In the past 3 decades, there has been a significant increase in nurse shortage with the numbers expected to fall even more by the end of 2020. Most researchers, healthcare managers, and nurse leaders assume that the issue has been resolved but the truth is it is far more disastrous. Nursing shortage has many negative implications within the healthcare system. Registered nurses have a high demand in the market place, wherein the current RN workforce of over 2.7 ˘million is expect to grow above 3.5 million by 2022 (AACN 2014). Due to the increasing number of elderly patients, acute ...
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Communication is an integral part in the delivery of treatment to sick patients. In order to provide effective treatment plan, nurses must ensure that they have proper and effective communication skills. Nurses must also have the necessary skills to facilitate therapeutic communication. This kind of communication decreases the psychological distress that the patients may have and in a way, therapeutic communication raises the self worth of the patient if carefully undertaken. Engagement and rapport building, exchange of information and how an agreement action plan on the therapeutic process is also explained. This paper also takes a keep look at the communication ...
Overview
The novice to expert theory was developed by Dr Benner who proposed that expert nurses develop their skills over time. She further made the assumption that their skills and understanding of patient care are developed over a period through experiences and proper educational background. The theory does not focus on how to be a nurse rather on how to advance as a nurse where one consistently gains knowledge and skills. To understand the theory, it is prudent to look at the career growth of a nurse who currently works in the Emergency Department at Winter Haven Hospital. The nurse ...
A midwife-nurse nurse is responsible for providing care for women in their pregnancy period and during birth. They also provide primary care to women after birth, carries out gynaecological examinations, gives family planning advices and takes care for the health of women at menopause. Basically, there are three factors that must be observed for one to be considered as an ideal midwife-nurse. First he/she must observe dignity protective actions while attending to a childbearing woman at high risk. To achieve this, there must be a dialog between the nurse-midwife-nurse and the childbearing woman. There must also be trust, mutuality, constant presence ...
Theme
Effective communication, problem solving, and critical thinking are three soft skills essentially vital for a staff nurse supervisor to carry out her HR activities in a current day hospital setting.
Introduction
Nursing care has traditionally been an integral constituent of health care because nurses play an indispensable role in enhancing care quality and patient safety. As a result, today healthcare regulators take strong efforts to enhance the quality of nursing care in health organizations. Such efforts to enhance nursing care efficiency are notably limited by staff shortage and staff turnover issues. The situation further leads to a poor nurse-to-patient ratio. ...
Nurses in advanced roles apply “an expanded range of practical, theoretical, and research-based competencies to phenomena” (Barker, 2009, p.19) within specialized areas of nursing. Advanced roles include nurse practitioner, nurse educator, nurse informaticist, and nurse administrator. Each role is distinct yet all roles share similarities in the areas of clinical practice, primary care, education, administration, and research. This assumption is explored by comparing and contrasting the different roles. A good background on advanced nursing roles assists in situating this student’s own role as family nurse practitioner. Henceforth, it becomes easier to analyze this specific role in terms of ...
Part I
Communication:
The nurse did not use a polite tone as she was communicating to her patient.
The nurse used a hostile tone and it appears that she was yelling at the patient.
The nurse made the patient feel frightened and inhibited.
Rationale:
The patient will feel threatened and may become uncooperative if the patient if an impolite, hostile tone is used.
Treatment goals may be impaired if the patient feels frightened or intimidated.
Appropriate Action
The nurse should always act professionally
Cultural Competence
The nurse failed to greet everyone in the room
The nurse failed ...
Introduction
The health care system remains a fundamental component in national development. An effective health care system enables a country to attain high economic development by providing quality medical services to the people. The system ensures that members of the public access reliable, affordable, and quality medical services. This move creates a healthy and working nation because people can engage in social economic activities and contributes, in national development. The system also creates a conducive environment to nurture talents, innovativeness, creativity, and invention, thus attracting local and foreign investors. Most developed states have invested in health care through hiring qualified and competent nurses, establishing ...
Nurse Managers with effective skills and knowledge are essential components of our health- and medical-care systems. Studies on the relationship of nurse management with nurse empowerment, staff nurse turnover, management of generational issues are being done in all parts of the world. These studies have established correlations between effective nurse management and increased overall productivity of the healthcare systems. The roles of nurse managers are increasingly recognized as they provide leadership to the largest group of employees (nurses) in any healthcare organization (Mathena, 2002).
