RRL Caring TITLE: Impact of Nursing Care in The Nursing Profession Objectives
RRL Caring TITLE: Impact of Nursing Care in The Nursing Profession Objectives
RRL Caring TITLE: Impact of Nursing Care in The Nursing Profession Objectives
CARING
TITLE: Impact of Nursing Care in the Nursing Profession
OBJECTIVES:
1. To provide comprehensive care that considers the patient’s social, emotional, cultural,
and physical needs.
2. To ensure optimal patient care through objective, systematic monitoring, established
standards, and criteria-based evaluations.
3. To investigate theories and implement techniques designed to improve patient care.
1. Nevada State College (2018, January 3). Importance of Care in Nursing. (JANOYOG)
Retrieved from: https://online.nsc.edu/articles/rn-bsn/importance-of-care-in-nursing.aspx
Patient care is not just about the medical aspect of nursing. Patients may experience stress about
their conditions, injuries, procedures, surgeries, or recovery. It is important for nurses to treat a
patient's physical ailments as well as his or her emotional needs.
When nurses show empathy, they foster a collaborative relationship with patients, which can
help in rooting out causes, symptoms or explanations that result in a proper diagnosis and
appropriate treatments. Open communication and mutual respect between nurses and their
patients can result in these positive patient outcomes:
2. Practical Nursing (2015, March 18). Importance of Holistic Nursing Care. (JANOYOG)
Retrieved from: https://www.practicalnursing.org/importance-holistic-nursing-care-how-
completely-care-patients
As nurses we can not only use holistic nursing care to enrich the lives of our patients, but to
enrich our own lives as well. Nursing is a tough profession. It is physically, mentally, and
emotionally draining at times. Other times you experience a patient or moment that reminds you
why you became a nurse. One way to increase these experiences and provide better overall care
to our patients is through holistic nursing care. The key is not necessarily about how long you
spent interacting with a patient, but how you used the time you had with them. Nurses should
strive to always make the most of the short time they have with each patient. As nurses we need
to promote a patients psychological and emotional wellbeing in order to facilitate physical
healing. When we do this our relationship with the patient changes and grows into something
more positive than before. This leads to better patient outcomes and can increase the happiness
and purpose in your work as a nurse.
3. Nevada State College (2018, January 03), Importance of Caring in Nursing. (SADSAD)
Retrieved from: https://online.nsc.edu/articles/rn-bsn/importance-of-care-in-nursing.aspx
A Bachelor of Science in Nursing (BSN) program prepare ADN nurses for a higher level of
clinical practice. Nursing students learn about applying evidence-based research, critical thinking
and scientific knowledge to the delivery of healthcare. They also learn deeper knowledge of
medical equipment and technology. However, caring is the foundation of nursing.
5. The National Academy of Sciences (2004). Who They Are, Where They Work, and What
They Do. (Lim)
Retrieve from:
https://www.ncbi.nlm.nih.gov/books/NBK216183/#_NBK216183_pubdet_
An organization's workers and their work environment have a reciprocal relationship, each
influencing the other in an ongoing, dynamic interplay that affects the level of safety within the
organization (Cooper, 2000). To construct a nursing work environment that maximizes patient
safety, the characteristics of the nursing workforce, the settings in which they provide care, and
the nature of their work, as well as the implications of these elements for patient safety, need to
be considered. This chapter does so, focusing predominantly on the role of nurses in hospitals
and nursing homes, where the greatest amount of study has been conducted on patient safety.
6. Debra S. McDonough, RN, MSN, EdD (2002). Caring: The Core of Nursing Practice. (Lim)
Retrieve from
https://www.hurstreview.com/blog/caring-the-core-of-nursing-practice
Florence Nightingale (1860) defined nursing as having “charge of the personal health of
somebody…and what nursing has to do…is to put the patient in the best condition for nature to
act upon him.” In one way or another, this definition of nursing has remained the same. And at
the very core of nursing practice is the act of caring. Caring and nursing are so intertwined that
nursing would not be nursing without the act of caring. Caring is “a feeling and exhibiting
concern and empathy for others; showing or having compassion” (The Free Dictionary, 2015).
Caring is a feeling that also requires an action. The American Association of Colleges of Nursing
(2008) and the National League for Nursing (2007) have identified caring as a foundational value
for nursing
7.Nancy Blake, PhD, RN 29 April 2016 nurses research and improving care
Retrieve from: (balo)
https://www.elsevier.com/connect/yes-nurses-do-research-and-it-is-improving-patient-care
Dr. Blake is encouraging and supporting nurses to get involved in research to build a solid base
of evidence on which to build stronger practices. Ultimately, this will benefit not only patients
and their families but the inter-professional teams in hospitals. It will also add a vital new
perspective to the peer-reviewed research that acts as a foundation for developing knowledge in
healthcare.
