Introduction In term three of the practical nursing program we started our first placement in a hospital setting. During the second week of placement we went out onto our assignment floors and got to shadow a nurse. That morning I went to see all of the patients that my nurse had for the day to introduce myself and tell them if they need anything to let me know. One of the patients that morning was crying, so I had went up to her asked what was wrong, her response was "I have been sitting in my own stool since 6am, I rang my call bell and no one has came". This type of situation was a moral dilemma, the patient is unable to change her own brief and the nurse was not nearby to do so. As a student nurse I was unable to do a bed bath and …show more content…
A brief is suppose to be changed at least 5-8 times a day or immediately after it 's been soiled. After a brief change it is important to clean the area properly to prevent any infections. A urinary tract infection can occur if a patient stays in their soiled brief for an extended amount of time or if they are not cleansed properly. Another consequence with having a soiled brief is that you could be at risk for skin breakdown. As stated "Too much moisture over-hydrates the skin, making it weak and more sensitive to friction, shear and breakdown (think about being in the tub or pool for a long time). Primary sources of excess skin moisture include sweating, bowel and bladder accidents, and drainage from wounds" (Skin Health: Prevention and Treatment of Skin Breakdown,2011). Therefore, if a healthcare provider does not attend to a soiled brief immediately, risk for infection and skin breakdown will occur.
My personal/ professional values and beliefs In this situation I felt that it conflicted with me on a personal and professional level, being a student nurse and also a women. When I first went into the room and seen a patient crying, I wanted to help but with my qualifications as a student I was not able to. As a women not being able to change yourself or do anything on your own, takes away your pride and dignity, making you feel useless and lowers your self-esteem. If I had a family member in the hospital I would hope that the nurses are treating them
During my first day of clinical, I encountered an issue that I believe is very significant. As a student nurse, our duty for this day was to follow our health care aide around the ward and assist in completing resident care. The resident required assistance in many of her daily tasks. The health care aide asked if I would perform one of those and do perineal care for her. I turned down her offer because I did not feel comfortable with my skill level. The resident had a bowel movement during the night. There was a significant odour in the room that overwhelmed me. I really wanted to leave the room because it was so unpleasant, but I stayed in the room so that the resident would not be embarrassed. This feeling of embarrassment, I assume,
This essay will discuss and reflect on one of the Principles of Nursing Practice and I will relate this to my practice experience. It will focus on Principle of Nursing Practice A: Dignity, humanity and equality and I will demonstrate knowledge of the Principle of Nursing Practice in my essay and investigate the professional, legal and ethical frameworks that guide nursing practice and discuss and link what I have experienced in practice to my chosen Principle.
Nursing students today are diverse with different learning styles. Nursing educators must shape students to become critical thinkers and there are a host of approaches for instructors to develop needed teaching skills (Kostovich et al., 2007). There are many models of education styles; one to fashion teaching after is from Kolb’s model in 1985 which suggests matching learning methods to teaching approaches. However, educators need to become proficient in identifying individual student learning styles. Nursing educators should also recognize their own teaching style and the effect it has on learner development and socialization (National League for Nursing, 2007). The National League for Nursing (NLN) has developed eight core
A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).
Advanced Practice Nurses play an important role as innovators who can help shape school policies across the nation. APNs need to know how the school system works so they can contribute in formulating school policies aimed at keeping school children physically active. APNs need to collaborate with parents, school officials and the community to direct activities that have the greatest positive impact on school-aged
An advanced practice nurse is a registered nurse who has attained the expert knowledge base, complex decision making skills and clinical competencies for extended practice. They are competent in diagnosing and management of common medical conditions including chronic illnesses. They work collaboratively with physicians and other health care providers to provide complex health care services to patients. Advanced Practice Nurses (APN) use their advanced assessment and clinical skills to anticipate and manage complex situations, administer therapies to manage the actual and potential health issues. They also participate in the development of evidence based practice and integrate theoretical and practice-based knowledge to influence the development
The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.
