Dairy Entry One
In this diary entry, I try to deliver a situation that I have significantly focused on relation to my very first clinical placement and objective together with the obligations. The case involves an old patient who had dementia who woke up very confused, pulled out his catheter that later made him start bleeding, and the nurse had to insert a new catheter in situ. At that moment, the patients granddaughter came to visit him, but she was asked to wait outside until the procedure is over. I left the room to bring some clean gloves for the nurse, and the granddaughter was standing just outside the room crying. Emotionally, she asked me if her grandfather was going to be alright, but seeing the emotions of the girl made me cry. I said, of course, he is going to be okay, but I did not know anything at all about his condition.
My emotions made her more worried; she thought that his condition was very fatal. The whole situation was an emotional experience for me because it reminded me of my very own grandfather who passed away when I was overseas, and I did not have the opportunity to at least say goodbye to him. I could not calm the girl as I was also in my emotional breakdown. The next day, I saw her again, and I got the chance to apologize to her for how I reacted the day before, but she thanked me instead for being a sensitive individual.
Level One
The problem identified in my diary entry one involves my inability to control my emotions regarding patients and relieving them publicly to the most vulnerable parties who in this situation are the family of the patient. It is okay and human to have feelings about several, but still, it is not good for me as a clinical profession to display my despair to the patients and the families (Chirema, 2007). It was due to my lack of experience and lack of confidence in dealing with the family members. My duty and role in the situation were just to assure the granddaughter that her grandfather was okay and he would get better and give her the peace she required without having to raise her doubts or to give her a negative impression regarding the situation (Bulman, and Schutz, 2013).
I felt that by talking and assuring the girl about the safety of her grandfather, I would be achieving my objective and goal concerning health care provision. As a nurse in improving my experience and ability to handle similar issues in the future keeping in mind that the assurance is imperative to the family or guardians of the patient, the patients themselves (MacLeod, 2009). The actions I took in this occurrence involved letting my feelings overwhelm me, especially about my past regarding the situation of the girl without thinking of the impact I would make to the girl and the message I sent to her.
However, the girl responded to my emotional display negatively by also experiencing an emotional breakdown as she thought the grandfather was in a fatal condition but I had tried to calm her down and assure her that her grandfather was going to be okay and it was not serious. Although I felt so bad by doing that and later apologized to her, she thanked me for the emotional support and for sympathizing with her regarding the situation.
My actions rendered consequences to the girl, causing her to think the patient was in a far-reaching condition which was not the case. It made me question my ability to conceal my feelings but at the same time display a sense of sympathy. The experience was an important event that I regarded as a rite of passage in nursing and helped me understand one of the most important things in nursing.
Level Two
Regarding the reflection in the first tier, I tend to think this event draws a highlight on my lack of consideration in revealing my emotions too involved people with the patients. It is an issue that I believe I should take seriously and be considerate in displaying my emotions to the people and also the patients. In this event, I feel that my action gained influence from my thoughts regarding the relationship between the old man bleeding and struggling for his life and the pain the girl crying outside is feeling thinking about the loss of her grandfather (Clarke, 2009). I also let my actions be overwhelmed by the feelings I was experiencing at the time like sympathy, fear, and paranoia in communicating with the family member. I should ensure that I give the patients and the relatives of the victims the support they need.
Also, provide them with the assurance they need to hear together with updates about the patient. It is my responsibility to ensure I do not cause them troubles that are not essential or in any relationship with the situation like thinking about my similar events or issues. It gives me awareness about my role as a nurse in giving proper messages to the people that need them and also the patients (Bailey, and Graham, 2007). Relating my knowledge with the events of my personal experiences as the position of the granddaughter, I would not want a nurse crying in front of me, and this guides me into ensuring I keep my boundaries regarding the emotional support as this has helped me improve my communication with everyone concerning healthcare.
Understanding the levels of relationships within the healthcare setting is important in realizing our personal goals and objectives. Relating to this reflection, I realized that I could have changed the outcome of the situation and improving it if I had just assured the girl of her grandfathers safety and not having to display my fear of failure. With this, I could have made the girl feel better and at peace and also give the girl a reason to stay healthy (Jack, and Smith, 2007). Since this is still a communication-based event, I understand that it is paramount to develop excellent communication skills with everyone involved and those not involved. Also, the most important issue in this situation is ensuring that I give a positive impression and information relating to patients to their families.