Nurse empowerment
Improvement in the present nursing working conditions is critical for retaining the nurses currently in ...
THE DESCRIPTION OF THE ISSUE
The focus on patient safety and quality of care has placed many demands on the healthcare system. One of the pertinent issues that have been explored as having an impact on the quality of care and patient safety is the nurse staffing ratios. The Joint Commission identifies that staffing levels have a profound impact on the occurrence of sentinel adverse events, injuries, deaths as well as permanent functional losses in patients undergoing care (American Nurses Association, 2016). With low staffing levels, the workload on the nurses and the healthcare personnel is heavy amidst the need satisfy all aspects of ...
WGU
A. Table of Contents
Professional Resume – presents my clinical knowledge, skills, experience, and philosophy to potential employers
Executive Summary – provides an overview of the contents of the portfolio
Professional Reference Questionnaire – presents the objective and subjective evaluation of my key behaviors and clinical performance by one of my professional references
Importance of the Institute for Healthcare Improvement (IHI) – discusses the need to develop knowledge and skills in quality leadership in order to improve the quality and safety of patient care and promote holistic, patient-centered care
Copy of IHI certificate of completion – serves to validate my completion of the IHI Organizational Systems and Quality Leadership course
Evidence-based Practice – summarizes an evidence-based research project on hand hygiene
Applied Leadership – summarizes my ...
Summary of Ethical Dilemma: Low Nurse-Patient Ratio
There is an existing nursing shortage in America today primarily because of the increasing number of patients in the aging population, frequency of chronic diseases, an aging workforce, and the limited number of Americans taking up Nursing education to cover the growing needs for the profession. The nursing field belongs to the group of fastest-growing careers not only in America, but in other countries as well. However, the demand surpasses the supply of nurses, which results in high nurse to patient ratio. As a consequence, quality care that patients supposedly should receive from the medical industry suffers.
Studies reveal ...
Shortage in the staffing of nurses is a significant challenge for healthcare systems all over the world. Although most studies associated with inadequacies in nurse staffing have been conducted in the USA, other studies in the same area have also been done in other parts of the world with similar findings; New Zealand (North et al., 2013), Malawi (Bradley et al., 2015) and Hong Kong (Chau et al., 2015).
Nursing shortages have been associated with poor medical services, poor patient outcome, high stress levels and burnout among nurses, low retention rates and high turnover of nurses. Evidence from numerous ...
Introduction
Nurse practitioners are following the higher professional standards. It indicates that all nurse practitioners are responsible for their actions and are accountable for malpractice. Legislation that regulates the practice of nurse practitioners varies from different states. It differs in opinions among nurses, physicians, or legislators account for the inconsistencies. The core objectives of the health care professions especially the nurse practitioners are to deliver safety of the patients, effective health care, and cost-efficient health care. Nurse practitioners play a vital role in achieving the objectives. Failures of delivering the proper health care to the clients result to accountability or liability.
Failure to follow standards of care
...
Final Project
The nurse workforce has been growing substantially for the past two decades necessitated by the demand for quality care, an ever increasing population, increased complexity of illnesses as well as a new found passion by the current generation to seek career growth in nursing and healthcare. However, the role of education and nursing curriculum in facilitating the increasing number of nurses trained in various ways and for different roles cannot be assumed. The nursing curriculum has been redefined to accommodate many roles which traverse across direct care roles and indirect care roles (Lowe et al., 2012). On the other ...
Role of the major public health personnel, including the public health nurse, involved in the disaster.
The key roles of the public health personnel including the community nurse include the assessment of the disaster, policy development, and provision of health care needs for the affected victims of Franklin County. The community nurse provides direct care to the patients, families, or a group of people that were affected by the disaster through the door to door visits. The community nurse is collaborating with experts from other disciplines such as the epidemiologist (Sharon Kong), Fire department (Jim Anderson), EMS department(Cory Sanborn), Police department(Jeff Stackhouse), public health officers 9(Lane Harris), Environmentalists (Seth Stattmiller), and many other ...
Palliative care is a component of compassionate care. It is a dynamic holistic care of people who have got highly developed and progressive diseases. The care involves management of all symptoms and offering of spiritual, psychological and social support to the patients. The aim of this care is common among all the nurses giving it, which is the accomplishment of the highest quality of life for all the patients as well as their families. Many features of the care do not only apply to the late stages of diseases, but also in earlier courses in combination with some treatments (Baldacchino et ...
