What does the nurse conclude the client is using to justify violence?
Figure. Defined as the ability to face adverse situations, remain focused, and continue to be optimistic for the future, resilience is a vital characteristic for nurses in today's complex healthcare system. 1 The competing priorities and challenges with which nurses are confronted may make it difficult to develop resilience characteristics. 2 ...
What type of practice does the nurse use while providing care?
· The patient does not obey the treatment prescribed by the doctor, nor does he pay attention to the nursing advice. There appears a third concept of patients that is perceived by the nurse as an increase in their workload and that requires a lot of care. This is a patient who is qualified as agitated or disoriented with neurological alterations.
How should a nurse deal with antisocial behavior in a patient?
Objective: We explored nurses' experiences when they encounter patients from cultures other than their own and their perception of what helps them deliver culturally competent care. Methods: Registered nurses from all shifts and units at Kaiser Permanente Santa Clara Medical Center were invited to complete a questionnaire. Within the time frame allowed, 111 nurses …
What does the nurse conclude the client is using?
· 4. Research on improving nurse resilience. McDonald et al. 35 performed an educational intervention to improve nurses' and midwives' resilience, which came to the conclusion that their self-confidence, self-mindfulness, communication and problem solving skills were improved. Additionally, the same research revealed that educated nurses and midwives …
How can nurses prevent discrimination in healthcare?
Nurse leaders have a responsibility to combat gender discrimination in nursing. By exercising their leadership and interpersonal skills, they can help minimize gender discrimination among nursing staff. First, nurse leaders need to learn to recognize their own potential gender biases.
What are the 4 main ethical principles in nursing?
The 4 main ethical principles, that is beneficence, nonmaleficence, autonomy, and justice, are defined and explained. Informed consent, truth-telling, and confidentiality spring from the principle of autonomy, and each of them is discussed.
What is the best strategy to prevent legal problems in nursing?
-Nurses are accountable for their own actions and obligations. -Provision of safe competent care is the best way to avoid legal problems.
What can nurses do to decrease the disparities?
One of the most powerful things nurses can do to reduce health disparities is to advocate for their patients. This may include advocating for patient rights, appropriate resources, interpreters, distress screening or even cultural-competence training in your workplace.
What does Nonmaleficence mean?
The principle of nonmaleficence requires that every medical action be weighed against all benefits, risks, and consequences, occasionally deeming no treatment to be the best treatment. In medical education, it also applies to performing tasks appropriate to an individual's level of competence and training.
What does Nonmaleficence mean in nursing?
Non-maleficence This means that nurses must do no harm intentionally. Nurses must provide a standard of care which avoiding risk or minimizing it, as it relates to medical competence. An example of nurses demonstrating this principle includes avoiding negligent care of a patient.
What is the best way for a nurse to avoid a lawsuit quizlet?
The best defense against a lawsuit is to provide compassionate and competent nursing care. Carrying malpractice insurance is prudent, but it will not avoid a lawsuit.
How can nurses avoid having complaints filed against them?
Nurses can protect themselves from having complaints filed against them by performing the proper degree of care with patients....Those who can file a complaint include:Patient.Patient's family.Doctors.Other nurses.Other co-workers.
What are five 5 ways to prevent professional malpractice based on effective communication skills?
Keep these tips in mind to avoid liability and keep your patients happy.1) Practice effective communication. ... 2) Establish good relationships. ... 3) Be thorough before, during, and after appointments. ... 4) Set higher standards. ... 5) Understand informed consent. ... 6) Keep complete records and documents.
Which intervention by a nurse would best help to reduce health care disparities?
Which interventions will help the nurse minimize health disparities among patients? The nurse treats all the patients equally. The nurse works to eliminate his or her own biases related to different cultural groups. The nurse learns about the services that are available for specific cultural or ethnic groups.
How do you overcome health disparities?
ADDRESSING HEALTH CARE DISPARITIESRaising public and provider awareness of racial/ethnic disparities in care;Expanding health insurance coverage;Improving the capacity and number of providers in underserved communities; and.Increasing the knowledge base on causes and interventions to reduce disparities.
What are nursing disparities?
