Being A Nurse I Have Experience Different Situations On A Daily Bases

Compassion, commitment, courage; three words that I would associate with the role of being a nurse. By going into nursing I believe that I will be able to make a difference, even changing one life for the better is far more rewarding than anything I could ever imagine. I have always admired the role nurses play in the lives of so many, not only patients, but also the families of those in their care. I believe that it is essential for a nurse to be able to listen and communicate with not only their patients but also those around them.

During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This patient was a 30 year old male admitted for trauma related injuries and was considered unstable and was to be monitored in ICU. This patient had been involved in a motor vehicle accident and

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 profession of nursing is often looked at as taking care of sick people or treating physical well-being. Many do not realize that nursing encompasses so much more than that. It is very important to me to have a positive attitude that transfers to my coworkers and patients. I want to be committed to helping those in need and desire to be able to be a confident health educator. I think it is very important to use the knowledge I have in my area of expertise to instruct others where it is needed. I would like to be able to say I gave the highest quality of care that I could at the end of each day. I realize that not everything will always be perfect or smooth, and there is only so much I can do. However, many of the rough patches can be eased with hard work and a good outlook. I want to be able to form great relationships with my colleagues as well as the client and facilitate everyone working together. Nursing is a respectable profession and I hope to contribute my own compassion to the entire community.

The most relevant theory in this situation is the preservation of integrity for the patient and in my practice. In order to preserve integrity and social justice I want to attain a respectful nurse-patient relationship. The nurse-patient relationship in high acuity as written in Module 1 BCIT High Acuity course “is one of the central aspects of high acuity nursing practice” (Bungay, 2005, p. 40). I feel confident this theory is the central aspect of all nursing practice. All patients, including the one I’m referring to in this journal, has her own unique beliefs, history, and experience. On top of these, the patient is now, due to critical illness, experiencing an actual or potential physiological crisis (Bungay, 2005, p. 42). It would useful and respectful of me to acknowledge that on top of her present concerns, all concerns she had prior admission still exist. I did not give her the opportunity to express her concerns. I never asked her if she had a cat she was concerned about, was missing Saturday’s farmer’s market, wanted a Sherry, missed her friend, or disliked men. There could be a myriad of things that may be concerning her at the time. All real and potential factors support or challenge having a positive relationship with the patient (Bungay, 2005, p. 41).

he lesson that I can take during patient interactions are to try find the best way to accommodate patient's needs and know my limitations. For example I cannot speak Russian and my patients are Russians with limited English, however, I know they need so much help and education. I rather talk to the nurse manager and refer them to another nurse that can speak Russian or to get an interpreter to help me. It might be seem "I am washing my hands" and try to get rid of them, but my attention was to help them better.

Working for The Cheesecake Factory has taught me new dimension of hospitality. This opportunity has evolved my interpersonal skills, as sometimes it requires communicating with impatient, and rude people. I have to keep a positive attitude through a stressful and fast paced environment. I believe these skills are highly transferable to nursing as there are people sometimes at their worst. I try to look pass each person and not quick to judge them solely on their immediate action. For instance, I think about what hardship that person might have faced and when I keep these in mind, I find it easy for me to respond in a calm and respectful manner. As a nurse one day, I will encounter patients who are having an unpleasant day, but I know not to

To demonstrate understanding of how theories relate to and inform nursing is part of what it means to be an Advanced Practice Nurse. Analysis of how nursing theories inform one’s own practice is not only a way to identify responsibilities and opportunities as a nursing leader, it is also a means to build disciplinary knowledge. As Chinn and Kramer explain, “Once nursing practice is described, it is made visible… [this] imparts value to what has been intangible (2008, p. 23). By describing my personal clinical practice area, and providing an analysis of how nursing presence, interpersonal relations and caring theories can be utilized, I will attempt to accomplish all of the above.

