One of the clinical problems that I see in the Neonatal Intensive Care Unit (NICU) is nurses and healthcare staff becoming complacent in their environments because it is a job and the passion is lost allowing the nurse to move through the motions.\u00a0 We are all guilty in many professions, not just nursing, of treating people matter of fact and we forget it may be our hundredth experience, but it is their first experience, no matter what the experience is. When we approach any person, especially in our nursing experience, we have to approach them with kindness and passion. We as nurses cannot continue to eat our young (the new nurses coming to work) and continue to treat our patients as if we need to move on to our next task. Our body language, tone of voice and facial expressions give away our genuineness.\u00a0 We are all busy, but we have to put that aside and go back to compassion and empathy, thinking about how we want to be treated in this situation if we were in it.\u00a0 We have to utilize our critical thinking to see what level of care that parent needs to get through this situation at hand.<\/p>\n
One problem that I see is infant readiness for oral feeding of the premature baby.\u00a0 There are different opinions on the expertise of how it is done.\u00a0 Being able to see the situation first hand as a mother and then being able to see it as a professional, made me aware of not only my actions but others around me.\u00a0 My son was given breast milk initially via NG Tube until he was ready to try a bottle.\u00a0 Initially, the bottle feeding was started once per day and increased and they would leave the bottle-feeding for when the parents were there to feed the baby to create that bonding experience.\u00a0 One day I arrived at the NICU on a weekend ready to spend the entire day with my son and getting to feed him several times per day.\u00a0 The shift nurse that I had never met said that I was feeding my son wrong.\u00a0 She took over the feeding entirely and when the rest of the feedings occurred that day, she took over because she stated that I was making the baby aspirate due to my inexperience.\u00a0 I was only allowed to hold him.\u00a0 When the change of shift occurred, she said okay time to go, I stated that we were in a private room and the nurses close the door so that we do not have to leave during the change of shift.\u00a0 We were in a private room because at one point the baby had developed a hospital-borne infection called Serratia and he had to remain there until discharge.\u00a0\u00a0 Staying in the room was an arrangement that I made with upper management due to the fact that I worked full time as did my husband and we did not have much visiting time with him during the week.\u00a0 She proceeded about her business and ripped the baby right out of my arms.<\/p>\n
I cried for days until Monday came and I made a complaint to my head nurse who assured me that this was documented in my chart right on the front. She showed me the chart and stated that she would speak to the nurse about her abruptness.\u00a0 The weekend nurse assigned apologized to us a few days later, but by then my feelings were already crushed.\u00a0\u00a0 It was later discovered that the baby was aspirating even when he was fed via g-tube it had nothing to do with how I was holding or feeding him.\u00a0 It was inevitable.\u00a0 In the end, it was decided that the baby would have a Mickey G-tube inserted surgically for feedings to expedite his discharge home.<\/p>\n
When discussing with peers, the Colorado model seemed appropriate because it has a patient-centered focus.\u00a0 In the NICU, the focus is not only on the baby but the parents, they become your patients, too.\u00a0 In this instance, the issue that I experienced was discussed and it came to be known, that yes, as nurses we can have the one-track mind of getting things done and checked off a list. There is a lot that happens in the NICU that is unexpected, so the less that can be focused on that is routine, the better.\u00a0 Nurses can do things better, faster and with expertise, but is it really better?\u00a0 Parents would say no because they are left out of the important equation in the Colorado model.\u00a0 The Colorado model discusses that patients should have some control or personal choice in decision making, whether for personal preferences religious or cultural decisions (Goode, Fink, Krugman, Oman, & Traditi, 2010).<\/p>\n
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References<\/p>\n
Goode, C. J., Fink, R. M., Krugman, M., Oman, K. S., & Traditi, L. K. (2010, August 10). The Colorado patient-centered interprofessional evidence-based practice model: A framework for transformation. Worldviews on Evidence-Based Nursing<\/em>, 96-105.<\/p>\n
One of the clinical problems that I see in the Neonatal Intensive Care Unit (NICU) is nurses and healthcare staff becoming complacent in their environments because it is a job and the passion is lost allowing the nurse to move through the motions.\u00a0 We are all guilty in many professions, not just nursing, of treating […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[1],"tags":[211],"class_list":["post-1693","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-10-top-valentines-ideas"],"_links":{"self":[{"href":"https:\/\/justrosiemoore.com\/index.php?rest_route=\/wp\/v2\/posts\/1693","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/justrosiemoore.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/justrosiemoore.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/justrosiemoore.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/justrosiemoore.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1693"}],"version-history":[{"count":0,"href":"https:\/\/justrosiemoore.com\/index.php?rest_route=\/wp\/v2\/posts\/1693\/revisions"}],"wp:attachment":[{"href":"https:\/\/justrosiemoore.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1693"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/justrosiemoore.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1693"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/justrosiemoore.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1693"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nSource: Rosie’s Nurse Corner<\/p>\n","protected":false},"excerpt":{"rendered":"