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Importance of interprofessional collaboration
Ethics for nurses
Ethics for nurses
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Recommended: Importance of interprofessional collaboration
Nurses have an ethical and professional duty to provide care that is directed towards the health of the client, family, and community under their care (Canadian Nurses Association, 2008). Also, every patient is a product of a family and families make the backbone of a society; hence, families have a unique impact on the health and well-being of its individual members. Family focused nursing care is achieved through practices that consist of collaborative relationships with families and nurses’ sound intervention knowledge and skills. Family nursing has evolved over many decades, helping nurses in the way they interact, think, and work with families. This may include the way nurses collect health information, provide interventions that meet …show more content…
With my understanding of terminal illness, the family’s developmental stage, and their cultural background, I endeavored to create an environment of trust, support the patient’s spouse to participate in her care, and support the family with their hospitalization experience. Working my three shifts with this family, I advocated for them and met many of their concerns. In some instances, I had to alter my plan of care to accommodate their needs. For example, during my second shift with this family, the spouse told me that the patient could not sleep at night due to beeps from the infusion pump. For me, I reassured him that I would do all I can to see that she had time to sleep during the day. For this reason, I adjusted my interventions to accommodate this plan. While caring for this client, I also provided support for her spouse by encouraging him to take breaks, get some food to eat, and rest for a while. In many cases, I asked the patient and her husband if they had concerns they would want addressed, due to the language barrier. Where I discovered I cannot accommodate their wishes, I also explained to them the reason for such and how I planned to have things done. For example, coming to my shift the second day, her husband wanted me to change the tube feed which still had about six hours of feed left. I explained to him that I would have it done, but it would not be at that particular time because I would like the patient to rest, provide care for my other patients, and the fact that there was so much left in the bag. At other instances, I provided information as to what I was doing and my rationale. For example, the patient’s spouse asked why I was infusing 55ml of a medication instead of 50ml in the bag. I used this opportunity to enlighten him that using 50ml would leave some of the medication in the bag which means that the patient is not getting all the medication. All that said,
As a nursing student, I have had some exposure to death during patient care. My first encounter with direct death was witnessing a patient after attempted resuscitation efforts die in the emergency department. As I observed others reactions, I noticed I was the only one who seemed fazed by the preceding events and the end result, although I didn’t show it outwardly. During my Aging and End of life clinical rotation, I have been exposed to a near death experience with a family and I had the rewarding experience of forming a relationship with the patient’s wife during the short hour I was in their home. From reading the accounts in this book, it confirmed to me the importance of catering to the needs of the family and the dying as an important issue to address as they are critical to overall care.
The preface focuses on the type of care Hospice provides for the patient and family, while the section entitled "Hospice is..." provides a detailed definition of hospice.Chapter One demonstrates the sensitivity a hospice nurse must use when dealing with new patients and how the nurse must remain unbiased at all times. Chapter Two reviews the family emotional strains and stresses which can be experienced when a loved one is dying within the home and how different people deal with the change. In Chapter Three we can develop a deeper understanding of an individual's strength and acceptance through the story of Karen, a seven year old who is dying from cancer. The different coping mechanisms expressed by Karen's parents are very contrast dramatically as the needs of survivors vary.Chapter Four highlights patients' need for control and decision making over his or her own life. In Chapter Five, Henrietta, the patient had very little control over her treatment and pain because her husband refused to accept her dying, until Janice (hospice nurse) promised her dignity during death. In Chapter Six, William tries a new method of pain control and his spirits are lifted as he once again has some control in his life as expressed in his statement, "I can't believe the power I have"(1, p.194).
Family health is receiving substantial attention in the contemporary decades, following a growing number of unpredicted health issues. Family health assessments have become common techniques within the health care systems across the world to promote good health. Nursing Family assessment and intervention models have been developed in to assists nurses and families to identify the family issues and develop the best.
It is no secret that the current healthcare reformation is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify a way to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal…” (Bailey, Jones & Way, 2006, p. 381). The key to a successful healthcare reformation is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue.
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
A few of the healthcare problems that are common with a life-altering illness are stress, trust issues with the healthcare system and family, depression, and end of life decision making. Having a good support system is so important to these patients so, keeping the communication open between the physician and patient will help tremendously. It will relieve some of the frustration that accompanies the illness.
