The Nurse And The Patient: Influence Of Context In Knowing The Patient

1497 words - 6 pages

Influence of Context in Knowing the Patient
The Nurse and the Patient
It is evident that many different types of knowledge influenced Allison’s decision-making process when caring for her patients. There were also contextual factors that played a role in each nurse-patient interaction. The first contextual was the intrinsic nature of the nurse and the patient as individuals. Working in an understaffed nursing environment can cause nurses to experience burnout. Allison ensures she cares for herself physically and emotionally; allowing her to come to work refreshed and prepared for the stressful environment. She also focuses on the positive aspects of her work, such as believing that a busy shift will go by faster, rather than dwelling on having a heavy workload. Although Allison attempts to create relationships with her patients, patients must also contribute to the relationship. Mr. Nelson was dealing with stress and frustration. In his opinion, he had lost control over his life and was angry with himself for his failing health. He then projected his anger on to Allison. Although Allison did not let his anger influence her opinion of him, it influenced their interactions as it was an apparent issue that needed to be addressed promptly. Mrs. Johnson’s anxiety level also may have influenced the interaction between herself and Allison. Due to the stressful situation she perceived, Allison bypassed the social norm of greetings in the beginning of an interaction. Allison was able to adapt and provide Mrs. Johnson with reassuring care that did not hinder their relationship.
Capacities
Allison’s individual capacities as well as the patient’s capacities influence each interaction. Allison for example, is an experienced CCU nurse who is accustomed to working in a busy environment. Although having a heavier than normal workload, she was able to make sure all her patients were receiving the care they needed. This was due to her prioritizing and clinical skills and being able to delegate appropriately. Mr. Nelson is a good example of how the capacities of a patient can be limited. He expressed his anger about not being able to go about his activities of daily living, such as being able to go the bathroom by himself. He surrendered certain aspects of control in his life due to the hospitalization, which can cause a power shift and negatively impact relationships. Mrs. Johnson capacities were limited as well. Her capacity to understand the information presented to her may have been limited due to the stress of being in the hospital. Allison understood this and was able to speak with her family members to ensure everyone was informed regarding Mrs. Johnson’s health.
Communication Time
The amount of time one has to communicate with another person also influences the interactions people share. Mr. Nelson had many worries and his primary outlet was anger. Some people may have not taken the time, or had time, to explore the source of his anger....

The module title is nursing the highly dependent patient. The essay question was 'discuss the the role of the nurse in the delivery of intravenous therapy for the highly dependent patient'

3348 words - 13 pages is recognised that up to eighty per cent of patients admitted to hospital will require this type of therapy (Wilkinson, 1996, cited in Workman, 1999). However, with regards to the delivery of intravenous therapy, by the nurse, there continues to be a high risk of complications associated with this (RCN, 2003). Therefore to address this topic, this assignment will identify the highly dependent patient, and will discuss why these patients may

Nurse Patient Relationship Essay

1254 words - 5 pages , 2005). The context in which nursing care and knowledge are applied to patients in clinical settings also drastically influence the positive or negative direction of nurse-patient relationships. As in the case of Allison the nurse, caring using Roach’s caring qualities along with applying her nursing knowledge in specific contextual factors facilitate her ability to provide quality nursing care. In this paper, Allison’s scenario will be analyzed for

Helpful Patient-Nurse Relationships

1447 words - 6 pages The helpful patient-nurse relationship requires nurses to build interpersonal connections with patients and is made stronger by the nurses’ abilities to understand their own selves and by being culturally aware. One of the biggest cultural differences which impacts the nurse’s ability to communicate effectively in the development of the helpful patient-nurse relationship is when the patient speaks a different language than the nurse. According

Nurse´s Patient Evaluation

665 words - 3 pages information from the patient is the role of nurses while making judgment and prescription is the doctor’s role (Jacques, 1988). In any case all practitioners are required to know how to evaluate a patient. Traditionally nurse’s role in evaluating a patient has to record the observations made but not to interpret them. The main observation includes pulse, temperature, rate of respiratory, blood pressure and consciousness level (Alice, 1985). The ability of

Nurse to Patient Ratios and Safety

629 words - 3 pages valuable to the reader who might be researching how to implement an improvement to their facilities nurse to patient ratio. In essence, the information presented was an excellent example of kairos. It was current, precise, and appropriate for the information presented; however, it was possibly not enough information to convince a hospital board to mandate safer ratios for their facility based exclusively on this analysis. This analysis coupled with

