Responding to Nursing Situation Essay

Response to Sammy

What a wonderful thing you have done. You found the ways of caring that were most needed and used them. Ida Jean Orlando believed that our profession was meant to determine what the patient needed and fill that need. This often means that the need is what we may immediately see, it may be well hidden from view and it is the caring nurse who will find it. It appears you have done that. In today’s world of demanding and challenging workloads it is often difficult to manage this kind of caring response because of lack of time and energy. It is important, however, to realize that being with patients during their moments of emotional and physical crisis is a privilege and often is an opportunity for giving and receiving (Shiparski, 2008). Responding to Nursing Situation Essay.  It is these special moments throughout the history of nursing that makes it the caring profession that it is. Thank you for sharing.

Shiparski, L. (2008). Evoking the essence of caring: experience from a Peruvian

adventure relevant for leaders in healthcare today. Nursing Administration Quarterly: 32(1); 64-69.

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Response to Tammy

In nursing, the act of building trust must sometimes happen quickly and it appears in the case of your patient with Chron’s disease, this is what happened. Patients with a chronic illness that is often painful may have trouble forming the close relationship with family that is needed (Rushton, Reina, and Reina, 2007). The nurse may need, in her caring manner to fill that void which you have done.  In order to develop the fragile trust bond with patients, the clinician must be able to practice humility, engage in inquiry, and honor the patient’s choices (sometimes the most difficult), as well as express compassion. Trust, is part of the caring philosophy of nursing. Trust becomes important in each encounter with patients and families to allow caring to occur. It appears that what you managed to do was to establish a quick trusting relationship that transformed to caring.

Rushton, D., Reina, M, & Reina, D. (2007). Building trustworthy relationships with

critically ill patients and families. AACN Advanced Critical Care 18(1). 19-30.

Describe a nursing situation you have encountered in your clinical placement. The situation can be a specific physiological patient problem, a situation involving a patient’s family or a staff member. It can also be a description of your role in problem solving or of an ethical issue you encountered in practice. The key is you need to have been directly involved in the event. You must also maintain confidentiality of your subjects at all times, that is – do not identify the patient, staff or hospital site.

Describe your relationship to the patient, staff member, person at the time you noticed the situation. That is: was it your patient, had you seen the person before, the quality and length of your relationship.

Consider experiences you have had that helped you provide care in this situation. Describe your formal knowledge (physiology, communication skills etc); previous nursing experience with a similar problem; as well as any personal experiences that helped guide you as you worked through this situation.

Describe your beliefs about your role as the nurse as you were working through this situation.

Describe any emotions you had about the situation.

To have Clinical practice has been a good experience and has made huge impact towards my approach to the patients and their care management. During my clinical practice, not only I am able to develop a sense of the patients but also learning from the patient’s experiences.

During my first clinical practice, I was assigned to provide nursing care and management to Mr. JH. A wonderful man with lot of knowledge and experience of life. My RN was with me and I had the opportunity to introduce myself to Mr. JH as student nurse. He asked me where I was up to my studies and wants to know about my learning goals and plans.

After spending few moments with him, I was able to understand that Mr. JH was not happy with certain level of care and treatment. I came to know that Mr. JH had certain operation procedures which have made him very discomfort and pain. Responding to Nursing Situation Essay. As I was helping him with his morning tea and toast, Mr. JH started coughing. Immediately I got in touch with my RN and informed her about the situation. She came and saw Mr. JH and encouraged Mr. JH to cough out the food. He vomited some food and seemed to bit comfortable. The RN told me to stay with Mr. JH and told to observe any change in his condition. Even though I was taking to Mr. JH and trying to make him comfortable, I can see him coughing in-between. After few minutes I noticed an irregular pattern of breathing in him. I immediately got in touch with my RN. By the time she came. Mr. JH was not responding well. We made Mr. JH to lie on his bed on her left side. The RN started giving some backslaps and abdominal thrust. This made Mr. JH coughing again and regained his consciousness. Meanwhile the doctor was there and took Mr. JH under his care management.

Activity 2: Noticing

What did you notice about the situation initially?

Initially when I was having communication with Mr. JH, I was able to see the expression on his face regarding the pain he is feeling. To some of my question, he was not able to provide any information and was trying to ignore me. When I went near to him, I was able to feel and see his heavy respiration. Even though I was trying to make him for comfortable, he was shriving. Mr. JH asked for some water, but he was not able to drink it.

