Nursing Workplace Scenarios

There are many significant reason why there have been numerous issues or complaints in the field of nursing over the past several years. The issue that has been more common over the years is what I would considered to be the most important issue that nurses have to put up with on a regular bases is what effects does the working environment have on nurses that work in the environment they either have to conform to or find a way to put a stop to the issues the working environment has caused. There are positive and negative aspects that effect the working environment in the nursing field, because of the many things that coincide with what goes on in the working environment that is not seen by non-staff members. Among these complaints have been

When people think of the word culture they think about ethnicity and religion, but that is not the only meaning of culture. Culture can also be defined as, “The set of shared attitudes, values, goals, and practices that characterizes an institution or organization” (Merriam-Webster,1828). In most workplace settings, there is a workplace culture which means they go by standards that have been set for them or by them and each workplace will be different. In the nursing field culture is going to feel different in each setting, but nursing as a whole is the same at the core.

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

Sarah is capable of working, she mainly thrives in settings where she can be actively involved with people and while have very few demands.

This patient arrived on time for her scheduled appointment with this writer. This writer introduces herself as the patient assigned counselor, at which the patient was pleased to be assigned to a counselor. This writer discussed with the patient UDS and the patient's prescribed medication. According to the patient, she provided information of her current medical concerns such as the seven blockage with her heart, her chronic back pain- the patient reports that she needs to replace 2 or 3 discs, and her foot surgery. The surgery for the patient's heart and foot are pending at this time. The patient reports she is scheduled to conduct a sleep apena on 03/03/2016 and is aware that she must provide an update to Nursing at the clinic. The patient praised about having a excellent Cardiologist, who is currently monitoring her heart. the patient was emotional discussing the many loss of her family who suffers from congestive heart failure. The patient reports, " I believe there is a GOD and he is

"Many older people fear that a hospital stay could leave them even more disabled than they were before. Unfortunately, there's new reason to believe this fear is justified. Elderly patients who are hospitalized are at much higher risk of cognitive problems afterward, according to a study published on Wednesday in the journal Neurology."

I was assigned the first scenario (Lydia) for this week's discussion. I contacted Deborah Funk via telephone. I explained the scenario to her and she explained to me why it is I am having such a difficult time answering this question after reviewing the Nurse Practice Act and the section that governs the scope of Practice for APRN's in Missouri. She explained that the Missouri State Board of Nursing and the Nurse Practice Act will be the least restrictive on the scope of practice for APRN's. The organizations and the institutions of employment along with the Joint Commission will be the most restrictive when it comes to the scope of practice for APRN's (D. Funk, personal communication, July 14, 2015). I was unable to find an age range

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

As the nursing profession advanced, numerous modifications transpired, driving the progression of this health sector in a new direction (Thomas & Richardson, 2016, p. 1072). In the past, regulations of working conditions allowed nurses to work on a rotation of eight-hour shift, but in the 70s and 80s the healthcare system progressed to working 10-12 hour shifts. This new working condition was implemented to accommodate the rise of nursing-shortages (As cited in, Bae, 2012, p. 205; Witkoski Stimpfel, Sloane & Aiken, 2012, p. 2501). In 2009, it was approximated that roughly 60% of nurses are now abiding to 12-hour shifts, according to the American Nursing Association (ANA) (As cited in, Bae, 2012, p. 205). Today, not only is this practice still used, but a new development has occurred, overtime. Overtime work began to be used by the healthcare system as a supplement, alleviate the on-going nursing shortages and remediate new compilations being brought by understaffing issues, therefore becoming a custom in nursing practice (Debrit, Ngan, Hay, Alamgir, 2010, p. 28; As cited in, Bae, 2012, p. 205; Berney, Needleman, Kover, 2005, p. 165). A national survey completed by a sample of Registered Nurses (RN), concluded that 43% of nurses work more than 40 hours a week, and that 9% work more than 60 hours a week (As cited in, Bae, 2012, p. 61; Bae & Brewer, 2010, p. 99). In 2010, a survey completed by the U.S. Department of Health and Human Services, also calculated that

As a nurse, I would prioritize by who is at risk for an emergent situation. I would prioritize the following:

In the given scenario, I am a family nurse practitioner in a busy emergency room. Early in the evening hours, I am presented with a concerned mother who is seeking medical attention for Paige, her six-year-old daughter. The mother reports the patient has been displaying cold symptoms for a few days with a cough that continues to worsen. The issue that the patient faces is limited access to healthcare providers in the area who accept Medicaid, which is Paige’s health insurance provider. After discovering Paige’s physician’s office does not have any appointments available for three days, the concerned mother decides to seek care for her daughter at the emergency department. Considering the patient’s condition is considered non-urgent, and our

Mr. Mustard fell down on his driveway three weeks ago. He has now presented to the clinic of Nurse Practitioner (NP) with chief complains of worsening left-sided headache, photophobia, unequal pupillary reaction, and dysphasia. Mr. Mustard takes Coumadin to lower the risk of stroke due to atrial fibrillation. Mr. Mustard’s presenting symptoms along with his higher age (70 years), history of hypertension and being on Coumadin regimen, should be considered as red flags and need urgent attention and evaluation. Based on the subjective interview, Mr. Mustard denies any previous history of brain injuries, which is also confirmed by the NP during physical examination. The NP considers that Mr. Mustard has suffered from traumatic brain injury likely

Simulation is a valuable tool in teaching pre-licensure nursing students. Simulated activities can be partial or full and range from low-fidelity to high-fidelity (Billings & Halstead, 2012, p. 354). An excellent example of low-fidelity, partial simulation would include nursing students using plastic model arms to imitate how to perform venipunctures (Billings & Halstead, 2012, p. 354). Conversely, METI HPS, a high-fidelity patient simulator, allows learners to communicate, hear body sounds, and see responses to student interventions (Billings & Halstead, 2012, p. 354). A full-context simulation includes high-fidelity simulators and a scenario that provides a realistic mock situation (Billings & Halstead, 2012, p. 354).

Planning activities for different types of care facilities can sometimes be a challenge. As a director, assistant, or volunteer, we want our activities to be successful and improve the quality of life for our residents/participants. When planning activities we take into consideration the physical capabilities and cognitive level of our residents to ensure they benefit from all aspects in the activities provided.

The call to support Title VIII Nursing Workforce Development programs in fiscal year 2016 to 2020 is premised on the current statistics of the increasing demand for nursing care brought about by an aging population (ANA, 2015). At the same time, there is a marked decrease in the number of nurses that are meeting the demands. The nurse shortage has been a concern for many years by the profession. Thus, the federal funding allocated for Title VIII Nursing Workforce Development will not only bolster and build the supply of nurses through nursing education by means of grants, loans, scholarships, and other support to nursing students, “but more importantly, the countless patients who receive exceptional care from