Ethical reflection and awareness in supervision
Nurses can experience moral stress and feel a sense of shame when they are torn between a patient’s needs and the requirements of the treatment system. Ethical reflection in supervision can help.
Nurses can experience moral stress and feel a sense of shame when they are torn between a patient’s needs and the requirements of the treatment system. Ethical reflection in supervision can help.
Measures such as the ‘getting-to-know-you’ day, the ‘float nurse’ function at an early stage, group meetings and internal training greatly benefitted supervisors and students at Oslo University Hospital.
The registered nurses found that the ISBAR communication tool improves the treatment and safety of patients in ICU and on general hospital wards by ensuring that transfer reports are made more standardised and time-efficient.
Participation in cancer and palliative care networks increased the registered nurses’ competence. Staff exchange training schemes and frequent participation in clinical practice days were also highly beneficial.
When nurses and healthcare personnel are able to identify which patients are particularly at risk of post-stroke fatigue, patients can be given the appropriate follow-up at the right time.
Nurses with Norwegian as their mother tongue use a larger, and more nuanced repertoire in handover reports than those with Norwegian as a second language. However, they document numerical information in almost the same way.
Registered nurses noted a greater number of clinical signs of infection in infants with catheter-related bloodstream infections (CRBSI) than in infants without such infections. However, not all observations were documented.
Many registered nurses were unaware that generic substitution can only take place using an approved substitution list, or were uncertain how to use the Norwegian Pharmaceutical Compendium correctly.
It can be almost impossible to insert a needle in the case of some patients. Moreover, registered nurses have many work tasks to carry out at the same time in different places, and this can reduce concentration.
Parents in NICUs report good follow-up from contact nurses and doctors, as well as a high level of self-efficacy after discharge. However, parental guidance should be strengthened in some areas.