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Give a positive feedback to this 4 comments with at least a paragraph per post.
Maria 500: After graduation, I will continue to work as a clinical nurse in the Medical Surgical/Telemetry unit. Afterward, I would like to move to a bigger hospital and work as an ER nurse. To do this, I will continue to implement Dr. Patricia Benners: Novice to Expert Theory. According to Benners theory, there are five levels of nursing experience: novice, advanced beginner, competent, proficient, and expert. A competent nurse generally has two or three years of experience on the job in the same field These nurses are more aware of long-term goals, and they gain perspective from planning their own actions, which helps them achieve greater efficiency and organization (Nursing Theory, 2020). I believe that as the nurse makes the transitions into each phase, they become better at what they do and become better communicators and observers. With their acquired knowledge and improved skills, they can be promoted to becoming preceptors for the incoming new graduates, they become guides to those that are starting their journey in nursing. As a nurse, transitioning from one phase to another, helps me become confident in my abilities. Benners theory builds leadership skills and can help nurses reach managerial positions or motivate nurses to become educators. Becoming competent in our skills and abilities also helps us deliver better quality of care to our patients.Olga 500: After graduating with my bachelors degree I will continue working in the clinical setting in the Surgery department. I also plan to train in an ICU unit where I can learn how to treat critically ill patients. In this unit I will be able to apply the theory of the Peaceful End of Life from standards of care for terminally ill patients. According to this approach, five outcome criteria that promoted a pain-free death were devised: not being in pain, experiencing comfort, experiencing dignity and respect, being at peace, and experiencing closeness to significant others or another caring person (McEwen, 2017). The conceptual definitions of each of the result indicators were established in the stage that came next, and the development of relationship statements between the outcome indicators and the nursing interventions was done in the step that followed (McEwen, 2010). This theory is great for educating nurses how to make their patients that are in their final days have a more dignified and peaceful death while giving the family members an opportunity to say their goodbyes to the patient rather than have the patient suffer in their last moments. This theory will allow all leaders to instruct the employees to follow certain rules and protocols to deliver end-of-life care in nursing administration and management.Mohamed 402: Nurse BurnoutThesis: This research explores the amount of burnout experienced by nurses, the causes of burnout, and the best ways to deal with the stress of it all.AbstractNurse burnout, a common issue that can result in lower productivity, occurs when nurses feel both mentally and physically weary, lack inspiration, and become dissatisfied with their work (Roslan, 2021). Stress and exhaustion can hurt a nurse’s well-being, performance, and organizational dedication (Janssen, 2020). Nurse burnout is also linked to higher staff turnover and a drop in patient care quality. Even though there have been several studies carried out about nurse burnout, it continues to be a problem in healthcare delivery. To enhance nursing job outcomes, this study examines the level of burnout experienced by nurses, the causes of burnout, and techniques for coping with it. An analysis of existing research will be done to obtain this information. Nurse leaders have a critical role in reducing nurse fatigue, boosting morale, and lowering turnover while also increasing the quality of patient care (Wei, 2019) as this research will demonstrate.ConclusionThis study found that nurses’ work environments and demographics play a significant role in nursing burnout. As this study points out, a positive work environment can be achieved through stress management strategies and leadership that encourages employees to take an active role in workplace decisions, expresses trust in their abilities to perform well, makes achieving goals easier, and gives them more freedom. Additionally, improving the working conditions of nurses can encourage them to stay in the sector for longer, which could help attract more highly trained nurses to the area. As a result, these activities are expected to help minimize the nursing shortage and improve patient care quality. In light of this study, more studies are needed to examine the specific influence of various factors on burnout (work condition, compensation, total daily travel, and care for children for working parents).ChallengesMost of the studies to be reviewed included information from specific locations and not global records.The studies have individual limitations, such as sample size, and this review assumes all these limitations.Sally 402: Thesis: During times of illness there is heightened anxiety and emotions by both patients and family members. Abstract: Family and visitor presence has long