"Disparities in health care are defined as racial or ethnic differences in the quality of health care that are not due to access-related factors or clinical needs, preferences and appropriateness of intervention" (Smedley, Stith, & Nelson, 2002, p. 4).
What are the 5 principles of nursing?
Nurse assistants follow a group of five principles, or values. These five principles are safety, dignity, independence, privacy, and communication. Nurse assistants keep these five principles in mind as they perform all of their duties and actions for the patients in their care.
What are the five code of ethics in nursing?
The most important principles that should be considered in nursing profession are: Respecting the patient/client and preserving human dignity. Altruism and sympathy. Devotion to professional obligations.
What are the 7 principles of ethics nursing?
The ethical principles that nurses must adhere to are the principles of justice, beneficence, nonmaleficence, accountability, fidelity, autonomy, and veracity. Justice is fairness.
What are the 7 ethical principles?
This approach – focusing on the application of seven mid-level principles to cases (non-maleficence, beneficence, health maximisation, efficiency, respect for autonomy, justice, proportionality) – is presented in this paper.
What is the regulation of emotions or distresses that come with the stressful situation?
One is the regulation of emotions or distresses that come with the stressful situation (emotion-focused coping). The other is the management of the problem that is causing the stress by directly changing the elements of the stressful situation (problem-focused coping).
Who distinguished between tribal stigmas and abominations of the body?
One of the earlier is the well-known classification of Goffman (1963) who distinguished between tribal stigmas (e.g., racial and religious identities), abominations of the body (e.g., physical disabilities), and blemishes of individual character (e.g., addictions, mental illness, homosexuality).
What is a stereotype threat?
Stereotype threat, which is “being at risk of confirming, as self-characteristic, a negative stereotype about one's group” (Steele and Aronson, 1995, p. 797), is another example of situations that can potentially threaten the identity of individuals (personal as well as social).
Do women feel victimized by sexism?
On a more psychological level, other studies showed that women declaring to be victim of sexism are more depressed (Kobrynowicz and Branscombe, 1997) and have a lower self-esteem (Swim et al., 2001) than women who do not perceive to be victims of sexism. This is also the case of other members of minority groups such as homosexuals (Diaz et al., 2001) or Black Americans (Branscombe et al., 1999) or of young students. For example, a study of Fisher et al. ( 2000) showed that white students (ranging from 13 to 19 years) reported less distress reactions to perceived discrimination from the institutional or the educational contexts than their African Americans, Hispanics, or Asians peers (Fisher et al., 2000 ).
Is stigmatization a source of stress?
Stigmatization as a Source of Stress. The idea that people are active in responding to discrimination and stigmatization is not new. More than 50 years ago, Allport (1954) described how victims of discrimination used compensatory behaviors to cope with the discreditation of their identity.
Why do people avoid stigma?
Originally, a stigma was a physical mark that was apposed on some persons to signal not only their lower status (e.g., prostitute, slave), but the fact that one should avoid them because of morality flaws, sicknesses or more generally because those person could be dangerous in a way or another. Today's conceptualizations have changed quite a lot, going from a single external mark that told people to avoid a person, to, nowadays, the possession (or the belief of it) of “some attribute or characteristic that conveys a social identity 1 that is devalued in a particular social context” (Crocker et al., 1998, p. 505). Now, one can be stigmatized because he merely belongs to a group that is devalued in a given society. This can be because one is a woman, poor or from a poor family, homosexual, from another culture, member of a minority or simply because one does not look like everybody else (e.g., too big, too tall, too small). All are stigmatizing “categories” that can be met in the school context.
Is discrimination stressful?
The authors showed that perceiving discrimination is stressful. However, if coping was, as hypothesized, linked to stress, perception of discrimination did not predict coping, and coping did not moderate the effects of discrimination on stress.
What is the objective of the 'We explored nurses' experience when they encounter patients from cultures other than their own and
Objective:We explored nurses' experiences when they encounter patients from cultures other than their own and their perception of what helps them deliver culturally competent care.
What did nurses understand about their culture?
