Older Adults

Older Adults

Course Competency:
  • Analyze the increased complexity of care among older adults.

Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she asks the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to teach older adult clients (and their family members) about.

Topic:

Dementia

Identify the client problem your in-service will address.

  1. Describe at least five consequences of the client’s problem related to older adults’ health, safety, and well-being.
  2. Explain your rationale for choosing the client problem you selected.

Response Culture 7

Response Culture 7

A 24-year-old Pakistani immigrant woman has given birth to a healthy boy. She expresses sadness that her family cannot be there to see him. The nurse is confused about why the mother is not happy.

What is the cultural context of her sadness?

A child brings a great deal of joy and love to the family. It is the genesis of generation perpetuation and also preservation of the family members lineage. A 24-year old Pakistan immigrant woman has effectively given birth to a baby young boy though there are worries. There is child reference culture in the family of Pakistan (Atif et al., 2016). Kids are desired most compared to little girls and also accorded close attention to education as well as provision of standard needs. This is why the lady is sad now that the household is not near to see what is taken into consideration the best gender in culture. According to Atif et al. (2016 ), child preference in Pakistan’s society has actually remained to put pressure on women. Female discrimination has remained to occupy the center stage of the male-dominated culture in Pakistan. Ladies have continued to be offered minimal, insufficient authority on making contraceptive use choices.

Lots of families in Pakistan have continued to witness gender predisposition. Kid choice is an intricate problem; therefore, the 24-year old Pakistan female might have intended to share the joy with the family members. Boy preference is so widespread in Pakistan despite health care professionals’ initiatives to handle his fossilized thought. Atif et al. (2016) state that there has actually been antenatal murder of little girls, and even if they are birthed effectively, ladies are discriminated till death. Consequently, the lady was fretted that such expected gender should certainly have actually been well invited in culture by doing numerous routines.

What can the nurse do to assist her?

Postnatal care of the mommy and also child is such an instrumental role in calming moms impacted by cultural myths and also affiliations in society (Amouzou et al., 2017). The registered nurse should take the very first step to direct the mommy that, without a doubt, the kid is risk-free in spite of the lack of the family members. The mommy must be provided with specialist guidance on just how to look after the baby kid during the initial days and also neglect the absence of the relative. The registered nurse needs to connect effectively with the mother, give functional advice, and also any kind of professional assistance that might be taken into consideration to relax the mother and safe safety for the infant boy (Amouzou et al., 2017). In connecting with the mother, the registered nurse ought to bear in mind to make use of straightforward as well as appropriate language.

A registered nurse must deal with the function that the mother elevates her infant with a lot of respect even if the concerns may appear unnecessary. It is the registered nurse’s candid function to maintain depend on with the mom to make sure that the mommy will come for her solution next time should there be a need (Amouzou et al., 2017). Moms, especially new moms, require a lot of support and peace of mind that the child is fine and also must not be attached to the social practices. The mother should be assured that she will care for the child, who will meet the family members someday. The mom needs to be encouraged to do some points on her own such as spiritual alleviation with petition, meditation, singing, chatting, a nature stroll, and also meeting a pal.

A 55-year-old man is hospitalized for an opportunistic infection and asks for his partner to be with him overnight. He stated that previous hospitals did not allow his partner to visit and that is why he chose your hospital.

What are the ethical issues and what framework would you use to analyze the situation?

Among the ethical issues is having the person’s companion disagree with many health care aid. An individual might wish to opt for a particular clinical choice, while the partner might find the choice inappropriate (Gupta et al., 2017). Selecting the issue might take some time, and physicians might have problem persuading either the companion or the individual. Such disputes may limit patients from obtaining ideal support, especially in emergency situations. Chances of having clinical personnel sustaining family-based disputes is another ethical concern one needs to take into consideration before allowing the person’s companion to stick with the companion overnight. Debates throughout such minutes create a hold-up in aiding the client appropriately. Having continuous existence of the individual’s partner produces instances of communicating with the companion by telling what physicians are doing. In case of emergency situation, the partner may develop blockage that might restrict the health and wellness employees from doing what is intended in guarding the person (Mackie, Marshall & Mitchell, 2020). Having the partner remain overnight requires doctors to ask the partner to give the medical staff room to do what is called for while aiding the individual. The structure to utilize in analyzing the situation is applying priority setup. Concern setting would certainly include placing the demands of the client’s initial. The priority setup’s very first consideration is confirming if the companion remaining overnight will impact the person’s condition. Having a patient’s health getting damaged negatively as a result of the partner’s stay would certainly affect medical practitioners from disallowing the stay. In cases that indicate the individual’s spirits and feeling of recovery will increase, after that enabling the partner to remain is an exceptional concept, where no injury comes to the individual during the remain of the companion. Deciding to have the partner about is necessary in aiding the client feel much better as well as not experience distress throughout the keep.

