Talked Over As If I Weren't There: Reflections From a Nurse and Educator

2019 ◽  
Vol 25 (1) ◽  
pp. 63-66
Author(s):  
Christina Purpora
Keyword(s):  
Patient Care ◽  
Work Environment ◽  
Code Of Ethics ◽  
Nursing School ◽  
Safe Patient Care ◽  
As If

Most nurses were taught in nursing school to avoid talking over a patient as if the patient were not there. This manuscript describes the author's experience of being talked over as a patient—what it meant to her as a nurse relating to the ethics of the situation and as an educator of future nurses. The American Nurses Association's Code of Ethics for Nurses with Interpretive Statements (2015) addresses the responsibility of nurses at all levels within an organization to sustain a work environment that ensures quality, safe patient care. Nurses who embody this responsibility are knowledgeable, skilled, and mindful of what they say and how they act and interact around, with, and over patients and toward each other.

Self-care as an ethical obligation for nurses

2020 ◽  
Vol 27 (8) ◽  
pp. 1694-1702
Author(s):  
Mary Linton ◽  
Jamie Koonmen
Keyword(s):  
Patient Care ◽  
Role Models ◽  
Code Of Ethics ◽  
Self Care ◽  
Holistic Approach ◽  
Codes Of Ethics ◽  
Safe Patient Care ◽  
Health Risk Appraisal ◽  
Loving Kindness ◽  
American Nurses Association

As members of the largest and most trusted healthcare profession, nurses are role models and critical partners in the ongoing quest for the health of their patients. Findings from the American Nurses Association Health Risk Appraisal suggested that nurses give the best patient care when they are operating at the peak of their own wellness. They also revealed that 68% of the surveyed nurses place their patients’ health, safety, and wellness before their own. Globally, several nursing codes of ethics include the requirement of self-care. Often, these codes embed the responsibility to protect and promote one’s own health within the clearly described obligation to provide safe patient care. The American Nurses Association Code of Ethics for Nurses is unique in that it states explicitly that nurses must adopt self-care as a duty to self in addition to their duty to provide care to patients. One of the basic assumptions of Watson’s Philosophy and Science of Caring is that caring science is the essence of nursing and the foundational disciplinary core of the profession. Watson’s theory of human caring provides support for the engagement in self-care. Two important value assumptions of Watson’s Caritas are that “we have to learn how to offer caring, love, forgiveness, compassion, and mercy to ourselves before we can offer authentic caring and love to others” and we also must “treat ourselves with loving-kindness and equanimity, gentleness, and dignity before we can accept, respect, and care for others within a professional caring-healing model.” Embedded within several caritas processes is an outline for a holistic approach to caring for self and others that can guide nurses to improve their mental, physical, emotional, and spiritual health.

Fire in operating theatres: DaSH-ing to the rescue

2018 ◽  
Vol 28 (7-8) ◽  
pp. 188-193
Author(s):  
Liam Wilson ◽  
Omer Farooq
Keyword(s):  
Patient Care ◽  
Fire Safety ◽  
Training Session ◽  
Operating Theatre ◽  
In Situ Simulation ◽  
Safe Patient Care ◽  
Team Interactions ◽  
Operating Theatres ◽  
Theatre Staff ◽  
Safety Officer

Operating theatres are dynamic environments that require multi professional team interactions. Effective team working is essential for efficient delivery of safe patient care. A fire in the operating theatre is a rare but potentially life threatening event for both patients and staff. A rapid and cohesive response from theatre and allied staff including porters, fire safety officer etc is paramount. We delivered a training session that utilised in situ simulation (simulation in workplace). After conducting needs analysis, learning objectives were agreed. After thorough planning, the date and location of the training session were identified. Contingency plans were put in place to ensure that patient care was not compromised at any point. To ensure success, checklists for faculty were devised and adhered to. A medium fidelity manikin with live monitoring was used. The first part of the scenario involved management of a surgical emergency by theatre staff. The second part involved management of a fire in the operating theatre while an emergency procedure was being undertaken. To achieve maximum learning potential, debriefing was provided immediately after each part of the scenario. A fire safety officer was present as a content expert. Latent errors (hidden errors in the workplace, staff knowledge etc) were identified. Malfunctioning of theatre floor windows and staff unawareness about the location of an evacuation site were some of the identified latent errors. Thorough feedback to address these issues was provided to the participants on the day. A detailed report of the training session was given to the relevant departments. This resulted in the equipment faults being rectified. The training session was a very positive experience and helped not only in improving participants’ knowledge, behaviour and confidence but also it made system and environment better equipped.

scholarly journals Relationship Building as a Strategy for Managing Referring Clinicians

2022 ◽  
Author(s):  
Holly Marshall ◽  
Lina Mehta ◽  
Donna Plecha
Keyword(s):  
Emotional Intelligence ◽  
Patient Care ◽  
Personality Traits ◽  
Work Environment ◽  
Community Outreach ◽  
Relationship Building ◽  
Social Functions ◽  
Building Relationships ◽  
Radiology Practice ◽  
Tumor Boards

