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Nursing conflict theory
Conflict resolution for intraprofessional nursing conflict
Nursing conflict resolution case studies
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You have given the very practical solution for this particular conflict between the nursing student and nursing educator. Nursing student must have learnt the theoretical portion of neurological physical assessment prior hands on experience. Failure to follow methodical application of theory in real practice needs reminder and reinforcement to learn and practice individually and in group. In case of denial nurse educators play an important role in conflict management, for an example like this type of situation mistake to be addressed tactfully without attacking the student. Explaining the impact of false assessment report and their consequences in interpreting on patient’s ill management may help her to realize the mistake.
Responding is the third phase of the Tanner’s (2006) model based on the nurse’s initial grasp, interpretation and applying clinical reasoning to respond with evidence based practice. Based on the assessment it recognised that in Mr. Devi several nursing interventions need to consider, these are reported to the appropriate medical practitioner about deterioration in his condition. Mr. Devi condition was reported to medical practitioner using an interdisciplinary communication SBAR tool (Situation, Background, Assessment and Recommendation). SBAR is a communication tool designed for the clinical team to transfer clear and concise information about a patient’s condition (Cadman 2016). Recovering after stroke he will be referred to a specialist
Nurses are required to protect and support their patients if they are to be an efficient patient advocate. Ethically questionable situations are quite common for nurses that conflict with their professionals and personal morals. At times, the patient necessitates the nurse to speak out for them demonstrating
Campbell, J., Finch, D., Allport, C., Erickson, H. C., & Swain, M. A. (1985). A theoretical approach to nursing assessment. Journal of Advanced Nursing, 10(2), 111-115.
In-class discussions focused in on these various images of nursing and their damaging consequences. I have observed that I am not as assertive as I should be to dispute these negative images of nursing. I need to recognize when individuals make comments insinuating a negative portrayal of nurses. I will then proceed to educate these individuals on their uninformed views by demonstrating an understanding of my role as a nurse. This step will require knowledge and confidence; which I hope to acquire by the following strategies outlined in my knowledge confidence
...es need to be taught awareness skills, and given enough training to sharpen, and maintain them .Instructors should be firm but fair. This means they should be ready to correct their student’s mistakes without necessarily coming off as overbearing and this was demonstrated by the nurse. Student nurses must interact more with their patients by listening and trying to understand them. Although the patient might not know what’s best for them, they may have an idea of what is going on and might help the nurses understand issues better.
Q.3 Nurses as part of regulated health care practitioners are responsible and accountable to abide by the standards, codes and guidelines of nursing practice (NMBA, 2016). The nurse in the case study has breached the standard 1.4 of the Registered Nurse Standards for Practice. According to standard 1.4, the registered nurse should comply with "legislation, regulation, policies, guidelines and other standards or requirements relevant to the context of practice” when making decisions because this will be the foundation of the nurse in delivering high quality services (NMBA, 2016). The nurse in the scenario did not follow the hospital policy concerning “Between the Flags” or “red zone” and a doctor should be notified of this condition. Furthermore, the nurse failed to effectively respond to a deteriorating patient.
The aim of this essay is a reflective account in which I will describe a newly acquired skill that I have learned and been able to implement within my role as a trainee assistant practitioner. (T.A.P.) for Foundation for Practice. I have chosen to reflect upon neurological observations on patients that will be at risk of neurological deterioration. Before I begin any care or assessments, I should have a good theoretical underpinned knowledge, of the skill that I am about to put into practice, and have a good understanding of anatomy and physiology, in order to make an accurate assessment of a patients neurological status. I will be making a correct and relevant assessment to identify any needs or concerns to establish the patient’s individualized care, and make observations to determine an appropriate clinical judgement.
A 2-year-old child admitted with head injury and the doctor’s order was there to do the Glasgow coma scale hourly. Doctors and nurses explained everything to the mum and the importance of doing GCS. When time passed after midnight because of GCS the child couldn’t fall in to sleep and mum feeling distressed, then mum asked the nurse (diploma) who is looking after the kid to skip hourly observations. The nurse (diploma) checked with the doctor on call for neurosurgery and he explained to the nurse to advice mum the importance of hourly observations. However similar situation with different nurse (Baccalaureate degree), when parents asked to skip the hourly observations she has explained them in detail consequences for not doing observation and parents realized the importance to continue observations for their child. The difference is diploma nurse did not try explaining to the parents again, but BSN nurse with her knowledge explained and taught the parents about the seriousness of head injury observations. She did not need the doctor’s reassurance to talk with parents. Degree nurse new the rationale behind the care
Fallacies are committed in every state, in every city and in every neighborhood. No race or gender is impervious to committing a fallacy. So, what is a fallacy? Patrick J. Hurley defines a fallacy as, “A defect in an argument that consists in something other than false premises alone.” These defects result in misconception in an argument. Many times they are accidental, other times they are committed on purpose. However, either way, fallacies can be very persuasive to the casual reader or listener. One in particular, the false cause fallacy, is used quite often in today’s society.
