Question

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?

Answer 1

1. yes, nurses ca take care of their family in the duty but along with the other patients care. Here in this scenario she should not demand people and shout other nurses for better care, as we treat everybody equally, all nurses will provide care to her mother also.

Hasey has to take leave and spend time with her mother in the special room. The behaviour mentioned in the scenario is accustomed practice, not evidence based.

2. Put her in duty, ask her to watch her mother status carefully. If she is emotionally strong, not showing the depression about her mothers situation. If she is worried betternot to put in the duty.

If it is not an emergency, a nurse can ask her supervisor to change ther duty to the place where their relatives present.

She has to get the permission from the management and from the cheif doctors.

Permission will be given if they are experienced.

Documentation should be as usual.

It is allowed very oftenly.

If she is not belongs to the same department, we can't change her duty.

3. Yes, they are allowed if they belongs to same department, ex. endoscopy nurse can not change her duty to the ICU.