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The role of emergency room nurses
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Recommended: The role of emergency room nurses
Models and Professional Presence In my experience, I have observed the Era I model of care used in an emergency room setting, for the initial goal is to stabilize and address healing in connection to what is physiologically occurring to a person. When patients arrive to the ER, the triage nurse assesses the patient’s physical-body aspects to being human to ensure that all core measures of treatment are met for the specific problem and/or disease. For example, if a patient arrives to the emergency room for a laceration, abscess, or fracture, the primary goal is to repair the laceration; incise and drain the abscess if needed and/or prescribe antibiotics; reduce the fracture and splint/cast the fracture by conscious sedation or surgical repair; and provide medications for pain. I have also observed the use of Era II model of care in which a patient has been diagnosed with a …show more content…
When caring for patients, raising a family, advancing our education, and working 12 to 16 hour shifts, we sometimes neglect addressing our own needs for well-being, which may lead to distractions, burn out, and compassion fatigue. In turn, this can adversely affect patient outcomes, satisfaction, and lead to medical errors. In my professional practice I am mindful and know the importance of maintaining a mindful professional appearance by being in the moment; showing sincere interest in not only one’s physical needs, but also their opinions, issues, concerns, and mental well-being; volunteering discretionary effort; and respecting and leveraging separate realities. When practicing mindfulness, I can easily avoid burnout, compassion fatigue, and prevent medical errors that can occur when being
...anding, so it's important to take the time out to remember how many lives you're changing and how your life has changed by your patients. Remember every smile, take pride in every stride towards healthier patients and never forget that a career doesn't have much meaning if you're not happy in it.
The hospital that I was working at did not have a specific policy about compassion fatigue. However, there are a number of professional documents and organizational policies that inform the discussion of compassion fatigue including the CNA code of ethics and the employment standards act. In the next few paragraphs I will discuss how each one informs the discourse of compassion fatigue.
During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
Health Leaders Media lists seven strategies to reduce nurse burnout, including “stress reduction classes, create a space for relaxation, mentor and buddy programs, recognition and reward, manager involvement, training and education and counseling” (Hendren, 2010, para.8). Individual hospitals have taken actions to help combat burnout among nursing staff. At the St. Boniface Hospital in Manitoba, there is a research project being conducted called the Compassion Project, which includes “compassion and mindfulness meditation training and how it can affect brain anatomy and physiology, personal well-being, employee engagement and reduced burnout” (Miller et al, 2016,
Approximately 15% of all physicians will be impaired at some time in their careers and will be unable to meet professional responsibilities because of mental illness, alcoholism or drug dependency (Boisaubin and Levine, 2001). Thus, the issue of addressing physician burnout, depression and suicide is even more pressing. Physicians do not need to suffer silently. In fact, physician-patients may be more effective and competent caregivers and healers if they recognize their own vulnerabilities. Only then will they be able to truly emphasize with their patients’ suffering.
“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
...nate in their work and genuinely care for their patients, but to do this they must set professional and personal boundaries and be aware of the effect pain; trauma and death may have on their lives. According to Bush (2009), nurses must learn forgiveness and love themselves to prevent and overcome compassion fatigue. “Nurses should treat themselves with the empathy and compassion that they give others” (Bush, 2009, p. 27). Nurses should take time to nurture themselves by maintaining a healthy lifestyle and diet. They should also continue to participate in activities that they enjoy, get plenty of rest, and have a sense of self-awareness throughout their career. Additional resources are available to any caregiver to educate themselves on compassion fatigue at The Compassion Fatigue Awareness Project’s web site at http://www.compassionfatigue.org/index.html.
As healthcare becomes more and more complex due to growing fields of study as well as advances in technology, each healthcare provider, whether it be specialists, primary care physicians, or even emergency room doctors, have limited time with each patient. The patient may receive different recommendations from each professional in order to produce a better lifestyle for that patient however this care is not coordinated thus the patient becomes confused as to how to proceed.
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
Compassion fatigue is defined as “The emotional residue or strains of exposure to working with those suffering from the consequences of traumatic events” (The American Institute of Stress, n.d.). Compassion fatigue occurs when healthcare workers, especially those who work with patients one-on-one daily, feel the emotional stress of their jobs starting to wear on them. For example, a person who works with a cancer patient and watches that patient worsen and finally pass away, may experience great emotional pain. Dealing with stressful situations over time could also cause compassion fatigue. One way to prevent compassion fatigue is through implementation of Schwartz rounds. “Schwartz rounds are not 'problem solving'. Instead, the focus is on the emotional experiences of staff caring for patients and they allow staff to explore, in an environment that is safe and confidential, situations that confront them.” (Thompson, A. (2013). Schwartz rounds are like support groups for healthcare workers. They allow healthcare providers to share their struggles as caregivers and solve their strugg...
Being mindful to a patient nowadays is complex for even the most experienced of medical attendants (De Ruiter & Demma, 2011). Registered medical nurses (RNs) in hospitals encounter an
Not enough care and support for aged care people so young people and parents want to put old people in aged care.
Living in the present allows me to live and tend to my thoughts and emotions that I often suppress or ignore. Working as a school counselor, I think that I will use mindfulness to help students with anxiety, behavior problems, and depression. I hope to use mindfulness in the future as I teach students how to use mindfulness in their own lives so that they can exist in the present and connect their mind with their body. Through using mindfulness in sessions with students and possibly in the classroom setting, I will give them a tool to help manage and become more self-aware of the thoughts and emotions they experience so they can learn how to better tend, express and manage them. However, without practicing mindfulness myself I would not have understood its power in the work of my client’s
For my future practice, Ratanasiripong, Park, Ratanasiripong, & Kathalae (2015) have identified mindfulness-based stress reduction (MBSR) as a useful means of reducing anxiety. MBSR has been shown to “decrease stress, increase the quality of life and compassion, and reduce burnout and improve the health of healthcare professionals” (p. 521). In the future, I may be in more anxiety provoking roles that is more nerve wracking than this situation. Learning about this stress reducing practice now, as a student, will help me form a concrete foundation for when I am a licensed
The Mindful Nurse Pilot Study sought to gather specific date related to this through a quasi-experimental research study (Horner, Piercy, Eure, & Woodard, 2014). Conducting classes once a week, on dayshift and nightshift, voluntary participants attended 30 minute training sessions for 10 weeks. Management assisted allowing nurses to attend these classes. By learning how to be fully present during patient interactions through breathing exercises and awareness to internal thoughts and feelings, nurses consistently rated their stress level lower after participating in training sessions. Lower stress levels on the unit coincided with improved patient satisfaction scores, indicating that when nurses perceive a calmer environment, patients will benefit and find themselves to be more satisfied (Horner et al.,