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The term six research theory course, NURS 495, emphasized the importance of nurse leadership and how nurses can influence positive changes in health care delivery to patients with chronic illness. It also explored the contradictions that exist in nursing practice and encouraged the students to develop a critical and pragmatic approach to client care. The co-requisite clinical course, NURS 499, integrated nursing theory and current best practice on an acute care nursing unit at Medicine Hat Regional Hospital. In this consolidated learning analysis, I will explore a nursing practice event that will illustrate the major issues surrounding the treatment of competing mental health comorbidities in a patient with hoarding behaviors.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Nursing Bedside Reporting, Patient Safety, And Satisfaction Scores The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care.
I got to see several ways that nurses provide care for their patients. I observed ICU nurses care for their ill, elderly patients. I witnessed physical therapy nurses assist their patients to ambulate immediately post-surgery. I noticed how fast ER nurses work to triage their patients. I learned a lot from those nurses but could not decide which unit was meant for me.
Being a nurse, comes a great reward and unlimited enhancement of career ladders and promotion. An organizations true values to their nurses is that they encourage everyone to expand their skills and capabilities. One example is encouraging to be a resource nurse. An interview of a resource nurse, where she elaborated the meaning of being a professional nurse, an advocate for patients and families, and steward of the health care system. What is your role as a health care team member?
This in turn can cause fatigue and stress levels to rise amongst patient care workers and as a result may have adverse effects on their patients including increasing risk for errors, failure to rescue, and increased risk of mortality. To put this into reality a study was done regarding how much patients are at risk when a nurses’ patient workload exceeds what is considered safe based on the acuity of the patients the nurse is caring
We also went over the various types of licensed care facilities an ombudsman serves. Ombudsmen are expected to visit Skilled Nursing Facilities (SNF), Distinct Part Facilities (DP) Residential Care Facilities for the Elderly (RCFE), Intermediate Care Facilities (ICF), Adult Residential Facilities (ARF), Adult Day Health Care Facilities (ADHC) and Adult Day Programs (ADP). Although we learned about these different facilities, the main two types of facilities I became familiar with were the SNFs and RCFEs. Although both are care facilities, they each serve different populations and have different requirements they need to meet.
Nursing Diagnosis The following nursing diagnosis’ is based off of our families weaknesses and strengths. It is important for the family to know their strengths and problems to limit potential problems in the future like: conflicts between family members and family stability. The most important problem that K. S. faces is caregiver role strain. While S. S. is at work and going to school full-time, K. S. is busy taking care of the day care and their two daughters, M. S and A. S..
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
According to Cross (2009), learning takes place not only within the formal environment, but it also happens in an informal environment such as the clinical environment of a hospital; as such the physical context of the clinical area is not primarily designed for the purpose of learning. In fact, a hospital ward has been constructed and organized to manage the sick; however, teaching and learning can occur within the ward environment, even though this in not its primary function. As a result, teaching in this environment requires adaptation and the ability to work with what is available rather than trying to produce the ideal environment. Additionally, Cross (2009), state that the primary function of teaching and learning in an informal environment position the teacher to be able to direct, enhance and sustain learning through the use of illustration. However, Sankaranarayanan and Sindhu (2012) state
I was fortunate to be able to observe academic education of nursing students at DeSales University. This education was held in a classroom setting on Mondays and Wednesdays. My observation time was 16 hours in which I observed Alyssa Robertson prepare for class, prepare exams, give lectures, provide hands on education, assist students in learning, and provide support to students. I also observed many student interactions and learning techniques. The learners were NU 220 Pharmacology and NU 230 Therapeutic Nursing Interventions students.
“Concept clarification is an important step in developing useful and useable knowledge in nursing science.” (Tofthagen, 2010). Within the home health field of nursing one of the major and most significant concepts is team work. Simply stated, concept analysis incorporates a method or approach by which concepts that are of interest to a discipline are examined in order to clarify their characteristics or attributes” (Cronin, 2010). Within a home health care team there are Registered Nurses, Physical Therapists, Home Health Aides, Medical Social Workers, Managed Care Coordinators, and Clinical Managers.
When I think about nursing I think about what our actions and interventions as nurses, and how we utilize our nursing skills. Basically, the foundation of nursing simplified is what do nurses do? Nurses play a major role in health care. We must have an understanding that our idea of healthy and our patients are usually very different. Nurses must explore ways to address the idea of wellness with each patient, and that is done by education and assessments.
However, according to Ignatavicus and Workman (2013) the floor nurse role is to monitor pain, vitals, level of consciousness, gastrointestinal system, urinary system, and motor abilities (p.
Supervision is an educational process in which someone with higher training or more experience takes the responsibility of training someone with less experience. When the superior and the supervised combine their effort, they will achieve the highest level of performance of which the worker is capable of. Supervisory is carried out by a supervisor to monitor the progress of employees that actually reports to them. Nursing supervisor performs professional supervisory practice in the care of the physically and mentally ill. It is the responsibility of the supervisory nurse to supervise the provision of quality nursing care given at the facility to know the way forward.