I practice on a medical-surgical floor. A nurse, I will call Nancy. Nancy and a nurse assistant, I will call Sally, Sally and Nancy have had their run-ins several times throughout the year. Nancy had been employed with the facility for approximately two decades. Sally has been working approximently for one year. On this particular day, Nancy asked Sally would you take rooms 665’s vitals. Sally replied yes after I take 667 to dialysis. Nancy in a stern tone of voice stated, “Do it before you take 667.” Sally stated, “You see me wheeling her down.” “I am not going to take her back to her room then come back and take 665 vitals.” Nancy stated, “Are you telling me you are not going to do as I asked?” Well, long short this became a fighting match. This situation made me feel uneasy, and a bit embarrassed due to the fact we are professionals, and family members listened to them bicker if they were second-grade school girls. I respond by quietly walking the less aggressive one, which was Sally, away from the situation. No one solution exists for the complex problem of negative human interaction within the organizational culture (Lachman, 2015). This negatively affected the work environment. Disruptive behaviors interfere significantly with nurses’ intra-professional cooperation and multidisciplinary partnership (Lachman, 2015). Employees would look at the schedule and see who was working and if Nancy

Which she can ultimately benefit from by strengthen her communication skills (Rebeiro et al., 2015). Since the student is promoting interprofessional communication she is prepare in the future for the next step to unhook verbally. That involves taking responsibility and communicate effectively (Crowley& Elster, 2006). Regretfully the student did not utilize communication aspect of this situation because she did not confront the nurse. The student did take responsibility because when she discussed the situation with her instructor and knew she was in the wrong for not doing

We have all heard the phrase “nurses eat their young”; new nursing graduates take that as gospel and already assume their own profession is against them even before they start. If they encounter a nursing during clinicals, preceptorship, or during their residency program who is less than caring or friendly, they automatically assume this will be the norm and they should suffer through. Bullying is defined as a repeated pattern of destructive behavior, conscious or unconscious causing physical, emotional, or mental harm. A crisis can turn the nicest nurse into someone whom seems aggressive and harsh. However, after the crisis has been resolved the nurse who is not the bully will recognize their behavior and apologize. A bully will justify their actions and they do not believe they are in the wrong.

Two nurses were continuously talking negative about a nurse’s aide on the floor. They felt that she didn’t help them as much as she could have and that she picks and chooses who she helps. After taking a recent workplace violence module in our leadership class this semester, I have a better understanding on how this impacts patient centered care and that this situation is a very negative workplace behavior. Initially, I felt that it was best to ignore the situation because as a student I didn’t want to get involved. However, after the gossip continued, attempts to resolve the issue were to state that the floor was busy and as a PCT I often get behind as well, the nurses then agreed that the unit was busy and moved on to a different conversation. Throughout the whole ordeal I continued to have my patient’s best interest at priority and didn’t let the behavior of these nurses impede on the care being provided. (2 points)

Working well with people is an important factor in the nursing career; a nurse must always be respectful to every patient regardless of the situation. Persuasion sometimes has to be used because a patient may not want a certain medication so a nurse must help the person understand that it is what is best for him or her health and their track to recovery. A nurse must always pay close attention to their patients because if problems or concerns come up, a nurse must be the first to notice it.

On a daily basis there is a lot of thought and focus directed at these patients to assure they are getting quality medical care; you may have caught a medication error, made multiple phone calls, waited on hold for what seems like forever, waited on doctors, ran to another floor all to get a patient something they needed or wanted, or may the nurse noticed an important change in the patients status that could dramatically affect their outcome. Most times the patient does not see or not even know about these behind the scenes battles to ensure quality care. Conversely, most often, especially when considering a patient in the hospital setting, our perception is our reality. Patients often do not know the ins and outs of procedure and protocol and rely solely on their perception of the care they are receiving. Studies have shown that patients desire to be perceived and cared for as individuals. Lying in that bed waiting on a nurse for 20 minutes for pain medication may just translate into lack of care on the nurses’ part to the patient but in reality the nurse was caught in another room with a different patient with a situation he or she couldn’t walk away from. Often nurses are stressed which can also convey a certain harshness to patients. In other cases maybe the job has become so repetitive that the nurse

After lunch I knew something was off. I should have known better I thought to myself. The teacher was talking, but I was not listening. The jolting pain shooting in my right wrist was currently grabbing my attention. I looked down, my wrist was slightly swollen and tinted red forming fresh bruises. At first the pain was tolerable, but any minor twist or turn affected the pain level immensely. Unprepared for the new aching in my wrist, immediate shouts of agony followed. My teacher, Mrs. Stephenson, immediately asked, “What’s wrong?” Looking up, my face was turning red, I didn’t know what to say. I knew the incident was foolish and could have been completely avoided. My lips were sealed from embarrassment. I didn’t say a word. Despite the