Professional Transitions

Critical Evaluation

In this case study, it was found that the registered nurse (RN) maintain compassionate care in her practice. Compassionate care is a very important aspect of nursing professionals in which the emotional and medical care services are delivered to the patient which are within the boundaries of policies, guidelines, and legislation (Coffey et al., 2019). The RN in the case study wears all the protective kit that is required during the COVID-19 care of the patients and she also effectively communicated with the patient to ensure their safety and monitored them because the patients of intensive care units are under ventilator and they cannot speak. According to Jonas et al. (2016), monitoring and evaluation of the patient frequently are very important as it ensures frequent assessments reduce the risks of health-harming factors such as monitoring of blood pressure can reduce the risks of hypertension issues. It is the right of the patient to get the fair and improved medical care that ensures his/her better health. Monitoring helps in marinating a track record of the health status of the patient that increases the effectiveness of the services.

 A patient under a ventilator cannot speak; therefore, effective monitoring will ensure comprehensive care. It is required to ensure that the patient does feel alone and gets the supports of the family during the treatments. In some medical cases, the patients are isolated from family visits, but the nurses can ensure emotional support by asking about their feelings, face-to-face communication, and feedback recording. The patient might feel to touch the hands of their loved ones or see them but due to their health status, they are not allowed to meet anyone (Hofmeyer et al., 2020). In such cases, effective communication of the nurse-patient will generate trust and a strong relationship, which will result in emotional support as well. For example, the aged patients should be given more time during their feedback recording and acknowledgment of the patient’s statements. The patient’s beliefs, choices of treatments, decisions about care plans should be respected (Babaei et al., 2019). In this case study, it was found that RN communicates to the family members as well and explains to them about the health status of their loved one. According to Bivins et al. (2017), it is the duty if the RN to ensure that there is shared decision-making with informed consent. The family members should be informed with the use of clear and simple language so that complete information is transferred about their hospitalized members regarding his/her care plans. It was also found that RN in the case study was helping other co-workers in wearing the protective wear kits, this ensures that collaborative teamwork in nursing can ensure the safety of the safety.

Not only at the workplace, but it is also the duty of the nurse to follow their principles outside her workplace; in the case study, it was found that RN ensured the complete safety of her family member as well after coming back from her hospital to her home. If a nurse does not follow her practices with professionalism and does not prioritize the safety, dignity, and respect of the patient and his family members then improved results cannot be expected (Babaei et al., 2019). Therefore, care, compassion, competence, communication, and courage are very important for compassionate care. Many times the nurses suffer from the issues of workload during their practice experiences such as during the COVID-19 outbreak, the hospital staff was working day-in and day-out. It is the duty of the nurses to ensure that the health and compassionate care of the patients is prioritized (Tehranineshat et al., 2019). A compassionate care environment in the hospital not only benefits the patients but also empowers the co-workers to increase the chances of expected positive results with the help of delivery of professionals care services. As per the compassionate care criteria, RN should be delivered holistic and respectful care services with clinical proficiency and nursing standards and ethics. If compassionate care is delivered then the issues of medical errors can be resolved to a great extent because the patient will be provided with patient-centered care approach strategies and an effective care plan will be developed after comprehensive assessments of the patient and recording of the health outcomes. All these factors will ensure the improved health of the patient with compassionate care services delivered by the RN and collaboration if the health care team.

Key Findings

During the pandemic periods, if a graduate nurse enters the hospital then she/he must ensure that the safety of the co-workers and patient is prioritized. The protective kits should be well dressed with the help of co-workers. These kits not only protect the nurse but also ensure that the infection is not transmitted to the patent or from the patient to other patients. The patients on a ventilator or in intensive care units are under serious health conditions and few such patents cannot speak about their health conditions so, it is important to monitor them frequently. The nurse must follow the National Safety and Quality Health Care Standard (NSQHS) of communication for safety by ensuring that family members are informed about their loved ones and the communication is effective with the patient so emotional and medically support him/her (NSQHS, 2020). A hospitalized patient often suffers from emotional distress as he/she cannot meet any of the family members due to the virus infection; therefore, if the graduate nurses ensure frequent interaction with such patients then comprehensive care will be delivered. All these factors will ensure compassionate care services in which the emotional and medical quality care is ensured to the patient. A graduate nurse is required to prioritize the patient more than personal matters. There are cases in the hospital workplace where due to pandemic workload is extremely high, but the nursing professionals should be maintained always and the handovers or medical records should be structured well and timely updated. Handover management is of great significance in ensuring compassionate care as it reduces medical errors (Merten et al., 2017). Due to the pandemic, the protective kits and hand hygiene should be effectively managed and because the kits cover the faces so, it should be ensured that names are written on the lab coats of the nurses to ensure the identity of the nurse to the co-workers or the patients and the family members.

