1. What was the name of Jesus’ mother? 2. What was the name of the garden where Adam and Eve lived? 3.…
When my daughter was in the Neonatal Intensive Care Unit (NICU) 11 years ago, I was I was blissfully ignorant of patient-to-nurse ratios and budget constraints. I had confidence in the competence of the nurses and believed that they had the time and the tools necessary to care for my child. Now that I'm a nurse myself and I see my support staff numbers cut and my patient load rise, I wonder what my patients and their families think of me.…
Over the past number of years there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is due to the uprising acuity of patient care and a decrease in there overall hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Not only has the safety and quality of patient care suffered, the working conditions in hospitals have also got worse due to the hospitals not keeping up with increase demand of nurses (Welton, 2007). Hospitals that don’t have adequate staffing tend to have an increased rate of negative patient outcomes. Some of these negative outcomes that are potentially caused by the decrease in nursing care are shock, pneumonia, cardiac arrest and urinary tract infections (Stanton, 2004). This has led to state legislatures adding mandatory laws that promote adequate staffing regardless of the severity or acuity of the patients. The additional costs that are required to staff the hospitals with additional registered nurses are unfunded which means that staffing can be decreased in other work areas (Welton, 2007). This shortage is a problem that is affecting not only the patients, but also the staff. Nurse management and leadership play a significant role in finding a balance among all involved. Throughout this paper, the author will be discussing how the managers and leaders play a significant role in the issue of nurse staffing ratios in order to promote quality and safe care for the patients. Also, the author will discuss some tools and skills that are beneficial in supporting the nursing staff and the overall demands in the hospital…
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my first clinical placement in my first year of study. The event took place in a nursing home. All names have been changed to protect the confidentiality of the patient (NMC, 2008).…
Staffing shortages, recruiting efforts and retaining nurses is just a beginning of the day to day challenges that nurse managers have to deal with. This role has responsibilities to many people and duties to numerous to count. After this interview my views on management and leadership have not changed. It is easy to recognize that this is a time consuming demanding job.…
(Sherman R O 2005 Don 't Forget our Charge Nurses)Sherman, R. O. (2005, May-June). Don 't Forget our Charge Nurses. Retrieved November 14, 2012, from http://0-web.ebscohost.com.innopac.hal.org/ehost/pdf?vid=9&hid=103&sid=…
References: Flora, C. (2010). Mastering the art of being in charge. Psychology Today, p. 50. Retrieved from http://web.ebscohost.com.proxy.devry.edu/ehost/pdfviewer/pdfviewer?hid=9&sid=d961ab04-9b03-4458-920c-7bfdd680c7b7%40sessionmgr13&vid=7ed…
In a typical emergency department setup, caregivers deal with patients having acute cases, mostly involving pain or distress of some sort. In addition, patients undergoing treatment in this unit fall in a category known as “transient” – early in, early out. Because of these conditions, I have observed that the nurses in my area of responsibility have developed this notion that “nursing care” should be focused on the accomplishment…
I became a Registered Nurse and was given the opportunity to work at Chesapeake Regional Medical Center's Intensive Care Unit where I initially trained and became certified in Critical Care. After two years, I joined the Specialized Training and Advance Tactics (S.T.A.T.) Team, whose selected members rotate to all critical care units of the hospital: The Emergency Room, Intensive Care Unit (ICU), Progressive Care Unit (PCU), Post Anesthesia Care Unit (PACU) and respond to all medical emergencies hospital-wide. Learning this job enabled me to have a clear perspective of different areas of nursing and its contribution to each patient's progress and holistic care. After a year I decided to challenge myself and take a leadership role. I now hold a Charge Nurse position in the Progressive Critical and Intensive Care Unit, where I am responsible for performing a variety of duties alongside the nurse manager in upholding nursing staff, providing quality nursing care, establishing specific goals, and facilitate good patient…
A ship cannot set sail without its captain. The same goes for all organizations whether it is medical, industrial, or business. Leadership is a skill used in every aspect of life, and work. “Leadership is about creating change, and management is about controlling complexity in an effort to bring order and consistency” (Kelly, 3). There is a major difference between being a leader and a manager however both are a necessity for a proficient leader. A proper leadership is the key to all successful efforts. In the health care profession is a multidimensional field that needs a team that acts as one to operate. The nurse leader is at the top of that team, and preforms a vital roll in the nursing profession. Nursing is constantly in demand and many newly graduated nurses are stepping into the hospital with fresh eyes. The nursing leaders also help new nurses prepare for his or hers nursing journey. The nurse leader is a highly trained, skilled expert that acts as the “captain” of the operation, allowing it to “sail” smoothly and efficiently. To better understand the thought process and leadership roles behind the scenes, an interview has been conducted with a nurse who holds a leadership position. This paper will…
I will reflect on an incident that occurred during my shift to develop positive attitude towards nursing informatics.…
As a staff nurse in the emergency room I had to develop leadership skills in order to effectively deliver quality care and maintain safety in a fast paced environment. By identifying safety risks associated with the assignment of inexperienced nurses to triage and discussing the breakdown in communication between physicians and staff, caused by inaccurate triage acuity levels, I effectively facilitated the change in the process of assignments to triage. Once the need of education, mentoring and nursing collaboration to support inexperienced triage nurses in role transition was acknowledged significant positive changes were experienced in staff communication, patient safety, and teamwork which ultimately improved morale. Although, I have not held a management position I have succeeded in resolving conflicts and de-escalating patient and family complaints in the hectic emergency room environment by listening and identifying the requests and views of the patient and…
As I think of nursing as a whole and my experiences thus far, many thoughts come to mind like is this for me? Is nursing what I expected? Am I in the right profession? My first day in hospital was when all these emotions started rushing to the fort, what really happened was all the work covered in lectures, practical’s and clinical settings all came to life. I stood there watching Mrs. Mitchell give us a tour around the hospital and I felt a sense of excitement as well as nerves kick in.…
The nursing role is rapidly evolving as nurses are tasked with an even wider range of health care responsibilities. In hospitals, clinics, and care centers around the US, nurses are rising to meet these challenges. Today's nurses are not just caring for the sick; they are changing our very notion of modern medicine and health care delivery. A nurse’s role is about being a more effective member of the health care team and navigating clinical systems. No matter the work environment, all nurses are members of the profession which implies accountability for one’s professional image (Essentials of Baccalaureate Education, 2008, p.9). In my career as a nurse, my role has changed many times and began as a provider of direct patient care.…
Before the RLE exposure, when I hear the word “Head Nursing” from my fellow batch mates, it is always coupled with the words “TOXIC, TOXIC and TOXIC” and when I was the one on duty, I proved them right and wrong. You have to prepare for your activities and you need to monitor your staff nurses all the time. Honestly, I even forgot how it is to urinate because I was busy facilitating my staff nurses. You have to comply with the needs of your staff as well as the doctors and you have to evaluate your staff. You are the boss and the decision always comes from you it’s like you call the shot and you are the final say. If you look at the brighter side, being the boss gives you pleasure and you don’t need to assist during the operation and other nursing procedures however, you should be there and check if you’re staff is doing everything correctly and appropriately. Decision making is a great deal and responsibility, once you made a mistake you can ruin one’s life, or so everyone’ life…