Article summary
Article Summary
Existing literature suggests that nurse staffing influences patient safety. Improved nurse staffing has been shown to promote optimal patient outcomes such as reduced medical errors, healthcare associated infections, and inpatient stays. A nurse-patient ratio of 4:1 or less has been shown to promote the most optimal patient outcomes. In addition to the impact on patient outcomes, nurse staffing levels also have potential impact on job satisfaction and retention of nurses (Hairr, Salisbury, Johannsson, & Redfern-Vance, 2014). This paper will summarize a study by Hairr, Salisbury, Johannsson, & Redfern-Vance (2014) that examined the link between nurse staffing, job satisfaction, and ...
Abstract
Theories in nursing provide an avenue where the perspectives of nurse are described and explored in clinical phenomena. The perspectives include the definition ’what’ of nursing, ’who’ of nursing and when nursing services are needed. The goals and boundaries of a nurse are identified in a theory. Theories are composed of concepts, propositions, frameworks and assumptions which they are based on. Since this paper looks at the accepted theory and how it affects nursing care of patients, Peplau’s theory of interpersonal communication will be discussed. Hildegard Peplau theory is based on the psychodynamic nursing. The relationship between the nurse and ...
Theoretical Strategies and Practical Applications
While the entire world suffers from retaining workers in the healthcare industry, retaining nurses and nursing managers is one of the highest priorities for healthcare facilities. With high burnout rates, high retirement rates, low enrolment rates in nursing schools, low compensations for demanding positions, stressful working environments, and high job dissatisfactions in the nursing field, it is expected that the nursing field will experience high shortages because replacement and retention rates are too low to keep up with retirement rates. It is possible to categorize factors that determine nursing manager retention rates by importance. “Communication, participative management, and effective ...
Healthcare organizations face a big problem now when it comes to nurse staffing and scheduling. There appears a big scarcity problem in the number of nurses when assigned per patient. Researches done during the past decades have established the importance of having enough nursing staff or registered nurse staffing as they play a huge role in achieving positive patient outcomes, safety, and satisfaction. This means an adequate nurse to patient ratio promotes reduction in patient mortality, enhances outcomes, and improves nurse satisfaction when it comes to their work. For instance, one study pointed out that for every patient assigned ...
Mark’s case is one among the many that healthcare providers face on numerous occasions. In this case, Mark presents at the clinic or within the ER having sustained serious injuries following a car accident. He is assessed to have significant internal bleeding and therefore in need of immediate blood transfusion to arrest the progression of the situation to a severity point. The doctor determined that three units of blood would be necessary for Mark’s situation and therefore placed the order for an immediate transfusion. At the time the transfusion was to occur, Mark was still conscious and ...
The current shortage in the number of registered nurses in the US is expected to increase to more than 500 000 registered nurses by the year 2025 (MacKusick & Minick, 2010). The current nurse turnover rate in the United States, on the other hand, is 16.5%. This rate is also projected to rise over the next decade (Mazurenko, Gupte, & Shan, 2012). High rate of nurse turnover is one of the factors contributing to the nursing shortage in the US. It is estimated that 30%-50% of all new registered nurses change their positions or choose to leave the profession completely ...
Legal and Ethical Issues in Nursing in Treatment of Older Population
Introduction
Nurses play crucial role in healthcare system accomplishing multiple goals and achieving various purposes. Their diverse personal traits have to correlate with a great number of responsibilities in the field in terms of profession, activities, decisions, and leadership. A nurse is a professional who bring the locus of control for high-quality care from the administrative field to the providers delivering care services. Being responsible for numerous tasks and interventions, nurses, despite exceptional personal skills, have to serve as a role model in their community, advocating for the evolution of the profession and professional activities, maintaining continued competence within ...
Nursing has been defined in many different ways throughout time. The field of advanced nursing in recent years has indeed evolved and nurses today are taking more comprehensive and challenging roles within the health care system. Advanced practice nurses (APN) can be defined in many different ways (Nursing.ucsf.edu, 2016). According to the Department of regulation and licensing in Austin Texas, an advanced practice nurse is a person with the following credentials: One is a registered nurse and has a professional license for nursing within the state. Second, has been certified as a clinical nurse specialist, nurse practitioner, and other ...
