The Strange Voyage
1. I think that the patient misunderstood the nurse’s intentions when he was moved from the ICU to the other places in the hospital because there was limited communication letting the know what will be happening. It seems that the patient was not familiar with the hospital, procedures and the people and because of that, the patient felt that all the interventions were to harm him. Even before the surgery, the surgeon visited the patient very quickly and told the patient this was a routine surgery. Although it may be routine, I think that it would be good to educate the patient about what will be occurring in each of the processes. In addition, when the patient was going for exams, the patient had to wonder what exam and why he was getting this procedure. Moreover, I think that he was not oriented to the time or place, and it does not seem like he was reoriented based on his responses.
2. As a nurse leader, I think that it would have been helpful to educate my team of nurses to effectively care for the patient. Communication is the key to interaction between individuals. I feel that if nurses in the ICU, OR, PACU were providing good communication between one another and with the patient, the patient would have had a better understanding of the situation. This was the first triple bypass surgery that the patient had, and it is a major event in the patient’s life. After the surgery, they are often placed in the ICU to recover so that their heart, lungs are oxygenating and pumping effectively. I think that it was an essential to communicate everything with the patient before and after the surgery.
The type of leadership management that I would use would be transformational leadership style. Transformationa...
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... building a team of staff to provide care for the patient, one must understand that every individual is different and be willing to come together to achieve a common goal to provide safe care to the patient. In looking at the team building principles, the nurse manager should set guidelines for meetings such as by setting a time frame, reviewing the progress of the unit, establishing standards, and talking to each member of the team. It is important to make sure that groupthink does not occur and that everyone gets the opportunity to express his or her concerns.
Reference
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It is another extremely hectic Monday in the Emergency Department. The waiting room is building up fast with many new walk-in patients. Fire Rescue trucks are calling one after the next with several medical and trauma cases. The hospital supervisor is calling to inform the Charge Nurse of the Emergency Department that the Operating Room has several cases that need beds and will supersede the Emergency Department admits. Patient through put will now be further delayed. This is just one example of a typical Monday and why Teamwork and Collaboration are vital components to run an efficient nursing unit, especially in the Emergency Department. When a common goal is created to foster teamwork, health care professionals working cohesively together
According to our text book there are two main classifications of leadership approaches, transformational leadership and transactional leadership (Yoder-Wise, 2011). Transformational leadership is centered on motivation and building relationships with staff through a shared vision and mission (Frandsen, 2013). Transactional leadership approach involves one superior with minimum or no input from the employees (Yoder-Wise, 2011).
Working in the health care setting, teamwork and collaboration are used frequently to insure that everything runs correctly and efficiently. According to qsen.org, teamwork and collaboration consists of functioning effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. While assessing the patient a nurse can come into contact and work with many different individuals. These can include other nurses, doctors, therapists, and family
Leadership at times can be a complex topic to delve into and may appear to be a simple and graspable concept for a certain few. Leadership skills are not simply acquired through position, seniority, pay scale, or the amount of titles an individual holds but is a characteristic acquired or is an innate trait for the fortunate few who possess it. Leadership can be misconstrued with management; a manager “manages” the daily operations of a company’s work while a leader envisions, influences, and empowers the individuals around them.
I believe that leadership is not something that you are born with, but that has to be learned over time. You learn to become a leader from watching other leaders, and also from personal experience. People should become leaders; so that they can help others do their best. They should not become leaders for the title and power that may come with leadership. Being a leader does not mean you get to boss people around by telling them what to do. The purpose of a leader is to guide others by encouraging, showing them the way, and by challenging them to do the best that they can do. I learned leadership through personal experience. In high school I played sports and had many class projects to do. My senior year was the first time my school had a soccer program, and I along with two other girls was captains. As we all know, when a group of girls come together, the drama comes too. All three of the captains had to work together and show the girls that if we wanted this program to be a success and grow, they had to work together as well. It was hard at first, but when we encouraged everyone, it worked out better than expected in the end. Also, in my business class, we had a lot of projects that were mostly group projects. During the end of the year, we had a project where we had to make up a new product. My partner and I were both seniors and it was a stressful time with finals, SAT scores, graduation, and trying to become honor graduates. We were tired and just did not want to do another project, but our teacher, Mr. Brace, did not give up on us. He showed us what to do, and encouraged us constantly every day. He would tell us many positive things and would check up on us. He was a great teacher and a great leader. Leadership may be one wo...
Nurse’s can demonstrate leadership by facilitating outstanding care to patients and it is related to how one’s values and behavior affect others. A leader is all about with success and contribution and a successful leader set his/her standards, goals and strategies at high. One can become a leader by assigned or emerged but both will be working towards a common goal of good or bad. In leadership, positive attitude is the key to success and problems and challenge in healthcare industry demand that nurses seek and fill the gap.
