...of view of the writer's clinical experiences as a nurse. It discusses the concept of therapeutic communication and how important verbal and nonverbal communication is with patients. The paper presents a case study that the writer was involved in and discusses how therapeutic communication was successful or unsuccessful in this scenario. 1 From the Paper: "Even when the nurse has experience with therapeutic communication, there can still be the problem of a breakdown in that communication. The nurse can have empathy, respect for the person, and use active listening skills, but the problem could still come about. The reason it happens is that the nurse also needs to do critical thinking. That kind of thinking means that that she is always assessing the patient and the situation (McNabb, 2006). Another point is that sometimes it can be very difficult to see things from the perspective of the patient. Bournes and Mitchell (2002, p. 59) state, "health is the way people go on and live what is important to them, moment to moment and day to day". Health for me is very different than it is for a person such as Mrs. A. The only way I can understand her experience is by empathy and through active listening." 2 Sample of Sources Used: 1. Bournes, D. & Mitchell, G. (2002). Waiting: The experience of persons in a critical care waiting room. Research in Nursing and Health, 25, 58-67. 2. McNabb, A. (2006). Mastering communication. College of Nurses of Ontario. http://www.cno...
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...Career Research Paper I have designed this assignment as a step by step guide to walk my students through the research process. Of course, you may adjust it as you feel is necessary according to the level of students you are working with. This project explains in detail everything they need to research, as well as, giving them real world insight into what to expect in a career in terms of education, job duties and responsibilities and income. I begin by having them take a reality check quiz on the Jump Start Coalition website. This little quiz helps them determine how much money they will need to earn in order to live the lifestyle they would like to have. This income amount in turn helps open their eyes to the type of job necessary to achieve that income and what amount of education is involved. It was a real wake up call for many of my students. In this package I have also included a grading rubric for the project and a list of possible career choices for their assignment. Student Instructions You will be writing a research paper on a career chosen from the attached list. Think carefully about which career you chose to research. Read through these directions and the requirements for this assignment BEFORE making your choice. Materials needed for this project - ---note cards (preferably 3x5 lined) ---folder with pockets to keep all research materials in ---access to internet and reference books A. Take reality check quiz at http://www.jumpstartcoalition...
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...Greenville Health System is a Level I Trauma Center located in the upstate region of South Carolina. The health system consists of many entities and is the largest non for profit healthcare system in South Carolina offering a variety of services (http://www.ghs.org, 2015). As a system GHS is rapidly growing and expanding its services to more and more communities in the region (http://www.ghs.org, 2015). While the system has always had a focus on providing excellent care the advent of Value Based Purchasing has place a renewed emphasis on providing the right care at the right time and ensuring the patients are receiving the excellent care they deserve. Greenville Health System has been in existence since 1912 and has grown in that time from a single free standing facility to an integrated delivery system with an academic medical center (http://www.ghs.org, 2015). The Greenville Health System mission as stated on their web site is to “Transform healthcare for the benefit of the people and communities we serve” (http://www.ghs.org, 2015). This health system has used both social media and the internet to reach out to the communities it serves as well as to the people it employees. Amongst the many ways it utilized the internet and social media are a robust web page, a Facebook page, electronic medical records, online employment opportunities, education for employees and the general public as well as transparently providing the public with budget and finance information (http://www...
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...PUEBLO COMMUNITY COLLEGE NURSING NUR 211 Psychiatric-Mental Health Nursing Supplemental Learning Guide Course Objectives * Relate the minimum requirements for the course. * Illustrate the use of competencies for learning. * Formulate own needs and responsibilities relative to meeting course competencies. * Relate course/clinical assignments and evaluation * Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity ...
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...effectively deal with the problems. Accordingly, there are also significant issues affecting mental health, which should be investigated. The major findings and recommendations of the Garling Report will be overviewed and also the nursing and workforce issues will be explored. Furthermore, drug and alcohol abuse and lack of resources will be explored and recommendation for a new Registered Nurse will be drawn. Garling Report (2008) indicates that New South Wales (NSW) public hospitals have one of the better health care systems in the developed world, because they have well-trained, skilled and dedicated doctors, nurses and clinical staffs. On the other hand, NSW health care systems are too often unable to cope with the increasing cost of treatment, sudden increase in patients, and the pressures on a skilled workforce (Garling Report, 2008). Notably, there is a serious shortage of workforce including medical, nursing, and allied health professionals (Garling Report, 2008). Furthermore, there are insufficient experienced clinical staffs who can supervise and guide inexperienced clinical staffs, and in this environment, it makes difficult to provide safety of the patient and the quality of patient care (Garling Report, 2008). Especially, a skilled workforce is significantly insufficient in rural/remote areas (Garling Report, 2008). Moreover, the culture endemic in NSW health is an unhealthy one, which is an incident of bullying and insufficient respect...
