse can be a stressful and overwhelming ex-perience for many newly qualified nurses. This opinion is widely upheld throughout the literature with Higgins et al (2010) maintaining that many of the problems experienced are due to lack of support during this initial transition and a period of preceptorship would be invaluable.
Treating the patient and family as one, can have improved outcomes, decrease hospital stays, increased patient satisfaction, and improved reimbursements for the hospital. Developing a relationship with not only the patient, but family as well, can pay off in the long run by providing better communication, better quality of care, and trust. The patient and family can be strong advocates for improved performance improvement efforts. Including family in the treatment of the patient treats the “whole” patient through their hospitalization. Involving the family can enhance the patients care.
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
“Enabling” is the nurse 's’ responsibility to help the make a transition into the unknown. For
Being a nurse is a huge responsibility, and that obligation is only magnified when, as a nurse, you are working with children. Children are very delicate and are not able to bounce back from serious issues like older patients are. As a nurse, you are crucial in ensuring that the pediatric patients you see are on track in their growth and development. A lot of parents aren’t really sure about where their children should be at and need anticipatory guidance and other teaching so that they are aware when their children may be in danger. Nurses are extremely important in assessing children’s developmental level because if they do not, that child may be hindered for life.
Triangulation is "the combination of methodologies in the study of the same phenomena" (Denzin 291). Triangulation is also defined as "a process by which the researcher can guard against the accusation that a study 's findings are simply an artifact of a single method, a single source, or a single investigator 's biases" (Patton 1197). There are different types of triangulation. Patton differentiates between four types: a) methods triangulations; b) triangulation of sources; c) analyst triangulation; and d) perceptive triangulation (1993). Triangulation can be used not only in qualitative research, but also in quantitative research. Bamberger states that: ".. triangulation is also used in quantitative research, usually
When the baby is admitted to the NICU, the mother is unable to have the usual bonding moments where she holds and comforts her newborn. Rather, when visiting with her child, she is required to take endless precautions, has limited time to be with her baby, and must see her little child connected to many machines helping to keep the baby stable (Shanmugam & Ramachandra, 2015). In their study, Shanmugam and Ramachandra (2015) questioned 100 mothers of neonates in the NICU, and recorded the correlation between their stress level and coping strategies. They found that 38 of the mothers had severe stress, 28 had moderate stress, and the remaining had mild stress. Of these women, 25% had good coping, 50% had moderate coping, and 25% had poor coping. A large finding from this study was that nurses and health care providers played a very big role in helping to reduce the stress levels of the mothers by talking with them and listening to their concerns, while also providing adequate care for their children. If the mother is using negative coping strategies, such as holding in all of her concerns and filling her mind with the thoughts of death, financial issues, and fear of the unknown, she is going to cause her body great harm (Shanmugam & Ramachandra,
(2014) described the importance of triangulation is that all of the outcomes, whether convergent, inconsistent, and contradictory, should be filtered through other knowledge about the setting. As such, triangulation seldom provides a particular view of a circumstance, but can offer a rich and multifaceted representation of the phenomenon under study. Triangulation is typically a strategy or test for improving the validity and reliability of research or evaluation of findings.