...Encode/misspoke Feedback- manger, supervisor, myself in office discussion First misunderstanding example took place on one of my last days of work where I was called into the office by my manager. The manager had heard a message from one of his supervisors that I made a negative comment during work. The supervisor contacted the manager and he called me into the work office. I came in, sat down and was told that I was being negative at work that day and that I must be unhappy. The manager proceeded to tell me what he had heard I had said from the supervisor on duty. The comment that I made was somewhat negative yet I had meant it as a joke. The supervisor heard it differently, not as a joke and was upset. So the comment that I had said was misunderstood first by my supervisor and then she proceeded to tell the manager my comment what she conveyed her perception of what I said rather than what I meant. The comment became all misconstrued by the time I went into the office. We all sat down. I was told what I did wrong before I had a chance to give feedback and that I was going to be written up. Finally, I had the chance to explain myself (feedback) and correct the misunderstanding that had taken place. We all listened to each other and made sure we all understood what had occurred and then had constructive feedback to resolve the issue. The second misunderstanding example took place at an office. There was a meeting to brief staff on...
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...Role of Doctor in Nursing Practice in Healthcare Tara Stewart University of Mobile Concepts of Professional Nursing NU400 Debra Chastang, MSN, RN-BC, CMSRN June 3, 2016 Role of Doctor in Nursing Practice in Healthcare in Healthcare Nurses play a large part in the healthcare workforce. With all the different roles and responsibilities that nurses are capable of handling in the healthcare world it is no wonder the role of the doctor in nursing practice is often misunderstood. The original goal of the DNP, as contained in the AACN position statement, was to prepare "experts in population-based practice," moving advanced practice education to the level of the practice doctorate (Grey, 2013, p. 462). Along with clinical roles the DNP allows for nurses to tackle positions in leadership that involve administration and public health. Post-master's programs emphasize content on administration, policy, and leadership so as to not repeat the clinical education provided in MSN programs. Also, there is consensus that the intent of DNP preparation is to expand the role of the advanced practice nurse (APN) to address population health, health policy, and leadership (Grey, 2013, p. 462). The role of the DNP prepared nurse appears to be clearly defined although not carried out in the workforce. With the majority of DNP educated nurse going into faculty and administration roles the question to if the original expectations of DNP programs are being met is raised. The DNP prepares the nurses...
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...My wish is to pursue a DNP and PhD in nursing to continue my interest in nursing research and use the knowledge to improve evidence based practices around the nation for patients in need of health care. Since the beginning of my freshman year, I have been actively involved in conducting research through an undergraduate research program called ReBUILDetroit at the University of Detroit Mercy. This program is funded by the NIH to offer underrepresented students an opportunity to conduct biomedical research in their field of interest with intentions to pursue a PhD. Using my scientific and leadership knowledge, I want to change the world. As a compassionate nurse scientist, my research will create powerful influences in our society and change the perception of nursing in the medical field and improving the...
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...Communication is a major component of the nursing profession. A problem that is common in the facility where I work is ineffective communication in the workplace. Ineffective communication in the nursing profession could potentially have a negative effect on nurses as well as the patients that are cared for on a daily basis. One example of ineffective communication that often comes to mind is in giving report from one unit to another. It is imperative to give a clear, concise report on your patient to others that may be involved in their care. So many times, when a patient is being transferred, report is called and given to one nurse. Many times the nurse who receives the report may not even be the nurse who will be caring for the patient. When this occurs, it is extremely easy for orders to be misunderstood, important parts of the patient’s history to be missed and allergies that are miscommunicated. Each of these points could end in a potentially life threatening situation for the patient. Ineffective communication can easily be contributed to by the workload of the nurses and physicians, the lack of time a nurse has to do his or her job and interruptions during the course of the shift. When these specific factors arise, the communication between physician and nurse as well as between nurse and patient begins to be burdened. When communication is burdened, patients ultimately lose. Certain orders do not get ordered, certain medications are not given, and patient...
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...10, 2016 Do BSN nurses have higher level of clinical competency and care delivery over ADN nurses? The American Association of Colleges of Nursing has compiled a fact sheet: “Creating a More Highly Qualified Nursing Workforce”(Rosseter, 2015, p.1). This fact sheet is a very extensive list of worldwide research connecting education to outcomes. This list is compiled of about twenty-four major research studies with very compelling evidence to support the overall claim that having more baccalaureate-prepared nurses(BSN) in the workforce will increase patient safety and decrease patient deaths. The numbers are consistent throughout all the research provided in the fact sheet. Basically, a 10% increase in the proportion of baccalaureate-prepared nurses decreases the mortality by roughly 10%. (Rosseter, 2015). Associate Degree Nurses (ADN) are equated with entry level nursing, and BSN nurses are considered more advanced because of the higher level of education. Education, being the key word here, not necessarily that BSN is better than ADN. After reading the research, an ADN could come away feeling like they are in some way, not as good as the preferred BSN graduates. The American Organization of Nurse Executives state this push for higher education is preparing a workforce that is improving patient safety and providing better nursing care. Therefore, they are more adequately prepared for their challenging and complex roles. Education of any kind whether it be formal college...
