Hypothetical Case Study
On January 25, 2006 at the Tennvoa Medical Center, the day started off as any other day for Nurse Nacey Nicity and the rest of the staff. The day usually started off with all of the staff sitting quietly to themselves as one particular nurse expresses her feelings towards everyone and their work ethics. One staff member, Nurse Nacey Nicity, was a new graduate student that was still fairly new to the Labor and Delivery Unit and nursing came very quickly as if it was second nature. Nurse Nacey Nicity began her career orienting with that one particular nurse whom was also the most experienced nurse on the unit; Nurse Jody McMean. Nurse Jody McMean started work as a Labor and Delivery nurse at Tennova for over thirty years
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and considered herself as the “mother” of the unit. Nurse Jody McMean often took the leadership role of supervisor and changer nurse regardless of the thoughts and feelings of her co-workers. On this precise day of orientation for Nurse Nacey Nicity, she was assigned two patients alongside Nurse Jody McMean.
She made sure that she was prepared of her assignments for today due to previous comments made my Nurse Jody McMean weeks prior. For examples, “Are you sure you’re qualified?” or “Do you know what you’re doing? That’s not the real world and this isn’t nursing school!” Nurse Jody McMean even with as far as starting rumors about Nurse Nacey Nicity getting fired and being incompetent.
As Nurse Nacey Nicity began to her initial assessment on her patient, Nurse Jody McMean began to question her every mood not only in front of the other staff but also in the patient’s room. Due to the inappropriate comments made by the experienced nurse the family requested for a new nurse and for Nurse Nacey Nicity to drop their case. After Nurse Nacey Nicity handed-off, the patient she began to cry and run off the unit without speaking to anyone.
Finally as the next morning arrived and all of the Labor and Delivery unit staff gathered in the break room all eyes stared at the door waiting and suddenly the door opens. Everyone was very surprised to only see Nurse Jody
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McMean. Patient Perspective Workplace violence is an ethical dilemma that can have an impact on every person involved directly or indirectly.
For example in the story stated previously, although the workplace violence was between two nurses, the patient was still affected by the comments made. The inappropriate comment cause the patient to believe her nurse was incompetent to deliver patient care. The patient may also experience anxiety, apprehension, depression, insomnia, hypervigilance, panic disorder, and irritability. Some long term effects are patients avoiding going to the hospitals or patients are unable to trust any healthcare provider.
Family/ Significant Other Perspective
During stressful times both the patients and their families are in a vulnerable state, which causes both the patient and their family to fully rely on the healthcare professionals. It is vital for the nurse or the healthcare professionals to build a rapport with the family as well as the patient. It can make the family feel uneased if they do not fully trust the nurse or the staff. Workplace violence can also exhibit similar symptoms and manifestations as the patient.
Nurse
Perspective Lateral Workplace Violence in the healthcare system can create a hostile work environment and may cause some staff members avoid working. Lateral workplace violence can be physical, mental, or sexual; for example: intimidation, rumors, inappropriate comments and gestures, and hitting. From the nurse’s prospective, lateral workplace violence can conflict with the nurse’s value system by lowering the nurse’s confidence, creating a hostile environment, lack of motivation, and can ultimately impact patient care. It is important to confront lateral workplace violence and try resolving the issue with the person rather than talking to others about the problem or talking with someone of higher authority. For example: Nurse Nacey Nicity could have pulled Nurse Jody McMean to the side and privately express her concerns and feelings. If the violence continues, than Nurse Nacey Nicity could continue up the chain of command. Developing an action plan will not only benefit the nurses, but all the patient’s, families, and the other interdisciplinary team. It is important for healthcare providers to be respectful to each other and to work as a team towards the common goal of providing effective patient care.
