More handpicked essays just for you.
Reflection on receiving nursing handover
Patient rights and autonomy
Autonomy and paternalism in the patient-provider relationship
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Reflection on receiving nursing handover
Notwithstanding, there is an increasing demand for ways of improving handover practices (AHRQ, 2009) with the aim of reducing the risk of miscommunication, misinterpretation and the omission of critical patient information. However, there is a lack of evidence on the most effective process for conducting a structured handover process (Robertson et al., 2014) and evidence to support decisions on the effectiveness of nursing handover styles in an inter or intra ward/unit transfer of patient information (Smeulers et al., 2014). Furthermore, there is a lack of evidence to support the use of educational interventions to improve handovers such as formal training in handover practices in the training institution (Gordon and Findley, 2011).
Nevertheless, in
…show more content…
e UK and internationally, the shift from the paternalistic medical practices to a patient centered care practices and the introduction of the ‘no decision about me without me’ concept (DH, 2010) has driven nursing as well as other health
The result of the Francis Report means that the NHS is at a turning point in how all Health Care is delivered, as suggested by NHS employers “28 of Robert Francis' QC's recommendations are for changes to nursing regulation or delivery”.
The government responded to the recommendations of the Francis Inquiry and voiced the recommendations for improving patient involvement in care, including changes to regulations and inspections (DOH, 2014). The NMC also responded to the Francis Inquiry in relation to the role of the nurse which was evaluated and criticised for ways in which it could be improved within the clinical setting, in order to improve nursing practice and knowledge towards patient-centred care. The NMC whole-heartedly agreed that there should be an increased focus in nurse training, education and professional development, in practical aspects in addition to theory (NMC, 2013).
The article I chose discusses the continual change in the roles of nurses. The article also poses a concept that nursing now is not based on caring, but medicine. “By accepting continual changes to the role of the nurse, the core function of nursing has become obscured and, despite assuming medical tasks, the occupation continues to be seen in terms of a role that is subordinate to and dependent on medicine.” (Iley 2004) Nurses are taking a more professional role, and more tasks are being delegated to assertive personnel. Therefore, with all these changes occurring, the role of the enrolled nurse is unclear. “Previously, having two levels of qualified nurse in the United Kingdom had been seen as problematic for health service managers and nurses themselves, and the ending of enrolled nurse programs in 1992 helped to solve this problem.” (2004) The study in this article gathered the characteristics of enrolled nurses and differentiated the groups converting to registered nurses, groups in the process of conversion, and groups interested or not interested in conversion. This study reveals the situation of enrolled nurses in context of continuing towards the professionalization of nursing. “The data from this study support the possibility that the role of nurses as direct caregivers is seen as a positive dimension of the work they undertake.” (2004) The findings imply that nurses need to get back to being caregivers, instead of concentrating on obtaining professional status in medicine.
Nurses take a holistic approach to the delivery of patient- and family-centered care and, in doing so, the nurse plays several roles to address the different needs of the patient. Advocating for all the patient’s, as well as their caregivers’, needs to be met should always be incorporated into the provision of quality nursing care. (Walker et al., 2015). Applying the concept of advocacy to the delivery of nursing care is a key element of this author’s professional foundation. Consequently, this author will advocate for his patient’s rights to autonomy, privacy, and justice. Likewise, this author will continue to advocate for inclusion of the patient and his or her family in making decisions about the patient’s course of treatment.
This also includes creating personal connections this is knowing how to be approachable and engage with groups and listen attentively. Understanding the importance and what is emotional intelligence and developing this to help these management and leadership skill to develop and ensure the application of these kills is shown ( (Beauvais, Brady, & O’Shea, 2011). It is important that newly qualified nurses understand their own emotional intelligence to develop these skills as leadership and management skills are used in all areas of clinical care. In the workplace newly graduate nurses will undertake the care and responsibility of patients that are critically ill. In these settings changes in the patient’s condition can rapidly change in a
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Regrettably I left out vital information during the handover, causing my mentor to intervene and relay this information to the nurse. I noticed my mentor and the nurse looked quite disappointed in the poor attempt I had made at handing over, especially when the patient questioned my ability to practice as a student nurse. I felt both ashamed and disappointed that the therapeutic relationship between myself and the patient had been compromised, especially as a therapeutic relationship is known to be a major factor for delivery of excellent care (Chochinov et al, 2013). To ensure never to compromise care again I was aware that I needed to identify factors which had affected my performance when handing over, in order to change my current
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to be able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care. The Health Foundation describes patient centred care as being a type of health system where patients take control of their own care.
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
As nurses, it is important that we “be both empowered and competent enablers of patient empowerment.” (Burkhardt & Nathaniel, 2014, p. 493) We take an oath to follow an ethical code which requires us to act as our patient’s advocate while providing safe nursing care. Nevertheless, we cannot make any medical choice or decision on their behalf. We also cannot empower them, “because to do so removes the element of choice.”
Nursing is a great career choice that can be very rewarding and has many benefits that come with the job. One downside to nursing is the scheduling because it runs on a shift system, it can lead to many problems. Nurses often have to work long hours, that can last sometimes more than twelve hours at a time. Working this long can lead to problems on the job, as well as health problems and trouble sleeping.
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
Nursing Handover is important procedures and by definition it is the process of transferring information from the leaving staff to next shift staff that will be taking care of patient. Handover is vital to defend and protect the safety of our patients. The shift should provide next shift staff comprehensive handoffs to avoid harm. Each patient should have an individual handover related to his case and diagnoses. Handover should be clear and prioritised to patients care and needs. Does handover really should be given such value one would argue? One would also argue does handover needs to be developed and guidelines to be implemented.
My future nursing practice is now changed because I understand the importance of patient advocacy. I need to trust in myself that I know when I am seeing something wrong, so I can speak up before it is too late. Because of this reflection I can see how trivial it was to be worried about my own professional risk over my patient’s quality of care. I am sure that I will never make that mistake again. As a health care provider, the well-being of patients should be a top priority,