Therapeutic Relationship between Nurse and Patient

2151 words - 9 pages , maintaining eye contact, actively listen to your patient, maintaining professional boundaries, and also maintaining confidentiality and privacy. Which is an important part of the nurse-client interaction? During the phase of interaction with the client the nurse must be fully present. He or she must be totally focused on the client and does not get lost in memories of clients past or his or her own present or future problems. The nurse must

Impact of Nurse-to-Patient Ratios

1967 words - 8 pages experienced nurses to leave the profession (Sanford 38+). Studies have shown that such working conditions also affected the retention of new graduate nurses by leaving their first hospital jobs within two years of graduating (Sanford 38+). Major studies in the last three decades have confirmed an association between the registered nurse to patient ratio and adverse patient outcomes such as mortality, morbidity, length of stay, failure to rescue (Hunt

Health Policies in Relation to Nurse to Patient Ratio

2647 words - 11 pages of a new governor, Gray Davis, in November 1998, who was endorsed by unions representing nurses and other workers (Spetz, Seago, et al., 2000). California DHS proposed the minimum nurse-to-patient ratios (California Hospital, 2004). Thus ranged from one nurse per patient in operating rooms to one nurse per eight infants in newborn nurseries. The DHS proposed that the minimum ratios for medical-surgical and rehabilitation units be phased in

Increasing Patient Satisfaction Through Nurse Rounding

1156 words - 5 pages successful nurses are in satisfying the basic needs (Blakley et al., 2011). Rounding permits nurse-patient interaction and communication periodically, allowing observation and exchange of relevant information and also implementation of proper interventions. Nurses must practice rounding competently with compassion. By doing so, the patient has the opportunity to be involved in their own care which builds a trusting and positive relationship

Advise as to what actions the patient and the family have against the manufacturer, the Hospital, or the doctor. Was the nurse also negligent? Could she bring an action against the hospital?

1907 words - 8 pages behavior and thus the hospital would not be held liable(30). However, as in Baker v Hopkins(31), Volenti is not applicable to rescurer- in this case; Elizabeth's condition is of an emergency nature. Nevertheless, the hospital owes a duty of care to select competence staff to the job(32). Is Jacqueline an appropriate nurse assigned to Elizabeth? Does Mike profess the experience to take care juvenile mental patient? Do they have long shift- hours that

Nurse to Patient Ratios: An Alternative Approach

1479 words - 6 pages In the health care industry, nurse to patient ratios is often a controversial issue. Registered nurses know and continue to reiterate the importance of safe staffing levels in health care facilities. Reductions in nursing budgets, coupled with the expanding nursing shortage, has resulted in a reduction of available nursing staff. As a result, the employed nursing staff are forced to work longer hours with more acutely ill patients. Consequently

The Nurse Patient Ratio And Patient Safety

1578 words - 6 pages Many nurses face the issue of understaffing and having too much of a workload during one shift. When a unit is understaffed not only do the nurses get burnt out, but the patients also don’t receive the care they deserve. The nurse-patient ratio is an aspect that gets overlooked in many facilities that could lead to possible devastating errors. Nurse- patient ratio issues have been a widely studied topic and recently new changes have been made

Nurse Not See The Patient Essay

800 words - 3 pages Running Head: PERSONAL AND ORGANIZATIONAL ETHICSPersonal and Organizational Ethics[Writer Name][Institute Name][Course name and number][Name of paper][Instructor's name][Date submitted]Personal and Organizational EthicsOne nurse in particular used to start her day with six or seven patients. In the morning, she would see the patients as she was supposed to, but as it got closer to five o'clock, if she was not going to be done by then, she would

Higher Nurse To Patient Ratios Improves The Quality Of Care

2212 words - 9 pages staffing plans and job dissatisfaction. Currently, mandated minimum nurse-to-patient staffing ratios have been implemented in several states with many more trying to pass some type of legislation (Chapman et al.331). In other states hospitals opted to form safe staffing committees that include the participation of nurses to assure each unit’s need is met. Regulated safe staffing plans for nurse-to-patient ratios in hospitals and other healthcare

Communication Between Patient And Nurse Essay

871 words - 3 pages While taking care of my patient on the cardiothoracic intensive care unit, I assisted another nurse who was helping her seventy-one year old patient ambulate to promote circulation and decrease the patient’s chance of developing pneumonia. It also helps the patient to build strength and confidence after such a major surgery like this patient underwent. This patient had come in with non-ischemic cardiomyopathy and had a history of cocaine and