Академический Документы
Профессиональный Документы
Культура Документы
Nursing Practice
o Applies appropriate knowledge of major health problems to guide nursing
practice
I have been a nurse for 20 years now and have spent most of my
career on the Pediatric Hematology/Oncology Unit at a local
hospital. I speak in my paper about teaching the families as they
are entrusted into my care in order to address the reason for their
hospitalization along with preventative information that is
pertinent to the patient and family.
Communication
o Uses therapeutic communication within the nurse-patient relationship
In my paper, I touched on the topic of listening to the fears of
parents in discussing their dying child. These conversations are
sensitive as the families seek knowledge on how to approach this
topic with their child, or if to address it at all. A therapeutic
relationship in this setting takes trust in order to facilitate a
decision the parents can feel good about in the end.
o Produces clear, accurate, and relevant writing using correct grammar,
spelling and punctuation
Teaching
Leadership
o Articulates the values of the profession and the role of the nurse as
member of the interdisciplinary health care team
In my paper, I share that nurses play a significant role in our units
collaborative group. In my role as a nurse at the bedside, I come
into contact with a wide variety of other disciplines in order to give
the patient the best care. It is the nurse that coordinates much of
this care and communicates the needs of the patient along with
updates throughout their shift. My unit has daily multidisciplinary
rounds to discuss the assessment and plan for the patients. In a
round table formation sits the attending, residents of the month,
pharmacist, social workers, dietitian, chaplain, child life therapist,
discharge coordinator and charge nurse. Each bedside nurse will
join the table one at a time to discuss their patients for the day.
The bedside nurse used to sit outside of the circle and have
minimal input, but here of recent, the bedside nurse has been
encouraged to sit at the table and contribute to the discussion. This
action further affirms the importance of the RN at the table as their
feedback is included in the decision making of the patient.
Professionalism
o Demonstrates accountability for ones own professional practice.
Working on a pediatric unit it is easy to cross boundaries when you
are spending so much time with little ones. Although it is easy to
get attached to adults, it is different with pediatrics due to the close
physical contact. It is not unusual or abnormal to see a pediatric
nurse holding, rocking and feeding their patients, as opposed to
caring for an adult where this activity would be unacceptable. That
is why professional boundaries are essential to keep nurses from
over stepping their boundaries. Professional boundaries is not only
supported by the ANA, but my work has a policy to ensure that
nurses stay professional despite the ease of getting attached to
these patients. When I precept new nurses, this is an area I like to
cover due to the importance of this topic. Despite the legal issues
that this subject opens nurses up to, it is the heartache and burnout
that I am trying to avoid in maintaining a professional boundary.