Comment1

As our lecture describes, “death is a particularly traumatic and difficult experience for both family and caregivers” (Grand Canyon, 2015). A rather interesting distinction I observed while working on both of these units and witnessing death in different underlying situations/stages: death on the oncology unit usually came after a long, hard fight with cancer. As such, patient’s families were often understandably distraught and through their grief expressed feeling “robbed” of time with their loved one. When death occurred on the geriatric unit however, family members would sometimes express feelings of gratitude that their loved one lived to a ripe age and felt at peace that their time had come, as it was expected. In witnessing these experiences, it made me understand that death is easier to swallow/digest for some when it occurs from natural age process versus caused by disease.

The acceptance of death and the grieving process is experienced differently by everyone. Personally, I feel my bedside experience as a nurse has helped me understand this process a great deal and I empathize greatly with the patients/families I have encountered.

Comment2

I have only witnessed death a couple of times at work. I have worked with hospice patients that visit the doctor’s office and these have been about comfort. Since I am a float in the clinic setting, I do not come across much death. I did when I worked on the medical floor; there, acceptance of the death depended more on if it was expected or not. I think that when we know death is going to occur it is easier to accept and come to terms with. When death is not expected it can be harder because of the sudden loss. I do not think that the lack of experience at work has shaped my view on death because I have dealt with it personally.

I think that I handle death fairly well because I grew up with death being a natural part of life. As we grew up on the farm it was normal to lose animals. We also have a very large extended family and we went to funerals fairly regularly. While others have viewed that as wrong or depressing to have children go to funerals, it was never viewed that way by my family because it was a part of life and we celebrated that life. I have not shielded my children from death either. My sister-in-law and I have different views on this; I accept her decision, she does accept not mine. She was upset when we brought our children to the first funeral on my husband’s side of the family but it was very natural to me. Death is only one step in life and should not be feared.

 

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Comment1

I currently work at a transitional care unit; we do the admissions for the whole clinic, cover the perception unit, and recoup all cardiovascular cath, pacemaker, and removal patients. Obviously we have a wide assortment of patients and keenness levels. Passing isn’t an ordinary event, yet it happens reasonably consistently. I have tended to patients on comfort mind just, currently kicking the bucket, and those that pass surprisingly because of heart failure. The plain first patient I had passed was a patient with terminal lung tumor. This experience genuinely opened my eyes to the agony and enduring numerous tumor patients perseveres. He was in horrible agony, where over a 4 hour time span he got 18mg of Dilaudid, and this scarcely made him agreeable. It was in this time I considered demise to be a help, so both him and his relatives.

I am ready to see passing from an exceptionally medicinal and logical point. In that passing does not trouble me to such an extent. I consider it to be a wild factor we as a whole should confront multi day. Including medicinal services aliments that prompt passing likewise makes a difference. At the point when my granddad passed away I was miserable for his misfortune, yet additionally mitigated that he every other week excursions to the ED for either CHF or DKA were finished. I knew he was prepared to go on as well. 

With this viewpoint I have been called craze about the subject. My mother does not see how I am ready to see death in such an easygoing way. I don’t feel I see it in an easygoing way, however a scientific and restorative way. I don’t know what occurs after death, but rather I discover comfort in knowing something more lies past it.

Comment2

I work in a telemetry floor. As well as post-cath lab procedures, we admit patient with diverse diseases. Most of them have been discharge home safely but many of the patients have died during our care. My first death was a woman around her 40s with a beautiful family. Unfortunately, eight months before she was diagnosed with stomach cancer. Her body only resisted one chemotherapy. I had this patient every night since she got admitted and I knew how much she wanted to live. Four weeks passed, and she got even worse. Everyone on the floor knew this patient. I can still remember her name and how many times she told me she wanted to live her life as normal person again. The night of her death was a sad night, but she was ready to go on. There were tears and even more when I was receiving a hug from the husband and the thankfulness for his wife care during her hospitalization. That was an unforgettable experience.

After that night I keep think how people still fight over material things; how is more important money that feelings. How many persons do not have respect for life? Life is short and sometimes unfair, but still is life, and still is beautiful. It is important to spend time with those who we love, and remind them every day how much you love those moments together.

 

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comment1

The concept of a spiritual worldview incorporates religion and spiritually, as well as many other philosophical or popular beliefs and reference point that make assumptions about the larger context of human existence. To many people, their worldview is the most important thing in their lives with seceding role in directing behavior, guiding attitude to health, work and relationship; and strongly influencing how they regard themselves and others. As a professional nurse, I put aside my personal religious views and not to apply them to the patient’s life. In life, it is not a must to agree on either religious views, political or taste of music to come into terms.

Thinking about religion and spirituality, as dimensions of a person’s spiritual worldview helps us to be responsive to the complex and diverse ways in which people personalize their beliefs. This means we are less likely to make assumptions about their needs, wishes, and practices based on a generalized term on their admission paperwork (Park, Currier, Harris, & Slattery, 2017).Furthermore, understanding the patient’s worldview helps us to develop a better understanding the patient’s worldview helps us to develop a better understanding of the patient and their complex; assists in the collaborative dialogue that encourages patients to commit to treatment regimens and healthy-living practices; lets patients know that we are concerned with the whole person; lastly, helps us support spiritual patients to tap into resources that they contribute to improved coping and wellbeing. If I were in a position that I couldn’t make my own decision and the individual that I have designated as my health proxy was not present to make decisions on my behalf. 

Comment2

When it comes to facilitating spiritual care with worldviews that are different from my own, my strengths are that I have discussed spirituality and religiosity with my patients in my initial assessment so I am already aware of any needs or desires they may have.  If they have a different perspective than mine, I discuss the specifics of what they expect if the situation arises where spirituality needs to be considered.  If I am unfamiliar with their desires, I research it at the earliest opportunity and then revisit it to be sure that we are on the same page.  Over the years, my patients have educated me more than any other source and that education of different spirituality, religions, and cultures is something I pack away in my tool box for use again.