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...Advanced Practice Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century Advanced ORIGINAL 4 42 June © Blackwell 0031-5990 Publishing Perspectives in Psychiatric PPC 2006 Practice PMH2006 Malden, USAARTICLE Care Blackwell Publishing Inc Nursing: Finding Our Core Suzanne Perraud, RN, PhD, Kathleen R. Delaney, RN, DNSc, Linnea Carlson-Sabelli, PhD, APRN, BC, Mary E. Johnson, RN, PhD, Rebekah Shephard, MS, APRN, and Olimpia Paun, APRN, BC, PhD TOPIC. Increasingly, students from various professional backgrounds are enrolling in Psychiatric Mental Health (PMH) Nursing graduate programs, especially at the post-master’s level. Faculty must educate these students to provide increasingly complex care while socializing them as PMH advanced practitioners. PURPOSE. To present how one online program is addressing these issues by reasserting the centrality of the relationship and by assuring it has at least equal footing with the application of a burgeoning knowledge base of neurobiology of mental illness. SOURCES. Published literature from nursing and psychology. CONCLUSIONS. The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice. Search terms: Nurse–patient relations, psychiatric nursing, empathy, therapeutic relationship, education, nursing...
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...Panic attack Abrupt experience of intense fear and discomfort, consumer feels a sudden elevation of fear, may occur anytime. Consumer having the attack show’s physical symptoms such as dizzines and palpitation. How it relates to or affects my clinical practice: If the consumer is having panic attack the nurse can calm the consumer and the nurse can assisst the consumer through out the episode of the attack. Refrences: Barlow, D. And Durand, M. (2008). Abnormal psychologyan integrative aprouch. (Fifth edition., 121-124). Canada: Wadsworth. Sims, A. (2003). Symptoms in the mind., An introduction to descriptive psychopathology. (Third edition.,328). New England: Saundres. 2. Phobia Consumer shows unreasonable and unexplained fear of a certain animal, insect, place, situation. Some people may feel an extreme fear of riding a bus or a train. Some shows excessive fear towards a large crowd. How it relates to or affects my clinical practice: A nurse understand that a certain people has fears, everybody has a phobia, understanding the consumer’s feeling will be helpfull and will promote an open communication to discuss such fear inorder to resolve it. Refrences: Nevid, J. And Rathus, S. (2006). Abnormalpsychology in changing...
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...Process is set in motion by the behavior of the patient. According to the theory, all patient behavior can be a cry for help, both verbal and non-verbal, and it is up to the nurse to interpret the behavior and determine the needs of the patient. The Deliberative Nursing Process has five stages: assessment, diagnosis, planning, implementation, and evaluation. In the assessment stage, the nurse completes a holistic assessment of the patient's needs. The diagnosis stage uses the nurse's clinical judgment about health problems. The planning stage addresses each of the problems identified in the diagnosis. In the implementation stage, the nurse begins using the nursing care plan. In the evaluation stage, the nurse looks at the progress of the patient toward the goals set in the nursing care plan. This is the ADPIE that we use every day. Nursing care has to be flexible. Not only does a nursing care plan depend on the needs of the patient at the time of admittance, but it also needs to be able to change when and if any complications come up during the treatment and recovery process. Ida Jean Orlando's Deliberative Nursing Process directly addresses this need for flexibility, and helps nurses focus on the patient rather than simply sticking to a nursing care plan no matter what. Specialty areas Emergency Nurse- a. How to get there- ASN or BSN b. Pass NCLEX c. You need two years before you can take a licensure exam d. Emergency nursing certification from the Board...
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...Motivational Interviewing and the Psychiatric Patient Amanda Doyle McKendree University Motivational Interviewing and the Psychiatric Patient A nurse’s role in counseling psychiatric patients or those with emotional trouble, is to listen to the patient, assess the patient to be sure there are no thoughts of self-harm, and to guide them through their choice to make a behavior change, and to help them make that change. Psychiatric patients often have a hard time trusting others due to being judged for being different, being made fun of, and because of their own feelings about themselves. When interacting with a patient who suffers from a psychiatric illness or an emotional problem, it is best to introduce yourself first, and be firm about what is expected from nursing staff, and the patient, upfront before the conversation begins. As well, it is important to ask permission from the patient, or legal guardian if the patient is underage or not able to consent due to the psychiatric condition. Once the conversation starts, the patient should have the full undivided attention of the nurse; the nurse shouldn’t be distracted by other patient calls, her personal or work phone, or be writing during the conversation. Actively listening helps build the trust of the relationship, which is essential for getting the patient to divulge thoughts of self-harm. “MI guides the therapist to listen actively to the patient without communicating criticism, blame, or other judgements, regardless...
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...Master’s Prepared Nurse Interview KR Grand Canyon University: NUR-502 November 5, 2014 Master’s Prepared Nurse Interview Introduction In preparation to begin my own graduate study, I interviewed someone who has completed a graduate study for insight into the expectations and potential outcomes in seeking an advanced degree. I chose someone who has been an inspiration to me my entire life. I chose my mother. Overview of Career Nursing is my interviewee’s second career. Her first career started in the postal service where she quickly advanced to post master. Her advancement was unusual for a woman in the 1970s. She has always been a strong, independent woman. She raised 5 children who have all become successful as well. When she was 45 years of age, she decided to return to school to become a nurse. She began her studies at the University of Tennessee at Knoxville. She attended school with three of her daughters, all who became nurses. She obtained a Bachelor of Science in Nursing and a Bachelor of Arts in English in 1994. The interviewee is an experienced, advanced practice nurse with 4 years RN and 13 years advanced practice experience, including three years’ experience in healthcare management. She is credentialed by ANCC as a Psychiatric Mental Health Nurse Practitioner (PMHNP) and as a Gerontological Nurse Practitioner (GNP). She has seven years’ experience as a certified PMHNP in the VA Southern Nevada Healthcare System in Las Vegas, NV, where she...