Section 1 – Describe a Crucial Conversation
It was again Patient X, brought in for the second time this month into the emergency department due to a new diabetes complication. The patient was a woman in her fifties, who previously had her leg amputated due to the advancement of diabetes. The physician who attended her ordered lab work to determine the level of glucose, which came back as 1200. The physician immediately asked intravenous insulin medication for the patient, yet Nurse A, who was in charge of the patient’s medication, was not administering her insulin as the physician instructed.
Nurse B, who had a long history with ...
Personal Philosophy of Nursing
Transitions and Trends in Professional Nursing
Personal philosophy of nursing
Nursing should not be viewed as any other job from which people should just look forward to pay day. Nursing is not only a calling but a duty that people should perform with undying passion towards improving the health sector. Of essence to note is the reality that unlike other professions, nursing takes a people-oriented approach because, fundamentally, nursing is about the lives of people (Gastmans, 2002). Apparently, nurses view the profession differently, in my view, being a nurse is the most viable decision I have ever had to make. The ...
Introduction
Close to 60% of all new graduate nurses who are employed at health care institutions, leave those places within the first year of employment (Pine & Tart, 2007). The cumulative effect of this high turnover has staggering losses. A 2004 economic analysis of this issue reported that the dollar cost of turnover per Registered Nurse (RN) in a 6000-bed acute care hospital is more than $60,000 (Ponyton et al, 2007). Nurse turnover negatively affects the ability of the patient care team thereby compromising the quality of care given in that hospital. In addition it results in personal losses to the ...
The use of nurse case managers has been done extensively at different levels of care. Carondelet Saint Mary’s Hospital located in Arizona had a project that exemplified the role of a nurse case manager, especially in acute care. In this project, nurse case managers formed partnerships with high-risk patients in acute care. Through these partnerships, the nurse case managers help to reduce the length of stay in hospital. Through collaborations with the physicians in acute care, nurse case managers help reduce the number of clinical services, the number of be days and the length of ...
Part 1: Optimal Nurse Staffing in the Post Anaesthesia Care Unit at the University of Toledo Medical Centre, West Toledo, OH.
The issue of staffing among registered nurses has been acknowledged to be one of the perennial problems that affect the nursing sector. Many evidence-based studies in nursing have found that there is a very strong relationship between nurse-to-patient ratio and safe patient outcome (American Nurses Association, 2014; Welton, Unruh, & Halloran, 2006). Just like many other nursing units, the nursing section at the University of Toledo Medical Centre has established staffing policies and guidelines that ensure that patients in Post Anaesthesia Care Unit (PACU) receive holistic nursing care. In this regard, the management has divided the level of care into two phases: ...
Application of the Theory of Human Caring
Introduction
A theory refers to a set of propositions and concepts that provide an orderly way or method to view phenomena. Theory helps to guide research and enhance or support the existing knowledge on a certain discipline. A theory not only helps individuals to organize their ideas or thoughts, but it also directs them on what to do, when to do it and how to do it. Nursing is one of the disciplines that constantly employs the concept of the theory, and over the years, theory has become essential to effective nursing practice as well as research (Peate, 2010). The ...
Compassion in nursing involves a deep and empathic regard for the suffering of a patient and the desire and engagement to ease that suffering (Slatten, Carson & Carson, 2010). Empathy may take the form of counter-transference or the vicarious experience of the patient’s suffering (Boyle, 2011). Compassion entails the use of self enabling the nurse to establish a connection and a therapeutic relationship with the patient in order to (Smart et al., 2014). However, the repetitive practice of compassion can lead to fatigue, a phenomenon more common in settings such as oncology, palliative care, hospice, trauma, and emergency services. Constant preoccupation with patients and ...
As a nurse or healthcare personnel, it is always important to have a personal philosophy that guides one in their daily professional practice. This personal philosophy acts as the guideline that motivates and keeps one moving in the right direction and serving the patient population in the manner that befits their status and provides ultimate satisfaction to the healthcare provider at the personal level. In most cases, the professional practice derives satisfaction not form the wages and economic benefits but from the satisfaction with the outcomes each time they are reviewed (Laabs, 2011).
For the nurse, the satisfaction is ...
