...psychological injury, or the risk thereof. On September 14th a 3 year old patient came to the hospital for an outpatient procedure. She was accompanied by her mother. They first registered for the procedure and completed all required registration documents including authorization forms. The patient then went to the pre-op area to complete all pre-op assessments. At this time the mother informed the pre-op nurse that she had to take care of a personal matter with her son while her daughter, the patient, was in surgery. The mother gave her contact information to the pre-op nurse who then recorded it in her personal notebook. From the pre-op area the patient was then taken to the operating room. Both nurses and surgeons are present during the procedure. After the surgery, the patient was taken to a Post Anesthesia Care Unit (PACU). It is also referred to as the Recovery Room. Upon arrival, the mother had not yet returned. Throughout the recovery the 3 year old patient was becoming more insecure and nervous because her mother was not present. The recovery nurse had the mother paged overhead but it was determined that the...
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...leader while working in the labor and delivery (L&D) department. Being a new nurse I lack the experience compared to my fellow co-workers as outstanding leaders. I desire the qualities of a leader that has the ability to be a strong positive influence for others that can motivate, empower and challenge other staff members. So my leadership goal in L&D is very important to personally achieve. My organizational goal is to facilitate prenatal education to pregnant women of all ages of the importance and benefits for skin to skin after delivery to enhance breastfeeding. Choosing this goal I can help new mothers and babies bond while helping to enhance the baby’s natural reflexes to breastfeed being skin to skin. Goal 1: Leadership Development My goal is to improve my leadership skills as a leader and by doing so I will work on modeling the qualities of a leader and keep an upbeat, optimistic attitude that serves as a source of inspiration for my coworkers. I must be responsible, learn to be flexible, and work on communication skills so I can empower my co-workers while also listening to them. Being fair, invested, and involved I will get to know the strengths of my co-workers and achieve my leadership goal and vision. Peer-Reviewed Articles The article written my Williams & Gordon (2006) called “Nurse or nurse leader? Leadership challenges in building healthcare organizations” discusses how nurses must...
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...Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged to integrate the best available evidence with clinical judgment and the current climate in health care requires nuses to be able to apply the best evidence, usually through using research in order to provide the most effective health care. EVIDENCE BASED PRACTICE Evidence- based practice(EBP) is currently seen as being central...
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...Personal Experience with Strategic Planning Denise M. Chaney Creighton University Strategic Planning and Management ILD 803 Dr. Fink May 4, 2013 Personal Experience with Strategic Planning Strategic planning is the essence of the work of an organization. According to Bryson (2011), strategic planning identifies where the organization wants to be at some point in the future; without a strategic framework senior management will not know where they are going. Thompson, Peteraf, Gamble, & Strickland III, (2012), state “crafting and executing strategy” should be a top priority for those holding senior management positions. It seems that such a powerful entity such as strategic planning, should be well known throughout the organization. However, the opposite seems to be true. I’ve been in the field of nursing for more than 38 years and had never heard the term “strategic planning”. Is there a lack of knowledge pertaining to strategic planning? If so, whose fault is it, the organization or mine? According to Wells (1998), the best way to “reduce someone else’s capacity or humanity, severely restrict or take away their right to think” (kindle Fire, Location 142). Therefore, restricting access to “strategic planning”, employee rights have been taken away. Wells (1998), also points out “that the only limit” to an organization’s possibilities is “the mind of it’s people and what they are able to conceive (Kindle Fire, Location 46). In part, this reasoning could account for my lack...
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...inadequate. The article, Stress and Coping Responses to Proficiency Testing in School-Age Children by Theresa Skybo and Jacalyn Buck, assesses 53 forth grade students’ appraisals of their specific proficiency tests and concurrent stressors, as well as their stress symptoms and coping strategies used. Nurses frequently encounter school-age children both in the school setting as well as the clinical setting. Therefore, knowledge obtained from this study, could be used to help nurses educate parents and teachers how to identify students with test anxiety, and how to help them improve their coping strategies. The purpose of this study was very well defined, easily identifiable, and also met. When trying to decide the type of research leveling, I first looked for the type of design. This study falls within the quasi-experimental design description, and more specifically the time-series design. Since this study was conducted over several months time, i.e. October, February, March, and April, it is a classic example of a time-series or longitudinal design study. In studies such as these, there is no control group, and the participants are not randomized. Therefore, going by this analysis, the research leveling for this particular study is level three according to the Hierarchy of levels of evidence. Population...
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...AN INDEPENDENT VOICE FOR NURSING Work Engagement, Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses nuf_237 256..268 Lisa A. Lawrence, PhD, RN Lisa A. Lawrence, PhD, RN, Instructional Faculty, Nursing Department, Pima Community College, Tucson, AZ Keywords Critical reflective practice, education level, moral distress, registered nurse, work engagement Correspondence Lisa A. Lawrence, PhD, RN, Nursing Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally...
