NUR4153 DELIVERABLE 1
NAME:
INSTITUTION:
DATE:
MEMORUNDUM
TO: Nurse M. T.
FROM: Charge Nurse Medical-surgical unit
DATE: 11/4/2020
RE: Nurse- patient responses
Registered Nurses work in dynamic situations and require a level of clinical reasoning supporting safe and proficient clinical practice. Clinical reasoning is a complex cognitive process that requires a nurse to use informal and formal strategies to gather and analyze patient information, evaluate implication, and weigh alternative actions (Fowler, 1997). Based on the situation that happened concerning your client assignment and debriefing, I am prompted to write this Memo to review the best way of addressing patient concerns. Nurses should show empathy and compassion to patients regardless of their health situations. In the acute care unit, most of our patients are critically ill, have lost hope, and it is our duty as their caregivers to reassure them, and offers assistance in all aspects of care.
The workplace and personal stressors often affect the way nurses respond to patients. However, this does not give us any right to project anger and frustrations to the patients. Cues help nurses instigate appropriate patient care helpful to the client. The internal and external cues impacting the responses include communication and relationships, the context of care, knowledge and critical thinking skills, nature of the task, and professionalism. The staff nurse’s response to the client was influenced by her grief, mental health situation, and job satisfaction. The charge nurse was calm and collected and responded to the client appropriately and understood the nurse’s situation.
The nature of the task and emotional state the staff nurse was in influenced her decision is not to attend to the client. Patient safety and positive outcomes are a priority in daily nursing care; therefore, based on her experience, the nurse could not provide patient-centered care. The charge nurse used critical thinking skills and professionalism to make a clinical judgment. Nurses should maintain ethics and professionalism when addressing patients.
EMOTIONAL INTELLIGENCE ACTION PLAN
The EI action plan of the staff nurse begins with managing her life and create capacity. This involves a more disciplined approach to stressors and taking time daily to release tension and calm the mind. The second step is managing emotional reactions, and it is key to managing anxiety and stress. These will enable the nurse to understand the value of these emotions and base her actins on understanding. The practice of being mindful promotes empathy, and the nurse will understand both herself and the patient situation.
The thirds step is the identification and development of the components of EI, which entails attitude, behavior, and feeling. This requires both personal intelligence and interpersonal intelligence. Developing personal intelligence involves factors such as self-awareness, self-management, and self-regard. This promotes self-compassion by understanding one’s current situation and being able to manage the emotional status. Interpersonal intelligence entails relationship management, awareness of others, and regard for others. When the nurse is aware of her emotions, it will be easier to be mindful of others’ emotional states and control their reactions and choose appropriate behaviors (Bradberry, & Greaves, 2009). Developing EI requires focus and self-discipline, as EI requires practice to change our attitudes and behavior. Exercising compassion for others begins with managing our emotions and understanding their feelings. The nurse should be able to handle interpersonal relationships by applying effective social skills. This includes being focused, active listening, effective communication, and creating a good rapport with the patient.
The charge nurse should have considered nurses’ emotional situation before conducting an assignment situation. The nurse staff response should have been polite towards the client and conducting task delegation, where she experienced difficulty. The charge nurse took appropriate action in helping meet patient requests and addressing the nurse’s behavior to avoid reoccurrence. Therefore, all nurses should exercise emotional intelligence, self-compassion, and show empathy in daily practice to understand the patient’s condition better.
References
Bradberry, T., & Greaves, J. (2009). Emotional Intelligence 2.0. TalentSmart.Retrieved from: https://www.google.com/search?q=Bradberry%2C+T.%2C+%26+Greaves%2C+J.+(2009)
Fowler, L. P. (1997). Clinical reasoning strategies used during care planning. Clinical Nursing Research, 6(4), 349-361. Retrieved from: https://www.google.com/search?q=Fowler%2C+L.+P.+(1997).