Clinical Experience Essay

“Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN 2010)

Stanhope, M., & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community (8th ed.). Maryland Heights, MO: Mosby Elsev

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)

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).

Public health nursing allows nurses to encounter various vulnerable populations on a daily basis. In particular, the elderly make up a large portion of the population, and their vulnerability to the environment and other physical factors is a very important aspect of public health nursing. Epidemiology allows the public health nurse to study and assess vulnerable populations, including the elderly, and create interventions that maximize the health potential of all members of the public.

Community health nurses incorporate community participation and knowledge about the total population with personal, clinical understandings of the

Nurses continually strive to bring holistic, efficient, and safe care to their patients. However, if the safety and well-being of the nurses are threatened or compromised, it is difficult for nurses to work effectively and efficiently. Therefore, the position of the American Nurses Association (ANA) advocate that every nursing professional have the right to work in a healthy work environment free of abusive behavior such as bullying, hostility, lateral abuse and violence, sexual harassment, intimidation, abuse of authority and position and reprisal for speaking out against abuses (American Nurses Association, 2012).

The roal of public health nursing is to promote and protect the health of the population. This proactive approach does not limit their scope of practice to health concerns of individuals but also to developing and implementing programs and policies that help enhance the health of populations. The role of public health nurses is to focus on population centered care with the outcome of promoting health, preventing disability and disease, and improving the quality of life. An effective public health nurse is able to evaluate assessment data to define population diagnoses and set priorities accordingly. They can also serve as advocates for individuals and families in the population to develop policies, access resources, and protect their

As the school nurse role evolves, there are increasingly more health concerns for the school

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

In today’s society, the medical field is constantly thriving with technological improvements and the growth of educated individuals that contribute to the well-being of others. Nurses make up the largest majority of the industry, and with that, nursing is the fastest growing occupation. Nursing is a job that allows people to not only take care of the sick but also to experience, learn, and further their interests of the human body.

Public health nurses "play a strategic role in helping reduce environmental and lifestyle-related health hazards by promoting a positive lifestyle, including exercise, stress management, accident prevention, weight maintenance, and nutrition education that is sensitive to socio-economic status and cultural beliefs” ("Obesity's Impact on Public Health Nursing," n.d.). Nurses can help by involving themselves in policy development by being active participants in the policy process as it closely resembles the nursing process. Through community assessments, public health nurses can determine health factors by assessing the socioeconomic, environmental, and behavioral factors of the population to determine interventions

Nurses can be regarded as community champions with the potential tasks and influence they have on hand. Because the focus is on the welfare of the community, every member in it is regarded by the public health nurse (PHN). However, to be an effective PHN will require his commitment to the community through adequate assessment of the problem, knowledge of resources, persistence in engaging the community, and dedication to implement the planned interventions. In the following paragraphs, opportunities for a PHN can be explored through preventing school bullying, tracking the population’s target needs, and managing a presented case study.

Reflecting on Hayleigh’s post allowed me to think about nurses’ roles in patient care and maintaining health on a global scale. Within any global health organization, including the Centre for Disease Control and Prevention (CDC), nurses portray various roles in the maintenance of an organization’s health initiatives, and thus global health (Centre for Disease Control and Prevention [CDC}, 2015). These roles include, but are not restricted to being a care provider, advocate, and patient educator. Moreover, although the roles of nurses working on a global scale are, for the most part similar if not that same as if they were working on a national level, I believe that there are also major differences within their fulfillment of these specific

Nursing as a discipline has set forward an explicit desire to serve the public and it is the service and commitment to the individual and overall wellbeing of our society that drives and directs the study and practice of nurses, educators and nurse scholars (Smith & Parker, 2010).