Self Care In Nursing Essay

With regard to sleepiness, several studies indicated that the average of sleep duration in 1910 to 2002 have decreased from 9 to 6 hours on workdays (National sleep foundation, 2002; Groger et al., 2004). Recently, a survey study of Roger et al. (2004) shows that an American Nurses have an average of 84 minutes more sleep on non workdays. Thus, shift work suggested as a cause of sleeping disorder among nurses where they feel of sleep during the shift. Considering the contributing factors of sleepiness, the literature identified that long working hours and rotating shifts are causing sleeping disorder. In the night and rotating shifts, the nurses are rarely obtained adequate amount of sleep. In fact, the nurses experiencing less sleeping hours (1 to 4 hour) than normal sleeping (Zeisler et al.,1980). Nevertheless, insufficient sleep is a significant reason of damaging planning, decision-making, and integration of information (Krueger, 1994; Harrison and Horne, 2000). More recent studies have revealed that long hour shifts and overtime are strongly linked to the difficulties of being a wake through the shift which leads to increase the risk of making an error (Scott et al., 2006; Roger et al., 2004).

When identifying uses and meanings of ‘self-care’, I first looked in a dictionary. The concept was defined in the Shorter Oxford dicitonary as, “Self-care (noun) taking care of one-self; self-interested behavior.” I searched the internet to get a generalized view of how the concept was being used and it was defined on Wikipedia as, “Self-care refers to actions and attitudes which contribute to the maintenance of well-being, personal health, and promotion of human developent.” I searched data bases for scholary peer reviewed articlew and retrieved limited amount of English articles on self-care. Key word searches consisted of self-care, self-care maintenance, and self-management. The definitions and uses of the concept were fairly broad. I narrowed the search to post-op patients and self-care. The two uses for the concept in the post op patient would be self-care of the post op patient and also supportive care to promote self-care of the post-op patient. The supportive care could be from a nursing system or a family member.

The nursing process does not merely treat the patient as a physical body, but rather treats the patient holistically. The central philosophy of Dorothea Orem's self-care deficit nursing theory "is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they're able" (Dorothea Orem, 2012, Nursing Theory). However, although self-care may be the core of Orem's theory, the decision to engage in self-care must be facilitated by the patient's social and physical environment, of which the family can play a critical role in shaping.

The profession of nursing requires a capacity and joy for caring and healing others both mentally and physically. Nurses spend their careers caring for patients and their families often in the worst and most frightening periods of their lives. Nursing responsibilities can be lengthy, stressful and physically and emotionally demanding. The demands of the nursing profession coupled with the nursing shortage and longer work hours put even more stress on nurses. Despite these extreme demands, many nurses do not fully appreciate the importance self-care. Yet without proper care for themselves, nurses are not able to provide the best care for their patients.

Throughout the years there has been more attention directed towards healthcare worker fatigue. More specifically, fatigue associated among night-shift nurses. The Joint Commission has found that lack of sleep from night shifts has contributed to increased errors, leading to poor patient outcomes (Gardner, Dubeck, 2016).

Can you imagine costing a patient their life due to your lack of sleep, long shifts, and working to many hours? Me either. “In 2011, the Joint Commission issued a Sentinel Event Alert to call attention to health care worker fatigue as it relates to patient safety, noting a link between healthcare worker fatigue and adverse events. In addition to patient safety concerns, there is an increased risk of injury in fatigued healthcare workers (Martin, 2015).” Lets explore the dangers of fatigue, and its importance to nurses, way that nurses can prevent fatigue, and possible ways to lower fatigue and enhance sleep. What standards are in place in the nurse practice

Inadequate sleep and resulting fatigue has major implications on the health and safety of registered nurses and can compromise patient care. Fatigue can also be costly to employers, resulting in increases in health care and workers’ compensation costs, early disability, recruitment and training costs, and legal fees. In 2014, the Professional Issues Panel on Nurse Fatigue led the effort to update ANA’s position statement on nurse fatigue. “Registered nurses and employers in all care settings must collaborate to reduce the risks of nurse fatigue and sleepiness associated with shift work and long work hours. Evidence-based strategies must be implemented to proactively address nurse fatigue and sleepiness and to promote the health, safety, and wellness of registered nurses and ensure optimal patient outcomes.” This statement articulates the American Nurses Association’s (ANA)

