Clinical Setting
Banner Heart Hospital is one of the largest free-standing heart hospitals in the nation. They have a commitment to “providing superior heart care services in a fully integrated, collaborative environment that has earned a distinction as a nationally Accredited Heart Failure Institute by the Healthcare Accreditation …show more content…
The nurse also emphasizes the human side of things, creatively helping the patients and family members cope with the hospital experience (“Job: Registered Nurse CVICU,” 2017). Especially in this environment, a thorough assessment is needed not only for the patient, but for the patient’s family as well, as it is incredibly difficult to see loved ones in these critically ill condition(s) in addition to not immediately understanding what all the medical equipment is for and what the plan of care being carried out is. Therefore, holistic care is critical in this clinical setting. One example of a holistic intervention found on Banner Heart’s CVICU floor is the supply of aromatherapy in the medication rooms. Banner Heart Hospital is proactive in promoting holistic interventions through awareness of evidence-based research on non-pharmacological interventions, which, then, in turn, promotes high quality …show more content…
Patient advocacy came to be considered as a practice that contains a sequence of practices, behaviors, and/or actions for protecting and preserving the best interests, well-being, values, and rights of patients (Choi, 2015). Nurses in this setting must view the patient holistically and as a whole, and take into consideration all the factors contributing to his or her care.
There are three components of patient advocacy: (1) developing humanistic interactions with patients to preserve their interests and health, (2) recognizing and respecting the patients’ freedom of self-determination and assisting them throughout the decision-making process, and (3) sharing information and emboldening them to make decisions (Choi, 2015). Therefore, it is imperative that CVICU nurses recognize the components of patient advocacy, as it is important to keep the patient’s best interests as a priority in providing care.
There are common areas requiring client advocacy in this clinical setting, which include withholding of information or lying to patients, provider-patient conflicts in regard to desired outcomes and expectations, cultural and ethnic diversity and sensitivity, respect for patient dignity, and end of life decisions (Choi, 2015). The need for client advocacy may arise in difficult situations and ethical dilemmas. As a result, the registered nurse must be able to handle these situations, and have the confidence to speak on behalf of his or her