Violence in Healthcare

Violence in Healthcare: How Nurses Can Protect Themselves.

Nursing just like any other profession experiences  some challenges and in this case, violence. Violence in healthcare is a major demerit experienced by nurses. This is why we’ll expound more on violence in healthcare and how nurses can protect themselves. To be able to protect oneself from violence there are other activities you can do in correlation to that.

These include attending safety training programs offered by the organization, participating in safety health and security committees, taking part in employee complaint or suggestion procedures and reporting violent incidents.

Ways to Avoid Violence as a Nurse.

It’s important to get involved in workplace violence prevention

programs to familiarise with program policies.  Dressing for safety also goes a long way in guarding yourself against violence in the work place. This involves stuff like tying your hair backwards to avoid easy pulling, avoid necklaces and earrings as well. Avoid clothes that are too loose or too tight.

Being aware of your work environment entails being aware of both static and changing aspects for instance. room configuration, doors, lights and weather and noise levels. Notice the emergency exit doors and emergency phone numbers while changing work areas. This is a way of identifying environmental risk factors for violence.

As a nurse, take your time to learn about your patient’s behaviours. A higher percentage of violence against nurses is committed by patients. Its therefore important to identify both verbal and non-verbal cues namely: Speaking loudly or yelling, swearing, threatening tone of voice, physical appearance (neglected clothing), arms held tight across the chest, tight fists, heavy breathing, a scared look signifying fear or high anxiety, a fixed stare, aggressive, throwing objects, quick changes in behaviour and indications of intoxication (alcohol or drugs).

It is important to pay attention to your instincts by being aware of your own feelings and responses. The way you express yourself can influence how people will respond. Another important aspect of self-awareness is how cultural background makes us view the world. These views affect how we respond to patients and co-workers and in turn, affect how they respond to us.

Healthcare organizations need to have violence risk assessment tools that can be used to evaluate individuals for potential violence. These include: Triage Tool: to assess a patient’s potential danger to others or to themselves.

Indicator for Violent Behaviour: a list of five observable behaviours that indicate danger to others. Danger Assessment Tool: to assess the risk to nurses and other personnel signs of potentially violent behaviour.

It is the responsibility of healthcare organizations to establish protective policies for staff working outside the facility. Some of the policies include:

(a)  Always having a cell phone.

(b)  Be sure someone knows where you are among others.

(c)   Staffing patterns to avoid nurses working alone.

(d)   Restriction of public movement in hospitals

(e)   Come up with a system that alerts the security personnel when violence is threatened.

(f) Pin flag charts of high-risk patients.

Violence Policies to Prevent Violence in Healthcare

  1. You should not work alone if you feel uncomfortable around a patient. It is okay to request another nurse or a security guard to accompany you if it involves entering some rooms.
  1. Identify high-risk patients and flag charts. This helps even other nurses to take precautions when treating such patients.
  1. Advocate for safety measures both inside and outside the hospital.
  1. Always carry a panic device with you in your bag in case of emergencies.
  1. Make sure your work personnel are trained to cope with both physical and verbal abuse.

Qualities that All Great Nurses Share

Qualities that All Great Nurses Share

Nursing is sometimes considered a calling given the selflessness that’s involved. There are certain qualities that all great nurses share and we can all agree that these are paramount. We all know or are nurses who have gone the extra mile to ensure that their patients are comfortable and pleased during their hospital stay. Others simply ensure that their patients are encouraged to proceed with their treatment with a positive mindset.

 Top Qualities that All Great Nurses Share

Caring

There is usually an assumption that one of the major qualities that nurses join the profession is because they are caring. This should not be the case as many nurses’ priority is to secure a job, using the profession as a starting point to another career like a doctor and could also be due to lack of an alternative idea. On the other hand, a nurse has a natural aspect of truly caring about how their patients feel. This is an important aspect of their nursing career and a clear indicator of success.

 Communication Skills

Effective communication skills are important characteristics of a nurse. A nurse’s job relies on the ability to effectively communicate with other nurses, physicians, patients, and their families. Without proper communication skills, there is the likelihood to have medical errors. Patients feel neglected and misinformed. Proper communication skills will provide safe care to patients and the entire hospital not forgetting their long-term careers.

 Empathy

A good nurse shows empathy to each patient by making an effort of considering yourself in your patients’ situation. By acquiring empathy as a nurse enables you to focus on the proper care approach rather than strictly following guidelines.

 Attention to Details.