This concept synthesis paper on personal nursing philosophy will first discuss the nursing autobiography of the author. This paper will explore the author’s perspective on the four metaparadigms of person, nurse, health, and environment. This paper will also discuss the author’s viewpoint on two practice-specific concepts that are relative to her practice. Lastly, the author will list five proposition statements that will connect the concepts described and will further clarify the authors use of the conceptual material.

Fatigue and sleepiness, tendency to fall asleep, go hand in hand as nurses struggle to stay awake during long, consecutive, day or night shifts. For example, in the Staff Nurse Fatigue and Patient Safety Study, the number of nurses who reported an error or a near miss had less hours of sleep than the nurses who did not report an error or a near miss, and it was determined that there is a 3.4 percent chance of a nursing error when nurses get 6 hours of sleep or less in the prior 24 hours; another study found that the chances of making an error was three times higher when nurses worked more than 12.5 hours per shift (Rogers, 2008). In the Staff Nurse Fatigue and Patient Safety Study, over two thirds of the participants reported that they struggle to stay awake while working and 20 percent reported incidence of falling asleep during their shift (Rogers, 2008). Nurses also do not get adequate breaks while working long shifts, according to the Agency of Healthcare Research and Quality (AHRQ) less than 50% of work breaks for are away from patient care, which means nurses never truly get a chance to relax (Phillips, 2014). Not only is the patient safety at risk when nurses are fatigued, but the well being of nurses is at stake as well. While nurses are fatigued they are risking their

Many have felt the effects of sleep deprivation and how it may affect one physically and mentally. For a nurse, when exhaustion sets in due to working long hours or inadequate sleep cognitive and physical functions begin to decrease resulting in poor critical thinking and clinical judgment. There may be circumstances, such as staffing shortages, which

The title of this study “Sleep Quality in Nurses: A Randomized Clinical Trial of Day and Night Shift Workers” appropriately portrays the information of the article. It describes the design of the study, a randomized trial, as well as the topic, sleep quality of nurses. Overall it gives a good picture of what the article includes.

I really enjoyed reading your post it was very informative. Sleep deprivation can cause any individual health problems. Nurses need to stay healthy and take of themselves so that they can take care of their patients. You have some great suggestions for the unit manager to use to help nurses who suffer from sleep deprivation. Your suggestion of offering tuition reimbursement for nurses is a great idea. The unit manager could talk to human resource department to see if this is available and if the employee qualifies for it. If it is available the unit manager could give the nurse the information about it and direct her to the human resource department. The facility I work at offers tuition reimbursement with the sign of a two year contract

The model is concerned with the provision and management of self-care. A requirement for nursing exists when a person is unable to maintain for him/herself self-care action which is therapeutic in sustaining life and health, recovering from disease and injury or coping with their effects. Meet own needs through nutrition, fitness, hygiene, rest and relaxation, interpersonal relationships, meaningful work, spiritual practices, prevention and health promotion practices

Using the nursing process of care, Mr Camilleri will undergo the processes of assessment, diagnostics, planning, implementation of care, and evaluation of care. The process of care includes the primary assessment followed by secondary assessment and then a focused assessment which will assess the factors that are likely the cause of the health problem. The data will then be compiled to identify health problems, create and implement a plan of care, and be evaluated regarding improvements and effectiveness of the intervention.

Orem’s Self-Care Theory lays the foundation to measure self-care maintenance, management, and confidence. The framework of Orem’s theory contributes an optimistic patient view to their own personal healthcare and the goal of nurses, and the independent function of their patients. The identification of nursing as a science and an art are identified as well as its boundaries, and serve as unique contributions to nursing. The research that Orem completed was designed to measure self-care deficits and the quality of life to help determine the correlation between both (Seed & Torkelson, 2012).