Describe the research that may support the request.

Study sustaining the demand of having family members stick with clients throughout healthcare facility admission defines just how having family members at the client’s bedside advertises the patient’s healing (Kipps et al., 2020). Additionally, household existence is most likely to decrease the time one remains in the healthcare facility. Upon seeing loved ones surrounding and also urging the client to improve, the person chances of recuperation rise. Presence of the member of the family promotes individual’s state of mind that mentally assists the client get better. Boost in person reports of convenience takes place because the person does not need to stress over loved ones at home. Given that decreasing the length of keep for the client in the medical facility is the best goal, enabling member of the family to stay helps medical practitioners to attain the goal. Based on research study proof, having household encouraging as well as cheering on the individual on the path to recovery makes certain that patient feels enjoyed as well as looked after, which is the most effective means of promoting recovery. Doctor end up being the largest percentage of the people the patient connect with while supplying medical care services. According to Kipps et al. (2020 ), taking care of a person includes helping and looking after that patient’s household. Consequently, health care service concentrates on health care provision that includes household of the client. As a result, recognizing that patients in a health center setting are impacted by family members visibility encourages having open visitation plans that concentrate on enhancing client’s wellbeing. Consequently of having visitation plans, both healthcare providers as well as clinical centers are influenced by the client’s family’s presence. In addition, household visibility enhances connection of care and interaction if the person is not mindful to react to certain treatments.

Scientific And Theoretical Foundations For Advanced Nursing Practice

Scientific And Theoretical Foundations For Advanced Nursing Practice

1) Minimum 7 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page

           Part 1: minimum 2 pages

           Part 2: minimum 2 pages

           Part 3: minimum 3 pages

   Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

Part 3: Minimum 6 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Part 1: Scientific and Theoretical Foundations for Advanced Nursing Practice

See Mrs. Mendez case (File attached)

1 Make a list of key concepts relevant to the case study.

a. Identify PHYSICAL key concepts relevant to Mrs. Mendez and 2  family members

2. Describe one nursing middle-range theory associated with the concepts of interest (PHYSICAL key concepts) and explain why

a. Give an example from the case for its selection  (PHYSICAL key concepts).

3. Give deep information about the theory selected and defense your selection.

4. Discuss how the selected theory guides both your clinical assessments and interventions for Mrs. Mendez or her family.

a. How it influences your assessment questions

b. How it influences your selection of interventions for Mrs. Mendez and her family members.

5. Explain how knowledge from interprofessional health-related sciences informs advanced nursing practice.

a. provide an example

Part 2:  Conceptual Frameworks or Theories Relevant to your Clinical Problem and Population of Interest

 

Clinical problem: hypertension

Target population: Hispanic elders

1. Provide an introduction to the clinical problem of interest in a specific patient population, include:

a. Describe your perceived need for change in practice and the rationale for such change

b. Discuss the incidence and prevalence of the clinical problem

c. Discuss the significance of the problem.

2. Identify two conceptual theories that may be applied to the study of the clinical problem within the context of the target population.

3. Summarize the major propositions of each theory separately

4. Discuss how the conceptual framework or theory is relevant to the clinical problem and target population.

Part 3:  Concept Identification, Analysis, Middle Range Theory Development, and Clinical Application

 

Purpose: By defining, describing, and analyzing concepts, nurse scholars can develop a better understanding of how events and experiences, important to advanced practice nursing, are related to other concepts. This understanding can be used to develop middle-range theories which can focus on nursing assessments and can be tested through research to develop evidence-based interventions.

