However, after instructing an agency to look for nurses on our behalf, I found that the agencies also struggled to find nurses. When they did find a suitable candidate, the nurse was in high demand from not only other Care Homes but also from the NHS. Due to this the nurse was able to be very selective regarding working hours, pay, etc and more often than not had already had several interviews arranged before I was sent their CV. Due to this, to this date, as a company, we have not managed to recruit any nurses using a recruitment agency. Recruiting from abroad also provided problems.
Many nurses have to work in at least a few different facilities just to earn enough money to live comfortably in our current society. The nurses then get called on a short shift at a different facility but have to refuse the work because they are already working else
My current job autonomy is necessary. Working in hospitals and nursing homes the majority of my nursing career, becoming completely autonomous was like culture shock for me. In a hospital you have co-workers, doctors, PT, Pharmacy all at your fingertips for information or advice and just help. Working out in the community was hard for me at first because I was not use to being completely alone. I did learn a lot with this job and have grown tremendously, since starting.
The only downfall on leadership for the Medical Unit was getting backfill for the LPNs that were being transferred off the floor. The concern was that the LPNs working on the floor had been working there for years and were knowledgeable in the patients and expectations, so would the replacements by in the form of Nursing Aides where their scope of practice was way more limited than the LPNs or would they be replaced by RNs. And if so, what type of RNs – new grads? Fortunately for Donny, he left Hilo Medical Center before he was forced out of his position on the Medical Unit. He recalls on his last visit to see some old friends at the Hilo Medical Center, the hospital administration incorporated a mixture of both new RN grads and Nursing Aides to backfill the LPNs.
As a nurse with many years of experience in the Intensive Care Unit (ICU) and Nephrology/Dialysis, I have had much experience with death and dying. It was never so evident as in the long term illness of my mother. My father and sister were unable to understand the situation as I did with my professional experience. Even my and the doctor’s explanations weren’t enough for them to realize that the course my father chose for my mother was a long and uncomfortable one. This, in turn, was a learning experience for me.
In the early stage of nursing, most of the people engaged in this profession were uneducated and unrecognized people in the society. Today, there is growing number of students receiving basic nursing education in colleges and universities. Nursing practice trends include a growing variety of settings in which nurses now continue to gain autonomy and respect as members of the health care team. Secondly, Nursing was a job for the “undesirables” in society, the pay was poor, and there was no social standing. Due to early nursing figures, nursing gained the respect from the military and government.
Communication is important for provision of appropriate care by nurses. Over the past few years, media reports have suggested that nurses lacked compassion. I was placed at a rehabilitation hostel for people with mental health problems and I noticed that some junior nurses did not have assertive skills to deal with ‘difficult’ patients. I had an opportunity to witness a new admission and was surprised at how some nurses were only concerned about patients’ medical symptoms without listening to underlying causes of their illnesses. Consequently, I decided to focus my discussion on these three communication skills; compassion, assertiveness and listening skills.
Sometimes in most cases a particular family member is trained by nurses to provide hands on care, and to supervise the patient around the clock. Many patients in hospice have been discharge to either home or nursing home if the disease goes into remission meaning if the cancer(s) somehow have subsides. Hospice was not designed to end hope for the patient or their family but to make the expected/unexpected death as comfortable and peaceful as possible. Hospice is not only for the elderly and cancer patients but it is for the young, the chronically ill. Hospice has a huge impact on our health care system the life expectancy is increasing tremendously. This is statement released by a group of physicians who did a research study on hospice.
There are a lot of elderly people out there that need someone to help them and be there to listen to them because they don’t have anyone else. When my mom was sick and in the hospital I was with her day and night I didn’t want her to feel like she was alone. I had a nurse come up to me and tell me that I should
This often leaves nurses feeling powerless over their work life as well as their personal life. Mandatory overtime has generated much hostility and resentment between nursing facilities and their employees. But if mandatory overtime is so problematic, why is this practice so commonly used? THE REASONS BEHIND MANDATORY OVERTIME Numerous factors contribute to the increased use of mandatory overtime. Several of those issues began in the 1990s when changes in the health care system were implemented.