Johns (1995) describes an aesthetic action as concerned with the practitioners response to a particular clinical situation. In this handover the nurse was trying to remember too much information and became confused until she took the time out this could be because she was tired or rushing. The only knowledge I had from a handover was observing this event. I recognised there was a lot of knowledge to be gained from this and so I decided to reflect on the event. In 1998 the NHS Executive claimed that pre-registration nursing programs are not equipping nurses with the knowledge and skills to deliver high quality care.
Using a laminated card and by displaying the Whooley questions discreetly I have implemented them at each clinic I have undertaken since. It is essential that the HV is both confident and competent in the delivery of the questions and committed to exploring any concerning outcomes fully. It has been suggested that many new mothers will not disclose feelings of low mood due to the perceptions a health professional may have if she does. Edhborg (2005) suggested women who are depressed after giving birth often struggle with tremendous guilt over their depression and believe that it means they are a bad mother, this inhibits their likelihood to disclose feelings of low mood to a practitioner. I have seen mothers react after presentation of the Whooley questions, with a sheepish “No” on occasion.
It’s not he/she place to discriminate, or to treat Sandra differently because beliefs are different. Growing up we were always taught to treat others as you want to be treated. In healthcare I feel it is a lot different. It’s your job to always treat the patient with respect and understand their needs and wants. Although Sandra was not conscious and could not make choices herself, the staff tried contacting her next of kin, when they were unreachable they took matters into their own hands to help Sandra.
Once I started researching a career in nursing I realized that there were a lot more types of nurses then I had originally imagined. I have not decided on which field of nursing I would like to specialize in yet but I just imagine myself as a general nurse, working in a hospital setting. A Registered Nurse (RN) is not a doctor assistant; a RN gets to treat wounds, give IV’s and basically get to treat their own patients. Right now my main priority is to stay focused on taking all necessary steps to pursuing Nursing as a career.Gwendolyn Mink describes most Registered Nurses as working directly with the patients and their families. They are the families’ contact with the medical world, in the hospital and at the patients’ home.
On previous occasions, it is noticed this nurse violating standards of care. At the time, she kept personal notes because she was fearful of a possible lawsuit in the future. The nurse was asked if she had ever witnessed other incidents of negligence performed by this nurse, and, if so, what she did. According to Blais & Hayes, (2011), when brought into court as a witness, the nurse has the duty to assist justice as far as possible. The nurse should always respond directly and truthfully to the questions asked.
I told E.M. that I was collecting data in order to provide myself with the opportunity to identify my strengths and weaknesses, and integrate my interviewing and communication skills learned in semester one of Practical Nursing. Once again, I reminded E.M. about the confidentiality between us, and that she did not have to answer any questions that she did not feel comfortable with. I reassured E.M. that I was using initials only in my assignment, and that the only other person viewing this interview would be my Nursing Practice teacher. During this time, I demonstrated professionalism by arriving on time, well dressed, and had all materials prepared and ready for the interview. During the working phase of the
Introduction In this account I will concentrate on an established clinical skill that I have been practicing for many years. Presenting this assignment reflects the assessment and care delivered to a patient within my working practice. Using Gibbs model (Gibbs, 1988) as a working model will allow my thoughts / feelings, evaluation, analysis, conclusion and action plan to be deduced. I will apply critical thinking and underpinning knowledge to evidence based practice and thus concludes with an evaluation of increased clinical competency and personal development. Reflection as a learning tool allows me to identify the positive and negative aspects of my practice and to draw upon previous experiences and apply them to new situations “Reflective practice has, however, the potential to help practitioners in all fields unlock the tacit knowledge and understanding that they have of their practice and use this to generate knowledge for future practice”.
Negligence and malpractice are increasing within nursing fields even though nurses and students who will become nurses are educated about their legal and professional responsibilities and limitations. Negligence is a failure of fulfilling the responsibilities that the nurse has which results in malpractice. A nurse can be sued for malpractice when she fails to take care of the patient; it results in patient’s injury, however we should keep in mind that not every case ends with the injury, but still it is a malpractice. Many nurses are not fully committed to perform the skills they should, and they enter the profession only because of benefits. Malpractice can be increasing because of a severe shortage of trained nurses, and it happened because of a few factors: nurses are required to work longer shifts; they can lead to fatigue and increase the risk for an error; also short Nursing courses providing degrees with no sufficient time to train nurses results in malpractice.
I was worried that maybe I had gotten into a different profession, scared and confused, wondering if I was going to bring the change to the community’s perspective of nurses. Even more so I was embarrassed to walk in public with my uniform, afraid to be labeled as the bad nurses the media has been telling the public about. And I wondered if the public appreciated what the nurses were doing for them, or they were just naming them for nothing. On day 4 we went back to get the feedback from the deputy school head, about the topics and dates to conduct our health education and response from the board members. And surprisingly, Mrs. Mogapi told us that she had forgotten to talk to other staff members about our requests.
I observed my RN carefully and how she uses the machine. It’s stated that “Despite this, dignity is seldom defined and there are few guidelines that nurses may use in their practice to safeguard individual patients’ dignity.” (Ballie, L. 2007). And since this was my first time, I felt quite uncomfortable in assisting the task. I felt like a must push myself in doing the allocated tasks since it was my first time watching a patient being showered. I knew that if I was to become an RN one day, I must overcome this uncomfortably, and view it as a natural thing.