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...Assessment Analysis Paper Gentina Thompson NUR440: Health Assessment and Promotion for Vulnerable Population September 22, 2014 Assessment tools are a necessary part of everyday nursing care. They provide the nurse with measurable means of keeping inventory of a patient’s physical progression from shift to shift. Assessment tools like the Braden scale which assess the patient’s skin quality; along with the falls risk scale that assess how high the patient’s chances are for falling; are two common assessment tools used worldwide. Along with these physical assessment tools are an array of non-physical assessment tools used to evaluate anything from the patient’s coping skills to evaluating their stress level. Three popular ones are the daily hassle scale, Beck depression inventory, and the perceived stress scale. All three of these scales are imperative in finding out what kind of state the patient is in cognitively. Daily hassles are defined as “irritating, frustrating demands that occur during everyday interactions with the environment (Wright et al., 2010). Daily hassles are normally those daily interactions with family or friends that have regular occurrences; however are more difficult when trying to determine a beginning and an end. The Kanner Hassel scale is the most commonly used it generates eight scores on eight dimensions of time, pressure, work, financial responsibilities, health, neighborhood/environment, inner concerns, household responsibilities, and future security...
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...DOCUMENTATION Documentation plays a very important part in the healthcare delivery system. It serves as a communication tool for all health care providers to ensure that there is continuous, safe, accurate, quality healthcare for each patient. Documentation also serves as protection for nurses, in case of any claim in regard to an alleged act of negligence or malpractice. When documenting nurses should always use factual, consistent, accurate, objective and subjective to ensure the patients progress and health care can be monitored. Nurses should always provide a rationale for any decision made. Jargons should be avoided when documenting to prevent any misunderstood communication. Can you imagine a paperless hospital? A hospital that doesn't...
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... University of Phoenix Healthy Communities: Theory and Practice John Marshall NUR 405 February 13, 2012 To the Editor, For the last 10 years I have practiced as a Registered Nurse and have also been a resident or our community. I feel that there is a significant amount of language barriers in our community and the language barriers between Hispanic and Caucasian populations have continued to delay needed healthcare services. There has also been an undue burden placed on the community due to an increase in tax payer dollars because of a lack of insurance. I believe that in our community we could use wasted tax dollars in other areas, decrease hospitalizations, and increase tax dollars. The frustration of being misunderstood when trying to communicate is something that everyone has experienced. It is a very helpless and frustrating feeling and when on vacation we have all experienced this communication breakdown. Imagine this same frustration and helplessness when you are unable to receive the correct healthcare or because of a language barrier you were unable to understand the medical professionals and could not follow through with your own treatment. Many of the hospitals in our area feel that by providing an interpreter there will always be clear communication between the staff and patients. This is not so. We deal with many different cultures on a daily basis and are hard to communicate effectively. The words we use can mean something different...
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...The feelings Bill is experiencing can be linked to the 5 stages of grief (Kübler-Ross and Kessler, 2012). Kubler-Ross discusses 5 stages of grief and grieving, the stages are denial, anger, bargaining, depression and acceptance. From the information given from Bill's family, Bill would be between the first and second stage, as they explained Bill did not want to discuss his prognosis, this could be linked to denial, they also mentioned Bill had been feeling angry and frustrated. Professional Values ''All nurses must act first and foremost to care for and safeguard the public. They must practise autonomously and be responsible and accountable for safe, compassionate, person-centred, evidence-based nursing that respects and maintains dignity and human rights. They must show professionalism and integrity and work within recognised professional, ethical and legal frameworks. They must work in partnership with other health and social care professionals and agencies, service users, their carers and families in all settings, including the community, ensuring that decisions about care are shared'' (NMC,...
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...LIFE, AS WE KNOW IT From different ups and downs I had experienced and from different people I have met in my college days, I can say that I had learned so much, much more than high school and elementary days. If those younger years let me become learned of basic education, this stage of life, being a college student taught me more than medical and nursing concepts. But it also taught me about other aspects of life such as the whole life itself, understanding other people’s life and feelings, knowing how me, myself and I help me in every problems, treasuring friendships and respecting other people. Health care spirituality is one of the courses that let me learn how these things affect my living. It teaches me more about life and the consequences of it. Life is a continuing process of learning. I believe that the every good deed, and everything we do to others, will not be written on transcript of records, but recorded on Almighty’s. At first, going to college made me feel ambivalent feelings. Feelings of excitement, fear, feeling of being misunderstood, not being heard, and of being alone. Coming from a Catholic school high school institution, I decided to choose a Catholic college institution. One selfish reason is that, I prefer to go to school which has a lower dense of population, I don’t prefer to be in a crowded universities and college, because I think that the lower the population is, the more focused the teachers and administration can give to the students. But...