Activity 3: Interpreting

Describe what you thought about the situation (its potential causes, potential resolution etc).

Under this situation I was able to interpret that Mr. JH was not able to chew his food properly. That has created all this problems. While having food he was watching Television and listening to news. Mr. JH was not taking under consideration what amount of food is going into the mouth.

This has happen in my family. My elder son who is autistic, never take his food properly. Responding to Nursing Situation Essay. He is interested watching games and television and always forgets what amount of food is going into his mouth. So we have to be very careful, when he is having food.

In my experience, I have always maintained that whether its patients or children in my family , extra care and precaution should be taken. I have always maintained that not only in their diet but also precaution should be maintained in their day to day activities.

Activity 4: Responding

Describe stressors that you experienced as you responded to the patient/others involved in the situation.

As soon I saw Mr. JH was feeling discomfort, I immediately got in touch with him and provided extra protection by handling him with both of my arms. Once I made him comfortable in the chair, I immediately got in touch with my RN Mentor and informed her about the situation. Responding to Nursing Situation Essay. Once the RN was in the room, I immediately took the vital sings of Mr. JH and gave the reading to my RN. I was asking question to Mr. JH to get some positive feedback and also making sure that he is in comfortable position.

Activity 5: Reflection

Reflection-in-action

What happened? How did the patient/family member/staff respond? What did you do next?

As my RN had wide experience in handling this type of situation, she immediately acted on this situation. My RN got all the information from me and advises me to handle the situation very clam and professional manner. We both got Mr. JH to get back to his bed. My RN made Mr. JH to lie on the left side so that she can remove any food in the mouth. She also made me to check whether there is anything left in the mouth. Then the RN started giving some backslaps and abdominal thrust. This made Mr. JH coughing again and regained his consciousness.

Reflection-On-Action /Clinical Learning

Describe three ways your nursing care skills expanded during this experience.

Remain calm and professional throughout critical incidents.

Strong analytical skills, capable of assessing conditions and implementing appropriate intervention. Responding to Nursing Situation Essay.

Develop rapport with patients, family, staff and physicians.

Identify three things you might do differently if you encounter this kind of situation again.

Try to be more resourceful problem solver and try to be more capable of implementing solutions to complex problems.

Try to possess special sensitivity to meeting diverse needs in varied situations.

Try to develop excellent rapport with patients, family, staff and physicians

What additional knowledge/ information/ skills do you need when encountering this kind of situation in the future?

Due to this experience I feel I have got the ability to work autonomously, set priorities and make independent decisions of a complex nature. I have got the ability to maintain confidentiality of patient’s medical records. This is also given me the confidence to maintain effective written and verbal communication skills, Strong customer service skills and also excellent interpersonal communication skills.

What are the implications of this for your future nursing practice?

This reflection will help me to maintain effective verbal and written communication skills. Also it will help me to develop exceptional interpersonal communication skills, Strong time management skills, excellent organization, analytical, and planning skills.

Everyone reaches a certain point in their lives wherein they would need a helping hand to hold on to. There would be times that even strongest people would need a friend, a companion, or someone they could seek for help. These times would have to be the lowest points in their lives, and these are called disasters.

Disaster comes at any time. It chooses no time, no place, and people involved. It may sometimes be caused by variable reasons. Be it due to the natural phenomenon, the weather, but most of the time, our actions and negligence are accounted for the disastrous situations that we encounter in our lives.Responding to Nursing Situation Essay.  These situations usually come unannounced resulting to more grief and sorrow whenever something devastating had occurred that killed the lives of many. Whenever these situations come, emergency nurses are always the one responsible in responding and giving help to those affected. They are the ones who are called upon during these kinds of situations. They come without hesitation because it is a part of their full pledged duty- – to help those in need, and help save lives.

Emergency nursing is the field these nurses chose to pursue. This field of nursing is one of the most unpopular but is considered very integral part of nursing. Saving lives starts here. Rescuing people from the disaster they have undergone requires immediate response from the rescuers since emergency situations are life-threatening and may require immediate interventions to help minimize the aggravation of the problems caused.

