nurse – JRM Nurse Consultants

April 04 2020

What is Nursing in Today’s World

In the words of Florence Nightingale:

“Nursing is an art: and if it is to be made an art, it requires as exclusive a devotion, as hard a preparation as any painter’s or sculptor’s work; for what is the having to do with dead canvas or dead marble, compared with having to do with the living body, the temple of God’s spirit? It is one of the Fine Arts; I had almost said, the finest of Fine Arts.”

In today’s world, many people do not respect nurses and the work that they do. There are many types of nurses in different fields. I personally have had the privilege of working as a nurse in medical-surgical units, labor and delivery, legal nursing, home care, case management, workman’s comp, and field nursing. The experiences that I gained in working in all of these different areas of nursing make me who I am today.

Through out the past month, these same nurses that did not receive any gratitude have now started to receive recognition, some negative and some positive. Nursing as we know it has changed many lives. We have had to adapt to the way that we reach out to our patients for their protection and ours through telehealth nursing. For many patients, this has been a great thing because they can still talk with their nurse and their doctor. I see clients in their home and doctor’s offices, but during the COVID-19 shelter in, I have had to reach out by telehealth to my clients in order to continue to provide the services that they need.

Many people have been so scared that they are losing sleep and feeling stress due to not working and how are they going to pay their bills. Then there are the nurses that work frontline in the hospitals and doctor’s offices and the nurses that now have to see patients through telehealth measures. One would think that those of us that have jobs still amidst this pandemic would be grateful and kind, but instead, for some people, it is causing stress and anxiety as a result of undisclosed fear.

Fear’s acronym that has been shared is false evidence appearing real. In this case, though it is fear of the unknown. Will there be work, will I get infected? Will my family be okay? These are all questions that go through people’s minds. What can we do as nurses? Pray and ask God for that peace to be the light in the midst of darkness. Second, understand that we can’t change the world and those that are in it; but we can change the way we look at it and how we handle circumstances.

A friend paid me the greatest compliment the other day, he said “Rosie Moore you followed The Great Physician! Bringing healing and hope to those in despair. keep up the good work. There is a crown waiting for you!” So today know that every type of nurse is important whether in the frontline or via telehealth. When COVID-19 is over, never forget what our country went through and the work that nurses and other healthcare workers did.

May 05 2019

When a Pregnancy is not Viable

I think that this is a hard decision for any mother to make when she is told that her baby may not be viable. I can see several ethical things here that would make a decision difficult to make. First of all, there is the termination of the pregnancy recommended because the baby will not be viable at birth, and then there is the religious aspect. These are both ethical situations that can be very difficult for parents when they have to make a decision. Doctors make decisions based on the viability of a baby and feel that if the baby will not make it, the pregnancy should be terminated. In a Christian hospital, for example, these conversations may not happen, because they do not do terminations of pregnancy, so that suggestion would not be made. However, at a non-Christian hospital, that type of discussion may happen there frequently.

Each hospital should have an ethics team to explain the choices to the mother so that a mother that does not believe in termination is aware that she does have the right to keep the baby until he passes. Allowing the parents to use their own judgment in a case like this, provides for better healing as they cope with the impending loss. The termination of a pregnancy before its time is devastating to any parent. A parent’s religious beliefs in the Lord keep them holding on for a possible miracle and we should not interfere in their decision making. If the miracle does not happen, those parents will find the way to grieve the loss but at least they were offered a choice and will not have to worry that the choice was not given to them and they will not have to live with the “what ifs.” This would be their way of coping with the death of that child (Denisco & Barker, 2012).

References

Denisco, S. M., & Barker, A. M. (2012). 25. In Advanced practice nursing: Evolving rules for the transformation of the profession (2nd ed., pp. 547-567). Retrieved from https://campus.capella.edu/web/library/home

Rosie Moore, RN, DNP

Visit my Website to learn more www.rosiemoore27.com
Follow me on Facebook https://www.facebook.com/rosiesnursecorner/

April 04 2019

Should APN’s Have a Higher Standard of Education?

Many people in the healthcare field ask if an advanced practice nurse should have a higher standard of education? in my opinion, yes, an advanced practice nurse should have a higher standard of education. They are the leaders that are setting examples for the new nurses coming on board. If we do not improve the profession, then anyone can say they want to be a nurse but not have the right criteria to be a nurse. Nurses are taking care of people’s health and in some instances the patients are critical; they should have a level of education that is higher.

Advanced practice nurses that are teaching our new nurses coming into the profession, definitely need to be at a higher level. If they are not teaching, then they are in management or conducting research. A great way that they can practice their speaking in impacting our nursing laws is starting locally with the Florida Nurse’s Association. There is a local chapter in many cities and they speak about nursing issues that are both at a local and national level. They have the ability through the association to bring it for review; in our state, for instance, they can bring the concern to Tallahassee so that they can get it resolved or even brought up nationally to Washington. If as nurses we do not get involved in healthcare, then what will happen is we will allow politicians who are not involved in the day to day care of patients, to make decisions that too often are not good choices for our healthcare system.

