Nursing care is at the losing END!!!!
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Nursing profession has evolved from its humble beginning during Florence Nightingale until the 21st century. The impact of change in Nursing as well as to other fields of knowledge are unimaginable. During Florence Nightingale's time, nursing was not just a calling, It was a devotion to God to serve those who are in need. It was solely a woman's work. However, through time, Nursing evolved and became a profession. Amidst all the facets of changes that happen to Nursing profession. One thing is Intractable to this devotion and so called profession. That is the Caring attitude of nurses. Through time the Nursing profession evolved from its humble beginning up until this highly technical world, the word Caring is still unchanged over time. Despite the growing responsibilities of nurses to their patient, one thing is common to all the specialty fields of nurses, and that is to care for their patient.
Due to the growing body of knowledge that overwhelmed nursing as a profession, nurses are forced to go with the flow in order to meet the needs and demands of this generation. Nursing procedures became highly technical with the advent of machines and gadgets that made work a lot more easier than before. Monitoring patients and Recording pertinent data are now computerized and vital signs which were normally taken manually are now encoded in the computer monitors hooked to patients. Despite these advances in nursing, there is still a need for improvement for the betterment of the whole society.
As time passes by, Nurses can no longer handle their sole responsibility to patients because they were bombarded with the technical aspect of nursing which were also inherent to their profession. few of those responsibilities are medicating the patient, monitoring and recording vital signs, carrying out doctors order, and administering intravenous medications and fluids. Because of these, Nurses forget to realize that there are more important things than the rest of the responsibilities they have. THEY FORGET TO REALIZE THAT THEY HAVE A PATIENT WHO IS ILL AND IN NEED OF THEIR CARE, EMPATHY AND LOVE! and an Oath to Protect the welfare and well being of the patient.!
A very good example of this scenario happen the day before i wrote this article. My aunt who is a diabetic patient and was scheduled for cholecystectomy was admitted in a Tertiary hospital in our city. After her operation and after she recovered from anesthesia, she was trans-in to the medical ward. When she was in the room, nurses were so busy monitoring her vital signs every 15 minutes with progression as the protocol of the hospital. The monitoring was a hell out of a robot nurse. the nurse on duty did not even greet us when she went inside the room to take the vital signs of the patient. she did not even explain to us and to the patient why such protocols are followed. there were no teaching whatsoever which were in fact a crucial factor in promoting positive recovery after the operation. As i pass by the nurse's station, all the nurses were so busy handling their charts and recording all their monitoring. My aunt, after fully recovering from anesthesia was now stable and is able to move her legs. I did not mind that nurses never gave instructions to us and to her patient with regards to deep breathing exercise and the like which are so important during the post operative period to prevent lung collapse or atelectasis. But the worst thing is yet to come. Here comes a nurse carrying an Intravenous injection of antibiotic. IV antibiotics are usually given in slow IV push because it is irritating and it causes pain to patient. Ideally IV slow push antibiotics are given at a rate of about a minute or two depending upon the amount given. I was shocked when i realized that the nurse gave the so called SLOW IV PUSH in less than 10 seconds. I saw my aunt grimacing in pain because of its irritating properties of the drugs. the nurse did not even bother to asked my aunt what was wrong. an hour after, my cousin rushed to the nurse's station because my aunt complained of difficulty of breathing. when my cousin told me about what had happen, I rushed to the hospital immediately and checked what was going on. i asked the nurses what medication they gave to my aunt and found out that they gave nothing else other than the IV slow push antibiotic. confused and fuming, i rushed to the nurse's station and asked if they have done a skin test for the said antibiotic. and all hell breaks.! no one can answer my simple question. the reason was, no one did checked for skin allergies. though my aunt did not went to anaphylaxis, but a clear example of the lack of care of nurses to the patient in this story.
The day after the incident, another nurse went inside the room and was about to give Metronidazole to my aunt. Good thing I was there and asked why was this drug given since my aunt has no history of protozoan infection. the nurse went out the room and never went back in. i assume she went to the wrong patient..
Can you imagine the whole scenario? How many nurses out there in the hospital and doing these? How many patient suffered from the consequences due to poor nursing care? and how many more patient will die in the near future if this problems are not prevented.
Let us all remember that the essence of nursing is caring. and caring comes in a variety of ways in showing it. I hope nurses will read this blog and start to realize that they need to lift their games into new heights. and that if they don't act now, who would?