Continuous quality improvement and patient satisfaction
Continuous quality improvement in care delivery entails the identification of problems, implementing the solutions, monitoring the process, and evaluating its effectiveness (Olds et al., 2013). Nurse leaders and managers are involved in the process of finding areas that need improvement in the delivery of care and once they find these areas, they put in place all the resources and structures needed for improvement. The overall goal of continuous quality improvement of care is universal. These quality improvement initiatives are the reason why the United States health care delivery system is experiencing significant changes (Finkelman, 2015). Some of these changes ...
During the initial visit the registered nurse from the Community Nursing Service will elicit information concerning the seizure history from Jessica. While seeking information concerning the history the nurse will seek to know when the client had her first fit, whether there has been any improvement after initial diagnosis and treatment. The nurse will also seek to know whether the client would wish to have her medication changed due to their ineffectiveness.
The patient is then asked concerning the factors that may trigger the seizure. While doing so, the nurse will document on alcohol intake. Other factors that trigger ...
For a long time now, nurses have been fighting against inadequate staffing and the outcomes that such issues have on them and the patients under their care. Additionally, the ever ballooning needs of the health care system have resulted in the number of patients requiring care going above the available healthcare personnel (Aiken, et al., 2014). As such, the available nurses presently working in the country, both at the state and the federal level are overwhelmed by the responsibilities bestowed on them. From the foregoing, therefore, it is evident that finding the optimal level of the nurse-to-patient ratio has ...
Leadership Shadowing Experience
Introduction
Nurse shadowing is an effective way for nursing students and people interested in getting into nursing as a career to get experience on day-to-day activities of a nurse. Shadowing involves following an experienced nurse and learning through observation and asking questions. This report is a shadowing experience for an intensive care nurse leader. The report covers the observed management and leadership styles, problem-solving skills, communication skills, interpersonal relations, and workplace diversity. Further, the author compares the management theories taught in school with the concepts applied in the clinical setting.
Management Style
The nurse I shadowed is a nurse manager at an intensive care ...
Introduction
Nurse have various legal responsibilities in any hospital setting. The nurse’s responsibilities particularly become accentuated in settings where various problems are being experienced. In this case study, a step down unit of a hospital is experiencing high census and a very high patient nursing ratio, meaning that the unit is serious understaffed. Understaffing is a critical issue in health care because it can lead to several negative consequences. One of these problems is medical errors, and this is, in fact, what happens in this particular hospital. A medication error refers to an error by a care provider either in dispensing, administration, prescribing or ...
Leadership is essential to the successful management in the field of nursing. However, nursing leaders and employees have different views on the type of leadership style to be adapted for best results. Owing to the challenges in the nursing leadership, re-evaluation of current managerial tactics is necessary. A nurse leader must master delegation because it constitutes a critical portion of the effective leadership and success in the patient care. Since we live in a multi-cultural nation; good leaders should consider all aspects of a person including cultural diversity. Time management skills, self-efficacy and assertive communication are the other significant qualities of nurse ...
- Introduction
Amayatakul writes that “electronic medical record (EMR) is a digital version of a paper chart that contains all of a patient’s medical history from one practice. An EMR is mostly used by providers for diagnosis and treatment (Amayatakul, 2012, p.19).” This indicates that Electronic medical records will act as a supplement to nurse practitioners in that healthcare service will be efficient, which will be beneficial to both the patient and the staff members (Anderson, 2005, p.123). In addition, a nurse practitioner need electronic medical record as a way of keeping track of the patient’s past records. This will help the ...
As a little girl I used to admire my mother in her snow-white, starched, well ironed uniform; and hoped for the day I would work with her. On the rare occasions when I visited her at the hospital watching the doctors walking around with a group of student doctors was my favorite pass-time; and I would say to myself, one dayI will be in one those groups. While I still lived in my country, I finished high school and entered college with the intention of fulfilling my vision; but shortly thereafter I immigrated to the United States and changed my reverie. ...
Scope of practice
Scope of practice is a term that defines the procedures, processes, and actions a licensed individual can carry out in relation to his/her qualification. Qualification includes training, education, and experience. The practice act contains the scope of practice for all health occupations that require a license in order for the healthcare personnel to operate in a particular field in the health industry. The emergency department is a very critical unit in a health care center that handles patients who check in with life critical illnesses and injuries. These cases are usually unplanned for, and they require immediate attention. The emergency department is dedicated to such ...