Leadership is all about having the right amount of heart and determination to help make a difference in someone’s life. It takes certain qualities to be considered a good leader. A leader should want to help inspire others to make a change and to be the best that they can be. A true leader does not need to feel powerful, instead they empower those around them. Throughout my life I have come across various leaders who have made an impact on my life. It takes a very special person to inspire and touch people’s lives. Leadership is so much deeper than having power and bossing people around.
I was then introduced to a patient who was in isolation. Her legs were immovable and were crossed in a very uncomfortable position. I wish I could’ve done something so that her legs could be in a more comfortable position, but all I could do was observe and get her a cup of ice cold water to drink. During this clinical observation, I didn’t get to see much but overall, it was a good experience. It made me realize what it was like to be in a hospital setting and what it meant to be a nurse. Seeing how the patients were still able to smile through all the pain they went through, it made me want to become a nurse even more because I would also like to make my patients happy. If I could do one thing differently during this clinical observation, I wish I didn’t ask my senior nurse about what externships she took and instead, I wished I asked her more questions about the patients in order to gain more information about
Why now? Why are we focusing on transformational leadership? Healthcare costs are continuing to rise. Some of the critical problems and active debates prevalent in many hospital organizations include the rapidly intensifying healthcare costs, funding and reimbursement cutbacks, and concern regarding the overall quality and safety of health care. “Healthcare systems have come under pressure to improve performance and manage productivity” (Botting, 2011). To be successful in the 21st century, there is a demand on healthcare systems to have a vision and executive and clinical leadership to inspire the change process and make the difference between success and failure in change.
Leadership is defined by Northouse (2013) as a transactional experience between persons whereby one individual influences a group of individuals who have a mutual goal. Leaders may hold authority attributed to them by the group, substantiated by how they are regarded, whether or not they have positional authority. In contrast to management, where the goal is to provide order through control, leadership is concerned with producing change through transformation and practical adjustments (Northouse, 2013). Because of the nature of nursing, its obligation to promoting health and healing of people, nursing leadership concentrates change efforts based on human needs and concurrently ponders the needs of administrations largely because they understand the interrelatedness of the two influences.
Leadership is about organizing a group of people to achieve a common goal (Prieto, 2012). Written below examples of effective communication, team working, delegation, management, planning and organisational skills I have utilized in my placement area:
Time out was done by the anesthesiologist, the circulating nurse, the surgeon, and the scrub tech all pausing before the surgery and verifying the patient’s name and date of birth, the procedure being done, the site and location on the body in which the procedure was being done, and documented the count of all the equipment the scrub nurse had before surgery to compare to after surgery. 5. The patient’s privacy was protected and respected throughout the whole surgical procedure. The staff was very professional and I felt I learned a lot from them during my OR experience. 6. A sponge count is when the scrub nurse counts the sponges that are unused before the surgery she relays this to the circulating nurse and it is documented. After the surgery the count is redone to make sure that there are no sponges left in the patient. 7. The circulating nurse documents the information and signs the chart in the operating room. From pre-op to the operating room the nurses in pre-op gave off report to the circulating nurse by SBAR. From the operating room to PACU the anesthesiologist went with the patient and handed off the patient’s condition and information to the nurse in there. 8. There were no ethical or legal issues that were raised during my observation in the whole surgical process. 9. I learned how the whole operating procedure works from start to finish, all the legal paperwork involved, and how the team interacts and helps each other out to give the patient a safe and
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.
Through this experience, I have become a better nurse. I am more aware of key strategies that I can use with my patients who are unable to clearly verbalize their needs, and I have a broader understanding and increased appreciation for communication. This is something many take for granted every day, and it is such an important factor in fulfilling our needs. Without communication, nurses are unable to provide care to patients because the nurses do not know what the patient’s needs are. Therefore, as nurses, it is extremely important and our responsibility to efficiently communicate with all of our patients each and every day.
However, the client hated hospitals because that was where there wife had passed away. He took carefully to the nurses who were caring for him. He knew judgment when he saw it. The nurses that care for him during his stay were compassionate and concerned about how he would care for himself when it left. This surprised the patient. The nurse caring for the patient recognized other health problems the patient had, and took the extra time to address them before he left. The patient knew the nurse stayed past her shift. This situation goes to show that in order for nurses to have caring they need to leave all judgement behind. They are not there to judge the patients they are there to treat them. Patient notice things and nurses may not realize. They notice when they take the extra time to care for them or just chat with them. In this situation the patient realized that the nurse could have just treated the injury and let the patient leave. However, the staff did not do that. The nurse looked beyond the patient and saw a person who needed help. This is what caring and compassion is in nursing, looking beyond the patient and seeing a person (Chambers and Ryder 2016).