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NSB305 Evidence-Based Practice Nursing: Assignment

   

Added on  2020-05-11

8 Pages3156 Words70 Views
Leadership ManagementProfessional DevelopmentTeacher DevelopmentHealthcare and Research
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Nursing Assignment1
NSB305 Evidence-Based Practice Nursing: Assignment_1

Reporting:Ms. A, a senior nurse in the psychiatry ward usually arrive before me. On that particular day,I had spoken to her and asked about her wellbeing. She replied she was not happy withsupport workers in the unit. She used to be very cardinal with all the support staff and supportstaff also used to support her in most of the aspects. She claimed that Mr. B, one of thesupport staff broken my laptop. He was trying to charge his mobile and in this processunintentionally he touched laptop and it fallen form the table. During this conversation Ms.A was becoming progressively agitated, she was appearing tense and restless. Her speech wasbecoming repetitive. Her worried behaviour was justifiable because she knowns theimportance of this particular laptop. My all the case studies, plans for the existing patientsand few very important learnings in the medical profession were properly documented.Documentation is very important aspects in the nursing profession for safe, effective andethical nursing intervention. Documentation, in any context in the nursing practice hassignificant impact on the nursing practice. It can be either in paper-based or electronic form.This documentation can be used as evidence in the clinical settings (Wang et al., 2014). Evidence based practice is problem solving approach for appropriate clinical decision-makingin healthcare organisation. Evidence based practice integrates knowledge of scientificresearch and experience of actual nursing practice through nurse and patient interaction(Nicholson et al., 2014). To calm down her, I offered a cup of coffee to her. However, itdidn’t work. She continued shouting at Mr. B. As a result, whole atmosphere of thepsychiatry ward got disturbed. Most of the staff members in the ward were not givingattention to their work. All of them, gathered and they were trying to convince Ms. A to calmdown. As it was morning session, rounds of doctors for the respective patients were supposedto happen. However, due to these issues, there were no proper preparations for doctors’ visits.In the morning sessions, daily activities of the patients need to be completed. However, dueto this incidence these activities got badly affected. In psychiatry ward, most of the patientsmight not be in the state of mind to accept such disturbing situation (Helmstaedter et al.,2013). It is mandatory for the patients with psychological problems to complete their morningactivities. Completion of morning activities in the psychiatric patients is considered aspromoting well-being in these patients otherwise these patients might get more agitated. Dueto this incidence, whole psychiatric department got disturbed (Lu et al., 2007). 2
NSB305 Evidence-Based Practice Nursing: Assignment_2

Responding:In such scenario, it was difficult for me to take stand and take either of one’s side. In the past,I had very good experience working with both of them. In such cases, leaders should notexhibit any type of bias towards any one employee. Hence, I decided to call them togetherand ask their feelings and opinions about the incident. I didn’t blame either of them and Itook responsibility of the incident. I was worried more about the patient care. According tothe nursing ethics, care to the patients should not be hampered due to other problems (Holtand Convey, 2012). Moreover, I was more worried about the arrival of the doctors becauseon the arrival of the doctors, situation in the psychiatry ward would become moreexaggerated. I felt that patients should not lose respect and confidence of healthcare providersbecause it might lead to reduced sustainability and engagement in the nursing intervention(Chen and Hsu, 2015). I was also thinking that patients should not feel insecure about their health issues due toproblem among healthcare staff. I had not anticipated such type of behaviour from the seniornurse like Ms. A. I felt it was wise to give reassurance to Ms. A that such incidence wouldnot occur in future. Regarding laptop, I gave her assurance that we would make somealternative arrangement to feel the gap occurred due to damage of this laptop. For severaltimes, I had asked Ms A to stop this. Most importantly, I was able to keep myself calm. Iobserved that Ms. A became more emotional during this incident. I became anxious duringthis incidence. I was shocked and frightened because I never experienced such incidence inmy total experience. I was asking myself, why this incidence occurred. Whether thisincidence occurred accidently or it was intentional act. I was asking my-self question whetherthere is deficiency in my leadership qualities. Whether this incidence could have beenstopped, if I would have different leadership approach. In nursing practice, leaders shouldorganise and direct the nursing interventions in proper direction. Nurse leaders shoulddelegate activities to the right person and have vision so that all the activities would completewithout occurrence of any complications (Mills et al., 2012). Hence, because of thisincidence, I was low with my confidence. However, I managed myself and tried to intervenein the incidence. Trying to resolve any type of issue in the organisation is the most importantquality of the leaders. Conflict can produce adverse emotional state of mind which wouldhamper normal activities. However, I kept my mindset open and handled this incidence in avery positive way (Johns, 2013). 3
NSB305 Evidence-Based Practice Nursing: Assignment_3

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