Nurses are under certain pressure as they balance receiving orders from physicians by using their knowledge skills and critical judgment to provide the highest quality patient care. In addition to this taking care of multiple patients at once is a call to human error. If you have strong attention to detail, as a nurse, personality traits can easily determine your success in your career.

 Problem-Solving Skills

In job training, it’s easier to identify nurses’ problem-solving skills even if they have been trained about it during nursing education. Having years of experience can help you sharpen your problem-solving skills yet some nurses possess this characteristic naturally. Problem-solving skills are essential to nursing since nurses generally have to make decisions related to patients’ care.


Stamina

Having sufficient stamina is one of the most important qualities of a great nurse. This is because of the activities involved during a work shift such as patient lifting and walking around the hospital to sort issues. Effective management of this skill makes a great nurse.

 Sense of Humor

Nurses encounter different levels of stressful situations but taking a chance to incorporate a positive attitude is a sign of stress relief. Having a good sense of humor also helps spread positivity to other nurses, patients, and their families. This increases trust and openness in sharing feedback and concerns.

Commitment to Patient Advocacy

As a nurse, it’s important to understand that patient advocacy is a mindset that must be practiced every day, with every patient, throughout every stage of the care period.

Willingness to Learn

Nurses spend more bedside time with patients than any other role in healthcare and their willingness to learn and adapt new knowledge into practice is one of the leading traits of a good nurse.

Critical Thinking

Putting knowledge into successful practice requires an ability to think critically especially in stressful situations.

NSG5000 Role of the Advanced Practice Nurse

NSG5000 Role of the Advanced Practice Nurse

The American Academy of Nurse Practitioner Certification Board is a body that is mandate to provide the recommended and reliable program for anticipating, practicing and advancing nursing practitioners (aanpcert, 2020). In the United States, Nursing Practitioners are currently the most preferred health partners for most Americans; meaning that as medical practice continue to blend the various aspects of clinical practice in treatment or diagnosis of various health conditions; with an added stress on the issue of health management and disease prevention, it is important to embrace the comprehensive and personal perspective that the nursing practitioners contribute to healthcare delivery (Hughes, 2015). The following essay looks at the American Association of Nursing Practitioners mission in regard to the credentialing of Nursing Practioners (NPs), with a closer look at Tampa- Florida. 

Credentialing of Nursing practitioners

In Florida State, All NPs must complete a master’s or doctoral degree program and have advanced clinical training beyond their initial professional registered nurse (RN) preparation. Didactic and clinical courses prepare nurses with specialized knowledge and clinical competency to practice in primary care, acute care and long-term health care settings. This is why in Florida State, nursing practitioner will undergo a very rigorous process; which is important for one to be recognized as a qualified health care provider and ensure the higher levels of care. It is also important that nursing practitioners attain the national certification, undergo various clinical outcome evaluations, undertake periodic peer reviews and adhere to the state and national code of ethics and practice (Hughes, 2015). A desired nursing practitioner is also one that is self- motivated to continue learning and attaining the highest levels of professional development as this will ensure that they are in a better position when it comes to clinical competency. Also when one wants to ensure that there is a proper promotion of improved health outcomes and promotion of quality health, nursing practitioners are required to participate and lead in both professional and undertake various healthcare forums, participate in evidence based research and apply what they learn in clinical practice. 

Scope of Nursing Practice in Tampa Florida

The nursing practice in Florida is regulated under the Florida Nursing Practice Act. From chapter 464 of the Florida statutes; it was established to make sure that any qualified nurse practicing in any part of Florida State including Tampa meets the mandatory requirements for safe practices (Leg.state.fl.us, 2020). In this regard, any nurse that does not have the credentials required for the minimum competency is deemed as a danger to the practice and to the general population, meaning that they are a not allowed to practice in any part of Florida state. The laws is also followed by the American Association of Nursing Practice and looks at the most common classification of nurse that include the Licensed Practice Nurse and the Registered Nurse. 


The AANP thus finds the levels of credentialing Nursing practitioners guided by the scope of this law, as defined under section 464.003(3)(a) (Leg.state.fl.us, 2020). From this statute the scope of nursing practice looks at the performance of each act that is calls for substantial specialized judgment, knowledge, and nursing practice skills that are based on the principles of biological, psychological, physical and social sciences. 