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...been waiting for him to come to the world because there had been no boys in the house, ”just girls”. Manpower was needed at the farm due to heavy work by hand. The rest of the family spoiled the kid and he got a lot of attention. Arvo was an active boy often teasing his sisters. There were several accidents in Ylppös’ family. One fell from a high tree, and another hit himself with an axe. When things like that happened, Arvo remembered how his mother was worried and sad about her children and the atmosphere was spread around in the house. The medical officer, Kalle Pelkonen, was called to help. At that point, Arvo made his decision about his future career. ”To be able to help my mother I made, already as a child, the decision to study pediatrics so that mother would not have to phone Dr Pelkonen for advice all the time”. Through itinerant school to elementary school The quick-witted and imaginative Arvo did not always fulfill the expectations of a nice child. At that time, the conception of how a child should behave was: talk when you are asked to, otherwise do not bother to exaggerate yourself. Because of this, his parents did not dare to send the wild boy to the elementary school in Akaa, which was well-known for its strict teacher. Therefore, Arvo first was sent to an itinerant school in Hämeenkyrö where he was teached the ABC by Ida Maijala. (It has to be said that education for children those years were a big sacrifice for a farmer. His parents, Henriikka and Heikki did...
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...Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing? Nursing Theorist Select Months Select Categories * Adventist Health System (3) * Adventist University (2) * All Bahasa Indonesia (12) * All Downloads (1) * Best Nurses Profile (1) * Best Online Learning (7) * Campus News (1) * Continuing Education (5) * Current Issues in Nursing (10) * Employment and Career (19) * Graduate School Library (1) * Healthcare Technology (3) * Inspirational (72) * Nursing-Advanced Sub (66) * Community Nursing (12) * Family Nursing (6) * Geriatric Nursing (1) * Maternity Nursing (2) * Med-Sur Nursing (46) * Cardio, GI & Respi (18) * Communicable (3) * Critical Care (2) * Emergency (2) * Metabolic & Endocrine (8) * Renal, Genito, Repro (5) * Sensory & Neuro (7) * Pediatric Nursing (2) * Psychiatric (1) * Nursing-Biomedic Subjets (30) * Anatomy and Physiology (4) * Biochemsitry (15) * Biology (7) * General Chemistry (3) * Micro and Parasitology (1) * Nutrition and Diet (4) * Patophysiology (1) * Pharmacology and Drugs (1) * Nursing-Core Subjects (46) * Basic Nursing Skills (16) * Ethics and Law (2) ...
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...Fathers’ Perspectives on the Emotional Impact of Managing the Care of Their Children With Cystic Fibrosis Claire C. Hayes, MSc, BSc, RCN, RM, RGN Eileen Savage, PhD, MEd, BNS, RCN, RGN In this article, fathers' perspectives on the emotional impact of managing the care of their children with cystic fibrosis (CF) are examined. The constant worry of living with the unpredictability of CF was highlighted in this study, drawing on interviews with eight Irish fathers, who experienced difficulties communicating their concerns to others. Despite efforts at not dwelling on CF, fathers described being surrounded by constant reminders. To minimize the emotional impact of managing their children's care, fathers described living from day to day rather than looking into the future. These findings demonstrate the need for supportive interventions in helping fathers manage the emotional demands of caring for their children with CF. © 2008 Elsevier Inc. All rights reserved. Key words: Fathers; Children with CF; Emotions; Worries YSTIC FIBROSIS (CF) IS a progressive, lifeshortening, multisystem disease of the exocrine glands, which predominately affects the respiratory tract and the gastrointestinal tract. Increased mucus production in the small airways resulting in progressive lung disease is the primary cause of death (Orenstein, Winnie, & Altman, 2002). Improvements in life expectancy into the third and fourth decades can be attributed to scientific and medical advances in treatment interventions...
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...organization serving millions of people in South Carolina and surrounding states with over 12000 employees and training approximately 2600 health care professionals every year according to the Medical University of South Carolina, MUSC Administration website. The Mission of MUSC is to improve health and maximize quality of life through education, research and patient care. They have the Vision to be nationally recognized as a Premier Academic Medical Center and to be a leading and transformative Academic Health Center being recognized as top 25 among academic medical centers. According to the Medical University of South Carolina, MUSC Administration website, MUSC has the following seven objectives or strategies to reach the vision of becoming a top 25 medical center: Integration, brand awareness, access, growth, partnership, infrastructure, and health IT. The integration objective will be obtained by building on the strength of the current health care...