Emergency nursing may be classified into several types. First is the medical emergency where pathological conditions are included. These are the kinds of emergency where medical attention, usually hospital care, is required to be given immediately. Second is the natural disaster including tornado, flashfloods, hurricane, and mud slides. These are those that require rescue from government agencies for supportive interventions. Third, and the final emergency situation is the property- emergency (e.g fire).

Property emergency such as fire are considered by most of the agencies to be the least priority since it has the lowest risk in dealing with it. But needless to say, every single emergency is still an emergency and needs to be attended immediately in order to save lives. Responding to Nursing Situation Essay.

In this study, emergency nursing during disastrous situations should be presented and elaborated step by step, to prove that all emergency cases must be attended accordingly, regardless of the severity or complexity of each situation.

BACKGROUND OF THE STUDY

According to Debbie et.al (2006), Decades ago, nursing practice was unlike today – systematic and very professional. But in observation, nurses have long existed even before Florence Nightingale came into the spotlight. In fact, nurses have existed since the time humans cared for others. The knowledge and experience may not be as broad as today but people have been nursing others in need knowingly or otherwise in times of disaster. Simple things like sharing food and giving shelter to the homeless are ways to show that people “care.”

During wars, nurses have been battling alongside soldiers with injured comrades attending to each and every one of them. At that time, Florence Nightingale emerged like a superhero assembling 38 volunteer nurses to care for wounded soldiers during the Crimean War. With their help, death rate has decreased, so did instances of infection. And many of those implemented protocols became prominent health care models later on. Reed (2010)

Many of the improvements in Accidents and Emergency services were first pioneered in England and Germany. The United States (US) also started to promote the importance of A&E services, especially after the Second World War. As far back as the 1960s, it was realized that the role of A&E nurses was noticeably different from that of other nurses. The necessity of providing these nurses with more specialized training was being realized. As nurse training improved noticeably during the 1970s, the development of branch nursing was formed. In the US, EDNA – the Emergency Department Nurses Association – was established by a group of nurses to help the medical world recognize their specialist needs. In 1985, the group changed its name to ENA – Emergency Nurses Association. In 1972, the English Royal College of Nursing separated accident nursing and emergency nursing groups. .Responding to Nursing Situation Essay.  In 1990, these two separate groups combined under the name “Accident & Emergency Nursing Association”, enabling the group to establish a professional authority to standardize training opportunities in emergency nursing care. Later, developments within the nursing profession resulted in the roles and responsibilities of emergency nursing being regarded as a specialized branch of nursing, which is based on an extensive and specific set of skills and knowledge. Selimen et. al(2009)

One of the key success stories of emergency nursing and another major celebration milestone has to be the emergence of emergency nursing groups. Since the early seventies many countries have developed national organizations, spreading the word and professionalism of emergency nurses. Responding to emergencies is far more than knowing how to identify the signs and symptoms of traumatic injury or exposure to hazardous chemicals. Effective response requires a disciplined team in which each participating individual follows clear lines of communication and performs according to clearly assigned role directions.

III. CONCEPTUAL FRAMEWORK

Self-Care Deficit Theory (Dorothea Orem)

Sources: Nursing Theorist and Their Work 5th edition

Research Paradigm

Efficiency to render care

Competency

Age

Gender

– Length of emergency nursing experience

-Level of training

-Level of confidence

-Level of Anxiety

-Knowledge

Emergency Nurse

Self-Care Demands

-Insufficient airway, water and food -illness, injury, pathological conditon

Emergency/Life Threatening Conditions

Self-Care Agency

Self-Care

STATEMENT OF THE PROBLEM

This study aims to determine the readiness of nurses to respond in emergency situations.

Specifically, the study sought for the answers for the following questions:

What are the factors affecting readiness of nurses in responding to emergency situations?

What are the different hindrances that cause delay in responding to emergency situations?

Do the nurses comply with the standard nursing procedures and principles when responding during emergency situations?

Up to what extent is the nurses’ readiness when responding to emergency situations?  Responding to Nursing Situation Essay.

What is the level of nurses’ training level in regards to responding in emergency situations?

How does it affect their responses during emergency situations?

HYPOTHESIS

Based from the problem of the study , the research hypothesis is formulated and will be tested at the level of significance of 0.05.

Nurses are not ready enough to respond in emergency situations.

SIGNIFICANCE OF THE STUDY

The study aims to benefit the people who are involved in the nursing field and those who will be able to read this study.

