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Kasey is an RN who has worked on the busy surgical unit of a large city hospital

ID: 238254 • Letter: K

Question

Kasey is an RN who has worked on the busy surgical unit of a large city hospital for the past 6 years. As one of three RNs on the unit's day shift, she often serves as the charge nurse when the assigned charge nurse has a day off. She is hard working, caring, and well organized and provides high-quality care for the often very unstable postoperative clients they receive on a daily basis.
About 2 weeks ago, Kasey's mother was admitted for a high-risk surgical removal of a brain tumor that was not responding to chemotherapy or radiation therapy. The surgery did not go well, and Kasey's mother was admitted to the surgical unit after the procedure. During the past 2 weeks, she has shown a gradual but steady decline in condition and is no longer able to recognize her family, speak, or do any self-care. It is believed she will probably not live more than an other week.
Per hospital policy, Kasey is not assigned to care for her mother; however, during her shifts, Kasey is spending more and more time with her mother sometimes to the detriment of her assigned clients. She is also beginning to make more demands on the unit nursing staff, often overseeing their care and requesting that only certain nurses care for her mother. One of the other nurses on the unit suggested that Kasey's mother be moved to a less specialized unit. When Kasey heard about the suggestion, she became livid and loudly scolded the nurse for her insensitivity in the middle of the nurses' station.
Questions :
1. Is the practice of not allowing nurses to provide care for their relatives evidence-based or accustomed practice?
2. Identify the steps in making this policy evidence based.
3. Do you think nurses should be allowed to care for relatives? Why? Why not? Kasey is an RN who has worked on the busy surgical unit of a large city hospital for the past 6 years. As one of three RNs on the unit's day shift, she often serves as the charge nurse when the assigned charge nurse has a day off. She is hard working, caring, and well organized and provides high-quality care for the often very unstable postoperative clients they receive on a daily basis.
About 2 weeks ago, Kasey's mother was admitted for a high-risk surgical removal of a brain tumor that was not responding to chemotherapy or radiation therapy. The surgery did not go well, and Kasey's mother was admitted to the surgical unit after the procedure. During the past 2 weeks, she has shown a gradual but steady decline in condition and is no longer able to recognize her family, speak, or do any self-care. It is believed she will probably not live more than an other week.
Per hospital policy, Kasey is not assigned to care for her mother; however, during her shifts, Kasey is spending more and more time with her mother sometimes to the detriment of her assigned clients. She is also beginning to make more demands on the unit nursing staff, often overseeing their care and requesting that only certain nurses care for her mother. One of the other nurses on the unit suggested that Kasey's mother be moved to a less specialized unit. When Kasey heard about the suggestion, she became livid and loudly scolded the nurse for her insensitivity in the middle of the nurses' station.
Questions :
1. Is the practice of not allowing nurses to provide care for their relatives evidence-based or accustomed practice?
2. Identify the steps in making this policy evidence based.
3. Do you think nurses should be allowed to care for relatives? Why? Why not? Kasey is an RN who has worked on the busy surgical unit of a large city hospital for the past 6 years. As one of three RNs on the unit's day shift, she often serves as the charge nurse when the assigned charge nurse has a day off. She is hard working, caring, and well organized and provides high-quality care for the often very unstable postoperative clients they receive on a daily basis.
About 2 weeks ago, Kasey's mother was admitted for a high-risk surgical removal of a brain tumor that was not responding to chemotherapy or radiation therapy. The surgery did not go well, and Kasey's mother was admitted to the surgical unit after the procedure. During the past 2 weeks, she has shown a gradual but steady decline in condition and is no longer able to recognize her family, speak, or do any self-care. It is believed she will probably not live more than an other week.
Per hospital policy, Kasey is not assigned to care for her mother; however, during her shifts, Kasey is spending more and more time with her mother sometimes to the detriment of her assigned clients. She is also beginning to make more demands on the unit nursing staff, often overseeing their care and requesting that only certain nurses care for her mother. One of the other nurses on the unit suggested that Kasey's mother be moved to a less specialized unit. When Kasey heard about the suggestion, she became livid and loudly scolded the nurse for her insensitivity in the middle of the nurses' station.
Questions :
1. Is the practice of not allowing nurses to provide care for their relatives evidence-based or accustomed practice?
2. Identify the steps in making this policy evidence based.
3. Do you think nurses should be allowed to care for relatives? Why? Why not?

Explanation / Answer

Is the practice of not allowing nurses to provide care for their relative’s evidence-based or accustomed practice?

-Patient-centered care is a comparatively new prototypical of health care that endorses admiration for patient favorites, an gratitude of the whole person as a lively human being, and companies amid the patient, his or her household, and healthcare providers.

-In this case the nurse is not allowed to care for relative is accustomed based as if allowed would lead in neglecting of other patients as it is clearly happening here in this case.

Identify the steps in making this policy evidence based.

The four concepts are enough to make it evidence based:

-Respect and Self-esteem. Healthcare providers vigorously attend to patient and family perspectives and integrity their selections. The strategy and distribution of health care comprises the patient’s and families traditional contextual, knowledge, principles, and standards.

-Info Distribution. Impartial info is communal with the patient and domestic in conducts that hearten empowered selections. Timely and precise info is communal with the patient and domestic to allow contribution and choice creation regarding upkeep.

-Contribution. The patient and family are maintained and encouraged to contribute in upkeep and choice creation at the level they select.

-Teamwork. Healthcare bests, patients, and relations work composed at an official equal in such parts as policy and program expansion, application, and assessment; health care facility project; expert teaching; and distribution of upkeep

Do you think nurses should be allowed to care for relatives? Why? Why not

-The nurses should not be allowed to care for their relatives as there are chances that the nurse would use her power and authority of patient care solely towards the relative leaving behind the other patients.

-In such circumstances where the situation arises, the nurse can be granted leave and then she can care and spend time with the relative.