Patient care is not just about the medical aspect of nursing. Patients may experience stress about
their conditions, injuries, procedures, surgeries, or recovery. It is important for nurses to treat a
patient's physical ailments as well as his or her emotional needs.
9. Charalambous, A. (January, 2009) Quality Nursing Care: a Selective Review of the Literature
of Patients’ and Nurses’ Interpretations (JER)
Retrieved from:
https://www.researchgate.net/publication/255978214_Quality_Nursing_Care_a_Selective_Revie
w_of_the_Literature_of_Patients'_and_Nurses'_Interpretations
According to Ray 1994 quality nursing care should be based on the views of the patients, who
are the immediate evaluator of the provided care. Patients are those who define and assess
quality. Here lays perhaps the reason why their opinions on what constitutes high quality care or
what makes their care inadequate should be taken into consideration (leino-Kilpi and
Vuorenheimo 1993). However, this according to Gunther and Aligood (2002) impeded the
nursing profession to articulate clearly what comprises high quality nursing care because we
have been defining it as a product viewed from the patient’s perspective rather than a service
offered by the profession. Raya (1994) asserts that quality “is the relative effectiveness of the
nursing care, which is considered an aggregation of values and indicators of the health status,
within the bounds of preserving or improving the health of the patients”.
10. The Journal of Nursing and Health Studies (May 07, 2007) Spiritual Care
Holistic nursing is defined as caring about the physical, psychological, social, and spiritual
aspects of the whole person. Because spiritual care is a part of holistic nursing, Ross
systematically reviewed 47 articles related to spiritual nursing research from 1983 to 2005 and
identified five categories: nurses, patients and caregivers [1], nurses and patients and caregivers,
nursing education, and instrument developing. Following the review by Ross and Pike
systematically reviewed 45 spiritual articles from 2006 to 2010 and identified that the majority of
spiritual care studies focused on chronic illness and pain, alcoholism, dementia and
psychological care, palliative care, and cancer care.
1. US Department of Health and Human Services (2017, January 31). Bullying affect Health and
Well-being. (JANOYOG)
Retrieved from: https://www.nichd.nih.gov/health/topics/bullying/conditioninfo/health
Bullying can affect physical and emotional health, both in the short term and later in life. It can
lead to physical injury, social problems, emotional problems, and even death. 1 Those who are
bullied are at increased risk for mental health problems, headaches, and problems adjusting to
school.2 Bullying also can cause long-term damage to self-esteem.3
Children and adolescents who are bullies are at increased risk for substance use, academic
problems, and violence to others later in life.2
Those who are both bullies and victims of bullying suffer the most serious effects of bullying and
are at greater risk for mental and behavioral problems than those who are only bullied or who are
only bullies.2
2. Lee, R. (2018, October 8). Bullying and Mental Health Consequences. (JANOYOG)
Retrieved from: https://psychcentral.com/lib/bullying-and-mental-health-consequences/
According to the American Psychological Association, bullying is a form of aggressive behavior
in which someone intentionally and repeatedly causes another person injury or discomfort. Even
though bullying commonly happens in childhood, the impact can last well into adulthood. Duke
University recently conducted research that shows the rates for agoraphobia and panic disorders
greatly increases with bullying. Mental health issues such as depression, anxiety, and low esteem
haunt many adults who were once bullied in childhood.
In previous generations, many children were supposed to handle their own issues. “Let them
work it out” or “ignore it” were popular phrases to encourage resilience from seemingly normal
and unstoppable behavior. With many schools enforcing an anti-bullying campaign, the way we
treat bullying is changing. Although it may be commonplace, it doesn’t have to be.
3. Coldulvell, K (2017, Apirl 14). Nurse Bullying: Stand Up and Speak Out (SADSAD)
Retrieved from: https://nurse.org/articles/how-to-deal-with-nurse-bullying/
Some would say that the nursing profession demands more from its nurses than it gives. Working
12-hour shifts, coping with trauma, managing multiple complex patients while often short-
staffed, working without adequate meal breaks, and comforting heartbroken family members is
only the tip of the iceberg for hospital-based nurses.
Nurses often seem to do their work effortlessly despite how complicated their jobs really are.
Nurses have a sense of grace, selflessness, and compassion that society has come to expect from
these caregivers. To illustrate the profession’s standing, nurses have ranked as the most
trustworthy professionals for the last 15 years in Gallup’s annual poll of Honesty and Ethical
Standards in Professions.