In this regard, as a Nursing Practitioner in Florida I am expected to observe , diagnose at nursing level, assess, plan, intervene and evaluation various continuum of care. In this regard it is important for me to participate in health teaching, counselling of the injured, ill, or inform. It is a mandate by the AANP that any nursing practitioner also work towards the maintenance of health and prevention of illnesses among the public. As a nursing practitioner I am also expected to administer medication and treatment as required by my level of licensure and the code of practice by the AANP (Hughes, 2015). Also as I grow through my practice I will be entitled to providing supervision and teaching of other practitioners in regard to the theory and performance of various acts. 

Impact in the Nursing Practice

In regard to the credentialing of NPs by AANP, this has helped in promoting credibility in the profession. This is because nowadays nursing practitioners are more than just provides. The AANP requires nursing practitioner to become educators, mentors, administrators and researchers. In most cases one can find that the AANP helps nursing practitioners to maintain professional standard when participating in various health policy activities at the national and state levels. The other impact of ensuring NP credentialing is that the cost of healthcare is also reduced. When nursing practitioners are able to provide high quality levels of healthcare and counselling, it means that long stays in hospitals are reduced as patient are able to adhere to treatment directions (aanpcert, 2020). The cost of healthcare is thus reduced when for example patients that find Nursing practitioners as their main provider of care, they are bound to have very few emergency room visits and lower medication costs. 

Conclusion

In conclusion, AANP mission regarding NP credentialing is very important in promoting ethical practices in the nursing profession; this also ensures an increase in patient satisfaction where statistics indicate that more people prefer making visits to nursing practitioners than physicians due to the high levels of satisfaction that they enjoy. The code of practice should always be observed and AANP should continue to ensure that NPs offer high quality, cost effective and healthcare focused on the patient. 

References

AANP. (2020). Florida. Retrieved from https://www.aanp.org/advocacy/florida

aanpcert. (2020). About Us – AANPCB. Retrieved from https://www.aanpcert.org/about

Hughes, J. (2015). The Registered Practitioner in Nursing: Scope of Practice. Developing Nursing Practice with Children and Young People, 55-57. doi:10.1002/9781119102342.part2

Leg.state.fl.us. (2020). Statutes & Constitution :View Statutes : Online Sunshine. Retrieved from http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0464/0464.html

Law Quiz

Law Quiz

  1. Which statement is correct?
    1. Any nonperformance when performance is due is a breach.
    1. A party has not breached if he has substantially performed.
  2. If a court determines that a party has substantially performed, then the other party
    1. has the right to terminate the contract.
    1. has the right to suspend performance.
    1. has no rights.
    1. may seek damages for any loss caused by the breach.
  3. If enforced by the court, what is the typical effect of a “time is of the essence” clause?
    1. A partially breaching party who is late in performing is given time to cure the breach.
    1. The clause negates the right of the breaching party to cure if he is late in performance

 

  1. In applying the first factor of the materiality test (amount of benefit not received), a 90% completion rate always constitutes substantial performance.
    1. True
    1. False
  2. In applying the factor of good faith in the materiality test, courts automatically consider any bad faith breach to be a material breach.
    1. True
    1. False

SAMPLE PAPER:The Yellow Wallpaper

SAMPLE PAPER:The Yellow Wallpaper: Mental Illness While Achieving a Sense of Freedom

Introduction

I. Part 1

The Yellow Wallpaper is a brief narrative authored by Charlotte Perkins Gilman. The story was published in the year 1892. The writing is appraised for its demonstration of feminism and attributes of the women’s psychological and physical state of health during the 19th century (Subotsky 195). The author incorporated the duties women had during the 19th century and furthered on challenges such as the absence of another life apart from home and the energy of oppression from the community. This short story allowed other authors to follow the techniques incorporated and come up with their literature.

Charlotte Perkin’s story has led to the production of differently explained literature arguing about the themes and main attributes in The Yellow Wallpaper. This fascination among researchers gives it major significance among other works in the field of literature (Lin-na, 233). No specific analysis can be termed as the perfect description of the plot in the story since the issues raised in the book happened when they were almost changing discourses. This article has based in focus on three major concerns. These are arguments about the color yellow of the wallpaper, the application of wallpapers as a form of interior design in homes, and the effects of the reasoning skills employed by society on the health of women.

For so many years, the book was termed a Gothic story until it was republished as a text whose central theme is feminism. This tale has been among the most conflicting narratives published during the previous century. In this essay, the wallpaper shall be described as a character in the account. John is the other character employed in the narration and the narrator as the story was written in the first-person anecdote.