My weakness, in regards to spiritual care, is that I want to do everything I can to save or preserve a life, and at times, patients do not agree, so I have to respect their wishes. 
It’s truly difficult to accept the desires of a Jehovah witness new mom who is hemorrhaging and refusing blood.  My belief is that God wants me to do everything I can to ensure survival of both mom and baby.  When a mother is clearly in danger of losing her life but stands firm in her decision to refuse blood, I struggle with holding my tongue and pray for a quick intervention.  I have seen this situation go both ways and I will never understand a person who chooses to accept death that easily when life is so easily maintained, however, I continue to respect that is a part of their belief system.

        

 

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Comment1

Leadership and management are both necessary for the success of any organization.  These terms are often used interchangeably by some while others see them as separate. Leaders are the inspiration, mentors, praises, and give directions to problems. Leaders may be more open with communication and participative in their encouragements of employing new concepts to help resolve a crisis. Managers are the planners, problem finders and solving, communication with team solving the problems. Managers may be known as having a stronger talent in solving problems and making use of scientific methods to come up with substantial solutions they the team may face every day (Huber, 2014).

I believe that the overlap between leadership and management are necessary for success. As a nurse manager and leader, I see this every day. Our nurse managers are also considered part of the leadership team. Our A-team, administration, would be considered the leaders in regards to this question. We are a rural hospital so we all work every close together and have an open communication among us. An example that I witnessed lately in the overlap is the construction on my psychiatry floor. We are in the process of updating our unit. There are construction workers in and out of the unit who does not understand that psychiatry is locked down for a reason.  As a manager, I have spoken with them and explained the rationale; I have spoken with their supervisors and explained the rationale. They all state they understand but I continue to witness the misbehavior entering and exiting the unit on the cameras in my office. I then go to my administration for guidance and help with the outside contractors. I experience guidance, open communication, and the administration goes to “manage” the construction crew.

Comment2

Leadership is the process of influencing people accomplish goals .The key concepts related to leadership are influence, communication, group process, goal attainment and motivation (Huber, 2013). Management is the coordination and integration of resources through planning, organizing, coordinating, directing and controlling to accomplish specific institutional goals and objectives (Huber, 2013).

Leadership is one of the most important factors that determine the survival and success of groups and organizations. Effective leadership is important in nursing because of its impact on the quality of nurses’ work lives, being a stabilizing influence during constant change, and for nurses productivity and quality of care. In leadership quality of life depends on quality of leaders. The leadership focus is on people, human relationship aspects while management focuses on systems, structure and tasks accomplishment (Huber, 2013).

 

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Comment 1

Self-awareness is the honest understanding of one’s own emotions, values, motivation, goals, and strength and weaknesses. Self-awareness allows us to understands these things while knowing what causes them and how we react to them. Leaders who have self-awareness are able to mange their behavior, improve with communication and interactions, and increase their influence on the team members. The more a leader is self-aware the more influential they will be with their team which leads to better performance from the team they lead.

Self-awareness leaders will demonstrate empathy and compassion. They can really relate to others emotions and are genuinely concerned about others. Leaders are role
models. They inspire and encourage others to accomplish something of value and to make a difference in others people’s lives. Leaders able to face challenging events and will come up with solutions to fix the challenging events while staying calm and cool throughout the situation (Knight, n.d).

I see this day in and day out at my hospital, as we are in the process of remodeling and improving patient safety. The contractors that are working in our hospital know that we are on a time schedule but appeared to not understand or don’t care. But we as mangers and leaders are holding them accountable for every day that they do accomplish the work that we have been told that will be done. I, myself, do notice that I am firmer with them than my administration is. I am firm because I manage a psychiatry unit and I actually am seeing what is and is not being done on the floor. Patient safety is my main concern along with staff and their safety. Some of the contractors actually get that they are in psychiatry department but some do not and do not consider the safety of the unit.

Comment 2

Huber discusses personal leadership skills that are important for all great leaders to possess including self-awareness, self-management, social awareness and relationship management (Huber, 2014).  An active leader is also flexible, empathetic, and understands multiple leadership skills. These leadership skills include having emotional intelligence and the ability to understand it in others. The skills are essential concepts to understand and master to become not only a leader but also a nursing leader (Huber, 2014). Self-awareness, an element of emotional intelligence, is when a person can understand own feelings and emotions and how these emotions can influence and affect those around them (Huber, 2014). Working as a nurse leader self-awareness means to be aware and understand how own attitude and emotions can influence and affect the employees that one is leading.

It means knowing own values, personality, needs, habits, emotions, strengths, weaknesses. To become more self-aware, we should develop an understanding of ourselves in many areas. Critical areas for self-awareness include our personality traits, personal values, habits, emotions, and the psychological needs that drive our behaviors. Individual leaders who can regulate their own emotions are better equipped to provide a holding environment for the people who work for and with them, creating a culture where people feel at ease.

In our highly competitive culture, this might seem counterintuitive. In fact, many of us operate on the belief that we must appear as though we know everything all the time or else people will question our abilities, diminishing our effectiveness as leaders. If one is honest with self, one admits that the opposite is true. Because whether one acknowledges own weaknesses or not, everyone still sees them. So rather than conceal them, the person who tries to hide weaknesses openly states them, for example by telling “I do not know. How have you done it in here?”

Self-awareness helps managers identify gaps in their management skills, which promotes skill development. However, self-awareness also helps managers find situations in which they will be most effective, assists with intuitive decision making, and aids stress management and motivation of oneself and others.

 

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