At OHSU’s Bone Marrow Transplant unit (BMT) and at the outpatient center for Hematologic Malignancies (CHM) clinic, BMT patients are not fitted for N95 masks, yet they are being asked to wear them. Therefore, the current issue is whether or not the unfitted N95 masks are actually more beneficial than surgical masks for the patients. This is because we are asking them to be worn while not fitting them. I selected this topic because I noticed there were inconsistencies within the practice of each nurse regarding the use of N95 masks versus surgical masks. When I probed deeper, I realized that some of the nurses didn’t know OHSU policy and were using best practice from another institution, which stated to use surgical masks when transporting patients off of the unit. This made me wonder why different institutions would have different policies and what the actual best practice is according to evidence. The OHSU Policy #HC-NSG-BMT-205-POL Infection Control Policy for Adult and Pediatric Oncology/Hematopoietic Stem Cell Transplant (HSCT) Units states that patients shall wear an N-95 mask when outside the HEPA-filtered environment (OHSU, 2016).
This is important to me from a leadership role development because as an informal nurse leader, it is my responsibility to own my own practice. In order to do this appropriately, I must fully understand the policy of my place of employment and if that policy is not aligned with current best evidence, it is my responsibility to
Having worked as a nurse in different settings; both hospital and community I have every opportunity of being in charge, capable and assisting in the management and organisation of work as required effectively, this therefore has deepened my understanding of managing clients condition, promoting and contributing to health screening and education.
On my first day of clinical one nurse put on the personal protection equipment (PPE) and said, “I am just wearing this to show you what we’re supposed to do” but then they don’t regularly use all the PPE required. When discussing the PPE while administering chemo some nurses even said they “don’t work in an NCLEX hospital”. This made me want to see what the exact protocol is at UMH for handling chemotherapy drugs and why these precautions are in place.
Nursing is hierarchical hence should engage in different types of leadership activities in their routine care delivery
The purpose of this paper is to evaluate a case study addressing ethical leadership, analyzing application of standardized code of ethics on nursing practice, and discussing issues in safety for quality patient care. This paper will support the importance of confidentiality when discussing protected patient information. In addition, the need for continuing education and training for nursing through identification of Federal and State regulations as applied to nursing practice will be
Nursing guidance is a complex but essential part of the nursing workforce. Guidance can come in the form of management and in the form of leadership. The two terms are often used interchangeably, but do not always mean the same thing. The nurse manager is often someone who has authority from the facility to be in management. The nursing leader may not have authority over other nurses, but may be a strong guide in the workplace for other nurses and nursing staff. Nursing as a profession is ever-changing and increasingly challenging. Nurse managers are tasked with an enormous variety of functions in their respective workplaces, budgeting, scheduling, hiring, disciplinary actions, implementing facility policies and procedures, and the
When I began this course I was very nervous because I had no idea of the scope of the course. I was unfamiliar with the Canadian education system and other students. After receiving instructions from my professor, I introduced myself to the person beside me and this process helped to break the ice. I developed a good friendship with the student and this technique used by the professor helped me develop better communication and relationship skills. After few classes, I felt very comfortable and the nervousness and anxiety faded away. I learned about leadership, power relationships in the profession, personal, cultural, professional and organizational, each of which is very important in the nurse’s career. I also gained knowledge regarding client centred care.
Nurse practitioners must have leadership ability when working individually or with others. It is of great importance they are proficient in their clinical practice. They should identify ways to improve outcomes in the health care field. The use of evidence base practice permits an opportunity for better outcomes to occur. I was exposed to the Nurse Practitioner Core Competencies during this course and my clinical rotation. For example, during my course a case study was presented and the medication of choice had changed according to the guidelines. FNP must be leaders and knowledgeable regarding ways to implement evidence base practices that are current into our treatment. It is of great importance FNPs are knowledgeable of different established guidelines. I also had an opportunity to accomplish these competencies during my clinical rotation. For example, during my clinical rotation a patient who presented with uncontrolled diabetes mellitus required leadership, collaboration with other health providers and knowledge to help improve patient outcome. I was able to take leadership in the role collaborating with the diabetic educator, dietician and pharmacy. The partnership provided the patient to receive more resources to help improve her health outcome. This permitted the patient an opportunity to have more successful outcome with her diabetes. It is crucial as future FNPs we
As a nurse administrator, I have a distinct role to play in the healthcare sector. Preparation for this position commences at the graduate level; either masters or doctoral level. Prospective students at graduate level are expected to indicate a variety of roles across healthcare sector as stipulated in the legislative law. Factors such as the nature of the organization and its system of leadership provide credible knowledge that is critical for nursing management roles. As opposed to Gerontology Nurse Practitioners who are expected to have a wide array of technical and hands-on skills
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also
