“It was very sad, he thought… The things men did or felt they had to do” (O’Brien 480). In “The Things They Carried”, Tim O’Brien (a Vietnam War veteran) details the experience of soldiers during the Vietnam War. As implied in the title, the story describes the many things soldiers carried physically. In addition, O’Brien shares the many thoughts and burdens the soldiers carried mentally during their time on the battlefield in Vietnam.
Sheriff and Van Sell are nursing professors at the Women’s Texas University and Strasen is a nursing director at the University of Texas Southwest. Sheriff, Van Sell and Strasen present research that suggests nurses and physicians are more likely to encourage family presence during resuscitation (FPDR) if there is a written policy addressing specific criteria for the inclusion and exclusion of family during these procedures. The authors provide a framework to use when writing a hospital policy regarding FPDR. The authors identified several common barriers healthcare professionals have about FPDR and found educational programs about the positive outcomes of FPDR could drastically increase the number of physicians and nurses who would encourage
Team Two Case Study Response Fisher Do you believe the hospital was intentionally understaffing in this case to save money? Based on the data presented during the depositions revealing that the facility failed to meet its own staffing standards for 51 of the 59 days prior to the incident, the statement from the staffing supervisor in regards to warnings from administration concerning the costs of scheduling additional nurses, and the documents submitted by the nurses expressing their apprehension that short staffing was creating patient safety concerns, by all appearances, the hospital’s under staffing was financially motivated. What can hospitals’ put into place to protect patients’ and address family concerns during their loved ones hospitalization?
The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).
I think there is a difference from approaching as a professional than as if they were family because as a professional there are certain boundaries you should not cross and sometimes families cross those boundaries. The care changes when caregivers know the values, accomplishments, and experiences of the elders in their care because they look as the patient being priority and what they want or need to a peaceful quality of life. 3. If you could have a conversation with anyone in Almost Home whom would you want to talk with and what would you want to talk about? Why?
It’s about us being gentle and caring in the way we give care and also about us not only looking after their physical needs but looking after them holistically. Nurses should especially have this quality since they are dealing with patients and family so closely. Heijkenskjold et al (2010) and Lindwall et al (2012) agree that patients’ voices being listened to, heard, valued and understood is essential to ensure respect and dignity for patients. Furthermore Heijkenskjold et al (2010) had found that nurses that treated patients as human beings and interacted ‘preserved’ their
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
Nurses in Complex Continuing Care Encountering Ethical Dilemmas of Autonomy and Wellbeing When Patient with Dementia Wants to go Home Bhakti Amin Student # A0622083 Professor S. Cairns NURS 2047 23 March 2018 Introduction Dementia continues to grow as a condition diagnosed among elderly females, researchers have hypothesized that this is due to longer female life expectancy (Podcasy & Epperson, 2016). Allowing a client with dementia to stay in their own can have several benefits such as joy, comfort, socially connected, maintain identity, and have meaning in life; however, in many cases, clients with dementia require complex continuous care (CCC) to support their health and wellness needs and the needs of their family (Lilly
Educating the staff on alternatives is essential to reduce the use of restraints such as providing a quiet environment and fall precaution measures. Additionally, care must be individualized and we encourage visits from family and friends. The caregivers must give priority to respect for the dignity of the residents. I agree the family and care giving team must work together in the decision-making process. Have a good
The purpose of this review article is to identify the benefits of an open visitation policy within the critical care unit, and explore the barriers impeding family presence. The key finding of the review is that a nurses’ decision to allow unrestricted family presence is negatively influenced by perceptions opposing an open visitation policy and gaps in knowledge about the benefits of family presence. Nursing perceptions opposing open visitation are discussed according to key themes, including: legal ramifications, nursing morale, provision of care, patient wellbeing and family wellbeing. The advantages of unrestricted family presence for patients and families are acknowledged, and used to contradict the opposing perceptions. Implementation
A professional presence includes more than simply being present in a designated work area for a designated amount of time. Professional presence is not limited by specific skills or beliefs; it encompasses appearance, interaction, growth, ethics, decision-making, knowledge, but more importantly the ability to assess and intervene with self. By doing so, one can grow technically, emotionally, and spiritually, allowing further development of professional nursing. Nursing school teaches how to care for others in a professional, safe manner. Consequently, one can focus solely on caring for others, while neglecting to care for his or her self, which increases the phenomenon of nurse burn out.
Pro-Side: By allowing the family to be present during resuscitation of their loved one they are made aware of everything that was done to revive the patient. This could be beneficial to the family member in the circumstance that the patient doesn’t survive so that the family would know for sure that everything possible was done. This may help with the grieving process of the family in that they would not dwell on what more could have been done for their loved one. After the patient passes, the family becomes the nurses primary focus and it is our responsibility to help the family along in the grieving process. As for the patient being resuscitated, the patient may want their loved one to be by their side in case they don’t make it, and if the policies prohibited the family’s presence, the patients dying wishes would not be followed.
What particular value will the nurse representative bring to the board unique and different from that already presented? Nursing provides the highest amount of patient contact care, providing care at the bedside throughout out the patient’s entire stay in the hospital. Fran Roberts, Ph.D., RN, FAAN, makes an excellent point when she describes a nurses perspective of a hospital from the inside out, offering a view that no other healthcare provider can (Roberts, 2014). Dr. Roberts goes on to explain that this unique perspective provides insight that no other board members can bring to the table, such as what it 's like to work short staffed, at what point patient safety becomes compromised, and experiences that no one can offer other than another nurse (Roberts, 2014).
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
Family theories have been used throughout the history of nursing to help guide patient care and provide the best patient outcomes. Certain theories may be more applicable to the specific patient encounter; however, each theory has benefits and drawbacks to their use. The purpose of this paper is to examine two selected theories, comparing their strengths and weaknesses. I will also discuss a theoretical family in relation to one theory, and how that theory can be best integrated into the care provided by an Advanced Practice Nurse (APN). Description of Theories