4. Schimdt, K (2017, August 23). How to recognive and prevent bullying in nursing.
Retrieved from: https://www.nurse.com/blog/2017/08/23/how-to-recognize-and-prevent-
bullying-in-nursing/
Renee Thompson, DNP, RN, CMSRN, said bullying has three components: It’s targeted, it’s
meant to cause harm and it happens over time. Some types of mistreatment or unkind acts on the
job can actually be classified as incivility, but not necessarily bullying, she said. These include
eye rolling, disrespect, gossip or general unfriendliness. “If I get testy with you in a crisis
situation, it’s not bullying,” she explained. “It’s a stress response.”
5. Kathleen Colduvell, RN, BSN, BA, CBC (April 14, 2017) Stand Up & Speak Out. (Lim)
Retrieve from:
https://nurse.org/articles/how-to-deal-with-nurse-bullying/
A study done in conjunction with Vanderbilt University Medical Center shows that
approximately 60% of new nurses leave their first position within six months due to some form
of verbal abuse or harsh treatment from a colleague. While most nurses will not disclose this
information during exit interviews with their employers, they speak freely when reporting
anonymously. The U.S. Bureau of Labor Statistics projects a shortage of 1.05 million nurses by
2022; unfortunately, as more studies and information are released regarding nurse bullying and
harassment, the risk is that the number of those entering the nursing profession could dwindle.
6. Dr. Renee Thompson (December 4, 2015)Common Weapons Nurse Bullies Use Against Their
Targets. (Lim)
Retrieve from:
https://www.americansentinel.edu/blog/2015/12/04/common-weapons-nurse-bullies-use-against-
their-targets/
Nurses can be so caring and compassionate to their patients but they can be horrific to each
other. Because bullying is receiving a lot of attention in the media, we have the tendency to call
all bad behavior bullying. However, not everything is bullying. Sometimes, people are just being
too direct, disrespectful and unprofessional or perhaps they are just having a bad day.
- Any nursing student has heard the phrase, “nurses eat their young,” which was first used by
nursing professor Judith Meissner in 1986; the expression has become standard lore among
nurses. The meaning behind it is quite simple: simply, it refers to the bullying and harassment of
new nurses, and those four simple words can cause a great deal of anxiety for new graduates. In
fact, researchers propose that at least 85% of nurses have been bullied at some point in their
nursing career.
7. (2016, February). Not just “eating our young”: Workplace bullying strikes experienced nurses,
too - American Nurse Today. (Balo)
Retrieved from:
https://www.americannursetoday.com/just-eating-young-workplace-bullying-strikes-experienced
8. PhD, RN, Assistant Professor, Department of Pediatric Nursing, School of Health, Harran
University, Turkey august 7 2015 A bullying against nursing students (Balo)
Retrieve from:
zhttps://journals.lww.com/jnr-
twna/Fulltext/2017/06000/A_Study_of_Bullying_Against_Nursing_Students.4.aspx
bullying is not a new concept, the bullying incidents that are often experienced in healthcare
environments, application areas, and school environments as well as their negative effects have
become increasingly serious. Regardless of the environment, bullying is an undesired and
negative situation (Clarke, Kane, Rajacich, & Lafreniere, 2012). Nursing education is composed
of theory and practice. Social communication is particularly important in nursing education. A
positive and collaborative relationship between fellow students, scholars, nurses, patients, patient
relatives, and other health staff directly affects the quality of patient care given by nurses
9. Int J Environ Res Public Health (August 10, 2013) Workplace Bullying among Healthcare
Workers
This paper was written in accordance with previous studies that clarify how workplace bullying
among healthcare workers has become a persistent phenomenon within organizations. In this
sense, Rowell states that, at present, workplace bullying has particularly increased in the health
and community care sectors and that such behavior is four times more prevalent in this sector
than sexual harassment [3]. In line with these findings, DuHart reports that physicians and nurses
are occasionally victims of workplace hostility [4]. The physical violence rates against doctors
and nurses are 16.2 per 1,000 and 21.9 per 1,000, respectively. In the European Union, 52% of
healthcare jobholders have experienced some sort of aggression at work, followed by 39% of
social care workers and 25% of service workers [5].
In the scientific literature, several types of bullying have been studied [6]: intimidation,
harassment, victimization, aggression, emotional abuse, and psychological harassment or
mistreatment at workplace, among others. The variation in definitions may hinder the
conceptualization of the workplace-bullying phenomenon in a more consistent way, inhibiting
effective contributions among researchers and practitioners [7]. Bullying is commonly defined
by its social manifestations, which are clearly classifiable under the same umbrella as aggressive
behavior [8] that generally occurs during interpersonal interactions in work settings [9].
Similarly, there seems to be a consensus that bullying, as a behavior, can be defined in terms of
intentionality, frequency (e.g., weekly) or duration (e.g., approximately six months), the targets’
reaction(s), perceived imbalance and misuse of power between the perpetrator and target,
inadequate support, and the target’s inability to defend himself from such aggression
[10,11,12,13], as well as having to cope with negative and constant social interactions [13],
physical or verbal badgering, insulting remarks [12], and intense pressure [14].