The narrator and the wallpaper have an interconnection that leads to total distortion of her sanity. Ironically, when the protagonist loses her mind, she finds freedom from her ‘imprisonment’. The events leading to her destroyed mental state shall be unfolded gradually

within this essay. The roles her husband and sister played in negatively affecting her mental stability while all these events took place shall also be comprehensively analyzed (Beer 199).

II. Part 2

The main themes in The Yellow Wallpaper including the oppression of women in the 1900 century in marriage and the significance of self-expression techniques. The narration also employs several literary devices to spice up the storyline and entice readers of the tale. Some of the literary devices used in the book include symbolism, metaphors, personification, and themes, as earlier mentioned (Adeniyi 3).

The aspect of symbolism is frequently used in the narration. The objects used as representations of deeper meanings include The Yellow Wallpaper itself, the moon, day and night time, and the homestead or estate. The central focus is on the Yellow Wallpaper in the entire narration. From the wallpaper, the story narrator discovers her individuality and her escape to freedom. The story begins with her persistence on the nature of the wallpaper, and this aspect consumes her and the narration altogether.

Another significant attribute of the nursery they dwelt in was the sturdy bed place. Different forms of literature speculate the themes attached to this setting in terms of sexuality (Rzadtki 2). The first discussed aspect is static sexuality, while the other is a sexual crucifix.  The former statement proves to be true since sexuality was not practiced just as the bed was fixed to the floor, making it immobile. During the time, the Victorian ladies wholly belonged to their men in terms of all sexual aspects, and they were advised that sexual rights were part of the women’s duties leading to the bearing of a specific number of children. The nailed bed is, therefore, another symbolic aspect incorporated in the narrative.

Another very significant concept in the story narrative is the narrator and her mental state. Nervous meltdowns and their remedies in women during the 19th century are used to enlighten readers. Additionally, the color yellow and its interconnectivity to mental health issues are discussed. The narrator also portrayed mental instability, particularly derangement. This representation forms the thesis of this essay as the narrator displays mental illness while achieving a sense of freedom through her relationship with the wallpaper (Fang 8).

III. Part 3

In this context, the loss of the narrator’s sanity makes the narration both thrilling and dramatic. One of the medical treatments reviewed in the essay was Silas’s remedy for the neurasthenia condition. The author condemned the remedy as she had personally experienced its ineffectiveness. The therapy was unsuccessful because the narrator herself states that she was on the verge of completely losing her mind.

The narrative explains the post-partum depression the women faced after they delivered. The story vividly describes the plights of 19th-century women. The doctors during the time viewed the women as highly prone to infections leading to mental health issues. They deteriorated health caused by their weak natures and their monthly reproduction cycles. The ladies who appeared to be more focused in life were even termed to be the most susceptible to getting infected. The ladies who were seen to be aggressive in pursuing roles of the opposite gender and pursuing higher levels of education and political terms were mainly reported as it seemed they were exposing themselves to the dangerous mental health instability condition of experiencing nervous breakdowns. The fatigue of the nervous system was a disorder that took over America during the 1900s. Dr. Silas personally mentioned that women brought up from the city areas lacked full abilities to perform motherhood activities.

The main character remains unnamed in the entire narration because she explained the narrative from the first-person narration technique. The narrator’s husband named John, has a home rented for her to undergo the rest-cure in and even tells her he will send her to the doctor if she does not get well. The protagonist is displeased by her husband’s threats, but she does not argue due to the lack of other alternatives. This state makes her completely devastated, and she slowly becomes mad. Her mental health condition continues to deteriorate further because of the yellow wallpaper inside her room. The yellow wallpaper gives her the perception that another lady is attempting to pass through the pattern on the wallpaper.

The narrator gets these thoughts as she possesses a wild imagination and is a fan of thriller and horror tales. The protagonist believes the house she resides in is haunted, and as she remembers her traumatizing childhood, she becomes more frightened. When she was young, she used to have thoughts about the existence of monsters, and upon reminiscing, she even became more afraid. The narrator enjoys tales, but because of her husband and rules and regulations implemented during the rest-cure, she cannot explore her writing skills. The narrator also feels like the idea of interacting with other individuals would help assist her in recovering. Still, her husband is not for the idea, and he adamantly forbids her from going outside.  He only keeps her in the house alone, doing nothing, and these factors worsen the narrator’s condition.

This makes the narrator helpless and depressed. When the pregnant woman had instructed the husband to change the existing wallpaper, her husband refused. This made her take the initiative of rearranging the wallpaper herself. These strange and frightening thoughts were attributed to her post-partum depression. This was a clear indication that the isolation was not making her better, but it worsened her condition.