Veterans Affairs Nurse What a blessing it is to have the United States Department of Veterans Affairs (VA), Veterans Health Administration (VHA) providing multiple healthcare services to our heroes, our veterans! To be afforded the opportunity for our heroes to attend and be treated, at little to no cost, for a wide range of ailments from the common cold, to a mental health disability, or for the possibility of a healing surgery is a well-deserved and a wonderful privilege. One of the major demographics of care providers within the VHA is the registered nurse. There are over 51,000 registered nurses nationwide, with 60.7% of the total population of providers of healthcare, within the VA hospitals, VA outpatient clinics and VA Patient Care Medical Homes (VHA, Office of Nursing Services, 2012).
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).
The Nurse of the Future Nursing Core Competencies include ten areas of expertise: Patient - centered care, professionalism, informatics and technology, evidence - based practice, leadership, systems - based practice, safety, communication, teamwork and collaboration , and quality improvment. After a lot of research, these competencies were selected based on how we can transition from our current practice and education standards to our future practices. The ten competencies that were selected are based on the foundation of nursing education and how it will translate into the practical world. It is very important to understand each aspect of this model because it is the core of how we develop our nursing knowledge while transitioning from student
What was once thought of as a profession driven by compassion and the desire to help those in need has now become filled with weary burnt out nurses who have lost sight of their purpose. Stress has caused them to distance themselves from the principles nursing is built upon. Our health care system needs to be revamped to improve the quality of care being administered. Nurses can be proactive and take steps to avoid burning out but, our health care administrators have to take matters into their hands because they have the capacity to initiate change. They must realize the gravity of the situation and take an offensive position to make a stand against the crisis of nursing
Orem’s Self-Care Deficit Nursing Theory One of the most exciting things about nursing is that it is always changing. One of the frustrating things about nursing is that it is always changing. Nursing theory is no different. Theories are continually being updated and revised as worldviews and healthcare itself changes (McEwen & Wills, 2014).
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
Kaidence Vaughn BSN 415: Sentinel Hospital Professor Yvonne Myette July 28th, 2023 Introduction As the charge nurse at Sentinel Hospital, I hold a critical and rewarding role in overseeing and coordinating the nursing staff and patient care. This position brings a mix of emotions, from a sense of responsibility and pride in contributing to patient care and unit efficiency to moments of stress and pressure in ensuring tasks are appropriately assigned and nurses are adequately supported. Open communication plays a pivotal role in this role, as I strive to maintain clear lines of communication with the nursing team, addressing their concerns, and providing necessary support to foster a cohesive work environment. In this reflective essay, I will delve into my experiences and the lessons learned concerning delegation, caseload management, and advocacy, as well as explore the positive impacts and potential areas for improvement in my practice.
The purpose of this paper will be first to identify a new model for nursing care delivery that will ensure improvement in both the quality and economic outcomes for our organization. Secondly, I will articulate how various key concepts of the new model will help improve the quality of service delivery in our organization while minimizing costs. Finally, well formatted empirical, scholarly evidence will be provided to support the raised ideas. Two areas where the hospital expenses due to patient injuries can be minimized and where the quality of patient care can be improved have been identified by the management of the operating room.
Short staffing decreases the quality of care provided to each patient, as nurses develop burnout with increase workload. Implementing helpful measures can decrease nurse burnout and the affect it has on patient outcomes. For example, PCSN (patient care support nurses) are a useful resource to provide when nursing staff is low. Nurses can also benefit from applying time management measures during their shifts, such as prioritizing and delegating. The impacts of short staffing may be minimal on patient care if these the proper measures are implemented.
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
A recent study by Griffiths (2008) showed the fundamentals of patient care may have been lost and patient focus was diminished. He explained that nursing had become too technical due to the healthcare environmental crisis and the focus was taken away from the fundamentals of patient care. Although the ward on clinical placement was evidently over stretched, the fundamentals of patient care was still upheld due to the regiment implementation of the RLT model of nursing. Initial assessment allowed nurses to plan and implement measures from early admission which inevitably made all aspects nursing care
A heavy nursing workload can influence the care provider’s decision to perform various procedures. A heavy workload may also reduce the time spent by nurses collaborating and communicating with physicians, therefore affecting the quality of nurse-physician collaboration” (ncbi). This is important because it tells us that nurses wouldn 't have enough time to perform tasks that can affect the patients’ care. If nurses are being overworked because of a nurse shortage, then patients’ would not have the best quality care they would need, which can be a
Understaffing in hospitals is a major problem that has been affecting healthcare workers and patients for many years. I have chosen to highlight understaffing as a patient safety issue because of the consequences that can arise from it. Shortages in staffing can result in an increase of infection rates (Stone et al., 2007) leading to complications and poorer patient outcomes (Needleman et al. 2002). This particular issue is of interest to me because I have experienced and witnessed it myself. As a midwifery student in a busy maternity hospital, I can appreciate the hard work and dedication each midwife gives to their patients.
Theoretical Framework on Violence in the Workplace Violence can be experienced by many different people in different situations in health care. In the healthcare world, nurses are one of the most exposed groups to workplace violence in the world. Circumstances that lead patients to the hospital can be very stressful which can lead to anxiety, agitation, depression. Through using the theoretical framework developed by Ida Jean Orlando, workplace violence can be viewed and applied to address or even prevent violence experienced by nurses possibly. Violence has been a long-standing issue in the workplace.
Question No. 3 Answer: The narrator ponders whether Goodman Brown 's night in the forest could have all been a fantasy, however says that even on the off chance that it wasn 't genuine, it destroyed Goodman Brown 's life. He wound up afraid and doubtful of everyone around him. In spite of the fact that Goodman Brown kept on going to chapel and tune in to the minister, he would turn pale and feared that the congregation, the evil minister, and his listening ward would all be crushed.