End of life care in the Intensive Care Unit (ICU) can be very stressful for ICU nurses due their need to rapidly transition from curative care to end of life care, therefore the interventions they choose are very important. The qualitative study “A Study of the Lived Experiences of Registered Nurses who have Provided End-of-Life Care Within an Intensive Care Unit,” by Holms (2014), explores the experiences of ICU nurses who have provided end of life care to dying patients and their families in the ICU. End of life care according to Radbruch and Payne, is “synonymous with palliative care yet it is more specific to acutely unwell patients who require palliative care in the last few hours, days or weeks of their lives” (As cited in Homs, 2014, p. 549). Sadly, patients in the ICU are critically or terminally ill, and most are unable to plan their own end of life care. Therefore, nurses in the ICU are needed to help guide patients and family members through this process. According to Wright, “95% of patients within the ICU may not have the ability to make informed decisions” (As cited in Holms, 2014, p. 549). The discussion of end of life care in the ICU continues to be a very controversial because care is highly inconsistent due to conflicting opinions on what to base the care for the patient.
(2007). The 'Standard' of the 'Standard'. A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU. The New England Journal of Medicine, 356(5), 469-478. Patton, D. (2004).
The end-of-life nurse’s primary objective is to provide comfort and compassion to patients and their families during an extremely difficult time. They must satisfy all “physical, psychological, social, cultural and spiritual needs” of the patient and their family. (Wu & Volker, 2012) The nurse involves their patient in care planning, as well as educating them about the options available. They must follow the wishes of the patient and their family, as provided in the patient’s advance directive if there is one available. It is i...
Cypress discusses a study on how one ICU unit developed interpersonal relationships between the patient and their loved ones. The Roy Adaptation model was used to provide the best quality care for the patient. The staff encouraged families to talk and assist in care of their loved ones. ICU patients are sometimes unable to speak due to oral intubation and alteration in level of consciousness or neurological changes related to medications and acute critical condition (Cypress, 2011, 4). This often affects communication and relationships with family members and friends. Family members were kept updated on any changes with the patient. The nurses, physicians, therapist and families all worked together for the benefit of the
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
Nurses are an equally important part of each client’s life. Nurses provide stable care to each client, answers their questions, gives medications and treatments, and assists with medical procedures. They also have the responsibility to explain to clients and family members what they should and should not do as they go through treatment and recovery. Nurses must quickly respond to patients needs. Every individual nurse has his or her own unique way of caring. There are so many ways to show caring that the possibilities are never ending. Nurse’s support, comfort, and help allow the patients to recover to the best of their ability. Their experiences in dealing with different patients that have unique situations on a daily basis helps the nurses become better caregivers. Therefore, every nurse is capable of demonstrating care in their respective environments.
Client centered care is what creates the foundation for the therapeutic nurse-client relationships. The Registered Nursing Association of Ontario (RNAO) recommends that nurses embrace the values of respect, human dignity, client as expert, and clients as leaders, to foster patient centered care (RNAO, 2002). A study done at Coventry University found that there were serious implications to care that was not family-center. Effective communication plays a large role in how the care is perceived by families and patients. It is extremely important for clients to receive constant and continual information from their healthcare professionals (Beckwitt, 2014). Relaying critical, sensitive information is difficult, but when t...
Therefore, it is important that education of the benefits of family presence are identified for practice, because if all nurses are hearing are negative thoughts about family presence, they will be less open to the idea of family presence. It was found that most family members who witnessed the resuscitation felt like everything possible was done for their loved one and it brought some closure for the family (Tudor et al., 2014, p.e93). It is also recommended to have an extra staff member present to answer questions for the family (Hassankhani et al., 2016, p. 133). In deciding and asking the family if they would like to be present, it is important to explain what they might observe during the resuscitation (Giles et al., 2016, p. 2712). A debrief session with all medical professionals after the resuscitation to see what can be improved upon will also help with medical professional’s self- confidence (McLean, Gill & Shields, 2016, p. 1050).
The nurse stated during the interview that “holding the hand of the patient just diagnosed with a terminal illness” (Appendix A) is difficult and requires a variety of techniques to face the situation. There are many ways to approach a dying patient, and one study identified four themes that help nurses in creating a “’curtain of protection’ to mitigate the grieving process and allow them to provide supportive nursing care” (Gerow et al., 2010). Of the four approached, there is one that appears to make the greatest impact on the nurse; the fact that initial patient deaths are formative. In this case, a study found that “significant death experiences early in a nurse’s career set the foundation for how the nurse began caring for future dying patients” (Gerow et al., 2010), which was further explained as the fact that those who had enough support and mentorship early on in their nursing practice were more likely to not be emotionally damaged by the event, and were able to better approach similar situations in the future. I plan on implementing this strategy in the future by surrounding myself with colleagues and mentors within my practice that I am comfortable confiding in whenever I happen to be struggling. A strong support network is key for maintaining proper emotional health, which is important for a nurse to have when working with vulnerable patients and providing competent