...Style Case Study Daria Aradio Monday, October 1, 12 University Of Phoenix Communication Style Case Study This is a case study about styles of communication. Presentation four scenarios identifying: passive communication, assertive communication, aggressive communication, and passive aggressive communication. The scenarios present how improvement with use of appropriate communication to promote effectively a professional outcome. My first scenario will demonstrate passive communication that leads to a passive aggressive outcome. The charge nurse in intensive care unit delegates out assignments to the other nurses, and at times the intensive care unit nurses refused to take more than two patients. Instead of the intensive care unit charge nurse delegating assertively the assignments she chooses to take the third patient. This causes her to become greatly behind in her own care, in turn providing a lower level of care to her patients. In a code or emergency situations because the charge nurse becomes burdened down with three patients, she cannot assist in these emergency situations and poorly manages direction and flow of the unit. This has led to the charge nurse holding resentment to some of the other nurses because they refuse an extra workload. When it came time for the other nurses to take vacation the charge nurse who does the scheduling tried to be fair and took three days less of her own vacation days to facilitate the fellow nurses vacation...
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...Communication Style case study patricia Ofoegbu HCS/305 3/3/14 BSN Communication Style case study There are four kinds of communication styles; assertive, passive, aggressive and passive-aggressive. In assertive communication, the communicators are confident and positive and lay claim to their own right to speak up for themselves. A personal experience from my working place in a mental health facility, where I had a case when a mental ill patient was placed on four – point restraints for trying to strangle a room mate. The charge nurse called Dr cassette, that is a code for emergency rescue or for aggressive behavior response when any patient is acting up. When all the staff gathered together, she assigned each person to specific task to do. Asmat can you please close the unit, tell the patients to remain in their room for 10 minutes, don’t let anybody to block the hallway. Patricia get the doctor’s order, give the shot as ordered by doctor and make sure the patient did not eat anything for about 30 minutes to prevent choking. Ursula make sure that you make rounds every 15 minutes, check the rise and fall of patient’s chest, check the vital signs every two hours, document whatever result you get. Please alert me immediately if there is any deviation from normal range. Passive communication; here the problems don’t get solved and the delegator is avoided and ends up doing more work him or herself. Example of this communication style I have experienced in my work...
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...profession is very complex. Every day nurses deal with patients and medical care. There are some days when ethics and legal issues play a role. We were given examples of the legal complexities of nursing through two case studies we were to evaluate. For this paper we will discuss the legal responsibilities of nursing, how personal and societal values can influence ethical decision-making and how the ANA’s Code of Nursing Ethics would influence the final decisions. Legal Responsibilities of Nurses Nursing boards are governmental state agencies responsible for regulating the nursing practice. A nursing license obtained through state nursing boards validates that nurses have met standards for providing high quality care. Nurses are legally held accountable for administering medications accurately, educating patients and public on health issues, advocating for the patient regarding health care, and serving as a liaison between the patient and the physician. Professional standards are determined by Standards of Practice Acts and the American Nurses Association’s Code of Ethics. As professionals, nurses must also be familiar with ethical responsibilities and protect the rights of their patients and families. As the definition of liability has continued to expand through the judicial system, courts of laws have placed higher standards on the profession of nursing. Many times professional nurses are faced with litigations against facilities...
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...ISSUES OF Nursing Many confusing factors make it a task to establish, monitor and sustain ethical and legal issues in nursing. Everyone has various personal views based on experiences of life, religion, education and political affiliations, all nurses should be aware about nursing laws and ethics and understand how nursing legal issues can affect them. The American Nurses Association (ANA) Code of Ethics is very influential to nurses because it is used as a framework for making ethical decisions with all aspects of health care. The foundation in any successful professional practice, are based on ethics, values, morals and principles from which the ANA Code of Ethics are formatted. Moral leadership in nursing is about professionalism, responsibility, accountability, and competency. Nurses have an obligation to preserve their patient’s values, beliefs and dignity, to assure optimal health care, personal well- being, and promote quality of life. In all aspect of nursing, nurses are role models, healthcare providers, patient advocates and are required to meet the needs of their patients. Which can be done by communicating openly and honestly, being fair and trustworthy, being proactive, and by putting patients first. Nurses are face with ethical dilemmas on a daily basic therefore, must examine their own personal and professional values and morals in order to maintain a caring and compassionate relationship with their patients. When complex ethical issues involving...