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...Moreover, when striving to achieve optimum overall outcomes and enhance the quality of care the nurse must be able to put knowledge into action. Therefore, all evidence-based nursing practices first began as theories. Nevertheless, Taylor (2007) explains nursing professors often find it difficult to translate didactic lecturing knowledge into clinical practice for the students (Chan et al., 2011, p. 1139). Nurses work in a complex setting and the scenarios are fluid at times. Moreover, the clinical setting may differ slightly from the information delivered in lecture and the textbook and applying nursing theories to practice presents a challenge for some students and instructors. However, application of nursing knowledge gained from the classroom to clinical instruction is a major focus of the student (Chan et al., 2011, p. 1047). Chan et al. (2011), believes that clinical instructors need more development with integrating the clinical practice, critical thinking skills and nursing process or problem-solving skills (p. 1047). There’s no one solution to caring for individuals with compromised health issues. According to Rich and Butts (2018), theory and practice are inseparable; they used an analogy of a human without a...
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...Nurses are urged to integrate and use evident based practice in everyday nursing. Evidence-based practice (EBP) is a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preferences and values (Melnyk et al, 2009). I have been working at Virginia Beach psychiatric center and during a replacement on psychiatric rapid stabilization unit this nurse noticed that medication nurses face many disruptions while conducting court order medication rounds and witnessing nurse considered ways to minimize disruptions and thus develop nurse and patient safety. Disruptions are unavoidable because everybody must respond to broadcasted code when alerted. The author came up with a research question using the PICOT acronym, ‘do disruptions during court order medication rounds increase the medications errors made by nurses. The research question in this situation is to address the patient and nurse safety and using the PICOT structure to address the issue of disruptions during court order medication round (as perceived by this nurse), the ultimate research question was articulated: ‘do disruptions during court order medication rounds increase the medications administration errors made by nurses? PICOT is an acronym for the elements of the clinical question (Melnyk et al, 2009): P -Patient or Population/Problem I -Intervention C -Comparison O -Outcome T -Time Intervention...
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...admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the senior nurse needed to consider who would be left on the ward whilst he and I did the admission. He needed to consider...
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...Boundaries in a Healthcare Setting Professional boundaries are the defining lines which separate the therapeutic behavior of a registered nurse from any behavior that could reduce the benefit of nursing care to clients, well intentioned or not (as cited in Fronek et al., 2009). Paavillainen & Astedt-Kurki (1997) state that each nurse "ensures that the nurse-client relationship is a therapeutic relationship" and "maintains appropriate boundaries in all interactions with clients at all times" (p. 138). Nurses must maintain their professional boundaries and be aware of events or situations that may threaten them. They should have limitations in their scope of practice. It is staying within their role by refraining from personal involvement with a patient. As nurses, they are limited by their duties and activities as defined by their job scope, so it is very important for them to understand their job description (Gutheil, 2008). The concept of professional boundaries is so important to psychiatric nursing because the health and well being of patients depends upon a collaborative effort between the nurse and the patient (Muskin & Epstein, 2009). It is the nurse’s professional responsibility to understand the dynamics of the therapeutic relationship, to establish the relationship, and to maintain the relationship within therapeutic boundaries. Nurses must understand the differences between a therapeutic relationship and a social or personal relationship (Paavillainen & Astedt-Kurki...
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...Title: Nurse Practitioner V.S Physician Assistant Yvonne Barker English: 102 Date4/6/2013 People rarely see medical doctor anymore. Patient is more like to have appointment with a Nurse Practitioners NP, Are a Physician Assistant PA. Both nursing practitioner and physic assistant can play the roles in healthcare practices. Patient is in good hand, weather we are treated by a PA or a NP. The different between a nursing practitioner and a physician assistant NP favor the nursing model while the PA favor the medical model. Education to become a nurse practitioner (NP) requires coursework and clinical rotations beyond that required of the RN. Curriculum includes, but is not limited to, courses in epidemiology; nursing theory; health promotion; pathophysiology; physical assessment; pharmacology; differential diagnosis and laboratory/radiography diagnostics; statistics and research methods; health policy; role development and leadership; acute and basic chronic disease management (e.g., adults, children, women's health, geriatrics, etc.); and, clinical rotations, which varies depending on the program. MSN programs also require a clinical research project. There are a variety of paths to becoming a licensed nurse practitioner in the United States. Typically, the process begins with obtaining a Bachelor of Science in Nursing (BSN, usually 4 years), followed by a Master’s of Science in Nursing (MSN, usually 50 credits). The flexibility of the MSN degree allows students to...
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