Level Three
So as to improve such events in the future, it is important to ensure I sympathize with the families but also ensure I give them a positive impression and hope as a way to improve my experience and communication. Avoiding the parents at some point is also a strategy I think can help avoid the contradictions with them concerning the conditions of their patients. The consequences of these policies can contribute to improving my reactions to the situations and at the same maintain a sense of sympathy.
Diary Entry Two
The case I have focused on relates to my experience as a patient in a health care facility. I had a successful C-Section delivery, everything was perfect, and the nurses were all helpful. But a few days later a nurse on duty came to me and helped me out of bed to get my bath. To start walking after a few days I was very unstable and shaky, she sat me down on a shower chair and just left. It was the first time I have ever had an operation done and also my first hospital as a patient. She never gave me any instruction or precaution. I fell on the floor after standing up and did not know what to do. Later on, my husband arrived fifteen minutes later and found me laying there. He helped me shower and dressed me up, he got outraged, but I asked him not to say anything about the issue as I did not want to cause any problems for that nurse.
Level One
The problems viewed in the second diary involves me covering up a nurse at the expense of my health and life. The problem in this occurrence is risky to my life, but at the same time, it is the responsibility of the nurse to ensure my safety. My role in the event is making sure I receive the care I need at any given point and make sure I show my gratitude if any. Bathing myself is a thing I would be able to do, but all I required from the nurse was instructions on what to do according to my situation, any measure regarding the event, and what is I should do in case I need any help (Dagborn, and Nilsson, 2009). By not letting my husband say anything about the nurse, I would be achieving an aim to protect her from getting into trouble about her actions without thinking she would do the same thing to another person and cost them their lives.
These measures involved protecting and covering up a nurse who has violated her duties. However, my husband at the time also felt the concern of asking about the nurse and confirming her objectives, but I could not let him. The consequences of my actions triggered the feeling of negativity from my husband and at the same my conscience was not at peace. The atmosphere affected me in different ways trying to figure out if I took the right path or made the right decision concerning my actions.
It forced me to question myself about the kind of care I give to patients too in the hospitals. The experience was a stepping zone in my nursing career as I realized that it is important to note the way I treat my patients. I never intend to give the patients the care they need without concern helping them to the end or even neglecting them in any way. It is an important aspect of nursing as it involves taking good care of the patients and also help ensure that any nurse that neglects her duties as a nurse or the health caregiver responsible for the particular individual.
Level Two
Relating with the reflection in level one, I have realized that the issues my display my sense of biasedness and weakness, and at the same time reveal my good will to protect the nurse. I have also realized that I could on another talk to the nurse and give her a quick advice relating to her treatment to patients. The lack of interest or lack of attention from nurses is a common occurrence that happens to many people, and some of the people cannot help themselves however others manage to help themselves. Many reasons or things triggered to behaving or reacting the way I responded concerning the cold treatment from the nurse. I can base my actions on the basis that I felt sorry for the nurse if she fell in trouble. These measures got acquisition by feelings like anxiety and also the sense of wanting to show my real heart to my husband (Padden, 2011).
From the situation, I acquired knowledge of what was the right measure or thing I should have done to ensure I protect the nurse from the problem and also protect other patients from experiencing the same problem or issue similar to the one I had experienced. It gave me awareness involving my role as a nurse to protect the patients and at the same time treat my patients better when I resume my job. The knowledge from this experience also helped be gain the need and feeling of establishing a good relationship and taking good care of the patients no matter the situation or the support they require. Understanding the issues the patients go through and the experiences is an important way of getting the importance of delivering quality care (Parry, and Sutton, 2009).
Regarding this reflection, I realized that there are things that If I did, I would have helped improve and positively impact the results of the situation. Before leaving the hospital, I could have looked for the nurse and try to explain to her the importance of having a better concern to patients. By doing this, the nurse understands the need and significance and also give her highlights of the risk and also the problems she would have faced if my husband talked about the issue at hand (Finlay, 2008).
My initial understanding of the issues is that is all important to ensure that the level of communication between the patients and nurses is right and that they both have a good relationship. The communication skills should also gain development altogether. The bigger view on the issues is about the importance of maintaining a proper relationship between nurses and patients.
Level Three
As a mea...
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