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...Caring in nursing Name Professor Institution Course Date Introduction Concept analysis can be referred to as the activity where different concepts, their characteristics as well as their relations with other concepts are brought out clearly and evidently (Fawcett& Desanto, 2012). The creation of a distinct conceptual clarity about the different concepts proves to be of great importance to all the forms as well as the kinds of research. The general outlined guidelines of research as well as the philosophical literature are often in the mentioning of research analysis or on the hand also mention the concept of the research. Different disciplines have formulated different methods or rather devised different methods of concept analysis. These different methods are meant for the development as well as the clarification of their own concepts in their different fields. The methods may at one time share a scholarly view of the problems of concept as well as the methodology, however, since they are discipline specific, they too may also be in need of various modifications before they could be of use and applicable to the different fields in which they are meant to be used. In nursing science, the art of concept analysis is at a greater height seen as an integral part of the development of a theory and a discipline of the science of nursing. This paper evaluate the nursing concept of care in nursing. Caring in nursing Caring in nursing is the active support as well...
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...Competency differences in nurses prepared at the ADN level versus BSN Deborah Rhoton Grand Canyon University Professional Dynamics NRS-430V Lisa Zamudio June 6, 2015 Competency differences in nurses prepared at the ADN level versus BSN Introduction to Nursing The American Nurses Association’s (ANA) definition of nursing is “Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities and populations.” This definition encompasses all aspects of the health of individuals from wellness to illness. Nurses perform in a variety of settings across the health spectrum. Several educational programs prepared students to sit for the NCLEX-RN licensing exam, and if passed these students become licensed Registered Nurses (RN). These educational programs differ in length and course study. The two most common degrees obtained are the Associates Degree in Nursing (ADN) and the Bachelor of Science in Nursing (BSN). The less common graduate nursing degree programs are the Master of Science in Nursing (MSN) and Doctor of Nursing Practice (DNP). Comparing the differences of ADN and BSN The ADN program runs 24 to 36 months to complete, whereas the BSN program is four years in length. The longer BSN program incorporates studies in family centered health, community and public health, research, and...
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...hospitals, they need to work on improving their financial situation. In order to alleviate financial stress, the hospital has taken on a “differentiated nursing practice” which has registered nurses as care coordinators. These care coordinators would be in charge of coordinating patient care from admissions to discharge. These nurses will also communicate with other hospital staff and families of the patients. The nurses selected are considered the best in their field. This case study argues that while this may sound like a good change, but these nurses were traditionally trained and may not be fully able to embrace the new system. They now must talk to people they have never interacted with before and without training this could be a difficult change process. These nurses were told they could design their own job in the “best way possible”. An individual is asked to step in to help the leaders of the nursing department especially the care coordinators and other nurses. KEY PLAYERS Hannah is a nurse in charge, along with Jen, of the nursing department. She has been with the department for a long time and understands the nursing departments through and through. She guides the nursing department with her wisdom, but is not comfortable with the new changes being instituted. Jen is a newer nurse and really enjoys new situations. She...
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...This case study investigates the healthcare informatics processes and technology in improving the accurate entry of patient data and summarizes nursing research regarding data integrity. The case study examines the impact of consequences of the use of Electronic Health Record (EHR) systems on the quality of care and proposed solutions to address accidental EHR-related mistakes. In this case study every diagnostic procedure was done correctly and promptly for patient`s well-being, while poor and improper entry of the patient’s data led to jeopardizing the integrity of information, and further endangering patient safety or decreasing quality of patient care. One of the methods to ensure data accuracy is to ask the patient to verify data that is collected during admission and assessment processes. This verification may be accomplished through: verbal confirmation, reviewing data by patient on selected computer screen or tablet, and reviewing printouts by client of entered data. Each of these methods has possible problems. Patient may not be English proficient, the atmosphere in the emergency room may be too fast paced for the patient to be able to accurately review the data or patient may have verbal or vision weakness. Usually, electronic health records data entry result in faults due to software design flaws, poor decision support rules, inadequate user training, system performance issues, human error, interruptions by colleagues while submitting patient data, or use of the...