When respondents were asked to enumerate the cultures from which their patients have come, their answers were very specific, revealing that these nurses understood culture as going beyond ethnicity to include religious groups, sexual orientation, and social class (eg, homeless).
What are the common denominators among these models and frameworks?
The common denominators among these models and frameworks include gaining self awareness, checking for personal biases, avoiding the tendency to stereotype, and refraining from discrimination.
What are the barriers to culturally competent care?
Generally, the provider's attitudes and personal biases are the primary barrier to culturally competent care. Several conceptual frameworks have been proposed to support the development of greater cultural sensitivity in delivery of health care.12,17–19The common denominators among these models and frameworks include gaining self awareness, checking for personal biases, avoiding the tendency to stereotype, and refraining from discrimination. An introspective examination of this kind is, of course, challenging, especially for health care professionals who have limited transcultural experience or have not been trained in dealing with cultures different from their own.
What is the importance of communication in nursing?
Sensitivity to cultural needs, beliefs, and values, including in communication, is essential for nursing interventions to be effective.12Communication is the central factor in providing transcultural care.13One of the most obvious challenges occurs when a nurse and a patient do not speak the same language. Non-native English-speaking patients or nurses may have to process English conversation in their native tongue—interpreting word for word, thinking in their native tongue, and then trying to make sense of their thoughts before expressing them.14In the meantime, there may be an uncomfortable silence and a delay in response, which the patient may misinterpret.
How does stress affect nursing?
When nurses are constantly exposed to stress, absenteeism increases and employee turnover may result , both of which can have a significant financial impact on the organization.
What is the stress of a nurse?
Workplace stress has been defined as “the physical and emotional outcomes that occur when there is disparity between the demands of the job and the amount of control the individual has in meeting those demands.” 6Stress may occur when nurses are unable to provide the kind of care that is expected of them. If nurses are unprepared to deal with cultural differences in the workplace, a stressful situation can result.
What is the intervention model in nursing?
An intervention model can be created to develop resilience in nursing professionals through the recommendations of McAllister & McKinnon. 43 This intervention model can be consisted of defining and strengthening the predictors of resilience, giving opportunities to reflect upon and to learn from practice and from other practitioners, and improving professional cultural generativity. The predictors of resilience are cognitive ability, adaptability, positive identity, social support, coping skills, spiritual connection, ability to find meaning in adversity. The professional cultural generativity, demonstrated by altruism, setting a good sample, mentoring, leading, coaching and motivating others should be encouraged in those entering nursing profession.
How did McDonald et al. 35 improve nurses' resilience?
35 performed an educational intervention to improve nurses' and midwives' resilience, which came to the conclusion that their self-confidence, self-mindfulness, communication and problem solving skills were improved. Additionally, the same research revealed that educated nurses and midwives strengthen their relationships with their colleagues. McDonald et al.36 applied a work-based educational intervention to nurses and midwives working in very busy clinics and aimed at helping them to maintain their resilience level. As a result, the attendants improved their self-confidence, self-awareness, boldness, and self-care.
What is the McDonald intervention model?
35 had developed an intervention model aiming to facilitate positive responses to nurses' workplace environment through the exploration of practical and relevant coping strategies. This intervention model consisted of five workshop including mentoring relationships, establishing positive nurturing relationships and networks, building hardiness, maintaining a positive outlook, intellectual flexibility, emotional intelligence, achieving life balance, enabling spirituality, and reflective and critical thinking. McDonald et al.36 also suggested to create the opportunities for an experimental learning, creative self-expression and new ideas and strategies, to increase assertiveness at work and collaborative capital, to improve workplace relationships and communication, and to understand self-care practices.
How does mentoring help with resilience?
Mentorship programs might contribute to resilience by improving positive and supportive professional relationships, by supporting optimism, emotional insight, life balance and spirituality. 30.
What is the purpose of the awareness based communication training?
Gerhart et al. 39 conducted an awareness based communication training in order to improve resilience of medical staff and found that cognitive fusion, depression symptoms, depersonalizations and post-traumatic stress findings decreased. Foureur et al.40 approached the issue with a different point with the aim to improve resilience of nurses and midwives. The aim of this study was to improve their health and sense of coherence, while decreasing the level of depression, anxiety, and stress levels. At the end of the study, their health and sense of coherence increased, while their stress level decreased.