Rosie Moore, RN, DNP

Visit my Website to learn more www.rosiemoore27.com

Follow me on Facebook https://www.facebook.com/rosiesnursecorner/

February 02 2019

Use of a Nursing Theory

In the neonatology world, there are a lot of different cultures that come through the Neonatal Intensive Care Unit (NICU). It is also a longer time span to work with families, than on a regular medical-surgical floor. Florida is a transient state with many people coming on vacation and moving from out of state; this impacts nursing with a diverse culture. Today we will explore cultural diversity as it pertains to religious beliefs. In neonatology, three theories come to mind King’s views, Roy’s views, and Neumann’s views. The theorist that many Neonatal Intensive Care Units (NICU) use is the Roy Adaptation Model (DeNisco & Barker, 2013).

The Roy Adaptation Model is known to focus on spiritual matters and promoting health amongst a family-centered type of care. In the NICU, this especially holds true, because of the critical illness faced daily by the families. The Roy Adaptation Model helps families adapt to a changing environment and deal with the quality of life or in some instances death. In the NICU, Roy’s model works well as the nurses acclimate the parents, to the NICU and what is happening with their baby. The nurse may find a challenge when some of the babies need blood transfusions and the parents refuse for cultural or religious reasons (Alligood, 2013).

One particular faith, Jehovah’s Witness, does not allow for blood transfusions. This is something that is very important when you have a baby in the NICU that is in need of a blood transfusion and the parent will not consent. In some cases, the treating neonatologist will get a court order to do the transfusions. In an extreme emergency, if two doctors sign off that it is an emergency, then the baby will receive the transfusions while they await the court order. As a parent of a premature baby myself, I could not imagine not doing everything I could to save my child. But in this case, Roy’s Adaptation Model may not be the best model to use, trying to involve the parent in a delicate situation. The parent refusing to allow treatment of transfusions to their baby would be a hindrance to use Roy’s theory which is to promote a family-centered type of care involving the caregivers in the decision making and treatment (Meadow, Feudtner, Matheny Antommaria, Sommer, & Lantos, 2010).

The principle of autonomy allows the individual to make their own decision and select what is in their best interest. Now in this instance when the baby needs a blood transfusion, there cannot be an autonomy decision, because what the parent feels is in the child’s best interest, may not be. We may not agree with the family, but as nurses, we need to respect the other person’s customs and beliefs while at the same time being ethically correct in saving a baby’s life. Now, as long as the baby is being taken care of and there is not a medical threat to the baby’s life some recommendations can be reviewed to try and find an alternative form of treatment.

References

Alligood, M. (2013). Nursing Theorists and their Work (8th ed.). Retrieved from http://online.vitalsource.com/books/9780323091947

DeNisco, S. M., & Barker, A. M. (Eds.). (2013). Theory-Based Advanced Nursing Practice

2nd ed., pp. 6-17). [Vital Source Bookshelf].

Meadow, W., Feudtner, C., Matheny Antommaria, A. H., Sommer, D., & Lantos, J. (2010, April 13). A Premature Infant with Necrotizing Enterocolitis Whose Parents are Jehovah’s Witness. Pediatrics, 126(1), 151-155. http://dx.doi.org/10.1542/peds.2010-0079

January 01 2019

The Pain of a Child and Jean Watson’s Theory

What a difficult job it is for nurses that take care of kids that are in pain; these nurses make a difference in each child’s life that they touch. Jean Watson’s theory of human caring is a good example of our human caring for others. Jean Watson’s theory of human caring focuses on giving as an extension of self. It is about instilling faith and hope in a person (Alligood, 2013). When a person is sensitive to another person’s feelings, it helps to build a trusting relationship. It is important to acknowledge the positive and negative feelings that a person puts out to another person.

Jean Watson believes in her theory that we experience personal growth through teaching and learning as well as spiritual and socio-cultural well-being. Jean Watson’s theory emphasizes spiritual and nursing practice, which in turn will promote caring and love to the patient. This will then develop into a caring relationship. The theory allows the nurse to understand the other person’s perspectives on things and form a mutual bond. It also promotes growth when a caring environment is formed allowing the patient to be who they are and be accepted for it. In the case of caring for a child, it creates a natural caring environment that will help the child and the parent cope during a difficult time.

References

Alligood, M. (2013). Nursing Theorists and their Work (8th ed.). Retrieved from http://online.vitalsource.com/books/9780323091947

Dr. Rosie Moore https://rosiemoore27.com/

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Years of experience in Work Comp, Case Management, Disease Management, Utilization Review and Prior Authorization.

Tag Archives: nurse

What is Nursing in Today’s World

When a Pregnancy is not Viable

Should APN’s Have a Higher Standard of Education?

Use of a Nursing Theory

The Pain of a Child and Jean Watson’s Theory