This assignment will discuss the assessment and nursing priorities of a 42 year old man (Andrew) who had been transferred from ICU to a surgical ward during the night (see appendix 1). The author will focus on three physical areas that require immediate care over the next 48 hours, and also address the psychological, emotional and spiritual needs that were identified in the head to toe assessment (see appendix 2).The author will also discuss the assessment skills and tools which could be used to assist in identifying care needs for the patient, taking into account physical, psychosocial and cultural factors. Jevon, (2010) identifies ‘assessment’ as the first step in determining the health status of the patient. It should be carried out automatically
ADDITIONAL READINGS Laschinger, H.K.S. (2004). Hospital nurses’ p e rceptions of respect and organizational justice. The Journal of Nursing Administration, 34(7), 354-364. Manojlovich, M. (2005).
(2003). Best practices: A guide to excellence in nursing care. Philadelphia: Lippincott Williams and Wilkins. Stevenson, R. J. (2003).
Aliso Viejo, CA: American Association of Critical-Care Nurses. Lewis, S. M., Heitkemper, M. M., & Dirksen, S. R. (2010). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis: Mosby. Porth, C. M. (2008).
In (M. Fithian, Ed.). Philadelphia, PA: F.A. Davis Company. Sitzman, K. & Eichelberger, L. W. (2004). Understanding the Work of Nurse Theorists.
Philadelphia, PA: Wolters Kluwer Health. Pender, N. J. (1996). Health promotion in nursing practice (3rd ed.). Stamford, CT: Appleton & Lange Stamford.
(2013). Baccalaureate education in nursing and patient outcomes. Journal of Nursing Administration, 43(2). 89-9. doi: 10.1097/NNA.0b01e31827f2028 * Friberg, C. (2011) Conceptual Foundations: The Bridge to Professional Nursing Practice, 5th Edition. Mosby.
I can identify with more than one nursing theory influencing my practice but the one I most readily relate with is Julia Brenner’s Theory of Novice to Expert. I believe the reasons started when I was a brand new nurse at a small rural critical access hospital. They sent me to a class for “novice” nurses. It was a class that purpose was to further educate and provide an environment where we could voice our experiences. The hospital had a hard time retaining employees and one motive for the class was helping new nurses feel more comfortable and helping us have meaningful, fulfilling employment.
Mental Health, 1-3. Meyer, H. (2008). Managed care 101. American Medical Student Association, 1-16. Vinn, N. E. (2000).
Professional Roles & Values Project Sharon Professional Roles & Values Project My nursing career began in 1986 at the age of 23 when this author became licensed by the Board of Nursing as a Registered Nurse. I am very proud of my nursing career as it has started and still remains in the hospital setting, specifically in the Operating Room where I help patients through the anxiousness and nervousness of undergoing major surgeries that in some cases will be both life altering and life changing, as well as life threatening, but will hopefully reduce their current level of pain, disease and suffering. Being a certified Operating Room Nurse, (CORN), certification earned in October, 2010 from the Association of Operating Room Nurses, allows for even more professional development and experience in maintaining and furthering the goal of offering the best and safest quality care to each patient. My mission statement is to care for patients and show them the same level of dignity and respect without regard of their race, religion or socioeconomic status using evidence –based nursing practice and care, good interpersonal communication skills and solid emotional support that has been learned through training, experience and much practice over the course of almost 30 years of practice. To serve as the patient’s advocate before during and after surgery, to ensure they receive quality safe care throughout their stay in the operating room.