Watch the film “Breathing Lessons: The Life of Mark O’Brien” as a case study which you can find on the internet.

1. Make a list of all of the concepts that you identify as relevant to the nursing care of Mark.

2. Select from your list (Question 1) three concepts that you believe are related

a. Provide a conceptual definition for each of the three selected concepts based on a review of 1 literature article per each concept.

3. Create a middle-range theory for addressing the case

4. Identifies the propositions and relationships among the concepts in your middle range theory

5. Draw a conceptual map/diagram that illustrates how the concepts are related in your middle range theory

6. Apply knowledge of the characteristics of the three concepts (Question 2) in formulating at least two nursing assessment questions for each of the three selected concepts of your middle-range theory.

7. Compare and contrast your middle range theory with another middles range theory guiding advanced practice nursing in the care of Mark O’Brien nursing based on the literature.

8. Is your thinking consistent with another theorist’s theory?  yes or not, and why

9. Explain why you are a nurse theorist.

Homework

Homework

Course Competency:
  • Analyze the increased complexity of care among older adults.

Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she is asking the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to be able to teach older adult clients (and/or their family members) about.

In-service Topic Options:

  • Coronary artery disease

Your supervisor has asked you to submit a 1-page proposal, written using proper spelling, grammar, and APA, which addresses the following:

  1. Identify the client problem your in-service will address.
  2. Describe at least 5 consequences of the client problem as it relates to the health, safety, and well-being of older adults.
  3. Explain your rationale for choosing the client problem you selected.

Coronary artery disease

Coronary artery disease

  • Analyze the increased complexity of care among older adults.

Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she is asking the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to be able to teach older adult clients (and/or their family members) about.

In-service Topic Options:

  • Coronary artery disease

Your supervisor has asked you to submit a 1-page proposal, written using proper spelling, grammar, and APA, which addresses the following:

  1. Identify the client problem your in-service will address.
  2. Describe at least 5 consequences of the client problem as it relates to the health, safety, and well-being of older adults.
  3. Explain your rationale for choosing the client problem you selected.

Soap Note

Soap Note

Case:  Unable to have intercourse due to lack of desire

1-24 years old afro American

2-no past medical history

3-married, no kids

Requirements:

1- primary diagnostic

2- three differential diagnostic

3-ICD 10

4- Treatment: medication, doses, strength, route, frequency, duration

5- Education

6-Planning

7- Follow up appointments

Follow FNU format.

Well Elder Health Assessment And Community Experience

Well Elder Health Assessment And Community Experience

Well Elder Health Assessment and Community Experience: Please copy instructions below on a document and use APA to complete this assignment. Submit in the drop-box

Purpose:

The purpose of this project is to provide an observational experience for the student in the community that meets the needs of the well-elderly and to allow the student a personal insight into the normal aging changes. Nurses need exposure to well-elderly clients to assess all dimensions of health, to evaluate any specific needs, to evaluate what community resources are available, and to describe the nursing practice implications appropriate to the well-elderly client.

Objectives:

Upon completion of the experience the assignment, the nursing student will be able to:

  • Evaluate a well-elderly client’s health status in all dimensions of health: physical, psychological, social, spiritual, and sexual.
  • Describe the scope of services available within a specific community providing services to older adults by differentiating among services that are health-promoting, health maintaining, and health restoring.
  • Using Maslow’s hierarchy of needs, identify one primary health strength, one primary health need, and document one nursing implication needed to maintain and/or strengthen each one.
  • Delineate appropriate nursing implications for practice that meet well-elderly client’s needs.
  • Evaluate the well elderly client’s needs in relation to available resources.
  • Identify one evidence-based content area that will be helpful in your role as the RN with the geriatric client.

Directions for Assignment:

  • Select an older adult (65 years or older) that is currently in the community you have been assigned and is independent in their living arrangements. The person needs to be able and willing to answer questions.
  • Also, plan to talk with a community agency representative to get the necessary information for your community agency assessment.
  • Complete the following assessment. You are interested in the well elders perspective of health.

No physical examination is done.  At the end of each subsection, complete the evaluation portion.

4)            Summarize your finds on the summative evaluation sheet.

5)            Wear professional street clothes (no jeans), and your MPI name tag. Follow dress code guidelines. Report to your assigned placement for one day of clinical experience.

