Conflict Between A Register Nurse And A License Practice Nurse ( Lpn )

One of the many roles of the nurse, in caring for their patient, is to advocate for the patient. The nurses in the clip did not exhibit this professional role, the nurses were hesitant in following the physician’s orders, but none of the nurses spoke up on the patient’s behalf. Nurses are often in the best position to communicate with team members and the patient’s family on behalf of the patient, because in most cases, the nurse provides the most interpersonal contact with the patient.

When you find yourself wondering what is next in life after high school or even if you are in college and have a change in heart, but not everyone is cut out to be a nurse. Knowing what the different nursing degrees will help you in making intelligent choices as to which career path to follow. The differences between RN and LPN, you will notice the degree that suits your needs without regrets. It would be best to learn about the educational requirements, scope of duties, responsibilities and the career paths for both.

Health care is continuously changing. In the past several years there has been a large shift in the focus in hospitals. The focus has changed from the staff to patients, patient satisfaction, and cutting costs in order to budget more tightly (Tarrant & Sabo, 2010). Because of this, along with the extreme increase in a number of patients seen and the acuity of the patients, nurses are being overworked. As a result, role conflict and ambiguity is becoming an issue. The purpose of this paper is to discuss role conflict and ambiguity, its significance, and its application to nursing.

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligations to provide optimum patient care. (Bosek & Savage, 2007, p. 59) The nursing student realized that she wasn’t an expert in pharmacokinetics and requested the help of a pharmacist to provide quality care for her patient. (Bosek & Savage, 2007, p. 59) Delegation is a huge responsibility and should never be taken lightly. The duty of the nurse is to ensure the patient receives quality care. This means delegating responsibilities to others to ensure that care is met. If a nurse feels she is unsure of a certain area of care, that nurse is obligated to find the precise person who can provide that care. The author’s daughter (Bella) was in the hospital for a reoccurring MRSA infection. When the nurse walked in the door they were asked a question regarding infectious disease protocols and how best to handle the situation. Instead of giving an answer they thought might be correct, the nurse requested that an infectious disease doctor be called in to answer all questions concerning the patient.

Was the patient’s best interest at heart? Or was the physician trying to avoid a negative outcome? This is where collaboration among healthcare teams is vital to patient care and upholding patient wishes. Ultimately it is a nurse’s responsibility to advocate for the patient not only in respecting their wishes but communicating all available knowledge so that all parties involved can make and educated decision.

Q by taking vitals right away and report immediately, since the night shift reported elevated blood pressure at the end of their shift. This would help in determining the next step in delegating and treating Ms. Q. If her blood pressure remained elevated, the RN would delegate the LPN/LVN to proceed with the next step. After getting vitals for Ms. Q., the RN would ask the UAP to assist with Mrs. A, because she is scheduled for a Doppler flow study this morning and can help by bringing the machine to the room and by assisting the patient with morning care and ambulation prior to the study being done. The RN could have delegated Ms. Q vitals to the nursing student as well, but since the vitals were extremely high, the RN chose to have an experienced UAP report the vitals within a specific time frame. The RN has delegated these tasks because they are within the UAP’s scope of practice. They are trained to perform certain duties and tasks such as documenting and reporting information, and assisting patients with their activities of daily living. If the RN were to delegate the administration of medication they could possibly give it to the wrong patient and cause adverse reaction. The fluidity of the communication between the UAP and the RN team leader greatly impacts identifying what is expected from the UAP to communicate to the RN. Siegel and Young (2010) explain that the UAP needs clear guidelines and procedures,

When needed, nurses can ask for assistance from their peers or delegate patient care tasks to increase their productivity. Implementing either strategy requires an understanding that with either task there are specific responsibilities and accountability. Nurses must have an understanding

When nurses faced with such issues in work setting; it can possibly lead them to having a poor self-esteem, disconnectedness and subscribe to submissive-aggressive syndrome to affect change, which leads them to show their frustration towards other nurses specially the new nurses on the unit rather than confronting the issue. Submissive-aggressive

The Nurse in Scenario one made it clear to the patient that she was busy and had other patients to tend to. Effective communication is not demonstrated here because the Nurse has not respected or placed herself at the service of the client (NMBA, 2008). As observed in the video the Nurse speaks quickly and interrupts the patient.

It is especially dangerous in healthcare settings where teamwork can make the difference between life and death. The ramification of bullying in healthcare has brought about the addition of sub-provision 1.5, relationship with colleagues and others within the American Nurses Association (ANA) Code of Ethics. This provision proposes treating everyone with whom they interact with respect. Nurses will vow to maintain compassionate and caring relationships with not only patients and their families but with colleagues as well. Nurses will commit to the fair treatment of others including patients as well as colleagues. Nurses will resolve conflict within their units with patients, families, and colleagues. Nurses will value the distinct contribution of individuals or groups. Nurses will commit to collaborate to meet the shared goals of providing quality health care (American Nurses Association,

Nurses delegate task daily in order to provide quality care to patients. Delegation is difficult for new nurses, but as new nurses gain confidence the process gets easier. Delegation is based on three major things: responsibility, authority, and accountability (Yoder-Wise, 2015). This writer worked night shift on a nephrology unit, and the unit was short staffed due to call outs. This writer was a new nurse, but precepted during school on the unit. Orientation was 6 weeks but due to the unit was short staffed orientation was cut to two weeks. The third week a full patient load was given. At the end of the third week, the charge nurse got sick and needed to go home. The house supervisor requested that this writer be relief charge. After questioning

Watching the youtube video of how to effectively delegate had me realize even more so of the responsibility a registered nurse has. The video shows and states that a nurse is accountable for three aspects of delegation: decision to delegate, delegating tasks and client outcomes. Nurse’s need to take these roles seriously as it impacts them, the clients, employer, licensing board and the nursing profession. If I was in the scenario, caring for Mrs. Campbell would have been different by following the delegation process more closely. Multiple mistakes were made through the video, by inaccurately assessing the situation of how much care each patient needed and by providing the client with an individual that is not qualified

Nursing requires an understanding and person centred approach in order for a nurse to reach their full potential and provide the best possible care they can to a patient. Although there are many ways in which a nurse can provide person centred care, such as effective communication when forming therapeutic relationships with patients, it is also important we as nurses are able to work well in a team and not just as individuals. The Nursing and midwifery Council Code of conduct highlights the importance of teamwork and that nurses must “work in partnership with people to make sure you deliver care effectively.”(NMC 2015.) According to Leonard et al. (2004), when communication is lost among team members this is a common cause of patient harm

In the hospital, a team includes a CEO, managers, supervisors, charge nurses, medical doctors, nurses, nursing assistants, social workers and maintenance crews; it can also include many other members. In addition, a well-functioning team is led by a good leader; a leader does not necessary mean the CEO, but someone who is driven, knowledgeable, and a good communicator. Charge nurse and nurses are normally the one that handles the care of patients in the hospital. Both charge nurses and nurses can be considered leaders. It is why, it is very crucial that nurses are good communicators. One would say that nurses are the spoke person of a hospital to its patients. The nurses care for their patient closely, they communicate with the doctors regarding the care of the patient; they communicate with the pharmacies, nursing assistant, colleagues, and many more. Those

The other challenge was different personalities among the nurses. Some nurses especially from the surgical units seemed to down look others from other units such as labor and delivery. However, this problem was solved by addressing the members on the need of putting all our differences aside and working as a team to help the patients (Cameron, Harbison, Lambert & Dickson, 2012).