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...interaction. The paper will illustrate the caring moment between the patient and nurse. Watson’s major assumptions will be further discussed in relation to person, health, environment, and nursing. The carative factors will be utilized in a transpersonal relationship with the application of five carative factors. In conclusion the paper will include a reflection of my experience within the carative moment, my learning process, and what I could have done differently to enhance the transpersonal relationship. Background of Watson’s theory Jean Watson was born in West Virginia United States and obtained her first degree of BSN in 1964 from the University of Colorado, Masters in 1966 and PhD in 1973 from the same university. She is currently the Dean of Nursing at the University Health Sciences Center and President of the National League for Nursing. Jean Watson’s first book, “Nursing: the philosophy and science of caring”, was published in 1979 where the Theory of Human Caring. Jean Watson was the founder of the ethics of care (Claywell, 2009). The nurses, psychologists, scholars, and theorists of the 1960’s influenced Jean Watson. The caring-healing role that the nurse played intrigued. Watson has a total of 10 carative factors that serve as the foundation and framework for the science and practice of nursing...
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...strives to offer employees a better quality of life, both on the job and off, in return for their dedication to providing veterans with exceptional patient care. The Veterans Administration accomplishes these benefits with competitive salaries, a robust federal benefits package that begins on your first day of employment, flexible schedules, and of the most comprehensive education support program in the nation. Part of the VA’s motto is stated as “your goals will be our goals, and your family will become part of our family”. The Registered Nurse Manager position of the community living center, VA healthcare system, holds 24 hour accountability for the manager. The nurse manager is responsible for supervising a defined area of organized nursing services or patient care units within the VA Maryland Healthcare System (VAMHCS). The incumbent functions under the direction and guidance of the Associate Chief Nurse in providing...
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... this is then to be delivered by members of the multi-disciplinary team (MDT), on a holistic level. The relationship between the nursing process in conjunction with the nursing model of Roper, Logan and Tierney (RLT) Activities of living (AL’s) will be looked at in detail, exploring what a problem solving approach and nursing models are with discussions of the strengths and limitations of this relationship. Using the needs orientated approach, I have formulated a care plan for fictitious individual, Annie Laine to support my discussions. (See appendix 1). The nursing process is defined as a problem solving approach which was introduced by Yura and Walsh in 1967, their initial idea was to attempt to guide nursing practice away from intuition and therefore provide care towards a structured systematic patient-centred approach, which is individualised and evidence based. The nursing process comprises of four stages which are, Assessment, Planning, Implementation and Evaluation, often referred to as APIE. (Yura & Walsh 1978). When using this process it is important to remember these stages are interrelated and are dependent on each other offering the information that will lead to and direct to the next stage establishing holistic care. (Barrett, Wilson & Woollands 2009). Laxade & Hale (1995) suggests that the nursing process was initially misunderstood as a process of doing, rather than using it as a method of thinking, stating this is how some problems have occurred. The process...
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...negative outcomes. Providing information is not all about offering, but making sure patient understood it. Health literacy has also been linked to certain group of people including the elderly people, non-speaking English patients and people with general literacy. With the elderly decline in cognitive and sensory changes and some with chronic illnesses it can be challenging to comprehend and recall all health informations. Low health literacy in adults has been linked to frequent hospitalization rate, the inability to manage chronic sicknesses, and high death rate. (Speros, 2009). The National Academy for an Aging Society estimates that $73 billion in unnecessary healthcare costs can be attributed to inadequate health literacy through misunderstood health information and subsequent patient noncompliance ( (Center for Health Care Strategies, 2000). One of the many initiatives that can improve health literacy in healthcare settings and the community is ensuring effective interpersonal communication. The way health care members organize, present, and communicate with consumers can play a vital part in improving health literacy and improve health outcomes. Healthcare teams can use plain language to communicate health instruction and information. Health care workers should avoid using medical terms when giving instruction because patients can find it difficult to understand or misinterpret the meaning. Another way of ensuring interpersonal communication is by using consistence denominator...
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...OF MASTER OF ARTS IN NURSING MAJOR IN NURSING MANAGEMENT BY: CONCHITA BRANZUELA BERGADO CHAPTER I THE PROBLEM INTRODUCTION: Quality of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the hectic and chaotic environment in which they work. The main work stressors included the large number and continuous influx of patients, the increased patient acuity, and the lack of skilled nursing staff. Emergency physicians...
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