Shortcomings in the Literature
Although CF and resilience are relatively new areas of research, there are several studies that cite their importance and benefit to combatting illness, nursing and patient quality of life, and retention rates. As mentioned previously, CF adversely affects both nursing retention rates, as well as patient outcomes. Hart, Brannan, and Chesnay felt a majority of factors in patient dissatisfaction were the same factors that increased stress in nurses; thus, patient and nurse quality of life are inseparably tied together. Preliminary studies show that resilience strengthening classes for nurses significantly alleviates CF rates. However, no studies to date try to link these classes for nurses with patient outcomes. Patients who have more resilience have better outcomes, especially long-term and with regard to their families. Research should be done to examine whether successful resilience programs for nurses also affect both patient outcomes and patient resilience levels. If these are significantly benefited by resilience programs, then resilience programs for nurses will have a greater reputation among healthcare organizations. If both nursing and patient outcomes are benefited, the cost-effectiveness and necessity of these programs will be realized, as well as advancement in healthcare efficacy.
Proposal
Methods and Procedure
Given the previous research on CF and resilience within nursing and patient outcomes, a two-part study developed to
Potter, P., Deshields, T., Berger, J.A., Clarke, M., Olsen, S., & Chen, L. (2013). Evaluation of a compassion fatigue resiliency program for oncology nurses. Oncology Nursing Forum 40(2), 180-187.
Patients will have a hard time in finding back their strength and as a nurse, I have to ensure that I am by
Resiliency describes a patient’s ability to return to base-line level of functioning after an illness or injury through use of compensatory and coping mechanisms (Lindell, Reimer, Swickard, Swickard, and Winkelman, 2014). This patient suffered the psychological trauma of losing her unborn baby as well as the physical threat to her own life all at the same time. She demonstrated admirable resiliency as she faced such unfathomable events. After two days of care and observation in the ICU, she was able to be discharged to home. It would certainly take time to experience the different stages of grief; however, she possessed an admirable faith that she, her husband, and their
Ellis, L., Gergen, J., Wohlegemuth, L., Nolan, M.T., & Aslakson, R. (2016). Empowering the “cheerers”: role of surgical intensive care unit nurses in enhancing family resilience. AJCC, 25 (1), 39-45.
Nearly 600,000 people participated in The Resilience Project, which commenced in 2014 in a search for those who were immune to diseases that should’ve been impossible to be resistant to. In this research, researchers compared the medical records of a participant with their genes and discovered 13 who were fit, despite possessing genes supposed to had killed them or caused
According to Roy, the Nurse using the Nursing Process, promotes adaptation responses during health and illness to free energy from ineffective or inadequate responses to increase health and wellness. Goals, mutually agreed on and prioritized, are proposed to meet the global goals of: survival/growth and promotion/reproduction of race/society/attaining full potential or mastery of self. The nurse uses activities to increase adaptive and decrease ineffective responses during illness and health. These activities alter or manipulate the client's focal, contextual and residual stimuli and expand his repertoire of effective coping mechanisms. Nursing focuses on the person as a biopsychosocial being at some point along the health-illness continuum. In contrast, medicine focuses on biological systems and the patient's
Resilience is defined as a person’s ability to weather adversity and come out of it with a stronger ability to deal with the next challenge (Mosby’s Medical Dictionary, n.d.). Resilience can be noted as a trait within an individual as well as a process through which a person undergoes during adversity (Jacelon, 1997). Measuring resilience can be done by assessing certain qualities within an individual and asking questions to elicit better understanding of their current psychological state (Wagnild & Collins, 2009). Nurses must have a thorough comprehension of resilience and how to measure and promote this among individuals who are met with health challenges. By doing this nurses are better able to provide holistic client centred care and inform the nursing profession.
Reggan ended up with a traumatic brain injury and broken vertebrae. She is now unable to work or care for herself. She was tired from going to school the previous day, then working a sixteen hour shift. Hospitals and nursing facilities don't understand the effects mandated overtime has on someone untill it's to late. So I guess in the eyes of an employer, having a fatigued nurse at your bedside is better than none at all.
Helpful in times of stress, such as acute or long-term illness, nursing can engage the family in focusing on their
Nursing is recognized as an occupation that is under stress on both professional and personal levels. In recent years, increasing amount of nursing disputes cause the shortage of nurses currently threatens health care globally. One of the reasons of this shortage is that nurses experience high levels of stress and work load in acute care settings. The purpose of this assignment is to review ‘compassion fatigue’ in nursing and discuss the solutions of increasing resilience by nurses’ self-care.
In critical care areas, nurses are frequently faced with difficult situations in which they are asked to provide emotional support and comfort to patients and families “experiencing significant emotional pain and/or physical distress” (Lombardo & Eyre, 2011). Lombardo & Eyre (2011) go on to describe fatigue, short attention span, exhaustion, frequent headaches and/or stomachaches, low resistance to becoming ill, depression, and anger as symptoms of compassion fatigue. According to the 2015 National Healthcare Retention & RN Staffing Report, the turnover rate for bedside RN’s has increased over the last 4 years from 11.2% to 16.4%. RN vacancies continue to trend negatively with 24.2% of hospitals reporting a vacancy rate of 10% or greater. The average cost of turnover for a bedside RN ranges from $36,900 to $57,300 resulting in the average hospital losing $6.2M. Critical Care RN’s have
Roy believes nursing as a key player to help patients to develop coping mechanism and positive outcome from the constant stimuli exposure. Roy’s goal is for the patient to achieve adaptation leading to optimum health, well-being, quality of life, death with dignity, and finding in life by participating in their own care (Roy & Andrews, 1999.)
Throughout nursing, there are many theories that nurses may come across and use. Calista Roy’s and Betty Neuman are two theorists that use two different types of models to encompasses the health, person, and the environment. Callista Roy uses a theory that promotes adaptation to the stimuli a person may encounter. Betty Neuman uses a theory that promotes equilibrium in a time where a person will encounter stress. These theories allow the nurse to bring a knowledge to learn more about the person and the factors that influence their health. Although with any theory there are different approaches in how the nursing plan is done, but with the patient in mind, it makes the difference in care that is given and allows for better outcomes for the patient.
First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their
Acute care treats illnesses, severe injuries and other disorders within a short period of time with little to no rehabilitation. With acute injuries the treatment lasts a shorter period of time and the patient recovers quickly. “The key in acute care is that the patients will normally recover to optimal health and will not have to deal with this each day moving forward and there is a healing process in which in the ending the injury is completely healed where as in chronic care the illness and injury does not go away making it difficult to function in daily life where as for acute injuries life will eventually go back to their original lives”. (Services, 2016) Acute and chronic care differ but are similar in so many ways. As a nurse we treat each patient the same and our ultimate goal is to get the patient to their optimal health. Although the chronic illness patient may not have the same level of health that the acute patient will reach it is our duty to care for the patient and get them to the point of having functional daily lives. All together as nurses our duty is to advocate, educate and care for our patients with both acute and chronic illnesses. Chronic care will always focus on the patient long term whereas acute care lasts for a brief duration of