Nursing Group Essay

The healthcare industry has intensely advanced throughout the world, in turn changing the principles that incorporate the practice and culture of nursing practice. Altering the model of care to a patient-centered mode signifies an organizational culture shift and requires the participation of executives at the senior level (Cliff, 2012). To practice this care to provide the best care possible, it goes beyond the nurse to all healthcare professionals and senior leadership. The days of patients and nurses following a physician’s order without favor to care has now loaned themselves to more of an interdisciplinary approach to practice. Though, it is encouraged that the patient makes decisions for themselves, after receiving the proper education and information on their condition. Part of the patient-centered care is to be the patients’ advocate, by letting them know you are there for them when they are unable to speak and advocate for themselves and what is in their best interest. That goes in hand with educating them on “self-management of care, health literacy, patient, and family education through nurse-patient communication and interaction (Finkelman & Kenner, 2016, p. 271).”

This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to

This assignment is much like a Case Study and is intended to be a comprehensive learning experience that synthesizes essential psychiatric and medical/surgical nursing theory. Your finished product will demonstrate mastery of principles needed for nurses working with mentally impaired patients.

However, the data that needs to be collected will happen through a series of surveys to be completed by both the patient and the nurse. The survey given to the patient will consist of a battery of questions. A sample question would read, do you and your family understand the nature of your illness? Or. Do you understand why the medications that you are being prescribed as part of your your treatment plan? Furthermore, a control chart would be used to track the progress of patient-centered care. The reason that the control chart is being used because the control chart is easy to implement, can be applied to small data sets, and is uninterrupted by incermental unusual observations. The staff needed will include: R.S., Director of Nursing, S.H., Assistant Director of Nursing, J.M., K.S, T.R, Charge Nurses will be responsible for training and development because they possess the knowledge, skills, and attitudes (KSAs) needed to adequately prepare front line staff for implementation. Registered Nurses (RN), Licensed Practical Nurses (LPN), physicians, and home health aides will also play an important role in delivering optimal patient-centered care as they will have more contact witht the

In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented and evaluated by myself, a second year student nurse, under supervision from a qualified member of staff.

My clinical experiences on both the adult and adolescent units at McLean Southeast Hospital are paradigmatic of the role of a psychiatric nurse. One particular experience was significant as it was one of my first times on an adult psychiatric unit. The experience embodied the role of psychiatric unit. A psychiatric nurse, Rachel, introduced me to a patient with a diagnosis of Schizophrenia. The patient demonstrated many affective symptoms of the Schizophrenia that were in her report such as a religious delusions. The nurse engaged in the therapeutic communication with the patient while I watched and listened. The therapeutic communication was illustrated by asking open-ended questions, demonstrating non-judgment, and aided the patient in developing

Although most people think they can get away with picking an easy topic for their senior projects it turns out to be a little more complex than that. Growing up my ideas and passions would always seem to be changing but when I finally became set in my ways at least in knowing what I would like to pursue the Nursing Program was up to par. I chose to do mine on Nursing in the ED (emergency department) because this is a field I would love to go into so I can be of service to those in need of any medical care, to always have a stable job to rely on, and further more to be able to excel in the field of medicine. I would love to be one of the people on call to respond to the needs of another individual in their time of need. Anyone could only

Theorist Hildegard Peplau set the foundational elements for newly graduated students to introduce the importance of patient/nurse relationships into their practice (Peplau 1991). Peplau’s book is mainly directed toward psychiatric patients, but improving interpersonal skills with patients from all disciplines will create a caring, informative environments for individualized care plans (D’Antionio, Beeber, Sills, & Naegle, 2014). Also,

With an ever-increasing body of knowledge in the field of nursing, more education is being required to enter the field of nursing. Many healthcare institutions are raising the educational requirements in order to become employed or maintain employment in their facilities. Healthcare organizations are transitioning to hiring registered nurses (RN) who have a higher level of education, such as, a graduate from a Baccalaureate Degree Nursing (BSN) program. The goal of these institutions is to have nurses with a broader array of skills that can meet the growing demands of our patient population. BSN prepared nurses are recognized for their well-rounded skills in critical thinking, management, case management and health promotion versus Associate Degree nurses (ADN)/Diploma nurses that focus on direct patient care.

Leadership does not always come with a title or prestige. Every nurse has within themselves qualities that make them a great leader. Leadership by definition, “is a combination of intrinsic personality traits, learned leadership skills, and characteristics of the situation (Cherry& Jacob (2013 p. 335). A leader is one who has the capacity and skills to direct or encourage others in efforts to achieve an outcome. I recently completed a self-assessment on my perceived leadership abilities. The survey was called the Nurse Manager Skills Inventory (Nurse Manager Leadership Partnership, 2008). It consists of four content areas of which I will address and identify my strengths and weaknesses.

According to Lomborg, Jensen, Nielsen, & Jorgsensen, (2011), nurses need education to overcome barriers to providing patient centered care. It is challenging to make behavioral objectives that incorporate theory, principles and patient-centered care in a good clinical practice (Lomborg, Jensen, Nielsen, & Jorgsensen, 2011). The first class would address the type of behaviors and outcome goals we wanted to achieve before writing behavioral objectives for our patient teaching. According to Bastable (2014), well-written behavioral objectives are measurable and help the learners proceed to the desired outcome goals. The class should develop behavioral statements that communicate the desired learning outcomes.

This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.

Rungapadiachy and Gough (2004) in a study that explores mental health nursing students’ perception of the nursing role in psychiatry, identifies several themes in which student nurses identify five psychiatric nursing roles. The roles include nurse administrator, agent of physical interventions, medication administrator, and educator. These authors conclude that role identification is highly complex and not always easy to define. However, they contend that the role of the psychiatric nurse should be expanded in order to develop the therapeutic interactions between the nurse and the patient.

The use of information technologies (IT) in the health care setting has become pervasive in many countries, and governments around the globe resume to finance in the implementation of IT systems. These clinical systems include a variety of functions, comprising medication administration, order entry, radiological/laboratory results viewing, clinical documentation, and decision-making ability. Introduction of IT in a hospital influences the management of the organization, health care delivery, and patient outcomes while proposing likely advantages in better patient safety, decreased hospital costs, and enhanced efficacy of medical care. Computers have facilitated nurses and physicians maintain track of several things, and additionally support to validate new roles for nursing in the health care setting. This basically means that the role of a nurse is improved through duties on the computer along with their clinical duties. So, computers are simplifying the nursing process, and a job that used to be strictly hands on is now splitting out to the technological.

The way a nurse can be more active in the community is by being a patient advocate and educator. This done by providing need information pertaining to a patients health. Therefore, a nurse must make the time to educate the patient in the terms that they can understand. This all starts when the patient is admitted to the unit (Nursing Journal, n.d.). The way to improve a patient outcome is through education and can lead to preventable readmittance. A nurse can provide the patient with needed instructions and have the patient verify with the nurse that they understood and comprehended what was taught through parroting back or through demonstration. Providing information to patients and understanding its importance can be one avenue to promote