Why did Craigie and Maunder use resilience?
Craigie et al. 37 applied a resilience intervention program to nurses in order to improve their emotional well-being and to lower their mercy exhaustion. They reported significant improvements in their mercy exhaustion, exhaustion, and stress levels. Maunder et al. 38 conducted a computer-based resilience training in order to prepare medical staff for influenza pandemia, which contributed positively to improve their self-confidence, self-efficacy, their coping methods and interpersonal problems.
What are the factors that contribute to resilience in nursing?
Factors such as balance in business life, hope, control, professional identity and clinical supervision contribute to nurses' resilience. 30 In another study, it was emphasized that resilience level of nurses was associated with characteristics such as hope, self-efficacy, control, coping and competence. 32 The same study stated that age, experience, education level and years of work do not have a contributive influence on resilience.
What are the challenges of being a nurse?
Perhaps one of the biggest challenges new nurses face is learning how to improve time management and organizational skills. As a new nurse it can be very easy to become overwhelmed as you leave the safety net of your instructors and are expected to manage more patients. Being punctual and setting the tone for the day will help keep you on track. Donna M. White, LMHC, CACP, recommends the following strategies to help you improve your time management skills:
What is a mentor in nursing?
According to Fast Facts for Career Success in Nursing: Making the Most of Mentoring in a Nutshell, a mentor is someone who connects with and develops a reciprocal relationship with a protege and offers support and guidance.
How to be a nurse?
Consequently, self-care is extremely beneficial. It’s important to get adequate rest, nutrition, and exercise. Other self-care strategies might include deep breathing and relaxation, yoga, meditation, aromatherapy, or journaling.
How to communicate with nurses?
You learned about therapeutic communication in your nursing programs, so be sure to utilize effective and professional verbal, non-verbal, and written communications. Oftentimes, misunderstandings occur because of miscommunication. Social media policies should also be followed. Other communication strategies include: 1 Be a good listener; 2 Avoid jargon; 3 Speak clearly; 4 Be aware of tone, rate, and cadence; 5 Clarify and restate; 6 Always reread your messages before sending; 7 Pay attention to grammar and spelling.
What are some examples of transition goals?
For example, you may include goals for improving time management, self-care, self-advocacy or clinical skills, critical thinking, and problem solving. A template for developing weekly transition goals can be found in my book, The Nurse Professional: Leveraging Your Education for Transition into Practice. When developing goals, you should also develop a five-year plan to help guide you through your transition and beyond.
What is a charge nurse?
The charge nurse is working with a group of staff nurses on a hospital unit. When delegating to the staff nurses, the charge nurse determines that there is conflict among the group. The charge nurse should:
What is the role of a nurse manager?
The nurse manager is working on strategies to turn conflict into collaboration by creating a climate in which participants view negotiation as a collaborative effort. In order to accomplish this goal, the nurse manager works to promote: a. Minimal participation in organizational interdisciplinary groups.
Who is responsible for fostering good physician-client communication?
Only the physician is responsible for fostering good physician-client communication. The physician and nurse should not engage in open dialogue. d. Few nurses encounter problems in the physician-nurse relationship. The relationship between the physician and the nurse remains an evolving process.
What chapter is PEDS practice?
PEDS Practice: Chapter 11 Caring for Children in D…
What does a registered nurse do before assigning a task?
Before assigning a task, the registered nurse makes sure that the delegation process is appropriate to the situation. To which delegation right does this situation refer?
What is the primary survey for a nurse?
The primary survey includes assessment of airway/cervical spine, breathing, circulation, disability, and exposure. First, the nurse should establish airway patency by positioning, suctioning, and providing oxygen as needed.
Should a nurse encourage a client to rest?
The nurse should encourage the client to rest.
Should a nurse give food to a victim?
The nurse should not give food or liquid to the victim.
What should a nurse-client relationship be?