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...JONA Volume 39, Number 7/8, pp 340-349 Copyright B 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins THE JOURNAL OF NURSING ADMINISTRATION Violence Against Nurses Working in US Emergency Departments Jessica Gacki-Smith, MPH Altair M. Juarez, MPH Lara Boyett, MSN, RN, ACNP-BC, CEN Objective: The objective of this study was to investigate emergency nurses’ experiences and perceptions of violence from patients and visitors in US emergency departments (EDs). Background: The ED is a particularly vulnerable setting for workplace violence, and because of a lack of standardized measurement and reporting mechanisms for violence in healthcare settings, data are scarce. Methods: Registered nurse members (n = 3,465) of the Emergency Nurses Association participated in this cross-sectional study by completing a 69-item survey. Results: Approximately 25% of respondents reported experiencing physical violence more than 20 times in the past 3 years, and almost 20% reported experiencing verbal abuse more than 200 times during the same period. Respondents who experienced frequent physical violence and/or frequent verbal abuse indicated fear of retaliation and lack of support from hospital administration and ED management as barriers to reporting workplace violence. Conclusion: Violence against ED nurses is highly prevalent. Precipitating factors to violent incidents identified by respondents is consistent with the research literature; however, there is considerable potential to mitigate...
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...Diabetes Working Group White Paper Avalere Health LLC on behalf of the Diabetes Working Group January 23, 2012 Table of Contents Authors.......................................................................................................................................... 3 Acknowledgments ......................................................................................................................... 4 Executive Summary ...................................................................................................................... 5 Provider Survey ......................................................................................................................... 6 Standards of Care Economic Model .......................................................................................... 7 Recommendations .................................................................................................................... 8 Care Management ................................................................................................................................ 8 Payment Reform ................................................................................................................................... 9 Workforce Supply ............................................................................................................................... 10 Background and Role of the Diabetes Working Group ............................
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...MSN, RN, AOCNS®, FAAN Abstract Nurses have a longstanding history of witnessing the tragedy experienced by patients and families; however, their own reactions to profound loss and premature death have not been systematically addressed. There is a paucity of research describing interventions to prevent or minimize the ramifications of repeated exposure to traumatic events in the clinical workplace. Compassion fatigue is a contemporary label affixed to the concept of personal vicarious exposure to trauma on a regular basis. Yet this phenomenon of compassion fatigue lacks clarity. In this article, the author begins by describing compassion fatigue and distinguishing compassion fatigue from burnout. Next she discusses risk factors for, and the assessment of compassion fatigue. The need to support nurses who witness tragedy and workplace interventions to confront compassion fatigue are described. Citation: Boyle, D., (Jan 31, 2011) "Countering Compassion Fatigue: A Requisite Nursing Agenda" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 2. DOI: 10.3912/OJIN.Vol16No01Man02 Key words: Compassion fatigue, nurse stress, work setting improvements, communication skills Nurses care for ill, wounded, traumatized, and vulnerable patients in their charge. This exposes them to considerable pain, trauma, and suffering on a routine basis (Coetzee & Klopper, 2010; Hooper, Craig, Janvrin, Wetzel, & Reimels, 2010). While many nurses perceive their work as a calling, few...
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...Intensive Care Unit Assignment By, Barkha Bijlani MBA-HHM (2012-14) 12040141007 Intensive Care Unit Introduction: Timely and efficient management by doctors combined with concerted nursing efforts have revolutionized the management of critically ill patients. With the persistent demographic trend towards an aging population nearing the age of 65 and above, the number of patients requiring critical care will rise but many patients who might have had no chance of survival can now be treated successfully. And during last two decades critical care medicine has undergone rapid changes and emerged as a discipline by itself. Intensive care units (ICU), also called critical care or intensive therapy departments, is highly specified and sophisticated area of a hospital which is specifically designed, staffed, located, furnished and equipped, dedicated to management of critically ill patients whose conditions are life-threatening and need constant, close monitoring and support from equipment and medication to keep normal body functions going. It is a department with dedicated medical, nursing and allied staff. It operates with defined policies; protocols and procedures, having its own quality control, education, training and research programmes. It is emerging as a separate specialty and can no longer be regarded purely as part of anaesthesia, Medicine, surgery or any other speciality. It has to have its own separate team in terms of doctors, nursing personnel and other...
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...[pic] Profesional journals are peer-reviewed, checked for factuality, consistency, citing relevant work, and drawing appropriate conclusions supported by the data. The concept of profesional journal as a means of developing reflective practice has become a popular topic in classrooms, professional journals, conferences, and continuing education programs (Boud & Walker, 1998). Many other names for profesional journal appear in nursing literature, including log, journaling, narrative pedagogy, dialogue journals, reflective practice, and reflective writing. Whatever people says, reflective profesional journal requires writing, a great deal of it. However, journals are an integral part of the teaching/learning in many nursing programs as well as in allied health programs and education in general. The purpose of this essay is to review the literature related to profesional journal and reflective practice and how it can be beneficial in the teaching/learning process. Reflective practice is a means of self-examination that involves looking back over what has happened in practice in an effort to improve performance or to encourage professional growth (Ruth-Sahd, 2003). Profesional journal is a method that is frequently used in nursing education as an active learning technique to enhance reflective practice. Why is reflective practice so important? The literature cites numerous reasons for utilizing...
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