Grading criteria:

  1. You must achieve competency on this project. Points are calculated to determine if you receive 11.25/15 points. You need 75% of the points to achieve competency.  You have two chances to achieve competency. This is a double-starred criterion on your clinical evaluation tool.

Instructional Resource: http://consultgerirn.org/topics/age_related_changes/

NUR 230: COMMUNITY HEALTH NURSING

Well Elder Health Assessment and Community Experience

Student Name: ­­­­­­­­­­­­­­____________________________________________

Instructions to cover with the participant:

  1. First, establish your relationship with introductions.
  2. Review the purpose of the interview and the project.
  3. Review the outcome to be achieved.
  4. Share the tool, with the participant prior to another interview.
  5. Clarify that the process is voluntary.
  6. All information is confidential and will only be shared with your instructor via a written tool without any participant name identification. However, if the participant shares any information regarding suicidal thoughts or aspects of abuse, you will need to report such information together to a representative of the community.
  7. The participant has the right to refuse to answer any question.

Well-Elder Demographics:

Age: _________  Sex: _________   Occupation: __________________________

Health Perception and Health Management (½ point)

1a)    How would you describe your health status during the past year?

1b)    How would you describe your health status during the past 5 years?

  • What do you do to maintain your health?
  • In your life, what priority does health play?
  • In your life, what is more, important than health?
  • What is your top health concern currently?

NURSING EVALUATION:  IN 5 SENTENCES OR LESS, HOW WOULD YOU RATE AND DESCRIBE THIS OLDER ADULT CURRENT HEALTH STATUS?  USE THE SCALE OF 1 AS POOR AND 5 AS EXCELLENT.

Physical Health Exercise (½ point)

  • What do you do for exercise?
  • How often do you exercise?
  • How long do you exercise?
  • Would you say that you are an inactive, somewhat active, or active person?
  • Is this degree of activity a change for you? If yes, since when and why?
  • Are you satisfied with your level of activity (are you able to do what you need and what you like to do)?

NURSING EVALUATION:  IN 5 SENTENCES OR LESS, HOW WOULD YOU RATE AND DESCRIBE THIS OLDER ADULT ACTIVITY/EXERCISE STATUS?  USE THE SCALE OF 1 IS INACTIVE AND 5 IS ACTIVE.

Spirituality (½ point)

  • What gives your life meaning?
  • Do you have any religious or philosophical beliefs which make your life easier?

NURSING EVALUATION:  IN 5 SENTENCES OR LESS, HOW WOULD YOU RATE AND DESCRIBE THIS OLDER ADULT SPIRITUALITY STATUS?  USE A SCALE OF 1 AS NO SPIRITUALITY DIMENSION IN LIFE TO 5 AS SPIRITUALITY PLAYS A SIGNIFICANT PART OF LIFE.

Nutrition (½ point)

  • How would you rate your nutritional status?
  • How many meals +/or snacks do you eat a day?
  • Are there any types of food you are not supposed to eat?
  • Could you do a 24-hour diet recall including the type and amount of food?

TYPE AMOUNT

 

Breakfast

 

Snack

 

Noon meal

 

Snack

 

Dinner meal

 

Snack

 

Other:

  • Who prepares your meals?
  • How much money do you spend on food for yourself each week?

NURSING EVALUATION:  USING THE FOUR MAJOR FOOD GROUPS (MILK PRODUCTS, MEATS, FRUITS AND VEGETABLES, GRAINS) HOW WOULD YOU RATE AND DESCRIBE YOUR OLDER ADULT NUTRITIONAL STATUS?  USE THE SCALE OF 1 FOR POOR TO 5 FOR EXCELLENT.

Social Health/Social resources (1 point)

{Student}  Now, I would like to ask some questions about your family, friends, and social activities.

  • What is your current relationship status (single, married, divorced, living together, separated, widowed)?
  • How many people do you have in your life that you can depend on?
  • About how many times did you talk to someone (friends, relatives or others) on the telephone in the past week (either you called them, or they called you)?
  • What type of social activities do you participate in? How often?
  • What other types of support do you have that are helpful to you (pets, church groups, community services)?
  • How often do you see relatives or friends?
  • Is there someone who would help you if you were sick or in need?
  • How have your social resources changed over the past 5-10 years?

