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Reflective Journal June 23 2015. Jayme Mannix What? On my third week of clinical shifts, I was able to spend the day in the operating room watching surgeries. The doctors, nurses and respiratory therapists were all very informative. I was in awe watching the anesthesiologists and surgeons do their work. My mind was going a mile-a-minute as I tried to follow everything that was going on. Near the end of the day during the last surgery, at around 1430h, I looked over at the anesthesiologist who seemed to be very relaxed on his phone. Being a nursing student, I assumed he was just bored, I was not going to question the actions of Dr.s. Then, I looked back over at the anesthesiologist and noticed his eyes were closed and his head was starting to droop. I became frantic. Trying to decide if I should say something or if I should just keep it …show more content…
Throughout this journal, I have been able to recognize my mistake and realize how it can affect my overall patient care. Patient advocacy is one of the most important role of nurses. As a nursing student, it is time that I step up and advocate for my patients under all circumstances. Although it can be difficult, advocating for patients is one of the most important roles of nurses. “In order to be effective advocates, nurses need to be recognized, and to recognize themselves, as equal partners within the multidisciplinary team.” (Hyland, 2002). Nurses and nursing students need to take charge when it comes to advocating for their patients. 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,
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
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
The need for advocacy is most often first noticed by the nurse through empathy. When nurses are able to empathize with their patients it begins the process of advocacy. When the nurse empathizes with their patient an altruistic attitude towards the patient grows, this improves caring and caring is essentially an innate form of professional ethics. The want to advocate by the nurse is greatly enhanced when the nurse truly cares about the patient; which is best developed through empathy. The want to advocate for the patient by the nurse is the biggest factor in positive advocacy outcomes (Reed, F., et. all, 2016). Professional caring combines caring and empathy with nursing knowledge and competency; together these factors enable the nurse to serve as a capable moral agent for their patient within the healthcare system. It is not possible to advocate for a patient properly without being first able to empathize and create a therapeutic nurse-client
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
Mrs. Denise Callaway (RN, BSN) is my charge nurse at the hospital in rural Georgia. She is a patient advocate. In her interview, she stated that she is a patient advocate first and foremost. She believes that all nurses, RN?s and LPN?s, have a responsibility to advocate for their patients. She admits that she try to put herself in the patient?s and/or family?s place. She was taught to? do unto others? and she has followed that philosophy throughout her nursing practice. Mrs. Callaway always encourages her staff to see the best in the patients. She never sets in an office. She is always out on the unit helping staff, it does not matter if it is housekeeping, and she is always there to lend a hand when needed. She always includes her patients
Frequently, nurses are confronted with the task of finding the balance between advocating for the patient, and remaining loyal to their hospital or institution (Hanks, 2007). Risks that are associated with patient advocacy are more on the institutional level (Bu & Jezewski, 2007). Risks such as accusations of insubordination, reputation slander, hostile work environment, and loss of job security are among some of the top reasons nurses tend to shy away for patient advocacy (Bu & Jezewski, 2007). Another problem with advocacy is that there isn’t a universal definition as to what being an advocate means, along with inconsistency of interpretations (Bu & Jezewski,
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
Healthcare is viewed in an unrealistic way by most individuals. Many people view a physician as the only means to find a solution to their problem. Nurses are still seen by some as simply “the person who does what the doctor says.” This is frustrating in today’s time when nurses are required to spend years on their education to help care for their patients. In many situations nurses are the only advocate that some patients’ have.
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 ...
The power of nursing incorporates multiple aspects within the profession, including the direct patient care approach, which involves providing hope, a caring attitude, and compassion. Although it has yet to be adequately represented in the political realm of policy-making for improvement of quality patient care, the indirect approach to patient care in nursing involves such issues as advocacy and political activism. The purpose of recognizing the power of nursing is to better understand the potential for this evolving profession to become increasingly proactive in the development and regulation of legislation, to create a more sound future for the health care system at both the state and national level, rather than simply maintaining a reactive
Nursing is something that cannot be simplified to one word or phrase; it is more than treating the ill and more than just a profession, rather it is a standard of care and service to others, and it is constantly evolving. Nursing should revolve around commitment and a desire to help those in need. As I reflect on my nursing education, I have realized that I have inadvertently created a set of values and beliefs for myself, otherwise known as my personal nursing philosophy. A product of my knowledge obtained from classroom lectures, my interactions with an array of patients, family members, and healthcare professionals at my clinical sites and my job in a long-term care facility. I believe each patient should be treated as an individual and given the best quality of care, regardless of their gender, race, age, sexual orientation, religious preference, socioeconomic status, or choices they may have made. Every patient is worthy of respect, even when their views differ from my own. Each patient has the right to honesty, and to feel safe.
I believe that each patient deserves the highest quality of care, regardless of their life choices, gender, ethnicity, religion, sexual preference and socioeconomic status. Each patient, including their family is entitled to respect and honesty, despite the circumstances. Aspects of providing the highest quality of care are safety, competence, honesty, caring and continuous learning and improvement. Concepts that have been ingrained from a young age and molded by the SUCON mission and American Nurses Association Code of Ethics ("Baccalaureate Student Nursing Handbook 2012-2013," 2015; ”Code of Ethics for Nurses," 2015).
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
She further identified seven concepts that are essential to current nursing practice, she stated that,” Based on the acronym FLOWERSTM, they include fundamentals of care, leadership at the bedside, ownership of outcomes, wisdom, ethics, relational competence, and skilled caring.” (Sprayberry, 2014, p.123). Nursing professionals play several key roles, which directly affects client outcomes, such as, critically thinking while being the patient-caregiver, advocate and educator along with coordinating and collaborating with the various members of the multidisciplinary health care delivery team. Nurses always prioritize excellent patient safety and care every day and collect information and recognize the practices that need improvement. For example, the process of identification and documentation of nursing-sensitive outcomes that are a direct result of nursing assessments and interventions. Nursing professionals take leadership roles concerning promoting safety and quality through collecting evidence, analyzing and interpreting the data necessary to improve practice. Armed with the edge of working closely with clients, nursing professionals can identify opportunities of cost-effectiveness without compromising on QI. Through being patient advocates, nurses ensure, that health care clients receive good quality and
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.