Firstly, I want to help people. When you are in the hospital, there is always a lack of warmth, participation, and kind words. The nurse is more with the sick than the doctor, and she can comfort the patient.
Secondly, it’s useful to me in life. When I have a family, children, I can provide them with the most basic medical care. I will be able to competently take care of my parents – because they too will soon grow old.
In general, for each of us, the specialists who are responsible for our lives — physicians, are very important.
Soulness, emotional culture, the ability to perceive the experiences of one’s neighbor, upbringing in responsibility, a sincere understanding of your duty to other people, the realization that only you and you can and should help a sick person to gain fullness of existence, i.e. to become healthy – these are the moral indicators necessary in my opinion.
She is slightly in the shadow of the attending physician. Half a step away in terms of status, but this distance reduces the distance between her and the patient. She is a nurse. And in the matter of nursing a patient, she is the main one.
If it was previously believed that a nurse is an assistant to a doctor, now it is a competent, self-employed specialist who performs well-developed functions of nursing a patient. Outside the doctors’ offices, she devotes most of her time and attention to patients, prepares them for a doctor’s appointment, and helps them receive the treatment prescribed by them. The effectiveness of the work of general practitioners largely depends on the qualifications and proper organization of the work of nurses, on their quickness and human qualities – conscientiousness, accuracy, warmth. Fortunately, in our hospitals there are many wonderful nurses, real ascetics of their difficult profession.
Real specialists can only grow out of people who, by the beginning of their studies, had completed a fairly serious school of self-education and who had not lost their humanity in the storms of experience, but had strengthened their own soulfulness; did not become callous, did not close themselves from human suffering, but became stronger and more confident in their own abilities, learned to discipline themselves.
Everything in the nurse should have the patient in it, starting with her appearance (fit, neatness, hairdo, facial expression). The treatment of the ‘patient’ is completely unacceptable, as if the patient had lost the right to name and patronymic. In order to establish a partnership between the nurse and the patient, the patient must feel that you want to help him. Only then does that confidential dialogue arise during which the nurse learns the information she needs about the patient, the characteristics of his personality, his opinion about the disease, hospitalization, hopes for recovery, plans for the future. During such conversations, the patient’s attitude to relatives, work, other problems are revealed, and all this information gives the nurse the opportunity to make her sister’s diagnosis.
With all this, the nurse must always remember that partnerships with patients should not turn into familiarity: the leading role always remains with her. She sympathizes with the patient, between them a current called empathy is established, i.e. the nurse is able to know the essence and depth of the patient’s experiences and sufferings, but she does not identify herself with his experiences. The patient must always be sure that their conversations are confidential.
Knowing the features of the patient’s experiences, his personality, the nurse tactfully explains to the patient not only his rights, but also his duties, tells the patient in an accessible form about the necessary examinations, preparation for them, about the upcoming treatment.
A patient’s refusal from one or another type of examination or treatment should not cause a negative attitude towards him from the medical staff.
It is the duty of the nurse to be honest and truthful towards the patient, but talking about the diagnosis and the characteristics of the disease cannot go beyond what is indicated by the attending physician. This also applies to conversations with the nurse’s relatives.
The views of the doctor and nurse on some features of patient care may not coincide. Then you need to tactfully discuss controversial issues with the doctor, and if agreement is reached, this will facilitate the work. It’s not worth discussing such situations with other persons or immediately complaining to the management – this can lead to mutual insults, an undesirable situation in the team. The right to defend one’s point of view must be combined with high demands on oneself. the ability to acknowledge and correct their mistakes discovered independently or by colleagues.
The humanism of the profession creates the basis for protecting the personal dignity of a nurse, her physical integrity, and the right to help in the performance of professional duties. By the way, her standard of living should correspond to the status of her profession. Medical workers and nurses, in particular, should not be forced to work on conditions that are unacceptable to them.
There is probably no point in arguing about how the profession of a nurse is important, important, and wonderful.
“Nurses provide the necessary physiological and emotional support to patients, because they are the ones who spend most of their time with them.”
