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.
Evidence Based Practice has many different definitions and in this essay the writer will be trying to identify what Evidence Based Practice is and why it is important for nursing practice. The writer will also explore whether there are any barriers in the implementation of Evidence Based Practice. Evidence Based Practice is a process which is generally used to describe research strategies. These research strategies allow clinicians to collate the most up to date knowledge, which enables them to make decisions about the care of individual patients. Evidence Based Practice is considered to be a useful approach in the improvement of medicine and health care provided to patients.
By giving nurses a sense of identity, nursing theory can help patients, managers and other healthcare professionals to recognize the unique contribution that nurses make to the healthcare service (Draper 1990).Hildegard Peplau, one of the role model of nursing theorist, established a theory of interpersonal relationships in nursing. Her reason is the goal of the nurse-client relationship is to give a quality nursing care moving forward to health promotion and maintenance. The purpose of this paper is to conduct a basic assessment of her theory. Theory Vs conceptual model It is important to first define theory and conceptual model in order to classified Pepau’s theory. Karlowicz K. A. states : “Theories are composed of concepts, definitions, models, propositions and assumptions that, when organized, offer a systematic view of a phenomenon (an observable fact or event) that is descriptive, explanatory & predictive, and directive in nature.
After noticing that your resource nurse is impaired several steps should occur. The nurse is not following appropriate ethical guidelines. According to lecture, ethics is defined as rules or standards that govern conduct. The nurse who has slurred speech and glassy eyes has the autonomy to make his/her own decisions, but showed up to work acting in a harmful manor to her patients. However, the new RN needs to alert her supervisors because everyone disserves to receive the care that is appropriate.
Correctly identifying a patient prior to administering a medication is imperative to patient safety. Description The Joint Commission (2013) NPSG 1 is to improve the accuracy of patient identification by using at least two patient identifiers when providing care, treatment, and services. The rationale behind this NPSG is to stop wrong patient errors that occur in all stages of diagnosis and treatment. We have moved into an era of patient safety and reaching this goal is imperative to promoting and maintaining this era. One of the most basic fundamentals we learn in nursing school is the six rights of medication administration.
Non-comprehensive and non-uniform patient handovers stand as a current concern within the department. Inadequate handovers may lead to delays in care and communication errors. Additionally, poor communication and poor teamwork in relation to handovers pose a threat to patient safety. The proposed intervention is to implement the utilization of a paper, SBAR formatted, standardized template with patient information on it that can be passed on from nurse to nurse at shift change. The template will be updated throughout the patient’s stay at the facility and will help provide a comprehensive view of the patient.
Comfort increases the overall experience of the patient and their family, it increases their ability to heal and cooperate, and it also positively impacts health care and medical facilities. This research shows how the theory of comfort needs to be implemented across all medical fields, especially nursing, if professionals want to provide the highest quality of care for their patients. Kolcaba (2001) states that nursing is the process of observing and determining the comfort needs of patients. Assessment may be objective based solely on observation or subjective based on asking the patient whether or not they are comfortable. The nurse is expected to create and execute appropriate nursing interventions as well as evaluate the patient’s comfort after the interventions.
Those nurses unwilling to comply with monitoring after a positive drug screen would be terminated from employment. Conclusion The nursing profession is guided by the principal of nonmaleficence, or “Do no harm”. Nurses are responsible for maintaining and optimizing a patient’s quality of life. When nurses fail to care for themselves, they also put their patients at risk. The patient has a reasonable expectation to receive safe and competent care.
In nursing, it is important to understand client’s emotions in order to provide the needed health care. This will help clients to open up with one’s own health issues. In all health care system the health care professionals should put one’s self in client’s shoes. This will help the nurse-patient relationship to be more effective. This will enhance the clients to provide... ... middle of paper ... ...r, R., & Evans, K., & Nizette, D. (2009).
Self-awareness helps nurses to identify several problems that might be a cause I providing better care”(Nancy Burns, 2005). In relation to self-awareness therapeutic relationship is also linked to it.It is the ability to use one’s self, it is important to be aware of personal stress that can interfere with one’s ability to communicate therapeutically with patients. Firstly effective communication i... ... middle of paper ... ...the overall healthcare system. To conclude, emotional intelligence and reflective practice are the integral components of building a therapeutic component of building a therapeutic relationship in nursing. Emotional intelligence is the ability, capacity and skill to identify, assess and control the emotions of oneself, of others and of groups.