NURSING EVALUATION:  IN 5 SENTENCES OR LESS, HOW WOULD YOU RATE AND DESCRIBE THIS OLDER ADULT SOCIAL HEALTH STATUS?  USE A SCALE OF 1 FOR LIMITED TO 5 FOR EXTENSIVE.

Psychological Health (1 point)

{Student}  “Now, I’d like to ask you some questions about how you feel about life.”

  • In general, do you find life exciting, interesting, routine, or dull?
  • Taking everything into consideration, how would you describe your satisfaction with life in general at this present time—–Excellent, good, fair, or poor
  • Are you under any unusual stress in the following areas? Mark if Yes.

___Financial situation                      ___Home living situation  ___Transportation

___Personal health            ___Family relationships    ___Friend relationships     ___Other

  • How would you rate your mental and emotional health at this present time —-excellent, good, fair, or poor?
  • How has your mental or emotional health changed in the past 5 years?

NURSING EVALUATION:  IN 5 SENTENCES OR LESS, HOW WOULD YOU RATE AND DESCRIBE YOUR OLDER ADULT PSYCHOLOGICAL HEALTH?  USE A SCALE OF 1 FOR POOR TO 5 FOR EXCELLENT.

Sexuality (2 points)

{Student}  “Sexuality is an important dimension of health.  In the broadest sense, sexuality is defined as love, warmth, sharing, and touching between people.  It can give meaning to life and bolster security, belongingness, and esteem.  It has an emphasis on companionship, physical nearness, intimate communication, and a pleasure-seeking physical relationship.”

  • How would you describe yourself as a sexual being?
  • Have you noticed any changes about yourself that have impacted how you feel about yourself as a sexual being in the last 5-10 years?
  • Has your definition of sexuality changed over your life?
  • Are you currently in a relationship with someone?

NURSING EVALUATION; IN 5 SENTENCES OR LESS, HOW WOULD YOU RATE AND DESCRIBE YOUR OLDER ADULT SEXUALITY STATUS?  USE THE SCALE OF 1 UNINVOLVED TO 5 FOR INVOLVED AND FINDS IT SATISFYING.

Medications (1 point)

  • What medications do you regularly and or occasionally take?

Prescription

 

Drug

Dose

How often?

Med for?

SE

 

 

 

 

Over the Counter

 

Drug

Dose

How often?

Med for?

SE

 

 

 

 

  • Are there currently any medications that have been prescribed but that you do not take? Why?
  • Do you have any drug allergies? If so, what type of reactions did you have?
  • How much money a month do you spend on medications?

NURSING EVALUATION:  IN 5 SENTENCES OR LESS, HOW WOULD YOU RATE AND DESCRIBE YOUR OLDER ADULT MEDICATION STATUS (KNOWLEDGE, COMPLIANCE, ETC)? USE A SCALE OF 1 FOR POOR TO 5 FOR EXCELLENT.

{Student}  “This ends the formalized interview process.  Do you have any questions for me that you would like to discuss?  I would like to thank you for helping me with my project.  It has been very helpful and useful to me to learn your perspectives on health.  Thank you again for such a positive experience.  I wish you a year filled with much health.”

 

(Student:  You are to direct the following questions only to a community site where you are completing your project.)

Community Assessment (2 points)

  • Community (Residential) Facility Name: ________________________________________
  • What are the community-specific objectives in providing services to older adults?
  • What are the kinds of activities/services that are provided in this community?
  • What activities/services are categorized as health-promoting, health maintaining, and health restoring?
  • What are the eligibility requirements necessary to participate in the community?
  • How do your potential members qualify for becoming a participant in the community?

NURSING EVALUATION:  IN 5 SENTENCES OR LESS, HOW WOULD YOU EVALUATE THE SCOPE OF SERVICES AVAILABLE FOR THE OLDER CLIENT?  USE THE SCALE OF 1 FOR NOT WELL MATCHED TO 5 WELL MATCHED.