The nurse-client relationship should always remain client focused . Discussing personal issues with the client, even in an attempt to share similar experiences, is nontherapeutic and should be discussed immediately by the nurse's supervisor. Although the ease with which this conversation was overheard does raise concerns about the nurse's understanding of the client's right to confidentiality and privacy, there is a greater issue that needs immediate attention and should be addressed immediately. The nurse's management of the nurse-client relationship should be discussed privately. It may not be necessary to change the assignment. Although it may be useful to reinforce information on privacy with the entire staff, the situation requires an immediate private discussion between the nurse and the nurse manager to satisfactorily address the problem for the individual nurse.
What is the difference between acceptance and projection in nursing?
Projection is an unconscious defense mechanism, not a therapeutic technique. Acceptance does not require the nurse to project the self into the client's emotions; rather, it involves accepting the client and the emotions. A nurse is teaching a client who is ready to be discharged from a health care facility.
How to talk to a nurse privately?
1. Waiting until the conversation ends and then telling the nurse that such topics must be discussed in strict privacy to ensure client confidentiality. 2. Immediately asking to speak to the nurse privately and stating that sharing such personal information is nontherapeutic and not tolerated. 3.
What is setting realistic limits on the client's maladaptive behavior?
Setting realistic limits on the client's maladaptive behavior provides structure that promotes learning acceptable behavior. No environment is stress free. The client may not be ready for relationships with peers or responsibility for decisions at this time.
What is the process of attributing one's thoughts about one's self to others?
Projection is the process of attributing one's thoughts about one's self to others. Denial involves pushing out of awareness one's own thoughts, wishes, or feelings that are unacceptable to one's own self. Introjection is the process of taking in someone else's values, beliefs, attitudes, or qualities.
What is a nurse teaching?
A nurse is teaching a client who is ready to be discharged from a health care facility. What is most important for the nurse to emphasize?
Can you change the assignment in a nurse?
It may not be necessary to change the assignment. Although it may be useful to reinforce information on privacy with the entire staff, the situation requires an immediate private discussion between the nurse and the nurse manager to satisfactorily address the problem for the individual nurse.
What is the process of guiding, planning, and controlling others in a situation where communication is shared to improve clinical
The process of guiding, planning, and controlling others in a situation where communication is shared to improve clinical processes and outcomes is referred to as management . Leadership can be defined as a process of identifying a goal or target, motivating other people to act, and providing support and motivation to achieve goals. Followership is the process of following the leader or the manager to ensure the best clinical decision making and actions taken to achieve organizational outcomes. Decision making is a process of making crucial decisions.
What is the desired attribute of a nurse as a leader?
A desired attribute of a nurse as a leader includes the identification of others' needs. The nurse should assertively motivate others towards the objective. A critical thinking approach is the desired attribute to make decisions in nurse leadership. The nurse should rely on personal intuition as well as facts.
What are the causes of union activity in nursing?
Low wages and poor benefits may lead to an increase in union activity. Mandatory overtime and work overload have led to increased union activity in nursing. The absence of procedures for reporting of unsafe work environments and poor quality of care may increase union activity.
How to maintain work life balance?
An effective leader maintains work-life balance in his or her own life, as well as facilitating balance for followers. Making communication as efficient as possible is one way of helping to maintain this balance. Self-confidence can be established by performing honest self-appraisal on a regular basis. Spending time on the needs of the followers and offering frequent and lavish praise will help build self-motivation. A positive attitude can be maintained by consistently having answers to the question asked by others, knowing where the organization is going, and taking the initiative to get the group to its goal.
What is the difference between autocratic and participative leadership?
Autocratic leadership occurs when the nurse leader places control within the position over a particular work area. Participative leadership is the type of leadership in which the nursing staff participates in the decisions made by the nurse leader. STUDY TIP: Develop a realistic plan of study.
What is laissez faire in nursing?
Laissez-faire is a hands-off style of leadership in which the nurse leader allows the staff nurses a high degree of autonomy and self-rule. In a directive style of leadership, the nurse leader sets clear objectives and rules for the nursing staff.
What does it mean when a nurse is a leader?
When a nurse participates as a leader in any leadership opportunities such as on human resource committees, it indicates that he or she is staying clear on group outcomes. Participating on human resource committees does not indicate any involvement in malpractice.