UNE Nursing Student

Month: February 2023

Career Development

A skill that the nurses exemplified in the movie that I need to work on developing in myself is the difference between helping adults feel more comfortable and less scared in a healthcare environment versus helping children because I have spent my nursing school and CNA time caring for adult patients and have little to no experience working with pediatric patients because I have not started my pediatric clinical yet. One of the male nurses in the video described that he makes pediatric patients feel more comfortable by wearing fun clothes such as a superman shirt, using a lego man light, and having a tiger stethoscope cover. Using these things makes medical equipment less scary for kids and makes it seem like they are playing with toys instead of doing a medical assessment that could seem scary to a child. The way we make adult patients less nervous is educating them so they feel less helpless, actively involving them in their care, and providing a safe space to talk about their emotions and mental state while dealing with health issues. I can definitely research and work on different ways that can be helpful to make children feel comfortable in  a hospital setting. 

In the movie home health nurses were caring for the Navajo nation and they discussed the dilemmas that can arise from patients being more comfortable with traditional treatments and less willing to try western medicine treatments. I haven’t had the chance to work with a patient that uses traditional cultural treatments before. Barriers to care for these patients would be that the western medicine treatments may scare them or they don’t trust the validity of them because maybe they haven’t been educated properly or well enough about the treatment. Nurses need to be able to respect the patients traditional treatment wishes without passing judgment of the validity of the treatment. As nurses we need to provide the patient with western medicine options for treatment and provide them with adequate education about these treatments while knowing they might not want to opt for these options because they are more comfortable with the traditional treatments from their culture. If I were to encounter a patient that was wanting to use traditional treatments from their culture I would want them to educate me about the treatment so I can hold onto that knowledge if I were to encounter someone from the same culture wanting to use the same treatment. Having an open mind like this to learn about other cultures will make me a better nurse able to care for diverse populations. I would suggest that the patient listens to my education about possible western medical treatments after they teach me about their traditional treatments.

I always describe my ability to be empathetic as my biggest strength. I would describe my experience in various clinicals and working as a CNA with so many different types of patients as how I gained experience working with patients and working on putting myself in their shoes to be able to provide the most quality care that I can provide with them. I would say one of my weaknesses goes along with being empathetic because I tend to feel things very deeply. Feeling things deeply can cause me to feel big emotions and the way I address this is working on debriefing with others. I had a really hard day at clinical last week and I immediately messaged my instructor to meet with me to debrief and talk about a hard situation that I was involved in. Talking with other people always helps me work through my emotions safely and helps me to not get upset.

Report Bias with Acute Trauma

Three statements that the nurse made in this virtual scenario in which the nurse is giving report on a patient that made me uncomfortable were: “Who knows where he is from?” “He’s one of those, if you know what I mean.” and  “Oh you know the type of people that hang out at the park just east of here. The one the police are always at.”

Each statement is important because the nurse giving report does not see that these statements can be seen as racist and hurtful. She needs to be told that each of these statements indicate that she looks down on this patient and judges him for where he is from and where he hangs out. This judgment about the patient can affect how we care for the patient and may have negatively impacted the care she provided for this patient if she had a negative opinion about him before she even met him.

In this scenario I was really uncomfortable with how she was rolling her eyes and trying to rush through the report. Report is a time where you can tell the patient’s story to the next nurse on shift and help create a picture about who these patients are above and beyond what is factually said in their chart already. If I was receiving this report it would upset me and I would have to say something to the nurse because her comments are so negative and not respectful of the patient.

One time that I experienced an uncomfortable situation was when I was at a clinical and the nurse I was with was receiving report on a patient that had a history of IV drug use. During report I could tell that the nurse was judging the patient for their tolerance to pain medications. She was judging the patient for how she would ask for pain medications directly at the time that they were due and that the patient would be extra cranky when she wanted pain medications. All I could think about was how much pain this patient must be in because she had endocarditis and since she has a history of iv drug use, medications that help with pain are less effective. I feel like patients that have this history deserve so much sympathy from nurses because they are dealing with high levels of pain and the medications are not as effective as they would be for a patient that does not have a tolerance in their body from past opiate use. After the night nurse gave us the report I discussed with the nurse I was following about the night nurse’s tone of judgment while talking about the patient and the nurse told me she was going to speak with her manager about this because it made her uncomfortable as well and she didn’t know that travel nurse well enough to feel comfortable addressing the comments with the nurse herself in that moment. 

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