There are times when a nursing problem arises as a result of a number of findings, and these findings are pulled together into a summary in order to see the big picture created out of these findings. This act of pulling together is what Brown & Ochs (2018) calls a systematic research review (SRR) or systematic review, which helps researchers identify “what is known with certainty, what is tentatively known, and what the gaps in knowledge are regarding an issue” (p.175). It serves as a link between the individual studies performed and the decision making done in order to create ...
Clinical question
The picot question is: In addressing patient to nurse ratio and patient’s outcomes, is an enhancement of nursing continuous education more effective than mandatory nurse–patient ratios regulation in increasing number of nurse and quality improvement in two years? To find answers to the above clinical question, the questions that this study will seek to find answers to from various published research studies shall include: whether enhancing nursing continuous education improves nurse-patient ratios and the role of nurse leadership as well as staff regulations in increasing nurse numbers so as to improve nurse-patient ratios.
Description of the problem
Nurses are critical to ...
Purpose
This paper looks to evaluate the impact of the nurse-to-patient ratio in achieving the desirable outcomes. It will analyze the evidence which depicts ways of improving this ratio to improve the quality of care given to patients and meeting their needs. Additionally, the paper will describe the impact of staffing problem to the well-being of the patient and work satisfaction. It will come up with questions which will be used to find the evidence which addresses this issue. Lastly, the paper will describe the strategy which will be employed to locate articles in regards to nurse-to-patient ratio.
Describe the problem
Nurses played ...
About myself
I am a college student finishing my nursing education at the College of New Rochelle, who is very passionate about the career as I love helping others. I am also a hardworking well-rounded person, and I believe that I have gained adequate knowledge in the field that will assist in my professional development. Choosing to be a nurse was one of the greatest decisions that I made, and I have never regretted. I plan on completing my Bachelor of Science in nursing degree this May, and I already know the great advantages as well as the incredible career opportunities ...
As Madeleine Leininger noted, nursing is built on the element of caring; nurses are caregivers and thus their interaction with the patient is a necessity rather than an option. Any role that falls within nursing and seeks to cut off the link with the patient cannot in any way find its basis in nursing. My philosophy is built on Linenger’s description of the role of nursing as a process that affords a patient in need the chance to meet and interact with a caregiver who cannot only give them access to resources but can help them cope within ...
Introduction
Workplace bullying is a major problem that has continually escalated in many health care organizations in the United States. Similar to other professions nurses experience bullying in places of work, and this subsequently affects the delivery of services by the affected nurses. Bullying in nursing has various impacts on the working environment of nurses and provision of quality health care to patients. Workplace bullying has adverse effects on the nursing profession. It is described as repetitive abuse whereby the victim suffers from bullying behaviors such as verbal abuse, physical assault, intimidation, humiliation or threats issued by the perpetrator (Murray, 2009). ...
Reflection: Assessment and Nursing Intervention on the Transition
[Institution Title]
Introduction
Transitioning from the Post-Anaesthesia Care Unit (PACU) to a regular medicine ward is not a breezy task especially among nurses who are initiating the transfer and the nurse receiving the patient. There are pressing concerns that must be considered. This is especially necessary since keeping the patients to stay longer at the PACU have resulted to congestion, patient and family dissatisfaction due to limited visiting hours and surgical delays (Thomas & De Leon-Ayson, 2008). Given these concerns and the vulnerability of the patients’ condition, nurses participating in the transition of patients from PACU to the ward are confronted with a complicated ...
Introduction
Nursing as a profession is unfortunately among those careers whose roles and functions in society have been significantly misconceived; the nursing uniform is often seen to symbolize caring. Majority of people are only familiar with the caring aspect of nursing, however, they cannot be faulted since this image of nursing was created by the pioneers of nursing like Florence Nightingale who embodied the caring attribute in their definitions of nursing. Further, it continues to be reinforced by current nursing icons like Jean Watson who, through various theories conceptualize caring as the central tenet or the core theme of nursing. Others ...
Introduction, Background, and Purpose
Power is more relational than absolute. Power relates to the degree of control that one exercises over outcomes, resources, actions, and process. The power can either be formal or informal. The formal power is the leeway that one is given through the rules of the organization in which he works to influence the course of certain elements in that organization. This is legitimate power afforded to a worker to enable them to deliver their mandate. Illegitimate power is different from the legitimate authority because unlike in the former case, the illegitimate power lacks authority. Nonetheless, it can be significantly ...