Abstract The strength of a radiology practice depends on the strong relationships radiologists develop with referring clinicians. Solid relationships with referring clinicians can contribute to a satisfying work environment, and ultimately excellent patient care. There are several different ways that a radiologist can help improve relationships with clinicians. As a start, this includes a radiologist strengthening one’s emotional intelligence. Also, identifying the personality traits of others is key to successful interactions. Conflicts in the workplace are inevitable, and effective negotiation is helpful in building relationships with clinicians. Interacting with the referring clinicians is also key to a successful relationship. This includes all in-person communication, participating in tumor boards, community outreach events, and social functions outside of work. This article presents several tips to improve and manage relationships with referring clinicians.

scholarly journals Stomatheraphy: influences and repercussions on the professional career

2020 ◽  
Author(s):  
Lais Del Moro Cespedes Wojastyk ◽  
Maria Angela Boccara de Paula ◽  
Merielen Neves Brajão Prado
Keyword(s):  
Work Environment ◽  
Exploratory Study ◽  
Sao Paulo ◽  
Nursing School ◽  
Quantitative Approach ◽  
Job Market ◽  
Professional Career ◽  
Management Positions ◽  
The Subject ◽  
The University

Objective: To analyze the influences and repercussions of enterostomal therapy on the career of nurses. Methods: Descriptive, exploratory study with quantitative approach, conducted in 2014. The sample consisted of 29 nurses graduated from the Nursing School of the University of São Paulo and the University of Taubaté. The data were collected through a questionnaire and analyzed by SPHINXR software. The results were discussed in the light of the literature on the subject. Results: The continuity of the studies provided the nurse a career with promotions, management positions or even a career redirection. The work environment influenced the achievement of the specialty (21/79%). The participants worked in several types of institutions and their positions were diverse, thus presenting options for those who want to pursue a career in the area. Conclusion: The job market, as well as the environment in which the nurse is inserted, most of the time plays a defining role when the subject is the choice of a specialization.

Factors Affecting Compliance to Ethical Standards in Public Procurement in Kenya: A Behavioral Model of Ethical and Unethical Decision Making Perspective

2021 ◽  
Vol 9 (12) ◽  
pp. 2804-2825
Author(s):  
Victor Bosire Okemwa ◽  
Dr. Bonface Matayo Ratemo
Keyword(s):  
Work Environment ◽  
Code Of Ethics ◽  
Public Procurement ◽  
Behavioral Model ◽  
Legal Framework ◽  
Ethical Standards ◽  
Factors Affecting ◽  
Environment Factors ◽  
Unethical Decision Making ◽  
Work Environment Factors

The study sought to investigate the factors affecting compliance to ethical standards in public procurement in Kenya. The study adopted it is specific objectives from a behavioral  model of ethical and unethical decision making that is; professionalism factors, social factors, personality factors, legal framework factors and work environment factors on how they affect compliance to ethical  standards in public procurement in Kenya. The study adopted descriptive research design as the study design, the population of the study was 40 employees and since the population was small the researcher employed census research design where all employees took part in the research. Primary data collection method was used by administering structured questionnaires. Descriptive statistics, correlation and multiple regression analysis were used to analyze the data. The finding of the study revealed that professionalism factors, legal framework factors, and work environment factors had a positive and statistical significant influence on compliance to ethical standards in public procurement in Kenya. Personal factors and social factors were found not to have statistical significant influence on compliance to ethical standards in public procurement in Kenya. The study recommended that administrative bodies and judiciary should enforce sanction to people who contravenes rules and code of ethics in public procurement. Public organization to invest in training their employees in public procurement code of ethics and rules to avoid the ignorance’s currently observed. This study had implications on knowledge and practices since it did not only investigate factors affecting compliance to ethical standards in public procurement in Kenya but also informed that professionalism factors, legal framework factors and work environment factors were the major factors affecting compliance to ethical standards in public procurement in Kenya.

scholarly journals A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people

2019 ◽  
Vol 28 (8) ◽  
pp. 618-626 ◽  
Author(s):  
Ruth Baxter ◽  
Natalie Taylor ◽  
Ian Kellar ◽  
Rebecca Lawton
Keyword(s):  
Older People ◽  
Patient Care ◽  
Social Contexts ◽  
Positive Deviance ◽  
Multidisciplinary Teams ◽  
Safe Patient Care ◽  
Working Together ◽  
Multidisciplinary Staff ◽  
Medical Wards ◽  
Safe Care

