Background of the Problem As I personally observed in our ICU, ineffective communication between doctors and nurses can affect the delivery of care. Unclear communication during the end-of-life care in the ICU can raise ethical questions and pose a challenge to those who are involved. Incons... ... middle of paper ... ...arch are to gain more knowledge and apply the solutions that I will find from evidenced based practice to my own. Identifying the barriers to effective communication and finding ways to overcome them can help improve the gap. As a critical care nurse, I have to provide exceptional patient care to sustain life, but must also accept the circumstances when a patient’s death is inevitable.
There are programs and peer support groups that help nurses with rehabilitation and returning to work. However, the stigma attached to having an addiction and distrust can make it difficult for coworkers to forgive and allow the nurse to reenter the profession, because it “threatens professional standards, conduct and morals” (Cook, 2013, p.21). In times of nursing shortages, it is imperative to allow these nurses to return to the nursing profession and earn back the trust of coworkers and society. Literature Review Substance abuse is a disease that affects nurses to the same extent as the general population. “Addiction is a chronic, progressive and potentially fatal disease involving the continued, often compulsive, use of mood-altering, habit-forming substances despite perceived negative consequences” (Patrick, 2010, p. 8).
The nurses with vulnerable attitudes and risk attitudes thought, “This strategy would give the patient a chance to express his feeling and needs”. As a result, this would decrease the patient’s anxiety, provide emoti... ... middle of paper ... ... The focus of the psychosocial interventions should be aimed at doing what is beneficial for the client’s physical health, mental health, and safety all at once. Cited Page MacNeela, P., Scott, P., Treacy, M., Hyde, A., & O'Mahony, R. (2012). A risk to himself: Attitudes toward psychiatric patients and choice of psychosocial strategies among nurses in medical-surgical units.
She believed that once the individual can perform basic human needs independently, their physiological, psychological, emotional, and spiritual balance can be restored, and their recovery from illness or disease can be easily achievable. I can correlate her concepts of nurses’ roles in my current nursing practice. I play different roles such as “teacher, manager of care, communicator, patient advocator” to achieve better patient outcomes. As a communicator, I assess patients’ language preference and use hospital approved interpreters or language line to convey accurate information to patients so that they can make informed decisions. I also assess patient’s knowledge about disease process and use teaching methods and information which clients can learn and implement easily.
In today’s society, the stigma around mental health has caused many people to fear seeking medical treatment for problems they are dealing with. With an abundance of hateful outlooks and stereotypical labels such as: crazy, psycho, and dangerous, it is clear that people with a mental illness have a genuine reason to avoid pursuing medical treatments. Along with mental health stigma, psychiatric facilities that patients with a mental health issue attend in order to receive treatment obtain an excessive amount of unfavorable stereotypes. To begin, the stereotypical views on psychiatric institutions are understandable due to the history of these facilities. When the idea of a mental institution was first introduced in 1700s American society,
In order to solve these phenomena of concern it is important for the nurse to have a good rapport with the patient he or she is taking care of. The topic of the psychiatric patient boarding is the phenomena of concern I want to use for my final project, this is a topic that I am passionate about. I know I went into nursing to help people and by helping to solve some of the phenomena of concern that nurses have in the health care field I am able to help the patient receive better quality
When there is a problem with a patient the nursing staff needs to try and resolve it to make all parties satisfied. When trying to solve a problem, keep in mind about the core attribute safeguarding patients autonomy. In this core attribute, it involves the patient wanting to be involved in their health care plan, as well as make their own decisions as long as they are competent. (Bu & Jezewski, 2006) Once the problem is identified the nursing staff along with the patient, need to form a plan or possible goals that will help solve the problem. There will be many problems that can’t be complete... ... middle of paper ... ...unication, influence, or collaboration everyone needs to work together to ensure everything is being done in the patients best interest.
The Ministry of Health (2008) also state that it is essential to identify a patient’s community or community of interest and support the patient to develop and maintain connections. For Belinda, the third barrier to recovery she may possibly face could be the stigma and discrimination attached by the community and those around her to being mentally unwell. Walker at al. (2012) state that people with mental health problems are possibly the most highly stigmatised group in today’s society for the reason that once a person’s diagnosis of mental illness is established, it is very hard to get rid of, or shake off. Lyons, Hopley and Horrocks (2009) state that stigma and discrimination have the potential to develop an enormous negative impact on people’s lives and overall well-being.
A nurse working in a hostile environment can feel stress and overwhelmed, which can lead to an altered emotional state. Blevins (2015) reports in Impact of Incivility in Nursing that nurses working in this type of environment can “experience stress-related disorders and physical illness” which can decrease work attendance. A nurse or healthcare provider providing patient care in this emotional state can turn their negative feelings into uncivil behavior toward the patient or miss something critical to patient care, leading to patient harm or death. For example, if a nurse is upset about being disrespected from a fellow healthcare worker the nurse might turn her emotions on the patent by not asking the right assessment questions, or writing off a critical detail the patient is reporting. Incivility can also reach the patient level when a nurse is afraid to ask questions regarding patient care to the charge nurse as a result of recent bullying.
This type of behavior between nurses has provided very discouraging and truly serious outcomes for nursing professionals and unfortunately for their patients as well. Horizontal violence is “hostile, aggressive, and harmful behavior by a nurse or group of nurses via attitudes, actions words, and/or behaviors.”(Becher, J. & Visovsky, C (2012)). This can be done either overt or covert. Overt, done openly, is when the victim is experiencing name calling, bickering between colleagues, fault finding, c... ... middle of paper ... ... Other contributing factors could be the person’s gender, generational differences, religion, or fear of retaliation.