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Reflective Writing 2

The student nurse provided nursing care to an unconscious patient with a diagnosis of CVA who had no qualified staff attending to him. The student found the patient's attendant had no knowledge of proper care. She took the time to teach the attendant all aspects of care, including positioning, feeding, and catheter care. After two hours, she found the attendant had changed the patient's position according to her teaching, preventing complications. The student felt pleased that her one hour of teaching saved the patient from issues and was a good use of her time, as the hospital was severely understaffed.

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278 views4 pages

Reflective Writing 2

The student nurse provided nursing care to an unconscious patient with a diagnosis of CVA who had no qualified staff attending to him. The student found the patient's attendant had no knowledge of proper care. She took the time to teach the attendant all aspects of care, including positioning, feeding, and catheter care. After two hours, she found the attendant had changed the patient's position according to her teaching, preventing complications. The student felt pleased that her one hour of teaching saved the patient from issues and was a good use of her time, as the hospital was severely understaffed.

Uploaded by

dileepkumar.duhs4817
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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REFLECTIVE WRITING

     Last week I went to a JPMC Hospital for my clinical. In that ward, there were only two

qualified staff nurses on duty for 35 patients. I saw a new admitted 55 years old male patient

with diagnosis of CVA lying on bed in supine position. Nasogastric tube and Follys catheter

were intact. When I took history from attendant as patient was unconscious not responding to

even to painful stimuli, I came to know that he was alright three days before, and then he felt

weakness on left side. So he went to a general practitioner and he became unconsciousness in the

clinic. Physician referred him to a Government hospital, where he was admitted. According to

attendant, patient was getting medicines, but the health team member did not explain them about

proper care. On observation I came to know that patient was lying on a dirty bed sheet messed

with stool. So I made plan to give nursing care to this patient. With the help of attendant, and the

student nurse working in the same ward had give partially bed bath and changed his cloths. After

bed bath I gave back massage and mouth care. In whole process I explained each and every step

of nursing care to his attendant. I also taught to attendant about Nasogastric tube feeding,

catheter care, suctioning and positioning. After teaching to patient attendant, I redemonstrated all

process. In whole process, patient attendant showed interest and quickly learnt all steps. After

given nursing care to this patient I went to other patient for nursing care, when I came back after

two hour I observed that patient attendant changed his position two hourly for prevention of bed

sores according to my teaching.

     When I saw the response of my teaching to patient attendant about patient care I felt great

pleasure in my heart and became glad. I spent only one hour with patient attendant; my one-hour

saved this critical patient from other complication like bedsores, skin rashes, infections, gastric

regurgitation etc. I also felt that, I used one hour of my life in a best way.
     This incident stood out due to knowledge deficit of patient attendant for patient care, as well

as shortage of qualified staff nurses. Patient attendant did not know about the care of CVA

patient; but, he extremely like to provide care to his beloved one. If knowledge deficit situation

remain present for 2-3 days, patient must be got other critical diseases and occur highly harmful

conditioned for patient. After my teaching patient attendant provided all care to his patient with

love.

Feelings

    Ifeel that no doubt there were shortage of qualified staff nurses, but if on duty staff at the time

of admission explained the all-basic and necessary care of the patient to attendant and orientation

of ward. Patient attendants can give care under guidance or supervision of nursing staff. It came

into my knowledge that patient attendant wanted to provide help to nursing staff for patient care.

Nurses for thirty-two patients become in that unit just only two qualified nursing staff was

appointed there. It’s my personal experience that in government sector, workers do not go on

duty but take their salary at home every month. May be more than two staff nurses appointed

there, but according to our culture, other staff did not come on duty and took their salaries at

home. It may be incompetence of administrative department, because this department failed to

provide sufficient qualified nursing staff for patients care.

    I have interpreted this event differently. Many questions came in my mind that, Why the

Government Hospital is not having the sufficient qualified nursing staff? Why on duty nursing

staff don’t demand for more staffs? How can give proper nursing care with shortage of qualified

nursing staff? When I discussed with my friend about this incident, he like the behavior of

patient attendant and appreciated it. In this critical condition patient attendants couldn’t lose
ethical behavior and willingly want to help the nursing staff in patient care. He also said that it’s

a deficiency of nursing staff why they couldn’t teach properly the patient attendant for patient

care. So many articles and theories present about relationship between nurse and patient family. I

challenged the importance of the context. If I worked there as a nursing staff, I must be take help

from patient family or attendant. I taught the patient family, when patient was admitted about

patient care in proper way. If I feel difficulty in teaching to patient then I will get help from my

seniors and different nursing theories. Articles also support my thinking in following words that

“the nurse moves from being an expert care provider to being a partner with the client in order to

improve the client’s capabilities. (Stewart 1990)”.in other place write in article that “the nurse

partner (attendant) must believe in empowerment and actively encourage the client’s

involvement in decision making or care (Trnobranski 1994, Strickland 1996)”. Above-mentioned

article have lot of knowledge about nurse and patient relation. In 1978 World health organization

also said that empowering approaches to the promotion of health had been advocated for over a

decade.

Conclusion

  I concluded that if we provide nursing care to patient with the help of patient attendant’s, we

can cover the shortage of staff in nursing care. In minimal resources we can provide holistic

nursing care to patient. In “1998 Hatrick said that in patient care process that appeared to be

most significant to the learning /teaching of health promoting family practice. The team’s

experience of moving towards health promoting practice is described elsewhere”

Evoluation.
I learn from this episode that we can make different strategies for patient care in any difficult or

stressful condition.  Shortage of nursing staff and other things not has significance values for me.

I can survive in any difficult situation, and provide nursing care to patient in easy way. In future I

never lose my professional behavior and try to maintain my professional ability in stressful

situations like shortage of staff. I will search the other alternative for this work. Because,

stressful situation will increase my learning and critical thinking abilities.

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