Workplace bullying is more than a simple conflict between two individuals. It is a complex
phenomenon that can only be understood through an examination of social, individual and
organizational factors. Workplace bullying has been shown to impact the physical and
psychological health of victims, as well as their performance at work. Workplace bullying
impacts the organization through decreased productivity, increased sick time and employee
attrition.
HYGIENE
TITLE: Ways of Enhancing Good Personal Hygiene for Nurses
OBJECTIVES:
1. To demonstrate correct Hand Hygiene technique
2. To provide knowledge about multi-faceted plans to improve hand hygiene
3. To understand appropriate Hand Hygiene practices when caring for patient with a certain
disease
3. Salter School (2016, Apri 6). Why Hygiene is so Important for Health Workers.
Retrieved from:
https://www.salterschool.com/why-personal-hygiene-matters-for-healthcare-
workers/#.XIPhJSgza01
Personal hygiene is a necessity of life. Staying clean helps us to build relationships, stay healthy,
and boost our self-esteem. Practicing a hygienic lifestyle means washing and maintaining all
parts of the body that affect appearance and smell with regular bathing, brushing teeth, and the
washing of hair.
In a healthcare job, it is especially important to stay clean and take care of your personal
hygiene. After all, staying clean can maintain a healthy environment for your clients.. In fact,
poor hygiene can lead to the spread of diseases.
Most of the developing countries do not have specialized technologies in healthcare settings for
monitoring or measuring HCWs hand hygiene practices. The importance of technological
advancements and encouragement to discover new technologies in the healthcare system is
important to improve patient safety. Hand hygiene is a critical technique for avoiding HCAIs.
Several surveys and studies supported that when employees knew someone was around to watch
for hand hygiene, they were more aware of completing hand hygiene tasks correctly. If nobody
monitored hand washing, staff often ignored hand hygiene protocol. This process is commonly
called a “Hawthorne Effect” (Morgan, Pineles, Shardell, Young, Ellingson, Jernigan, &
Perencevich, (2012). To overcome this effect, the use of hand hygiene compliance monitoring
technologies can be used to increase staff hand hygiene compliance, which in turn, curtails
HCAIs incidence.
6. U.S Department Of Health & Human Service (October 9, 2018)- Clean Hands Saves Lives
(Lim)
Retrieve from:
https://www.cdc.gov/handwashing/
Hygiene is for the safety of the nurse and patients to not catch infections and to maintain
cleanliness. Clean hands saves lives a simple Handwashing can help prevent illness. It involves
five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the
spread of diarrheal and respiratory illness so you can stay healthy. Regular handwashing,
particularly before and after certain activities, is one of the best ways to remove germs, avoid
getting sick, and prevent the spread of germs to others. It’s quick, it’s simple, and it can keep us
all from getting sick. Handwashing is a win for everyone, except the germs.
8.Pegram A, et al. Br J Nurs. 2007 Mar 22-Apr 11 bed bathing and personal hygiene needs of
patients(Balo)
Retrieve from:
https://www.ncbi.nlm.nih.gov/m/pubmed/17505390/?i=4&from=/10205551/related
9. Asiye D. Akyol R.N, PhD (February 27, 2007) Hand Hygiene among nurses in clinical areas:
opinions and practices
The study revealed that nurses have a poor level of knowledge concerning quality of hand
washing. All nursing actions related to ‘clean’ and ‘dirty’ activities were evaluated using the
Fulkerson scale. The majority of nurses reported that they always wash hands after contact with
contaminated and non‐contaminated patients, equipment and environment. It was found that they
did need to wash their hands often but that they were not able to do this because of dense
working conditions, insufficiency of necessary materials and drying and sore of hands after
frequent washing.
10. Angel M. Berry, Beyond comfort: Oral Hygiene as a critical nursing activity in the intensive
care unit (December 8, 2006) Intensive and Critical Care Nursing
To date, there is no definitive evidence to determine the most appropriate method of oral hygiene
including the use of beneficial mouth rinses. Barriers identified in this review to providing
optimal hygiene include: (1) mechanical barriers and equipment issues, (2) perceptions of the
importance of mouth care and empathy with patient discomfort by nurses, (3) altered patient
sensory perception and discomfort and (4) difficulties in patient communication. In spite of these
challenges opportunities for collaborative research and increasing expertise in nurse researchers
creates a climate to derive solutions to these factors.
The maintenance of personal hygiene is essential for a patient's health and well-being. Nurses
play a key role in ensuring that the individual hygiene needs of patients are met. In this article
the process of bed-bathing a patient is described.