Cancer treatment options.

 

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Quarter 7 is the final course prior to taking your NCLEX license exam to legally practice the profession of nursing. As a nursing student you have been exposed to theory, clinical experiences, simulations, and skills. To prepare for licensing, what strategies will you employ to ensure a successful NCLEX outcome? Describe 3-4 strategies you will utilize to promote your success.

Your initial response to the post should be 400 words in length and include proper APA formatting when referencing your resources.

 

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Indeed, today’s nursing environment has exposed nurses to many reasons to be conflicted.  For instance, some patients declare wishes to be permitted to die with dignity and request that their wishes are respected. Others may wish that their life support is terminated. It can also involve actions like nurses taking two tablets of oxycodone as ordered but keeping one for herself. From a biblical point of view, I feel it is wrong to help a patient die with dignity. However, from a professional point of view, nurses must advocate and support the patients’ decision including one to make their own decisions.  Making decisions in such a situation can cause ethical dilemmas. Having not come across such a situation, I can comment that it is essential for nurses to familiarize themselves with legal and moral issues surrounding the issue (Smith et al., 2016).

Also, in these cases, nurses should possess a basic understanding of the scope of practice and standard of care. Also, they should refer to the code of ethics for nurses with interpretive terms like beneficence, justice, and autonomy. For example, the law permits it and a person (an adult) has the right to be assisted to die at his or her request especially they are terminally ailing and in unmanageable pain. Also, sometimes life-sustaining therapies may prolong suffering at the cost of decreasing the patient’s quality of life. Besides, nurses caring for the patient at the end of life have a professional and moral obligation to follow guidelines depicted in ethical and professional standards (Dahlqvist et al., 2016). Most importantly, nurses should advocate ascertaining the goals of their patients are met while following principles.

Please respond to the discussion above

 

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Read the case study and comment on the following.

Case Study

Two new associate-degree graduates were hired for the pediatric unit. Both worked three 12-hour shifts a week; Jan worked the day-to-evening shift and Rosemary worked the night shift. Whenever their shifts connected, they would compare notes on their experience. Jan felt she was learning rapidly, gaining clinical skills and beginning to feel at ease with her colleagues.

Rosemary, however, still felt unsure of herself and often isolated. There have been times that she was the only registered nurse on the unit all night. The aides and LPNs were very experienced, but Rosemary feels she is not ready for that kind of responsibility. Rosemary knows she must speak to the nurse manager about this, but she’s called several times, and she’s never available. The shift assignments are left in the staff lounge by an assistant.

Questions

Your discussion post should answer the following questions in a well-constructed commentary. Use references, in APA format, where appropriate.

1. To what extent is this problem due to a failure to lead? Who has failed to act?
2. What style of leadership was displayed by Rosemary? The nurse manager?
3. How effective was their leadership? What are your suggestions for Rosemary?

 

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New grad nurses often feel overwhelmed, isolated and unsure just like Rosemary and being the only registered nurse on the floor only makes it worst creating room for unsafe practice. Having very experienced aides and LPN’s on the floor can be a great asset to Rosemary but can also be a little intimidating knowing that she is the RN and has seniority.

I believe that the nurse manager has failed as a leader. It states that Rosemary has tried reaching out to her but has been unsuccessful. “management, is the ability to plan, direct, control, and evaluate others in situations where the outcomes are known or pre-established.” (Yoder-Wise, 2015). The nurse manager needs to be accessible for the night staff, especially a new graduate who is to be in charge of the unit.With what little information is given in the case study, it appears that the leadership style is laissez-Faire. laissez-Faire leadership style is permissive, nondirective, or passive. Little to no planning along with lack of involvement, which is what we are seeing in the nurse manager (Catalano, 2015).

Rosemary is also displaying a laisser-faire leadership style. She is letting things that should be addressed pass by which is creating room for poor quality of care. My advice for Rosemary is to speak up for herself and to take further steps to receive the appropriate tools she believes that will make her career flourish . The shift assignments should not be left in the staff lounge by an assistant the charge nurse or manager should be doing this which can inadvertently create time for her to interact with other employees like Rosemary.

References

Catalano, J. T. (2015) Nursing Now! Today’s Issues, Tomorrow’s Trends. [Bookshelf Ambassadored]. Retrieved from https://ambassadored.vitalsource.com/#books/9780803643932/

Yoder-Wise, P. (2015). Leading and Managing in Nursing. St. Louis: Elsevier Mosby.

Respond to the discussion above, please.

 

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