Question

In: Nursing

Kasey is an RN who has worked on the busy surgical unit of a large city...

Kasey is an RN who has worked on the busy surgical unit of a large city hospital for the past 6 years. As one of three RNs on the unit's day shift, she often serves as the charge nurse when the assigned charge nurse has a day off. She is hard working, caring, and well organized and provides high-quality care for the often very unstable postoperative clients they receive on a daily basis.

About 2 weeks ago, Kasey's mother was admitted for a high-risk surgical removal of a brain tumor that was not responding to chemotherapy or radiation therapy. The surgery did not go well, and Kasey's mother was admitted to the surgical unit after the procedure. During the past 2 weeks, she has shown a gradual but steady decline in condition and is no longer able to recognize her family, speak, or do any self-care. It is believed she will probably not live more than an other week.

Per hospital policy, Kasey is not assigned to care for her mother; however, during her shifts, Kasey is spending more and more time with her mother sometimes to the detriment of her assigned clients. She is also beginning to make more demands on the unit nursing staff, often overseeing their care and requesting that only certain nurses care for her mother. One of the other nurses on the unit suggested that Kasey's mother be moved to a less specialized unit. When Kasey heard about the suggestion, she became livid and loudly scolded the nurse for her insensitivity in the middle of the nurses' station.

Questions :

1. Is the practice of not allowing nurses to provide care for their relatives evidence-based or accustomed practice?

2. Identify the steps in making this policy evidence based.

3. Do you think nurses should be allowed to care for relatives? Why? Why not?

Solutions

Expert Solution

Is the practice of not allowing nurses to provide care for their relative’s evidence-based or accustomed practice?

-Patient-centered care is a comparatively new prototypical of health care that endorses admiration for patient favorites, an gratitude of the whole person as a lively human being, and companies amid the patient, his or her household, and healthcare providers.

-In this case the nurse is not allowed to care for relative is accustomed based as if allowed would lead in neglecting of other patients as it is clearly happening here in this case.

Identify the steps in making this policy evidence based.

The four concepts are enough to make it evidence based:

-Respect and Self-esteem. Healthcare providers vigorously attend to patient and family perspectives and integrity their selections. The strategy and distribution of health care comprises the patient’s and families traditional contextual, knowledge, principles, and standards.

-Info Distribution. Impartial info is communal with the patient and domestic in conducts that hearten empowered selections. Timely and precise info is communal with the patient and domestic to allow contribution and choice creation regarding upkeep.

-Contribution. The patient and family are maintained and encouraged to contribute in upkeep and choice creation at the level they select.

-Teamwork. Healthcare bests, patients, and relations work composed at an official equal in such parts as policy and program expansion, application, and assessment; health care facility project; expert teaching; and distribution of upkeep

Do you think nurses should be allowed to care for relatives? Why? Why not

-The nurses should not be allowed to care for their relatives as there are chances that the nurse would use her power and authority of patient care solely towards the relative leaving behind the other patients.

-In such circumstances where the situation arises, the nurse can be granted leave and then she can care and spend time with the relative.


Related Solutions

Kasey is an RN who has worked on the busy surgical unit of a large city...
Kasey is an RN who has worked on the busy surgical unit of a large city hospital for the past 6 years. As one of three RNs on the unit's day shift, she often serves as the charge nurse when the assigned charge nurse has a day off. She is hard working, caring, and well organized and provides high-quality care for the often very unstable postoperative clients they receive on a daily basis. About 2 weeks ago, Kasey's mother was...
You have been hired as a new RN on a busy pediatric unit in a large...
You have been hired as a new RN on a busy pediatric unit in a large metropolitan hospital. The hospital provides services for a culturally diverse population, including African-American, Asian, and Hispanic people. Family members often attempt alternative healing practices specific to their culture and bring special foods from home to entice a sick child to eat. One of the more experienced nurses said to you, "We need to discourage these people from fooling with all this hocus pocus. We...
Maxine Overland is an RN, working on a medical-surgical unit in a partnership model of primary...
Maxine Overland is an RN, working on a medical-surgical unit in a partnership model of primary nursing. She has been on vacation for 2 weeks, and when she returns, she finds that the unlicensed assistive personnel she typically worked with is not expected to be back at work for several months because of a family emergency. A new nursing assistant, John Maxwell, who had worked in the hospital for only 2 weeks, is assigned as her partner. Maxine was pleased...
Larry and Moe operate a large restaurant in a busy downtown area of a large city....
Larry and Moe operate a large restaurant in a busy downtown area of a large city. For breakfast and lunch, they generally have a line of customers waiting. Fire codes prevent them from adding additional seating. The contribution format income statement for the most recent week follows: Sales (4,960 meals served) $123,008 VC 63, 984 CM $59,024 FC 25,000 NI $34,024 Larry wants to automate food delivery. There would be no more servers. Orders would be placed electronically on iPads...
You are a nurse leader on a very busy Medical-Surgical Unit. Your goal is to maintain...
You are a nurse leader on a very busy Medical-Surgical Unit. Your goal is to maintain continual "survey readiness" so the staff is always prepared for an unannounced survey. You have decided that your best tactic would be to design an educational handout to assist your staff in preparing for the survey. Design a one-to-two page educational tool to best prepare your staff for an accreditation survey.
You are the RN on a morning shift on the respiratory ward of a large inner-city...
You are the RN on a morning shift on the respiratory ward of a large inner-city hospital. At 10:30 AM you receive a patient from the Emergency Department. This is the hand-over you receive. I My name is Catriona and I am the A&E RN who has been caring for Ms Aaliyah Abimbola. Thank you so much for taking this patient so quickly. We’re so busy we haven’t time to do much for her apart from get her ready to...
Sam is a new nurse working the day shift on a busy medical-surgical unit. He asks...
Sam is a new nurse working the day shift on a busy medical-surgical unit. He asks his aide to walk the patient in Room 244 while he admits another patient. The patient in Room 244 is a postangioplasty, and it would be the first time he has ambulated since the procedure. Sam tells his aide to walk the patient only to the nurse's station and back. He also says that if the patient's heart rate rises more than 20 beats/min...
Mary Sue Timmons, RN, was working the 3 to 11 PM shift in the medical-surgical unit...
Mary Sue Timmons, RN, was working the 3 to 11 PM shift in the medical-surgical unit at Memorial Hospital when one of her patients began complaining of a headache. The patient also appeared to be very anxious and his blood pressure was 184/110. Mary Sue immediately called the physician and reported the patient's symptoms and vital signs. The physician ordered Valium 5 mg IV and said he would be there to see the patient very soon. Mary Sue repeated the...
Case Study #4 Sarah Yandell, RN, a staff nurse on the medical-surgical floor of a large...
Case Study #4 Sarah Yandell, RN, a staff nurse on the medical-surgical floor of a large hospital, has just finished receiving report from the RN on the previous shift. As Sarah looks over her assignments for the day, she sees that the nurse manager has scheduled an LPN to float over from the postpartum unit. Sarah is assigned to supervise the LPN and orient her to the unit. Sarah also has a nursing assistant, with whom she has worked closely...
Ms. Thom, age 46, works as an RN in the intensive care unit at a large...
Ms. Thom, age 46, works as an RN in the intensive care unit at a large busy medical center. Over the last three years she has gained 30 lbs and quit attending the fitness classes at the local recreation center. Her co-workers keep trying to get her to come back to fitness class, but she says that she is too tired after work and just wants to go home. She has smoked for 15 years, but says that she is...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT