The purpose of this paper is to explore a stressful event that the nurse experienced in a working environment, and the ways to manage the stress with use of psychosocial mediator. The author will provide a specific stress producing situation and evidences supporting the event as a stressor. Selye 's General Adaptation Syndrome will be described in relating to this stressful situation as well. Furthermore, the author will explain hardiness as a stress mediator and how to incorporate this stress mediator in the nursing practice.
During the second semester in the RN program, the author worked as a student nurse at a pediatric clinical site in a Children’s hospital. From the first greeting, the preceptor for one day did not welcome the student nurse at all and even said that she did not like to have a student nurse so never bother her with questions. The student nurse was supposed to administer medications in the presence of the student’s professor or the nurse, but the preceptor refused to let the student give them saying she could not rely on student nurses and did not want to take any risk for her patients. For the entire day, the student nurse could not perform many things for her patients except cleaning and assisting with ADLs. The nurse blocked the student’s learning opportunities and made her feel useless and helpless.
The experience reflects emotional aggression related to student nurse assigned to a nurse who undermines, which is not an uncommon stressor for student
At the clinical site, being a student nurse, I witnessed issues such as a lack of respect for a patient, including inappropriate ways of speaking and behaving to the patient by nurses, and inadequate explanations by nurses to the patient. The nurse in charge displayed an uncaring attitude toward an independent, but cognitively impaired wandering patient with the use of inappropriate speech to this elderly patient. There was no respect and dignity for the patient in the nurse in charge behavior and words.
2. A new graduate nurse is working in the pediatric intensive care unit. She has been employed a total of 5 months, 3 of which were spent in orientation. Her patient, a child with a cardiac defect and pneumonia, has a very unstable condition and has needed an increasing amount
This essay will consider ethics in nursing, discuss values and morals and how dignity and respect in patient care is influenced; considering the importance of reflection and the implications it has on effective practice from the perspective of a student nurse. The scenario “Call Me Joe” provided by Nursing and Midwifery Council (NMC) (2010a) highlights concerning issues and bad practice that are happening in modern day nursing practice, and using the Driscoll and Teh (2001) reflective model: What, Now What and So What, to consider the care that Joe is receiving; considering how the nursing practice affects him directly and the implications of the nature of knowledge in nursing practice. Part of the way in which nursing practice is
Incivility is an umbrella term used to describe any type of negative behavior directed towards another individual that may impact the way that they behave and/or feel. While incidences of incivility may be visible in most professional careers, it’s significance in nursing has prompted a provisional statement from the American Nurses Association. “The nurse creates an ethical environment and culture of civility and kindness. Disregard for the effects of one’s actions on others, bullying, harassment, intimidation, manipulation, threats, or violence are always morally unacceptable behaviors” (American Nurses Association, 2015, p. 4). Dumont, Meisinger, Whitacre, & Corbin (2012)
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at
Acts of incivility such as bullying, lateral violence, or harassment in the work place negatively affects nursing performance, mental health, and retention within an organization or even the profession of nursing (Warrner, 2016). A policy in the American Nurses Association (ANA) proclaims that the nursing profession will not tolerate violence of any kind from any source (ANA, 2015b). The Code of Ethics for Nurses by ANA requires nurses to promote an ethical environment and culture of civility with an emphasis on treating all parties with dignity and respect (ANA, 2015a). A study conducted in a rural Kentucky hospital’s medical- surgical units concluded that educational trainings in itself did not reduce the frequency of experiencing incivility in their unit (Armstrong, 2017). Nevertheless, nurses in the study reported that educational trainings increased their ability to recognize and appropriately respond to workplace incivility (Armstrong, 2017).
Nursing is a profession founded on caring, compassion and collaboration. I believe that all nurses come to work with good intentions, but sometimes something happens along the way. “Horizontal violence can exist to some extent in any institution, with the potential to disrupt the integrity of the nursing profession and ultimately compromise patient care” (Becher&Visovsky, 2012, P. 213). I think that its important for us as professional nurses to acknowledge the “existence of horizontal violence, confront horizontal violence, and take appropriate actions to mitigate it (Becher&Visovsky, 2012, P. 213).