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...Ethics Case Study HCS478 January 6, 2010 Barbara Scheibe, RNC, MSN Ethics Case Study Healthcare professionals are faced with ethical dilemmas and issues on a regular basis especially in the emergency department. The purpose of this paper is to identify ethical issues within a case study. This case study involves an eight month old infant who presents to the emergency department with injuries. After arriving at the emergency department it is noted that the infant has bilateral fractured femurs. The ethical issue identified within this case study is the possibility of child abuse by either the mother or a worker at the daycare facility. The nurse makes notes of her concerns within the patients chart as well as verbalizes concern to the emergency room physician regarding the injuries to the infant. It appears to be a lack of follow-up with these concerns so this presents an ethical issue. There are eight ethical principles that a nurse should learn to apply to each situation that he or she feels there is an ethical decision that needs to be made. The eight principles to apply are autonomy, beneficence, nonmaleficence, veracity, fidelity, justice, paternalism, and respect for others (Guido, 2010). Within the nursing field advocacy plays a critical role in keeping the patients safe throughout their encounters with the health care system (Beyea, 2005). One of the conflicts noted in the situation listed is, more research should have been conducted to investigate...
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...catheter-associated urinary tract infections (Nassof, 2009). Urinary tract infections comprise the highest percentage (Paterson, 2012). These infections usually are spread by the contaminated hands of healthcare providers or the patient’s family members. They are also caused by contaminated surfaces or hospital equipment that has not been properly cleaned (Nassof, 2009). The rate of exposure to infectious materials could be reduced if healthcare providers adhered to certain standard precautions such as hand hygiene. The proposal for this nursing research utilization project is to educate nurses on the importance of hand hygiene using evidence base protocol and how they can implement it in order to prevent nosocomial infections. Most if not all healthcare providers sometime in their career fail to wash their hands. Regardless of staff views on hand washing, research evidence-based studies confirm that hand washing is the most important way healthcare providers can prevent the spread of infection...
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... 101 N. College Avenue Annville, PA 17003-1400 1982 – 1985 Diploma in Nursing Bryn Mawr School of Nursing 130 S. Bryn Mawr Avenue Bryn Mawr, PA 19010 1980 – 1982 Associates Degree – Nursing Lebanon Valley College 101 N. College Avenue Annville, PA 17003-1400 Licenses DE Registered Professional Nurse (multi-state) L1 – 0036388 PA Registered Professional Nurse RN – 276374L Certifications 2011 – Present Certified Pediatric Emergency Cert # CP0060799 Nurse 2008 – Present Certified Pediatric Nurse...
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...Volume 42, Number 10, pp 461-466 Copyright B 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins THE JOURNAL OF NURSING ADMINISTRATION Nurturing Charge Nurses for Future Leadership Roles Patricia A. Patrician, PhD, RN, FAAN Douglas Oliver, DNP, RN, ACNS-BC, NE-BC Rebecca S. Miltner, PhD, RNC-OB, NEA-BC Charge nurses are untapped leadership resources that can be groomed for future advanced leadership positions in healthcare organizations. The purpose of this study was to understand the development needs for the charge nurse role. This study demonstrates they receive little or no training for assuming positions of leadership and offers suggestions for enhancement of preparation. There is growing evidence of an impending crisis in chief nursing officer (CNO) retention.1 Seventy percent of CNOs report they will change jobs or retire in the future.2 The critical need for succession planning in nursing leadership has been demonstrated, yet two-thirds of CNOs reported that they do not have succession plans in place.3 Proactive planning is clearly needed to prepare the next generation of nursing leaders.4 The 1st step in succession planning is to identify nurses to mentor and develop. Commonly, nurses in management roles are likely candidates for development; however, many organizations do not consider charge nurses candidates for advancement based on the perception of the role as more of a task master than leader.5 Martha Dawson, DNP, RN, FACHE Kathleen A. Ladner, PhD, RN...