For the hospitals, they can provide proper evaluation to the level of preparedness of the equipment, staff and management in response to emergency situation. Assurance of quality care given to patients is guaranteed safe. This level of preparedness will give the community the information on how reliable our Filipino nurses are when danger emerges

For the academe, they can present guidelines and information in education for possible activities that can improve the performance and competitiveness of student nurses in clinical settings. Programs and seminars can be provided to enhance knowledge and capabilities of the nursing students in terms of emergency situation and will give their students an idea on what these emergency nurses experience during those times.

For emergency nurses, they may learn how effective their training programs are in real danger and through this study nurses can improve their own strategies in saving lives and making priorities especially in their clinical practice. Responding to Nursing Situation Essay. This will give them more information that would increase level of their competence that can be assured and can be reflected through their own performance during emergency.

For the patients, they can assure their safety in the hands of their emergency nurse. Competence and competitiveness of an emergency nurse can establish trust and cooperation of the patient.

For most of the student nurses who are interested on the emergency field, they can have a clear understanding on what emergency practice in real situation is. Performances of emergency nurses can be reflected in this study that may help the students visualize and let them learn in advance the real settings that they can apply in future situations.

For the future researches,they can be provided baseline data. It can also be use for comparison of results in the future and to find out if there is any improvement about the readiness of emergency nurses in responding emergency situation.

SCOPE AND DELIMITATION

The study focuses on the readiness of nurses when responding to emergency situation. The scope of the study will only be on the field of emergency nursing. The study will concentrate on the following factors: the hindrances that causes delay in responding to emergency situations, the compliance of nurses to the standard nursing procedures during emergency situations, the level of training and competence of the nurses when responding and lastly the extent of readiness of the nurses. The study will cover emergency nursing situations such as disasters, vehicular accidents, fire accidents and such. The study will be conducted only within the vicinity of Metro Manila area. The study will not cover emergency nursing in hospital based settings. Responding to Nursing Situation Essay. The respondents will be limited to graduate nurses specializing in the field of emergency nursing, volunteer nurses, members of the Fire Emergency Paramedic Assistance Group or FEPAG, and also members of the MDC Health Emergency Medical Services Association or HEMSA.

DEFINITION OF TERMS

Academe – a place in which instruction is given to students and where learning happens.

American Red Cross – an international organization that cares for the wounded, sick, and homeless in wartime, according to the terms of the Geneva Convention of 1864, and now also during and following natural disasters.

Competence – the state or quality of being adequately or well qualified.

Disaster – an occurrence causing widespread destruction and distress; a catastrophe.

Disaster response – a phase of the disaster management cycle. Its preceding cycles aim to reduce the need for a disaster response, or to avoid it altogether.

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Duty – a piece of work that has been assigned: assignment, chore, job, task.

Emergency nurses – nurses who specialize in rapid assessment and treatment when every second counts, particularly during the initial phase of acute illness and trauma.

Emergency nursing – a field of nursing which deals with human responses to any trauma or sudden illness that requires immediate intervention to prevent imminent severe damage or death

FEPAG – Fire Emergency Paramedic Assistance Group is a non-stock, non-profit civic organization which aims to provide rescue and emergency pre-hospital care during fire emergencies, vehicular accidents, medical emergencies, disasters and other calamities. Responding to Nursing Situation Essay. It also aims to promote public safety thru activities and projects geared towards emergency preparedness, mitigation and safety practices, and other related public service programs.

HEMSA – Health Emergency Medical Services Association is an organization in Manila Doctors College which aims to promote wellness and safety for the community by providing pertinent programs of education and training, awareness, prevention, preparedness and response to any situation pertaining to Emergency Medical Services (EMS) and pre-hospital emergencies.

Hindrance – something that interferes with or delays action or progress. These are barriers to proper intervention

Military nursing – a field of nursing which focuses on caring the nation’s service members and families either state side or abroad.

Nursing – a health-care profession providing physical and emotional care to the sick and disabled and promoting health in all individuals through activities including research, health education, and patient consultation.

Rescue – an act which refers to operations that usually involve the saving of life, or prevention of injury.

Triage – a process for sorting injured people into groups based on their need for or likely benefit from immediate medical treatment. Triage is used in hospital emergency rooms, on battlefields, and at disaster sites when limited medical resources must be allocated.

Responding to Nursing Situation Essay