Summary Evaluation (6 points)

  • (2 points)
  1. What is this older adult’s primary health strength?
  2. Identify from Maslow’s hierarchy of needs, the area that matches the older adult’s strength.
  3. Document one nursing implication to promote this older adult’s health strength.
  • (2 points)
  1. What is this older adult’s primary health need?
  2. Identify from Maslow’s hierarchy of needs, the area that matches the older adult’s need.
  3. Document one nursing implication to promote the older adult’s health need.
  • (1 point)

Using Maslow’s hierarchy of needs, evaluate how well this client’s needs are currently being met.

(1 point)

What one evidence-based content area will be helpful in your role as the RN with the geriatric client?

Policy And Public Health

Policy And Public Health

Describe how economic principles and perspectives are used in the policy-making process, citing a specific example from the research literature. What economic principles are used in the decision-making process to determine policies that are most effective and efficient?

Policy And Health

Policy And Health

Compare and contrast a cost-benefit analysis and cost-effectiveness analysis. Summarize the purpose, strengths, limitations, and assumptions that underlie each approach. Discuss how to apply these approaches in public health policy development, citing an example for each from the research literature.

Nursing Bullying

Nursing Bullying

Prevalence:

Workplace incivility, lateral violence and bullying are described as a continuum related to their intensity, frequency and presence of intention to harm the target.

Prevalence of these phenomena in the nursing profession is variable, reaching considerable values:

87% for lateral violence

81% for bullying

 

EX of lateral violence: Being hypercritical, Blaming or put-downs, Criticizing without solutions, Exclusion, Gossip, Intimidation, Refusing to help or support, Sabotage, Shouting or other unprofessional conduct, Unfair assignments, snide comments, sarcasm, belittling gestures or comments, inappropriate or unjust evaluations, withholding information, holding grudges and displaying favoritism

U.S NAVY SEALS

The Nursing Profession should model…

 

LV: Stats & Correlations:

A significant positive correlation between lateral violence and work-related stress.

 

Lateral violence exerts a negative impact on job’s satisfaction.

 

At last, literature pointed out the link between lateral violence and the intent to quit from nursing career with a range from 11.3% to 30.5% of nurses victimized, decided to resign from their position.

 

From 6.9% up to 34% of the targets even consider quitting the profession.

Studies noted occurred internationally as well- including Italy, Turkey, Canada and U.S.

 

Bullying is a predictive factor for burnout and shows a negative correlation with job efficiency.

Victims of bullying recorded absenteeism 1.5 times higher in comparison to non-victimized peers..

78.5% of bullied nurses with length of service lower than 5 years resigned to move to other jobs.

Spector et al.(2014), showed from 136 studies:

36.4% was exposed to physical violence (PV) &

67.2% to the non-physical one (NPV).

** Europe, there was an exposure of the 35% to PV and 59.5 % to NPV **

LV: Stats & Correlations Continued:

 

Risk Factors for Workplace Bullying and Violence

unprofessional conducts, arguments about tasks, and disagreement on the nursing care strategy plus disappointment on peers’ job performance.

aggressions due to a failure in the adherence to protocols, right assignation of patients, limited resources, and high levels of nursing workload.

 

A quality analysis of IR’s r/t healthcare professionals has identified 2 main factors as possible catalysts for their occurrence: behaviour at work and job planning.

The first factor includes: unprofessional conducts, arguments about tasks, and disagreement on the nursing care strategy plus disappointment on peers’ job performance.

The second one includes possible conflicts and aggressions due to a failure in the adherence to protocols, right assignation of patients, limited resources, and high levels of nursing workload.

Related Factors Michelle

Consequential Outcomes:

In terms of emotional & physical impact, negative outcomes can seriously affect the victims (up to 75% of cases).

A wide range of physical and psychological symptoms may occur:

Decreased self-confidence

High levels of stress

Poor job satisfaction

Overreaction to mental stress

Psychological symptoms

Certified sick leave

Self-certified sick leave

Cardiovascular disease

Psychosomatic disorders

Chronic illness

 

 

Case Studies..Rose

According to a recent survey done by RNnetwork about 40 percent of nurses have reported incidents of verbal harassment either by physicians, patients, administration and fellow nurses. On the below graph from that survey, it is evident that nurses will experience the highest percentage of bullying from fellow nurses.