“The nurse tries to” understand the patient, patiently listening when he talks about his worries and fears, and also strive to emotionally support and comfort him. ”And when the patient is on the verge of death, the nurse needs to“ help him meet death with as little suffering as possible and as dignified as possible. ”
“The nurse is called to take care of the patient carefully. A few years ago, 1,200 professional nurses were asked,“ What is the most important thing in the work of the nurse for you? ”98 percent of them said that the most important thing is to provide quality care.”
“But along with joys, the nurse’s work is connected with many difficulties. She doesn’t make mistakes! When giving medicine, taking blood, putting a dropper or just turning the patient over, the nurse must be very careful. It’s wrong to make mistakes – especially in those countries where people like to serve court for paramedics Sometimes a nurse gets into difficult situations.
The psychotherapeutic role of the nurse is very large, wherever she works. It was no accident at the beginning, when the institute of nurses was just being created, they were called sisters of mercy, because they cared not only about the body, but also about the soul of the sick.
The art of nursing is the harmonious combination of creativity and the scientific validity of procedures, manuals, verbal influences and conversations in the process of patient care; in the ability to sometimes protect the patient from negative thoughts and feelings overwhelming him, which are known to significantly delay recovery, Such protection is important for people of any age, but especially for children and the elderly.
To implement it, the nurse must be ready for empathy, must show kindness, responsiveness, participation. But in some cases, just good human qualities are not enough. In order to apply them professionally, which means with a high degree of reliability, certain elements of medical psychology and psychotherapy must be learned.
The psychotherapeutic activity of the nurse of the territorial clinic should first of all be aimed at such a complex pathopsychological complex as the internal picture of the disease, i.e. understanding by the patient of the nature of his disease. The patient’s attitude to his illness can be hypernosognosic or anosognosic in nature; in addition, many transition states are possible.
It should be recognized that the profession of a nurse is especially in demand in life. Given the widespread shortage of nursing staff, girls in white coats are often forced to work more than 14 hours a day, being in constant motion and often not having time for a normal lunch.
While on duty, nurses should be constantly on the alert, because the duration of recovery and the outcome of the disease largely depends on their experience, abilities and skills: “The salvation of a seriously ill patient depends on whether the nurse is able to notice the deterioration of his condition in time and determine what it is connected with ”
It is the psychological and physical stress that nurses constantly experience that causes the percentage of various kinds of errors and deviations in nurses to be found much more often than in representatives of other professions. The hard work of a nurse negatively affects her health. As a result of studies, it was found that the life expectancy of nurses is on average 3-5 years less than that of representatives of other professions.
The shortage of nurses is pervasive. The work of nurses is a daily feat, as sometimes they have to charge two or three bets on their fragile shoulders. Only their love for the profession stimulates them. So let’s say them a lot of human thanks.
What qualities a nurse should have: “First of all, hard work. Cleanliness, external and internal, modesty. To be able to sympathize with someone else’s grief. The nurse is obliged to behave so that the patient can trust her completely, not embarrassed by any manipulation and procedure. At work, she should be able to forget about herself, about her domestic worries and problems, always be close to the patient. In the process of healing, in my opinion, all links are equally important, and if it is the doctor’s job to treat the pathology, then the nurses will help the patient psychologically cope with the disease. ”
The costs of the work of a nurse – the most difficult consequence of work in traumatic circumstances of the psyche (great responsibility, constant stress and communication with serious patients) – a syndrome of emotional deficiency and burnout.
This is when there is already no strength to sympathize, and everything is done automatically. The role of the nurse in the hospital hierarchy has increased, now she is the chief assistant to the doctor. Moreover, not only in terms of patient care, but also in the development of numerous new medical equipment. The nurse must prepare the operating room, the place of work of the doctor and patient for the procedure, monitor the work of the equipment, etc. Moreover, you must always improve your knowledge, because in surgery new methods are constantly being introduced, requirements are increasing, and at the same time, the daily closeness of human pain is difficult, sometimes there is simply no strength left. Not everyone is retained in this profession.