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Literature review example on factors affecting hand hygiene compliance
Reflection about the styles of communication
Reflection about the styles of communication
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According to CDC, hand washing is the only best to reduce cross-contamination. As usually as wash my hand and don gloves in order to reduce cross-contamination. I followed evidence based practice when provided morning care and later in the afternoon when I provided perineal care for the patient.
ANA and MC policies state that Nurses and nursing students are responsible for their own actions whenever they make clinical decisions. As a nursing student whenever I do any kind of clinical procedures, first I explain to the patient and make sure that patient understand the procedure. Understanding of the procedure reduces anxiety level and prepares the patient for the procedure. For example, though the patient I was helping today had hearing
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the patient was in pain, and I decided not to give him bed bath instead I explained the situation to the nurse, and she administered pain medication.
As we know patients have a unique set of values that are influenced by their culture and spirituality. As a nursing student, I have a responsibility to demonstrate respect for my patients cultural and spiritual beliefs. For example, while I was providing morning care the patient’s grandson came in, and I respectfully asked the patient if it was okay for his grandson to stay in the room while I provided care. thus, in this situation I tried respect the health practices. There were no cultural issues. It is all nursing students’ responsibility to advocate for the rights of all clients. For instance, when I started my shift I noticed that my patient was in pain and I asked the patient to evaluate pain on a scale of 0 to 10. The patient reported pain of 7, so immediately I notified the nurse. And the nurse gave him pain medication. In this situation, I tried to be a patient’s advocate and solved the patient’s
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I gave comfort care educations for patient’s family. I taught patient and family how to reposition in order to prevent pressure ulcer. In addition, I taught them the benefit of placing pillows behind the patient 's back so that he stays in position and also placing a pillow between the legs to prevent friction. In addition, I show them how to put elbow and heel protection.
4. Demonstrate teamwork and collaboration
Communication is the key method to exchange patients’ information between nurses, doctors and another health care teams.
My patient has advanced MS, which affects his hearing and vision. Before I interviewing the patient, I closed the door and muted the TV to reduce background noises. I spoke clearly at a normal volume level, and I stood at the eye level of the patient and started asking the questions. On the side, while I was doing the vital signs, the temperature reading of my patient was high, and I immediately notified the
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,
Patient’s experience with the healthcare team to the standards of patient centered care, there are some parallels and differences. In Barry and Edgman-Levitan’s text Shared Decision making: The Pinnacle of Patient Centered Care, it explained how the patient centered care is divided into three broad areas. One of the areas discussed about information, communication and education. It stated that “Adequate information must be shared with the patients and this would include clinical management…This is very relevant in understanding the concept of self-care and individual health promotion..” Barry& Edgman-Levitan (2012). In Ms. Patient’s case, the doctor was able to explain thoroughly to the patient and her parents about her current health condition and idea of scoliosis so the patient can have a better idea about self-care while reassuring her parents. Therefore, the doctor successfully shared adequate information about the patient’s condition so she can better understand how to manage herself effectively. Another example from one of the broad areas was idea of integration and coordination of care, “patients feel vulnerable when they are faced with illnesses and they feel the need for competent and caring healthcare personnel.” Barry& Edgman-Levitan (2012). In this case, both the doctor and the nurse proved themselves as part of a caring healthcare personnel when they tried to have a casual conversation with the patient in the beginning and asking her
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
The nurse is creating a four-column plan of care for a client. For which areas should the nurse prepare to document when creating this care plan?
“Code Blue”, that the last thing anyone wants to here at the beginning or end of a shift, or for that matter at any time during their shift. With the development of rapids response teams (RRTs), acute care nurses and ancillary departments have a resource available to their disposal when need in uncertain situations. Many times nurses struggle to maintain a patient deteriorating in front of them all the while make a multitude of calls to the physician for orders or concerns. Having a set of “expert” eyes assisting you in these times helps alleviate stress and encourages collaboration amongst staff. (Parker, 2014)
Nurses face many legal and ethical issues on a daily basis and they must practice according to the standards of care in order to make the best decision for the patient and themselves. According to Furlong (2007), in making ethical decisions, three resources that are valuable for nurses are (1) the ANA Code of Ethics, (2) an understanding of ethical principles, and (3) the ethics of caring. Utilizing the information set by nursing organizations allow nurses to function as advocates for patient’s and avoid any legal issues. It is important for nurses to understand how ethics, nursing, and law intertwine. The law and legal authority to practice nursing in a state is implemented by the Nurse Practice Act, this is a core aspect every nurse should be familiar with (Furlong, 2007).
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
I have been a registered nurse for the past six years. I started my nursing career in a long-term care facility where I worked for a year and half . I always wanted to challenge myself so l left long-term care and went to work in the intensive care unit for four years where I saw how people with diabetes are suffering when the disease in not managed well. I am currently working in post anesthesia care unit(PACU) where I recover many patients with diabetes complications post-surgery. I am committed in the innovation in order to provide an effective care for the people suffering from diabetes. For many years the disease has been killing people and introduction of the control tools will help in making the condition manageable. The innovation
Ask someone to depict a nurse, what will they tell you? Many hold the stance that the nursing profession is composed of angelic people in starched white uniforms, primarily women, whose main focus is patient care and following doctor’s orders. This image, though iconic and attractive to some, is not accurate when applied to modern nurses. In an effort to assess the attributes currently needed of nurses, I interviewed Jordan Kreklau. Ms. Kreklau is 25 years old and attained her BSN from The University of Eau Claire in May 2014. After attaining her RN license in July 2014, she was hired on for the medical/surgical unit at St. Joseph’s in Marshfield, WI, where she had worked as a graduate student. In 2015, she also began working in a progressive
Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal rights complements excellent nursing care. Nurse’s awareness in moral and legal codes helps them control the complicated scenario encountered and direct the nurses in the best possible action answerable by law (Lachman, 2006).
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Listening requires active participation to development a shared understanding and minimize misinterpretation. Some physicians possess conversational skills that would be considered downright rude. They constantly interrupt their
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...