Nursing Teaching

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The learning experience I had was both good and bad. I was helping care for a 32 year old female that came into the emergency room for vomiting blood. Before getting her labs back the patient had to pee, so I put her in a wheelchair and assisted her to the bathroom. She ended up passing out while sitting on the toilet and at that point I knew she was pretty sick. She initially didn’t present that bad but things changed quickly. After getting her back in bed and settled, I was able to look at her labs. She had a very low hemoglobin and that explained it all. Not knowing the patients religion preference, I went into the room with the provider to explain what was going on and that she needed a blood transfusion. The patient then explained that she was a jehovah witness and cannot receive blood or blood products. I was so upset and kind of mad at her refusal. This patient was an alcoholic, which is forbidden in her religion, and she didn’t have a problem drinking. She explained to me that it’s an addiction she’s been trying to fight, but not receiving blood is very important to her. “Furthermore, they claim that anyone who unrepentantly accepts a blood transfusion does so at the peril of losing eternal life. Thus, faithful Jehovah’s Witnesses accept death, rather than break the Watchtower’s policy against blood transfusions” (4Jehovah, 2013 para. 2). I was initially upset about not being able to help make her better, but I honored her wishes and admitted her to the ICU with a signed refusal for blood. A few days later I learned that this patient had passed away. During her stay the patient was intubated and her family members were trying to push for blood products to be administered. However, because the patients wishes were granted by us in the emergency department she was able to pass away honoring her religion.

“Culture has a powerful effect on an organization and is recognized by many as the “glue” that holds an organization together and allows it to adapt to changing environments”

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“Culture has a powerful effect on an organization and is recognized by many as the “glue” that holds an organization together and allows it to adapt to changing environments” (Glickman, Bagget, Krubert, Peterson, & Schulman, 2007). An environment that embraces diversity and equality will help assure the standards of nursing to include cultural competency. It is important for leadership and teams to understand the practices and behaviors of other cultures. Lack of cultural competence can be a barrier to effective communication and this can flow down to patients and the families we take care of. Patients are more diverse with the increase of global travel. All levels of the nursing workforce should reflect the diversity of the population the institution serves (Coe, 2013).  “Effective nurse leaders realize that diverse groups are more likely to consider a variety of different viewpoints; therefore, they are more likely to develop better, more creative solutions to problems”

My institution is located near one of the largest military installations in the United States. We see many patients of different cultures. I also live in Texas and we see a majority of patients that represent the Mexican culture. I would most definitely incorporate someone from the Mexican culture into my team. As a nurse leader I will need to understand the cultural differences among the staff. Having someone from the Mexican culture will help the team understand the language, health practices, beliefs and customs and this will allow for more effective communication with staff, patients and families. There are many dialects spoken in Mexico. They include Spanish, English and indigenous Indian language. Verbal communication is important and understanding that someone of Mexican cultural may stand close and use a loud voice is also important. Older adults do not maintain eye contact. Knowing that this culture may show up late to appointments, it is important to stress the reasons for being on time for health care appointments. Extended family tend to be a good resource for this population (Purnell, 2014).  This person will be able to help provide insight and education to staff. Having cultural diverse team and members will help the group learn and grow and provide safe, effective, quality care to our patients

Discussion Of Triaxial Of Action: Policy, Politics, And Nursing

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1- What is Policy?

2- Explain each of them:     Public policy— Private policy— Health policy— Social policy— Organizational policy?

3- Who was F lorence Nightingale, and what was her contribution to the Nursing Field?

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

6_ what is    (ICN), and what they do?

7- What is  s (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and   procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient    as a practice acceptable for nurses to perform. Jeanne    and some of her coworkers shared their concern over   lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and    other potential medical complications resulting from    this practice. Jeanne gathered data from her state and    many others states and noted that her hospital was    not in compliance with her professional organizationpractice standards. Jeanne shared this information   with her coworkers. She volunteered to contact the    state board of nursing on their behalf to request a    declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes.    Her state board’s clinical practice committee    reviewed her request for a declaratory statement and    gathered information from other states. A formal    declaratory statement was drafted by the board and    made it available on its Web site. A letter from the    board was sent to Jeanne’s institution, informing it of   the declaratory statement, which stated that the task    nurses were requested to perform was beyond their    scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does this scenario    represent? ■

The benefits of telehealthcare outweigh its shortcoming, and it is thus wise to adopt it in the delivery of care with advancement in technologies.

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Information

Research Topic 

Is telehealthcare a good option for nursing homes?

Thesis

The benefits of telehealthcare outweigh its shortcoming, and it is thus wise to adopt it in the delivery of care with advancement in technologies.

Homework. 

Choose one of the sources you will be utilizing in your final paper.

Using one passage from that source, provide an example of a quotation, an example of a paraphrase, and an example of a summary from that passage. Try to choose a passage of 50–100 words.

Use the same passage for your quote, paraphrase, and summary.

Clearly identify your quotation, paraphrase, and summary to avoid confusion.

Finally, include the reference list citation for the source you used.

In a separate paragraph, discuss the differences between quotations, paraphrases, and summaries. Identify when these types of methods might be more appropriate, and discuss how you think you might incorporate quotations, paraphrases, and summaries into your research paper.

This are the sources:

Dorsey, E. R., & Topol, E. J. (2016). State of telehealth. New England Journal of Medicine, 375(2), 154-161.

Greenwald, P., Stern, M. E., Clark, S., & Sharma, R. (2018). Older adults and technology: in telehealth, they may not be who you think they are. International journal of emergency medicine, 11(1), 2.

Lee, J. F., Schieltz, K. M., Suess, A. N., Wacker, D. P., Romani, P. W., Lindgren, S. D., … & Dalmau, Y. C. P. (2015). Guidelines for developing telehealth services and troubleshooting problems with telehealth technology when coaching parents to conduct functional analyses and functional communication training in their homes. Behavior analysis in practice, 8(2), 190-200.

Lunney, M., Lee, R., Tang, K., Wiebe, N., Bello, A. K., Thomas, C., … & James, M. T. (2018). Impact of Telehealth Interventions on Processes and Quality of Care for Patients With ESRD. American Journal of Kidney Diseases.

Polinski, J. M., Barker, T., Gagliano, N., Sussman, A., Brennan, T. A., & Shrank, W. H. (2016). Patients’ satisfaction with and preference for telehealth visits. Journal of general internal medicine, 31(3), 269-275.

Wade, V. A., Taylor, A. D., Kidd, M. R., & Carati, C. (2016). Transitioning a home telehealth project into a sustainable, large-scale service: a qualitative study. BMC health services research, 16(1), 183.

**** If you have different source to add, you can use it as well****

Remember not older than 2 years. Thanks