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Although I can understand why the oncologist may consider the nurse was acting unprofessionally by Kuhse’s standards, I do not agree with the oncologist’s decision or actions. According to Kuhse, nurses should only have a position of “advocacy for patients” and should accept their apparently subservient role in the medical world. Her ideas state that truly caring
As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice.
(2008). I would like to challenges Chief Nurse Executives (CNEs) to lead the journey and highlights how patients, their families, and health care organizations would benefit immeasurably if CNEs stepped forward and accepted this leadership role, then and only then can the best practice changes begin to improve what we as nurses already know. The processes of leading are intended to enable more people to develop into leaders and more people to share the roles of leading, to enhance the quality and safety of patient care (Stone P. Hughes R, Dailey M.
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.
Autonomy: In a healthcare setting, the right of a patient to make informed choices about their body is defined as autonomy. The moral principle of respect for autonomy directs healthcare providers to refrain from preventing patients from making their own decisions unless these choices pose serious risks to the patient or society. This means that an informed and competent patient has the ability to either accept or decline treatments, surgeries and medications. From the information gathered in the assignment case, it can be assumed that Joseph is in a rational state of mind.
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions.
Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).
Transformational Leadership in Nursing Introduction Transformational Leadership is the moral ability of a person to make sound judgment and wise decision to influence and inspire others to perform the best outcome even in the critical situation. It is the ability to guide others not just in words, but also by example. Nurses are able to cultivate trust and harmony and establish good relationship with their patients and co-workers through effective and constant communication and intervention. They respond to the basic needs and expectation (Rousel, 2011), they set aside their personal interest for the benefit of their patients and the organization.
An analysis of recent literature on the effect of healthcare leadership revealed that nursing leadership was the primary barrier to establishing best practices in the clinical setting (2011). Furthermore, nursing leadership is shown to define clinical organisational culture, collaboration, and lateral violence which are all shown to impact patient outcomes indirectly (2015). A meta-analysis of 20 individual studies revealed nursing units with reported poor leadership had significantly higher adverse events, including the incidence of urinary tract infections, pneumonia, and higher patient mortality. Comparatively, nursing units with reported strong leadership had significantly less adverse events, including fewer medication errors, falls, pressure areas, and lower patient mortality (2013). Therefore, a strong correlation between effective nursing leadership and improved patient safety is shown to exist and vice
My Intent to Be a Nurse Practitioner Coming from a third world country where there aren’t many opportunities for work and funding for education, proceding to nursing school was a grand opportunity. The privilege to attend a government subsidized school where top students in the region compete to get into the program that allowed only 60 students per year was indeed a blessing. As clinical rotations began, what was once considered a mere opportunity evolved into a true passion for caring as I truly love and enjoy nursing and helping people.
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
Nurses are determined to accomplish one thing in their career; save and change lives. That being said, nurses must have the determination and drive to do what every it takes to assist their patient. Nurses are naturally determined to make sure that their patients are able to recover and return back to their normal lives. As described in Fundamentals of nursing: The art and science of nursing care, “Autonomy is the right to self-determination.
9. PROFESSIONAL AUTONOMY IN NURSING Nursing has come a long way from being the hand maidens of the physician to having control over nursing knowledge and practice. It now has two essential ingredients of accountability and autonomy. There is more demand from the nurses now than in the past when all they were expected to do was just to provide comfort and care.
Journal of Global Responsibility, 6(1), 99-112. Retrieved from http://search.proquest.com.library.capella.edu/docview/1675140305?pq-origsite=summon&http://library.capella.edu/login?url=accountid=27965 Marquis, B. L., & Hudson, C. J. (2015). Leadership roles and management functions in nursing (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. McShane, S. L., & Von Glinow, M. A. (2015).
They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or