There were a number of nursing priorities identified, the patient also has hypertension. The key priority for nursing care with this patient is her learning disabilities and the potential communication barriers that may occur. The patient’s hypertension is well controlled with medication for these reasons I will focus this assignment around communication barriers with people with learning disabilities, the importance of good communication between the multi-disciplinary team within the unit. I will also explore any issues with consenting to the procedure as it is imperative that the patient is fully aware of the procedure and understands the possible risks and complications.
Healthcare staff and leaders should address this issue in an educative way without pointing and intimidating any employees. Everyone needs to understand the purpose of the feedback and work as a team to improve the situation. If the patient is believed to be incompetent, it does not hurt to evaluate the
The students will feel more comfortable to confront a situation that involves another classmate. Also, if the instructor incorporates the actual patient’s feedback it could confirm the student did not complete an assessment. Now instead of the instructor giving a passing grade for the day, a clinical warning can replace it because of false documentation. Multiple sources giving information on a person’s performance can make the evaluation process more accurate (Marquis& Huston, 2017). Allowing the nurses on the unit to share their experience with the student will allow the instructor to have a different perceptive on the student. The nurse may advise the instructor about the nursing student utilizing good nursing judgment. This again could be information the instructor would not know if the nurse was not included in the evaluation process. This could benefit a student who gets nervous when the clinical instructor is around and may not demonstrate quality nursing judgment. An advantage the students gain from this is that multiple people are reviewing their performance, not just
The art of nursing is defined as being mindful of what the patient needs emotionally and physically. In order to fully practice the true art of nursing, one must have compassion, a caring attitude, and good communication skills (Palos, 2014). Another definition of the art of nursing is having a personal connection between the nurse and the patient (Kostovich & Clementi, 2014). My personal interpretation of the art of nursing is to be aware of the patient’s specific needs; being physically present when they need you; respecting the patient and the family; and being gentle when delivering nursing care. The science of nursing on the other hand is having the knowledge, skill, critical thinking and evidence-based practice integrated with nursing practice (Palos, 2014). With this concept, a nurse must have a good understanding of various types of diseases and be able to identify the symptoms associated with it. Medicine is an important part of science. Knowledge about the different drugs and knowing how to safely administer them are crucial in nursing care. Performing medical procedures and updating current nursing skills according to new evidence-based research is critical to achieve best patient outcome. A nurse should employ critical thinking skills and good decision making as well. My own definition of science of nursing is providing safe
Revealing a student’s education record or even just one test without permission is a definite no. A student’s educational record is supposed to remain private between the student, parents and teacher. A teacher cannot release information without consent and if they do release the information without consent, the teacher could be fired. The Family Educational Right to Privacy Act restricts a teacher’s ability to share a student’s educational record without permission. It is unethical and potentially harmful to the student for a teacher to share a student’s grade with the class. Releasing educational records without permission is not the only unethical thing a teacher can do and I will go into further depth on this later in my writing.
Inadequate data collection from patients is unacceptable, which is why it is necessary to have and implement health assessment frameworks or strategies. Health or nursing assessments are continuous cycles of data collection and making inferences. There are steps to be taken to ensure adequate collection of objective and subjective data, these steps need to be taken in order otherwise an inaccurate assessment may occur. These steps are: assessment, diagnosis, planning, implementing and evaluation (Lewis, Foley, Weber, & Kelley, 2011, p. 2-5). Nursing assessments aim to collect subjective and objective data to determine a patient's overall functionality in order to make a clinical judgment, the nurse collects data relating to all areas of individual health. It is my opinion that appropriate health assessments are necessary to ensure a patient receives the correct treatment plan. All health assessment frameworks follow the same steps in organizing treatment, due to the wide scope of nursing disciplines there are varying focuses on these individual steps i.e. the emergency room could be more focused on the assessment in order to triage the patient. To help alleviate the patients or family members who may be distraught a health professional should take the time to expla...