been discussed for its benefits to patient outcome. It has shown to cause a decrease in anxiety for patients to have a loved one present during difficult procedures or when feeling unwell. Covid-19 visitor restrictions caused difficulties for patients, families and healthcare providers combined. This research paper will discuss the historical, mathematical, ethical and cultural perspectives by reviewing results from both qualitative and quantitative research studies. You will see that over and over again; studies reveled that family or visitor presence equals better patient outcomes. Restricting visits resulted in complaints or depression, delirium, confusion and increased complaints of pain. While family presence allows for better communication, more family involvement and better understanding of patients plan of care. Although the restrictions were implemented out of concerns for safety of both patients and healthcare workers, there has been no evidence to prove that visitors posed a risk to anyone. Now that there is easy access to Covid- 19 testing and ample PPE available for all, these restrictions need to be reexamined by hospital administration. There is no blanket resolution to this problem. Each instance needs to be addressed individually to provide what is best for each patient.Conclusion: Visitor restrictions continues to be a hot button topic at medical facilities all over the world. With the rise and fall of Covid -19 cases and the numerous variants that continue to plague our existence a consistent policy needs to be determined so that patients and families can be prepared as they visit healthcare facilities. According to Beesley et. al (2016), Current practice recommendations from multiple societies advocate for unrestricted visitation, citing benefits such as improved communication and staff satisfaction. Removal of even minimal restrictions improves family satisfaction (Beesley et. al, p. 1156, 2016). It is reported that patients who are allowed to have family accompany them to procedures have far less anxiety, less physical discomfort, less fear or delirium related to the traumatic experience (Beesley et. al, p. 1156, 2016). Unfortunately, even with all of these known facts, visitor restrictions were implemented across the board as fear set in in 2020 as Covid -19 began to spread across the world. As reported by Munshi et. al (2021), Restrictive no visitor policies were adopted during the first wave of the Covid 19 pandemic in an attempt to mitigate SARS -Cov -2 transmission from the community to healthcare workers and patients, protect visitors from acquiring SARS Cov -2, and preserve limited supplies of personal protective equipment (Munshi et. al, p. 1, 2021). Given these circumstances and the uncertainty of the times, these restrictions dont seem particularly unreasonable. However, research has shown that family or visitors do not play a significant role in the transmission of Covid -19 to patients or healthcare workers. The benefits of family and visitors presence include; patient advocacy, assistance feeding, mobility, reorientation for those with confusion or delirium, and communication with those who have language barriers (Munshi et. al, p. 2, 2021). These benefits are invaluable. There is no literature that supports any situation in which complete restriction of visitors should be required as move continue forward. What is the solution? To start, Munshi et. al suggests that hospital visitor policy distinguish between who is a hospital visitor and who are family/ essential caregivers. Family and caregivers are designated by the patient and provide essential care and support to those patients admitted to the hospital (Mushi et. al, p. 2, 2021). Compared to a visitor, who makes a brief social visit, but is not essential to the patients care. In making this distinction the hospital can more easily understand the circumstances regarding the need for their presence at the bedside. Although many hospitals adopted the use of telecommunication through Zoom and other online accesses for visiting, this was not something that did not come with some challenges. Not everyone is familiar with technology, there were time restraints in regards to nurses availability, some people did not have access to devices and privacy was also a concern. As ingenious as this was at the time, it is not a long-term solution. As we continue on this Covid -19 pandemic journey and we as adapt to every changing highs as lows, it is important for healthcare providers to adopt policies that are inclusive of the essential caregivers. Now that we have a better understanding of the mechanism of transmission, have vaccines readily available, ample testing opportunities and personal protective equipment available to all, it is time to return policies to the pre Covid normal. Mushi et. al, recommends having family and essential caregivers be involved in development of future policies. There should be a mechanism for to appeal restrictions in place that are transparent, accessible and timely (Munshi et. al, p. 2, 2021). This will help to avoid those situations seen time and time again during the Covid -19 surges when patients were dying alone or with their primary nurse. Its time to return our focus to what is best for the patients