Observation of Clinical Practices in Mayo Clinic Rochester
In mayo clinic Rochester, a single nurse is usually appointed to provide comprehensive care to a patient especially after admission into the hospital as an inpatient. After which the patient receives individualized attention throughout the stay period, and this is given by the same nurse until the duration of stay is over. In the same clinic also, a single nurse may be appointed to provide care and health services to a group of patients, especially those who have common needs for care. In such a case, the nurse is usually responsible for monitoring the progress of the group of ...
Question 1
A forensic nurse is a very important member of health care profession. A forensic nurse uses her expertise and knowledge in medical science, psychology, forensic science, sociology and especially nursing science to aid in investigations, collection of evidence, preservations and analysis of evidence, treatment of traumatic patients and other medical-legal issues. The importance of this field of nursing is justified by statistics on crime. In 2007, there were over 5.1 million reported violent crimes in the United States (Department of Justice, 2007). The productivity, economic and medical burden of these crimes was estimated at seventy billion dollars annually (Corso, Mercy, ...
- Introduction
As a profession, nursing existed since the early years of civilization. Although nursing in the early days was not sophisticated or complex as it is in the contemporary, various attempts were made to improve on care given to the patients (Parker, 2010). In fact, nursing as a field has its roots in the early attempts by human kind to provide care to the sick and the weak. It was through progressive modifications, adjustments and improvements that nursing or caring evolved into a large field with its roots deeply grounded in various concepts. Nursing concepts since the inception of care ...
When caring for a patient who’s nearing death, a nurse can help make the patient more comfortable by helping to manage the pain that the patient feels as well as the symptoms manifested by their disease. The nurse should also effectively administer and monitor the therapeutic interventions and regimens that the patient must undergo. In addition, the nurse should be more sensitive to the patient’s feelings and be more empathic, not only to the patient but also to the patient’s family or love ones. Similarly, the nurse should be an active listener so that he or she can ...
The role of the nurse in the contemporary healthcare setting is wide and it transcends beyond the traditional concept of the roles and scope of work for a nurse. Patient needs have diversified in the same way as populations volumes and numbers seeking care have increased. The healthcare system is demanding more from the nurses and it is apparent that nurses have to adapt to these needs if at all they have to assure the patient population of positive outcomes (Fennimore & Wolf, 2011). For nurse managers, the role is even wider. Not only do they have to work closely ...
The dynamics in the health sector has put a nurse as a vocal point of a patient’s health. As such, nurses are no longer identified by their academic credentials (although they are necessary) but how they are relating to patients. Moreover, the role of a nurse is shifting from the old traditions of receiving instructions from the other health practitioners such as doctors or working on a planned schedule. To more of an equal partner where they work with other health practitioners treating the patient exchanging ideas and information. Therefore, this call for interpersonal, decision-making and leadership skills which will help a nurse cope ...
Nurses have a moral obligation to protect a client from slander by withholding personal information concerning the illness itself or any other known social problems, which may be assessed or diagnosed. Information must only be shared or discussed among staff members if it is associated directly with a nursing intervention. ‘The nurse has a moral obligation to do good, and the patient has a right to expect that he or she will derive some benefit from that good.’ (Legal Issues in Nursing). Precisely, to professionally link roles and image the issue of ethics becomes dominant as personal perspectives are considered. My personal philosophy is ...
Introduction
Nurses play an integral, challenging, and complex role in the healthcare system. Nurses are considered as the backbone of the complex and diverse system that comprises patients and a multidisciplinary team of experts. Nurses are educated and trained to cater to a large group of patients and often seek continuing education and upgrade their skills and knowledge. It is only through clinical exposure that nurses learn and implement new strategies and techniques. Nurses are known to transform the healthcare system by acting as mediators between the patient population and the medical team (physicians and other allied healthcare members). Through ...
Every aspect of healthcare delivery, from quality control to reimbursement to elimination of inefficient and wasteful practices is continuously subject to change (Delmatoff and Lazarus, 2014). The changes occurring from time to time in patient care influence timely delivery of quality healthcare. Therefore, effective leadership traits on the part of nurse leaders are quite critical in the light of nurse practitioners encountering an uncertain healthcare environment. Secondly, each and every role in healthcare is crucial for patient recovery, and a nurse has to ensure that her patient receives the care from all single levels. In other words, a nurse ...