The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,
nurse had told her that “someone like that is not supposed to be here....a lot of people think once
Presented issues such as lack of nursing opportunities for nursing graduates, lack of respect for the nursing profession and nurses being viewed as a threat by doctors continues to be of an existence today. As a nurse, I feel that it is of high importance to highlight these presented issues from the film not only because they were the most outstanding to me but because the nursing profession needs more
Nurses are central to patient care and patient safety in hospitals. Their ability to speak up and be heard greatly impacts their own work satisfaction and patient outcomes. Open communication should have been encouraged within the healthcare team caring for Tyrell. Open communication cultures lead to better patient care, improved outcomes, and better staff satisfaction (Okuyama, 2014). Promoting autonomy for all members of the healthcare team, including the patient and his parents, may have caused the outcome to have been completely different. A focus on what is best for the patient rather than on risks clinicians may face when speaking up about potential patient harm is needed to achieve safe care in everyday clinical practice (Okuyama,
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Lateral Violence in Nursing Lateral violence is an act of aggression that occurs among nurses (Becher & Visovsky, 2012), many nurses are exposed to incidents of lateral violence two or more times weekly (Ceravolo, Schwartz, Foltz-Ramos, & Castner, 2012) (American Association of Nurse Anesthetists, 2014). Lateral violence which is also called bullying, incivility, disruptive behaviors and horizontal violence may be covert or overt acts of verbal or nonverbal aggressions (American Nurses Association, 2011). Lateral violence may be verbal, physical or psychological in nature (Blair, 2013). Victims of lateral violence may have profound psychological effects including fatigue, insomnia, stress, depression, shame, guilt, isolations, substance abuse,
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
As a result, she breached the standard 6 which states that “registered nurses should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to address potential and actual risks such as unexpected changes in a patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team.
Therefore, this position statement is relevant because these abuses can be seen in day-to-day healthcare environment. The effects of violence in nursing can be harmful to the proper function within a workplace. It can be damaging to the nursing profession and patient care. According to (Johnston et al., 2010, p.36), workplace violence is “spreading like a ‘superbug.’” Studies have shown, that lateral violence, nurse-on-nurse, has been one of the highest incidence of violence within the workplace. Also, statistics have shown that lateral violence has one of the most emotional impacts on an individual. This will be further discussed below. For these reasons, it is important for healthcare workers to validate the detrimental effects violence can have in the workplace, and be prepared to combat and prevent workplace violence.
...us affecting her performance, the in charge nurse must be contacted. Failure to do so, the negative attitudes might also have a major impact on the quality of care for the elderly patient. As a nurse, stress can affect a person mentally, physically and emotionally, thus coming into both categories of physical and emotional health. The fact that the nurse may be going through emotional complication contributes in a huge factor to a nurse’s performance within the health care. If the nurse is unable to put aside her physical or emotional issues, it is important for the nurse to seek counselling, also it is important that the nurse takes a day of sick leave to sort her situation out. Inappropriate actions should always be reported to the in charge nurse to decrease chances of neglect and to be able to provide the best care possible for the patient whilst in hospital.
Certainly, some of these causes cannot be eliminated by nurses or even hospital administrators. For instance, one should mention the characteristics of patients who may be profoundly affected by physical pain. Similarly, their relatives inevitably struggle with intense emotional suffering. Nevertheless, in many cases, it is possible to reduce the risk of violence. Much attention should be paid to the efficiency of policies adopted in the hospital. There are several interventions that healthcare organizations should consider. In particular, it is necessary to reduce the waiting time in hospitals. This improvement is critical to alleviating the stress that patients and their relatives may experience. One should concentrate on emergency departments because physical violence is more widespread in these areas. Hospital administrators need to take several steps to achieve this goal. In particular, they should simplify registration procedures. For instance, patients can be registered directly at their bedsides. This step can remove bureaucratic barriers that often make patients very irritable. Furthermore, it is vital to ensure that the hospital is adequately staffed because the shortage of personnel can lead to the conflicts between patients and medical
Research indicates the relationship between horizontal violence and the burn out rate of registered nurses to be epistemologically significant due to a determined prevalence of nonphysical violence in the health care setting and the potential nature, severity and ubiquitous state of its prospective consequences. This systematic review will examine the aforementioned phenomenon in further detail with a focus on specific implications, if any, on the burn out rate of registered nurses.
However, we are looking at a case study where patients safety has been compromised, professionalism has been voided, lack of communication, nurses aren’t liable for their work, the duty of care has been breached and lot more issues can be discovered. Which will be incorporated in this paper. Looking at the patient Christopher Hammett
4. Psychological impact –To meet the client psychological needs, behavioural needs have to be met as well. Due to the clients illness they can be distressed, agitated and restless, this can be difficult for the caregivers and the family. Caregiver and nurse should be aware of the client’s psychological needs and should know how to meet them. The client may not know when they’re being aggressive or when they’re behaviour gets out of hand, careers should be calm at all times and make sure the client is calm as well.