Various ethical dilemmas arise in healthcare, and each individual’s personal views affect their behavior and influence their decisions. Patients with difficult and uncooperative attitudes challenge the nurses ability to maintain appropriate care, however, it is necessary for nurses to maintain a professional and holistic patient/caregiver relationship. Assessment of the patient’s non-compliance may help the nurse understand the patient’s decisions. Most importantly, the nurse needs to maintain patience, understanding, and empathy towards their patients, in order to sustain holistic care. I have made it a point to self-examine myself as well, to maintain awareness of my own personal biases, values, desires and concerns which may influence my interactions with others. A big struggle for me is caring for patients who bring illness unto themselves, and then refuse the help we offer them. For example, those who misuse drugs and alcohol, or refuse to take medications that are crucial for the health. I have to remind myself with these patients, to witness their illness without judgment of blame. I have to remind myself to set aside all biases so that I am able to effectively care for the patient and their families. I remind myself to understand that they are suffering human beings, who need my help. While
Nursing is an academic strictness and professional practice. It is a practice that has evolved throughout the years since the pioneering of Florence Nightingale. Nurses use critical thinking and judgment to deliver evidence-based care to individuals to attain a prime level of client wellness in diverse nursing situations. Although terminology and approach to health care varies within nursing, all fall within the metaparadigms of nursing. Depending on the detailed necessities of the patient, nurses must arrange these notions to deliver care in a way that best suits the situation.
During my clinical experience, I encountered an unforgettable situation which holds significance to me as a nursing student. My patient had an intracerebral hemorrhage, subarachnoid hemorrhage, as well as dementia. As a result of her conditions, she was a two- person assist. While researching my patient’s health conditions the night before clinical, I became concerned about how I was going to take care of my patient due to the anticipated immobility. When I first met my patient, I began to feel apprehensive because I realized that it was a patient who I had seen on the unit two weeks ago. This patient was groaning and crying at night, disturbing other patients who were trying to sleep. Due to her restlessness, the nurses moved the patient to the nursing station every night and then moved her back into her room in the morning. Looking at
In literature from the 2013 eighth edition of Fundamentals of Nursing, the authors express the importance of maintaining the patient’s level of comfort (Potter, Perry, Stockert, Hall, p. 1108). They suggest lubricating the nares often with ongoing care to reduce irritation. Dehydration is a risk for patients who have a nasogastric tube. To reduce the risk of dehydration, the Fundamentals of Nursing states mouth care at least every two hours should be completed. Adena’s current policy differs, with oral care directed at least every four hours. Another method stated to provide comfort includes, turning the patient at regular intervals to reduce abdominal distention (often patients swallow volumes of air) and aid in gastric emptying. The existing
I do remember while in nursing school, associate degree level, having to participate in practical examinations. These were very well like OSCA (East, Peters, Halcomb & Salamonson, 2014). These tests were completed at the end of each practicum class and we were expected to demonstrate our skills in front of instructors. In order to avoid suspected bias, the instructors were not the same that you were assigned to during the regular class period. Besides it, I always found these tests full of bias and riddled with inconsistencies. The grade the students obtained was solely based on the opinion from the instructor assessing the performance. This impacted my learning tremendously. I have never been a “lucky” individual. I was always assigned to
It is the responsibility of the nurse, to take care of the people who are sick or well, under his/her care (International Council of Nurses, 2015). There should be a healthy interpersonal relationship between the nurse and the patients, to provide the optimum care. The ethical caring of the nurse is the basis of such a relation. To be able to deliver the ethical care to the patient and the family, a nurse should possess integrity and should have moral accountability. A morally responsible nurse would act prudently as he/she knows what is right to do (LaSala, 2009). This type of actions by the nurse reflects the integrity of that nurse. I think, you displayed your integrity by advocating for the patient. This is what we should do as nurses.
This is essay is going to examine the principles of nursing and health. In order to do this it must look at the concept of health then describe the dimensions that make up health. Secondly, an adult individual will be chosen in order to discuss the determinants that affect their health. It will then go on to explain the underpinning professional, ethical and legal principles that would be taken into consideration if the individual were to require nursing care. Finally, it will identify how carrying out this assignment has informed the writers personal concept of nursing.
According to the Arslanian, Hicks, Whall and Algase (2005) nursing theories have unique views. Advanced Practice Nurses (APN) not only focus on diagnosis and medical intervention but also considers family, environment and patient responses in their plan of care. This makes them different from other health care providers like physicians and physicians assistants (Arslanian et al., 2005). I agree that it is important for us as an APN to use theories to guide our own advanced practice because theory gives identification to nurses, and distinguishes nurses from other profession by its unique contribution to the clinical practice. Nursing is an autonomous profession (Kenny, 2013). Nursing theory provides various information to understand the patient