The nursing profession is a helping profession, not simply a collection of specific skills to complete a required task (Peckham & Meerabeau, 2007). The actions of a Registered Nurse (RN) can not only affect the relationship with a patient, but the general trustworthiness of the nursing profession as a whole (NCNZ,2012). In this essay the writer will analyse a scenario which negatively impacted on a resident, which was witnessed while on clinical placement and discuss the legal, ethical and professional obligations observed by the RN.
The subject of delegation inevitably is discussed when considering the demands on Registered Nurses. Registered Nurses are the hub of communication regarding the patients’ condition, treatment, and well-being. The doctor, family, lab, radiology, respiratory, physical therapy, dietary, and even billing and housekeeping rely on the nurse for information and the transmission of information to others. The patient being the most important of all of these, but if the nurse is communicating with all of these parties and documenting properly how is she suppose to then care for the patient. Now throw a “student nurse” on her to add to her responsibility. This paper with discuss delegation related to nursing practice, its benefits and drawbacks.
I think the charge nurse’s statement initially had a negative impact on the student nurse because she was very overwhelmed and frightened as described by the “trembling hands” and “pale student nurse”. In fact, it created a barrier between the patient and the student nurse because initially the student nurse did not approach the patient. The charge nurse characterized the patient as a man who was very difficult to care for and as an individual who physically hurt the caregivers. Overall, the student probably wanted to keep a distance between the patient and had a negative image of the patient, which will affect the communication and care of the patient.
A student, in the practical nursing program, giving the best care by using and applying skills, principles, and guidelines is the main concern. Seventy-five percent of patients in hospital are elderly simply because of their fragility and decrease in their immune system which would cause mature adult to develop a health problem. Every week is about meeting new patients with different type of diagnosis so skills can develop and one of the patients has caught a particular attention.
The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will discuss my thoughts and feelings surrounding the situation and analyse the coping strategies I used in managing the situation, linking to relevant theory throughout in order to provide evidence for practice. The essay will also consider person-centred care and whether this was delivered to the patient. To conclude, the essay will discuss what I have learnt from the experience and how this experience will improve my future
Stressful events are a ubiquitous part of modern life with unfortunate negative implications for both physical and mental health. For example, stressful events (especially longer-term chronic events) negatively impact immune functioning (Segerstrom & Miller, 2004) and cardiovascular health, accounting for as much as 30% of attributable risk of heart attack (Das & O’Keefe, 2006). Negative life events are also implicated in experiences of depression (e.g., Hammen, 2005), with up to 80% of depressive episodes in community samples preceded by stressful life events (Mazure, 1998). Life events are associated with the onset of depression (Kendler, Karkowski, & Prescott, 1999), response to treatment (Monroe, Roberts, Kupfer, & Frank, 1996), and relapse (Monroe, Torres, Guillaumot, Harkness, Roberts, Frank, et
The completion of the study work by of Bowman and Stern (1995) provides proof according to aid the thought up to coping profitable with employment associated stressors depends on the situation, the appraised level control and which coping strategies were chronic in imitation of deal with the stressful situation. An instruction used to be done in imitation of paint Medical Intensive Care Unit (MICU) nurses’ coping behaviors while caring because of an affected person whose medical remedy transitioned from cure to comfort relief – oriented care. The use of about a descriptive qualitative research design including quick selective participant remark and center of attention team interviews used to be back after discover the coping journey concerning MICU nurses. The learning took area within an 18-bed MICU so much was once piece on a 719-bed acute ponder able hospital located into the northeastern United States.
The NMC establish standards and requirements for nursing education in professional and ethical issues. The code contains guidelines on expectations of particular duties such as confidentiality, consent rights, and autonomy. All nurses are expected to comply at an individual level with these guidelines on a daily basis, NMC (2015). The nurse and the student played the same role in Bill’s care which was to provide the best possible care for Bill. As the student was working on leadership skills, the nurse supervised the student according to the NMC (2008) which states nurses must facilitate students to develop their competence. The student and the nurse ensured that Bill was put at the heart of every care implemented. Bill’s safety is wellbeing and safety was vital in this episode, of which the student and the nurse ensured that this was maintained and his needs were met physically, emotionally etc.