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...Differences between ADN and BSN Nurses Christopher M Olsen Grand Canyon University September 14, 2011 Differences between ADN and BSN Nurses Associate Degree Registered Nurses (ADN) and Bachelor of Science Nurses (BSN) both must take the same official NCLEX exam to earn their professional license. This requires all nurses to be strong critical thinkers. However, this paper will give a brief overview of the differences in the Associate prepared nurse versus the Bachelors prepared nurse. The Leddy and Peppers text presents common theories explaining the differences between the ADN and BSN prepared nurses. An ADN prepared nurse is seen as one nurse that can provide nursing care to individuals with a distinct diagnosis while understanding the family background. They are able to function in a structured facility with definite policies and procedures geared towards health care. The ADN’s ability to communicate with other health unit professionals is also seen as basic. They do possess the ability and knowledge to provide basic health care teaching to the patient while knowing their responsibilities. The ADN has a basic managerial authority to delegate tasks in order to maintain good time management practices while keeping within ethical boundaries and within the law. (Hood, 2010) As stated in the module 1 lecture, after World War II there was such a shortage of nurses that it was proposed to start training students at technical colleges so they could...
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...principle is a major driver for the commitment of nurses and other care providers. Care providers are required to work in collaboration and include patients in the process of care. Nurses form the core of health care delivery in all facilities. The role they play in the coordination of care is essential for the professionalism of care providers. In the process of care delivery, it is important to understand the medical history of the patient to determine the most appropriate interventions to employ. Care providers should employ interventions that are besides guaranteeing positive health outcomes address the needs and interests of the patient. It is important to include family members in the treatment program since they understand the patient and his needs better. This paper employs Root Cause Analysis approach together with the Failure Mode and Effect Analysis to determine the impact of the events that resulted in the death of a patient Mr. B. A. Root cause analysis The principal purpose of the Root Cause Analysis is to conduct an evaluation of the highest level of the problem to identify the actual cause. In the case scenario, the root cause analysis rules out the possibility of inadequate patient assessment as a contributor to the factors that resulted in the death of the patient (Andersen, Fagerhaug & Beltz, 2009). The patient arrived at the facility complaining of severe pain in the hip region and the left leg. The nurse in charge conducted a routine check for vital signs including...
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...2.6 HOURS Continuing Education ORIGINAL RESEARCH Probation and Recidivism: Remediation Among Disciplined Nurses ABSTRACT in Six States A link between a history of criminal conviction and a risk of professional misconduct highlights the importance of criminal background checks. O BJECTIVE : The researchers sought to determine what factors might affect the outcomes of remediation, including the likelihood of recidivism, among nurses who had been the subject of disciplinary action and had been put on probation by a state board of nursing. M ETHODS : Boards of nursing in six states, Arizona, Maryland, Massachusetts, Minnesota, Nebraska, and North Carolina, chose to participate in this exploratory study. A 29-item questionnaire was used to investigate the records of 207 RNs, LPNs, and advanced practice RNs (APRNs) who were disciplined and put on probation by a state nursing board in 2001, as well as to collect data on their employment settings, the boards’ actions, and remediation outcomes (the presence or absence of recidivism); 491 nurses who had not been disciplined served as controls. RESULTS: Among the disciplined nurses studied, 57% were RNs, 36% were LPNs, 3% held both RN and LPN licenses, and 3% were APRNs. Of the disciplined group, 39% recidivated between 2001 and 2005. Three factors were shown to influence the recidivism rate: having a history of criminal conviction, having committed more than one violation before the 2001 probation, and changing...
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