NR 501 Week 2: Ways of Knowing

A challenging situation that I have been placed in not only once but multiple times as a Registered Nurse was related to family members of patients not following hospital protocols specifically involving infection control/ Prevention. As we all know since 2019, the corona virus has affected the workplace in many aspects, but especially many hospitals requiring the use of a mask. This past October I had many patients who were diagnosed with COVID 19, which meant if they had any visitors, they would need to wear a mask in the room. The N95 masks were supplied for the family members outside of patient rooms, just like all the PPE was there for when a staff member needed to enter. I had multiple occurrences when I walked in the room to administer patient medications, and the family did comply with wearing a gown, but proceeded to remove their N95 mask as soon as they entered because they claimed the mask was “uncomfortable”. This particular situation made me uncomfortable as a nurse because it seemed that each time I provided education on infection control, and hospital policies the family was still non- compliant. This caused me on multiple occasions to have the  nursing supervisor and I to ask to them to leave If they were going to continue to not comply with the rules for their safety and for the other patients on the floor. According to The National Library of Medicine, an infectious disease expert from Johns Hopkins explains that mask wearing is essential for the prevention of illness, especially when knowing one’s respiratory droplets are contagious (Humphreys, 2020).  

         An important nursing topic that was inherent in this situation would be infection control/ prevention. The issue in this case included the family members being noncompliant with the infection prevention protocol hence could cause the spread of a respiratory illness to increase to the outside or to other vulnerable populations on the hospital floor. This week’s text reading included a Nurses pattern of knowing which explained the fundamental patterns of knowing within the nursing profession (Butts & Rich, 2018). In this case, I feel that the Empirical concept can be used. To further elaborate, the nursing literature supporting the identified issue would be the idea of those not following proper infection control/ prevention. According to the CDC, Transmission based precautions are put into place to help prevent the spread of infection (Centers For Disease Control and Prevention, 2022).  In this case the Transmission Precautions in place were not being followed, which can cause the illness to spread further. 

        I realized during this exercise that this reflective opportunity allowed me to look back on previous situations I encountered, and I can apply nursing patterns of knowing to them. This is beneficial because as a Nurse Practitioner in the future this exercise can be used in many aspects of healthcare. The fundamental patterns of knowing can explain the definite approach that can lead to changes to positively influence our care delivery.  

References  

Butts, J. B., & Rich, K. L. (2018). Philosophies and theories for advanced nursing practice (3rd ed.). Jones & Bartlett Learning. 

Centers For Disease Control and Prevention. (2022). Infection Control. cdc.gov. Retrieved May 14, 2023, from https://www.cdc.gov/infectioncontrol/basics/index.htmlLinks to an external site. 

Humphreys, J. (2020). The importance of wearing masks in curtailing the covid-19 pandemic. Journal of Family Medicine and Primary Care9(6), 2606. https://doi.org/10.4103/jfmpc.jfmpc_578_20

In the past, I encountered an upset patient who would refused to let me complete their health assessment during their hospital stay. The patient kept interrupting me and was very agitated, thus making it challenging for me to obtain relevant information for proper charting and status of health. She refused to cooperate during the health assessment and complained they were not receiving proper care from the facility.  

The important nursing issue inherent to that situation was effective communication between the patient and me and patient-centered care. As a nurse practitioner, it is essential to establish effective communication and create a safe and comfortable environment for patients. According to Kwame and Petrucka (2021), patient-centered communication is fundamental to optimal health outcomes. However, in this situation, I felt underprepared to manage the patient’s emotional state and did not know how to proceed.

Using Carper’s pattern of knowing, I will discuss the Personal pattern. During the situation, I felt uncomfortable and frustrated. I was unsure how to manage the patient’s emotional state and felt unprepared to address their concerns effectively. Looking back, I realize that my biases since I worked in the facility may have impacted my actions. As a future nurse practitioner, I must recognize and address my biases to provide unbiased and equitable patient care.

I felt unprepared and uncomfortable since I did not practice patient-centered communication. Empirical evidence suggests that effective communication and patient-centered care are essential components of nursing. According to a study by Platonova, Qu & Warren-Findlow (2019), efficient and effective communication between the patient and medic is aligned with trust and satisfaction. Medical compliance and improved health outcomes are more likely in patients who perceive that their healthcare providers comprehensively listen to and comprehend their worries.

            My introspection has led me to discover novel perspectives on the significance of patient-oriented care and efficient communication. Building a trustworthy rapport with patients and tending to their apprehensions is imperative to provide comprehensive care. In the future, I intend to enhance my ability to communicate effectively and establish a secure and welcoming atmosphere for each patient.

References:

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nursing, 20(1), 1-10. https://10.1186/s12912-021-00684-2Links to an external site.

Parker, M. E., & Smith, M. C. (2015). Nursing theories and nursing practice (4th ed.). F. A. Davis Company.

Platonova, E. A., Qu, H., & Warren-Findlow, J. (2019). Patient-centered communication: dissecting provider communication. International Journal of Health Care Quality Assurance. https://10.1108/IJHCQA-02-2018-0027Links to an external site.