Working in the health care environment the world needs effective, wise and visionary leaders, leadership matters in every organisation to change the health care environment so it may continue to grow to ensure it gives us better evidence based practice (Evans & M.L, 2015, p 34-50). All health care professionals are required at some point in their position to engage in management or leadership. As an AIN, EN or RN they all have a responsibility to educate, lead and manage within the health care profession (Innis & Berta, 2016, p.2-22). This allows each individual to develop useful and excellent leadership skills and management strategies to be able to educate and lead an exceptional team (Innis & Berta, 2016, p. 2-22). Although our greatest
Leadership occurs when an individual is able to affect the behaviour or actions of others without having to make threats or use violence to implement changes (Ellis & Abbott, 2013). Nursing leadership involves all roles and aspects of nursing practice. It revolves around the ability to use critical thinking related to patient care, act upon those decisions and advocate for change whenever necessary. Nursing leadership has an important role in the lives of nurses’, influences the entire health care systems and the delivery of care (Canadian Nurses Association, 2009). Values and beliefs are what form and guide an individual’s thought processes and actions in everyday life. Being open, honest and sensitive are my values that guide my behaviour in my everyday life. I value openness because it allows me to feel comfortable to express my feelings and ideas. This value became important to me in my previous clinical setting. I was always afraid to openly inform my clinical instructor about whenever I did not agrees with changes that were being made on the unit. I was always scared that if I did voice my opinion and she did not agree with me, it would lead to failure of clinical. Honesty and being sensitive to one’s emotions is a value I believe are important. This value is imperative because the truth is known, but at the same time, it allows for one to be aware of individual feelings in relation to how to deliver this truth. This creates the knowledge of which tone of voice to use
Surgical masks and rubber gloves, bright florescent lights and the smell of sanitation, the continuous rhythmic beeping signifying a real beating pulse. Surgery is a very complicated process that needs to be performed with experience and precision. The surgeon’s movements should be conducted with ease, muscle memory perfectly in tune. Memory is also a very complicated idea, but is not something as mechanic and reliable as a surgeon should be. Memory is something we use in our everyday lives; frequently we accidentally fail to use it. Whether it’s where we put the remote or the name of…that one store, we’ve all experienced the aggravation of memory lapse. In order to discover memory’s true anatomy, let’s take a look at some memory mishaps and
A professional nurse is one who puts the needs and importance of patient care above all others. While striving for professionalism, nurses need compassion, patience, empathy, strong moral and ethics, accountability and the commitment to always act in the best interest of their patients. Nurses are held accountable for providing quality, safe, and effective nursing care (Hood, 2014). A professional nurse has the responsibility to continually improve and implement nursing standards while maintaining integrity by involving themselves in various tasks. Regular involvement in reading professional literature and sharing of evidence- based research with other healthcare personal helps increase knowledge and skills. This nursing ability can be used to encourage the actions of others in the healthcare team resulting in improved patient care. Nurses should encourage each other to become involved in hospital committees, provide an environment to encourage the discussions of ethical dilemmas, promote professional growth of nurses to voice their concerns and share viewpoints to address issues. “A professional nurse should expect to commit to a life of continuous learning growth and development”. (Hood, 2014, pp. 29). Nurses choose this profession to help others. As professional nurses we must maintain our ethics, values, characteristics, and commitment to drive our profession forward (CCN, 2015). Nurses must be autonomous, accountable, and be able to delegate to unlicensed assistive personnel. Being autonomous as a nurse means having control over their practice (Hood, 2014). It allows a nurse to take risks while being held accountable for ones’ actions (Hood, 2014).
In nursing, we grow every day; learning to be a strong professional takes many skills. Some people are born with, and some acquired through practice and research. It is important in being a good democratic leader to establish rules effectively with peers and subordinates. Leadership involves action, creativity, motivation, and visioning. It is viewing the possibilities and motivating others to make things happen (Kearney-Nunnery, 2016). Evidence based practice is a must to have a successful and a safe practice in your work environment, whether it is a hospital or nursing home. Leadership and evidence based practice are two parts of the coin that are very important in being a nurse leader. Leadership is a critical part of the organization to apply evidence based practice. This paper identifies and defines these important nursing traits and discusses the traits that are significant to being proficient in these skills.
In the healthcare field, nursing leaders and managers face consistent issues in their respective practices that force them to alter the way they work and the way they think. In taking on a role as a leader within the field, nursing leaders and managers also take on the role of ensuring that work within an organization runs smoothly regardless of new issues that may arise in the healthcare arena. For instance, in today's healthcare environment, the issues of nurse shortage and nurse turnover have the capacity to alter the healthcare field and many of its respective branches and organizations should these problems not be managed properly by the leaders in the field. In viewing the issue at hand and in discovering how nursing leaders and managers are expected to act, and do act, in order to approach this issues, along with pinpointing the best approach possible to aid this issue, one can better understand which leadership styles are necessary for leaders to function.