BackgroundThe positive deviance approach seeks to identify and learn from those who demonstrate exceptional performance. This study sought to explore how multidisciplinary teams deliver exceptionally safe care on medical wards for older people.MethodsA qualitative positive deviance study was conducted on four positively deviant and four slightly-above-average matched comparator wards, which had been identified using routinely collected NHS Safety Thermometer data. In total, 70 multidisciplinary staff participated in eight focus groups to explore staff perceptions about how their teams deliver safe patient care. A thematic analysis was conducted in two stages: first to identify the tools, processes, strategies, and cultural and social contexts that facilitated safety across all wards; and second to generate hypotheses about the characteristics that facilitated ‘positively deviant’ patient care.ResultsBased on identifiable qualitative differences between the positively deviant and comparison wards, 14 characteristics were hypothesised to facilitate exceptionally safe care on medical wards for older people. This paper explores five positively deviant characteristics that healthcare professionals considered to be most salient. These included the relational aspects of teamworking, specifically regarding staff knowing one another and working together in truly integrated multidisciplinary teams. The cultural and social context of positively deviant wards was perceived to influence the way in which practical tools (eg, safety briefings and bedside boards) were implemented.ConclusionThis study exemplifies that there are no ‘silver bullets’ to achieving exceptionally safe patient care on medical wards for older people. Healthcare leaders should encourage truly integrated multidisciplinary ward teams where staff know each other well and work as a team. Focusing on these underpinning characteristics may facilitate exceptional performances across a broad range of safety outcomes.

scholarly journals Correction: Assuring safe patient care in a level III NICU in anticipation of hospital closure

2020 ◽  
Vol 40 (11) ◽  
pp. 1730-1730
Author(s):  
Rachel Fleishman ◽  
Endla Anday ◽  
Vineet Bhandari
Keyword(s):  
Patient Care ◽  
Safe Patient Care ◽  
Hospital Closure

scholarly journals Operating room nurse residency and specialty educators: Paramount in the success of novice nurse retention

2017 ◽  
Vol 8 (5) ◽  
pp. 20 ◽  
Author(s):  
LaSandra Brown ◽  
Debbie Belgard ◽  
Nakeisha Washington ◽  
Sparkle Grueso
Keyword(s):  
Patient Care ◽  
Operating Room ◽  
Residency Program ◽  
Surgical Patients ◽  
Team Approach ◽  
Residency Programs ◽  
Nurse Residency ◽  
Safe Patient Care ◽  
Nursing Curricula ◽  
Nurse Residency Program

Perioperative service is one of the specialties of nursing in which a team approach is vital for optimal patient care. The registered nurse is responsible for coordinating and delivering safe patient care. Operating room (OR) nurses are responsible for applying fundamental applications of the nursing process while formulating plans of care unique to surgical patients. The growing shortage of nurses worldwide especially impacts highly complex areas such as the OR, where skills specialized are needed to care for patients. One of the largest challenges of a graduate nurse (GN) is becoming enculturated to new environments. Traditionally, OR nursing is a paradigm foreign in nursing curricula; this creates challenges in the GN population in applying their practical nursing skills to surgical patients. In an effort to combat ongoing knowledge deficits unique to OR nursing, Houston Methodist Hospital (HMH) created an OR nurse residency program. The literature suggests that specialty-specific nursing residency programs offer GNs essential tools for becoming successful in their transition. Additionally, research suggests reductions in nurse burnout and turnover rate among GNs with adequate training and preparation. The purpose of this article was to provide insight on the importance of introduction to the OR prior to graduating from nursing school and the importance of OR nursing specialty residency programs and specialty educators as they pertain to the ideal nursing transition, sustainability, retention, and favorable patient outcomes. A questionnaire was created to capture successful applicable practices; the questionnaire also provided an opportunity for GNs to suggest opportunities for program improvements. The questionnaire was used to explore feedback from the summer 2014 Operating Room (OR) residency program graduate nurses in an effort to capture improvements needed for future program success.

Images of a ‘good nurse’ presented by teaching staff

2010 ◽  
Vol 17 (6) ◽  
pp. 687-694 ◽  
Author(s):  
Natalia de Araujo Sartorio ◽  
Elma Lourdes Campos Pavone Zoboli
Keyword(s):  
Qualitative Research ◽  
Professional Identity ◽  
Patient Care ◽  
Power Sharing ◽  
Nursing School ◽  
Teaching Staff ◽  
Semistructured Interviews ◽  
Patient Advocates ◽  
Good Nurse ◽  
Combine Authority

Nursing is at the same time a vocation, a profession and a job. By nature, nursing is a moral endeavor, and being a ‘good nurse’ is an issue and an aspiration for professionals. The aim of our qualitative research project carried out with 18 nurse teachers at a university nursing school in Brazil was to identify the ethical image of nursing. In semistructured interviews the participants were asked to choose one of several pictures, to justify their choice and explain what they meant by an ethical nurse. Five different perspectives were revealed: good nurses fulfill their duties correctly; they are proactive patient advocates; they are prepared and available to welcome others as persons; they are talented, competent, and carry out professional duties excellently; and they combine authority with power sharing in patient care. The results point to a transition phase from a historical introjection of religious values of obedience and service to a new sense of a secular, proactive, scientific and professional identity.

Sign in / Sign up

Export Citation Format

Share Document