In addition, confidentiality as part of the social, ethical and moral basis of working in care setting is further explained in the NMC (2002) clause 5.1-5.4. In clinical setting, preserving confidentiality is view as the key to establish trust, promote good relationship and interaction. In the absence of this, nurses might not be able to offer the client the required quality care as expected Hogston and Simpson (1999). Arnold and Boggs (1999) argued that if client feel confident to communicate their information to the nurse, made aware that their information is secure with assurance that it will be passed on with their
History taking is a competent skill which enables practitioners to make accurate diagnosis and this skill is a fundamental requirement for the code of practice to maintain professional accountability (Nursing and Midwifery Council (NMC), 2010). Using a structured approach to guide the process can help the health professional to develop their skills in time management during the consultation and assessment. This ensures that the time a nurse has with the patient is used effectively and important elements are not missed (McEwen and Harris, 2010). Practitioners ‘must’ be apt in taking an accurate history from a set format ensuring that questions are pertinent to the diagnosis stated Crumbie (2006). In this case, the patient presented with a productive cough lasting over two.
According to Garity (2005), “The nurse’s ability to collaborate with patients, families, and multi/ intra-disciplinary health care professionals in the successful resolution of such dilemmas can affect the quality of health care” (p. 11). The nurse has an ethical obligation to give every patient the same level of compassion, care, and respect regardless of the nature of the illness (Chitty & Black, 2010). Whether or not the nurse agrees or disagrees with the decision that Marianne’s family has decided on, the nurse must ethically abide by the family’s wishes and provide the highest quality of care for her. The nurse’s highest level of commitments is for Marianne at that point. Although competing demands of patient, family, and physician have risen, the nurse’s first priority is always providing care that ensures patient safety and protects the best welfare of the patient.
Safety in Nursing. Safety in Nursing According to Gordon, Darbyshire, and Baker (2012), “Extensive work in high-stakes industries has demonstrated that improving safety is not just about enhancing knowledge or skills, but also concerns the addressing of human factors and poor performance of non-technical skills that can lead to errors.” Safety has and will continue to play a vital role in nursing. It does not apply to only the patients, but also the nurses. This paper will address different safety techniques and how it affects the patients and their care-givers. Safety Techniques Nurses need to know and apply proper hand washing techniques, wear gloves during patient care, and use anti-bacterial hand lotion or soap.
For example, I can delegate the task of emptying a catheter to a nursing assistant instead of having the nurse do it. Identifying the ability and skill is important as well. I will not be able to delegate a task of inserting an intravenous line if the nurse does not have training on it. To choose the right person we also need to consider the personality, reliability, and commitment because it can make the tasks of delegation easier. If a person is committed and reliable, then we know that the task will be done.
A guide to taking a patient’s history A.Romero Chamberlain College of Nursing NR 305 Health Assessments March 15, 2014 Introduction The article, “ A guide to taking a patient’s history,” which was written by Hillary Lloyd and Stephen Craig (2007) was published in the Art & Science Journal Volume 22, issue number 13 in December issue 2007 presented a remarkable tool to use as a systemic approach for completing a thorough history taking to any patient in perspective. It is an invaluable component providing a nurse or clinician the necessary information to deliver patient care. The article provided issues such as preparation of the environment as the first part of any history taking process, effective communication, allowing sufficient time and organization are also discussed as useful elements for a complete history of a patient. Summary Taking a history of a patient is the most crucial approach of any interventions by nurses or clinicians. It is the most essential elements of information to guide the clinician the necessary care for the patient.
Problem solving is another area of informal leadership a professional nurse possesses. Upon encountering a problem, whether noted objectively or overheard through another’s complaint, the nurse employing leadership will not vent and complain to others, but take a different approach such as discuss with others with questions such as ‘have you noticed a problem when; entering this information in the computer, working with the IV pump, difficulty replacing universal precaution equipment, working with a Dr. Smith during procedures?’ etc. After garnering this information and determining if this is a static problem or ongoing, the nurse exemplifying the problem solving leadership will determine the next step whether further investigation is required, increasing an order of supplies, or approaching management and communicating with them. These actions will define and determine if the nurse is an effective leader. The assigned titles “manager”, “director”, “administrator” do not determine the leader, but the actions, attitude, and professionalism of the person determines the level of leadership.
Running head: A GUIDE TO TAKING A PATIENT’S HISTORY Chamberlain College of Nursing NR294: Health Assessment A Guide to Taking a Patient’s History The article, A Guide to Taking a Patient’s History, was written by Hillary Lloyd and Stephen Craig (2007) and published in the Art & Science Journal Vol 22 No 13 in December 2007. The focus of the article was to present a practical guide to history taking using a structured systemic approach with the rationale of preventing incomplete patient assessments which may result in inadequate care and adverse outcomes. The article did not specify a population but was geared mainly towards taking the history of an adult patient. Some of the steps are general and could be used for anyone but would require alteration and incorporation of other skills when dealing with pediatric patients. Lloyd & Craig (2007) presented several strategies and tools that would be beneficial in improving the abilities of the nurse as a history taker, if they are learned early and incorporated and used in regular practice.
(Potter & Perry, 2011, p. 2) As a professional nurse, you need to stay informed and be aware of the most current evidence or research. (Potter & Perry, 2011, p. 2) Research helps to inform our practice and helps us to improve patient outcomes. Just as it is important for nurses to be aware of current research, it is also critical that nurses have effective and adaptable communication skills. A nurses responsibility is to effectively communicate with patients and their familles, as well as the team. Effective communication allows nurses to develop important therapeutic skills.
Professional Roles & Values--Task 3 It is imperative that the FNP recognize her role to better meet the needs of the client. The nurse should meet with the FNP to explain the resources that are available at the clinic (ie: other staff members) During the meeting with the FNP the nurse should have policies on hand that have specifics of what the FNP should do in certain situations (ie: when to refer the patient to the high-risk clinic). The FNP needs to understand that while she is concerned about the patient it is her obligation to ensure the patient receives safe, quality care. When delegating the nurse is still accountable and responsible for the nursing practice. The nurse should ensure that when they delegate the person they are delegating to is competent enough for the task.