Strategies

Various strategies can be used to manage the situation such as Strategy 1: Maintenance of NSQHS standard 1 of clinical governance which ensures risk management, patient safety, measurements for quality improvement, and safe environment maintenance (NSQHS, 2020). A safe environment during the pandemic period will develop trust in the patient that he/she is in a stable and safe environment. Moreover, during the pandemic times, it is highly required that risk management with effective clinical practices will result in improved health of the patient. Strategy 2: Effective communication with patent and family members by maintaining the National and Midwifery Board of Australia (NMBA) standard of 2 of therapeutic and professional practice, and standard 4 of comprehensive assessments to ensure compassionate care (NMBA, 2020). Due to PPE kits, the nurse has to work with the limitations of the kits and use verbal communication as much as possible and should be adapt themselves for remote communication (Hofmeyer et al., 2020). Strategy 3: Development and use of coping strategies in the practice workplace. Due to times of pandemic, the hospitals are full of pressures and families cannot meet their loved ones so, development and use of coping strategies will reduce the stress and anger of the family members (Hofmeyer et al., 2020). The problem should be addressed and actions should be taken immediately while application of problem-focused or emotion-focused coping strategies. 

References for Compassionate Nursing Care During Pandemic

Babaei, S., & Taleghani, F. (2019). Compassionate care challenges and barriers in clinical nurses: A qualitative study.  Journal of Nursing and Midwifery Research24(3), 213. https://dx.doi.org/10.4103%2Fijnmr.IJNMR_100_18

Bivins, R., Tierney, S., & Seers, K. (2017). Compassionate care: Not easy, not free, not only nurses. BMJ Journals. http://dx.doi.org/10.1136/bmjqs-2017-007005

Coffey, A., Saab, M. M., Landers, M., Cornally, N., Hegarty, J., Drennan, J., & Savage, E. (2019). The impact of compassionate care education on nurses: A mixed‐method systematic review. Journal of Advanced Nursing75(11), 2340-2351. https://doi.org/10.1111/jan.14088

Hofmeyer, A., Taylor, R., & Kennedy, K. (2020). Fostering compassion and reducing burnout: How can health system leaders respond in the Covid-19 pandemic and beyond?. Nurse Education Today, 94. https://dx.doi.org/10.1016%2Fj.nedt.2020.104502

Hofmeyer, A., Taylor, R., & Kennedy, K. (2020). Knowledge for nurses to better care for themselves so they can better care for others during the Covid-19 pandemic and beyond. Nurse Education Today. https://dx.doi.org/10.1016%2Fj.nedt.2020.104503

Jones, J., Winch, S., Strube, P., Mitchell, M., & Henderson, A. (2016). Delivering compassionate care in intensive care units: Nurses' perceptions of enablers and barriers. Journal of Advanced Nursing72(12), 3137-3146. https://doi.org/10.1111/jan.13064

Merten, H., Van Galen, L. S., & Wagner, C. (2017). Safe handover. BMJ359. https://doi.org/10.1136/bmj.j4328

National Safety and Quality Health Care Standard. (2020). The NSQHS Standards. Retrieved from: https://www.safetyandquality.gov.au/standards/nsqhs-standards

Nursing and Midwifery Board of Australia. (2020). The Registered nurse standards for practice. Retrieved from: https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx

Tehranineshat, B., Rakhshan, M., Torabizadeh, C., & Fararouei, M. (2019). Nurses’, patients’, and family caregivers’ perceptions of compassionate nursing care. Nursing Ethics26(6), 1707-1720. https://doi.org/10.1177%2F0969733018777884

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