 

 

 

Research

 

 

 

Common Manifestations “looks like”

****** THIS WAS IN MY ARTICLE – Michelle

The most common manifestation of lateral violence is the psychological harassment resulting in hostility, as opposed to physical aggression.

These harassments include: verbal abuses- by an intimidating, malicious, and insulting pattern, threats, humiliations, intimidations, criticism, innuendo, social and professional exclusion, discouragement, disinterest, and denied access to information (3).

This specific type of harassment amounts to power-abuse, while the victims experience feelings of humiliation, menace, vulnerability and distress (4).

 

Eamples of lateral violence: Being hypercritical, Blaming or put-downs, Criticizing without solutions, Exclusion, Gossip, Intimidation, Refusing to help or support, Sabotage, Shouting or other unprofessional conduct, Unfair assignments, snide comments, sarcasm, belittling gestures or comments, inappropriate or unjust evaluations, withholding information, holding grudges and displaying favoritism

https://www.americanmobile.com/nursezone/nursing-news/lateral-violence-in-nursing-how-you-can-make-a-difference/

 

 

Video at clinical by group

 

 

 

Nursing Management

 

 

 

Implications..Monique

Nurses who are experiencing bullying behavior can take these steps:

Maintain a health view of self

Talk with a friend or collaeuge

Counseling to address emotional needs if indicated

Journaling

Exhibit assertive behavior

Confront bullying during or immediatly after incident

Report through proper channels

 

 

Prevention Kelvin

In most workplaces where risk factors can be identified, the risk of assault can be prevented or minimized if employers take appropriate

precautions. One of the best protections employers can offer their workers is to establish a zero-tolerance policy toward workplace violence.

This policy should cover all workers, patients, clients, visitors, contractors, and anyone else who may come in contact with company personnel.

By assessing their worksites, employers can identify methods for reducing the likelihood of incidents occurring. OSHA believes that a well-written

and implemented workplace violence prevention program, combined with engineering controls, administrative controls and training can reduce

the incidence of workplace violence in both the private sector and federal workplaces.

This can be a separate workplace violence prevention program or can be incorporated into a safety and health program, employee handbook, or

manual of standard operating procedures. It is critical to ensure that all workers know the policy and understand that all claims of workplace

violence will be investigated and remedied promptly. In addition, OSHA encourages employers to develop additional methods as necessary to

protect employees in high risk institutions of work.

 

 

 

 

In response to this unacceptable level of violence against health care workers, the National Institute for Occupational Safety and Health (NIOSH) has developed an online course to raise awareness of workplace violence among nurses and to help in the development of prevention strategies.

The NIOSH Workplace Violence Prevention for Nurses online training course contains units on what constitutes workplace violence, consequences of workplace violence for nurses and employers, and risk factors for both patient-on-worker violence and employee-on-employee violence. It also provides strategies nurses and organizations can use to prevent violence in their facilities. Each unit begins with a segment called “Nurses’ Voices” in which nurses who have experienced workplace violence give a brief testimonial and ends with an interactive self-check to make sure the nurse participant has understood the key concepts of the unit. The last five units are video case studies based on real-life examples of workplace violence.

 

 

 

 

 

Conclusion/Solutions & Outcomes..Claudia

 

 

 

Resources

 

 

 

Reference

Hartley, Daniel EdD, MS; Ridenour, Marilyn MPH, MBA, BSN; Wassell, James T. PhD, MS Workplace Violence Prevention for Nurses, AJN, American Journal of Nursing: September 2019 – Volume 119 – Issue 9 – p 19-20

doi: 10.1097/01.NAJ.0000580228.01504.0b

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357596/

 

https://web-a-ebscohost-com.ezproxyqcc.helmlib.org/ehost/pdfviewer/pdfviewer?vid=3&sid=b3b527be-4e38-40ff-9e49-b3335bae7ba3%40sessionmgr4006

Hartley, Daniel EdD, MS; Ridenour, Marilyn MPH, MBA, BSN; Wassell, James T. PhD, MS Workplace Violence Prevention for Nurses, AJN, American Journal of Nursing: September 2019 – Volume 119 – Issue 9 – p 19-20

doi: 10.1097/01.NAJ.0000580228.01504.0b