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It's really hard to point out what reallY is the matter with this kind of situation J. Una man gud, due to the fact that nursing isn't considered anymore as how you described it in your article. mostly of the nurses see nursing as a means of having a better life, going abroad and the likes. that's why some of the vital roles of nursing that show compassion and genuine care are not practiced anymore. mura na lang jud xa ug technical competencies ang gina observe sa nurses nowadays. another thing is that, i'm not really sure about this, is the fact na many of us aim to go out of the country which in turn leave the less competent nurses sa atoang country...it doesn't apply to all man pud pero naa man pud juy situations na ing ani,,...another thing is the backer system..ahahaha..i really HATE this kind of employment style! you know na, no matter how much competent a nurse may be, he/she is not accepted in a medical institution because positions are reserved or allotted to applicants na related sa mga high-ranking employees ana na institution...ganyan nmn tlga ang kalakaran sa ating beloved country SA KAHIT ANONG INSTITUTIONS!
The only thing we can do to assure safe care delivered to us is by being VIGILANT as a watcher and as a patient as well. It's something we are part of because it is the life of the patient that is at stake..any errors done to our patient may cause terrible effects. so might as well guard our rights as a receiver of care. another thing is that no matter how much patient load the nurse may have, it is still a prime duty to check the drugs that are to be given to our patients. kaya nga it is given high priorities while we were still students because mostly of the errors we commit are drug-related...mahirap na lang din mag comment masyado kay we might experience the same thing(God forbid!)...basta, let us just be thankful na lang na it didnt happen to your aunt twice! and the first one did not have a grave result! God bless us sa Result J!
I do understand wanting the absolute best to care for those you love. Nothing is more frustrating than seeing a less than adequate job unfolding before your eyes.
Maybe look at the bigger picture.. They are required to "care" for so many patients that if they didn't run around like mad they wouldn't be able to accomplish it all..
To give you a picture.. just think about this..
You are working an 8 hour shift. You have a 30 minute lunch break, and two 15 minute breaks.
You are put in charge of 10 patients. Right off the bat, you realize you have 7 hours to take care of 10 people. That isn't even an hour per person. You have to take each individual's vital signs, check care plans (family history, allergies, medications, illness etc.. ), give medication, help them with ADL's, record intake, record output, check doctors orders for each patient periodically throughout the day and not forget to record EVERYTHING. If patients are in critical condition, the list is way longer. Some of these things they have to do multiple times, through out their shift, for each person.
You have a particular patient who is in a lot of pain. You want to make sure they are the most comfortable they can be. So at the beginning of the day you decide to spend a few extra minutes with them as you complete care. By the time you walk out their door, you realized you were in there for 35 minutes.. You have almost used all of the time you have available to care for that patient in the 8 hour shift without neglecting the other patients.
They get written up if they take too much time with any particular patient.
They get written up if someone decides they are crossing the patient-employee boundary line-- becoming too interested in a single patient.
They get written up if they don't properly chart.
They get written up if they don't care for all of their patients in the time given them.
They get written up for the most ridiculous things.. Give them a break please!
Nurses have so much to get done. The fault is not the Nurse's necessarily, but more the system. Nursing used to be based on caring and comfort for the patient and it was the doctors job to do the technical work. The newest technology for the Nurses, believe it or not, speeds up the care process so there's more of a chance to focus on "care".
Now, doctors get paid to talk. Tell a patient something about their illness, tell a nurse to give a dose of medication, give permission slips for certain things...
But, in your defense, I do agree. There are good nurses and bad nurses. Something to remember is that they are HUMAN.. Just like you. I'm sure you've had a bad day and allowed your mood to effect others in a negative way.
Well, you're right. We don't have angels who can take care of the sick.. But we do have willing people who try their hardest to do things the right way.
The fact is, if people were perfect, there would always be perfect care. Unless you are willing to lead out in perfection, never making a mistake again in your entire life, its a little unfair to ask others to do so. :)
However, I think if a change is going to be made, it needs to be the system. Nurses shouldn't be overloaded with patients to the point where if they take time to care, they get written up because they "neglected" care for another patient because they didn't have enough time for them..
On an end note, I hope your experiences with nurses get better as time goes on. There are good nurses out there, and you can request who gives care and who you don't want to give care. :)









anoras87 Hub Author 2 years ago
thanks for the comment rey... and thanks for pointing out your side...