SlideShare a Scribd company logo
Mrs. Smith was a 73-year-old widow who lived alone with no
significant social support. She had been suffering from
emphysema for several years and had had frequent
hospitalizations for respiratory problems. On the last hospital
admission, her pneumonia quickly progressed to organ failure.
Death appeared to be imminent, and she went in and out of
consciousness, alone in her hospital room. The medical-surgical
nursing staff and the nurse manager focused on making Mrs.
Smith’s end-of-life period as comfortable as possible. Upon
consultation with the vice president for nursing, the nurse
manager and the unit staff nurses decided against moving Mrs.
Smith to the palliative care unit, although considered more
economical, because of the need to protect and nurture her
because she was already experiencing signs and symptoms of
the dying process. Nurses were prompted by an article they read
on human caring as the “language of nursing practice” (Turkel,
Ray, & Kornblatt, 2012) in their weekly caring practice
meetings.
The nurse manager reorganized patient assignments. She felt
that the newly assigned clinical nurse leader who was working
between both the medical and surgical units could provide
direct nurse caring and coordination at the point of care
(Sherman, 2012). Over the next few hours, the clinical nurse
leader and a staff member who had volunteered her assistance
provided personal care for Mrs. Smith. The clinical nurse leader
asked the nurse manager whether there was a possibility that
Mrs. Smith had any close friends who could “be there” for her
in her final moments. One friend was discovered and came to
say goodbye to Mrs. Smith. With help from her team, the
clinical nurse leader turned, bathed, and suctioned Mrs. Smith.
She spoke quietly, prayed, and sang hymns softly in Mrs.
Smith’s room, creating a peaceful environment that expressed
compassion and a deep sense of caring for her. The nurse
manager and nursing unit staff were calmed and their “hearts
awakened” by the personal caring that the clinical nurse leader
and the volunteer nurse provided. Mrs. Smith died with caring
persons at her bedside, and all members of the unit staff felt
comforted that she had not died alone.
Davidson, Ray, and Turkel (2011) note that caring is complex,
and caring science includes the art of practice, “an aesthetic
which illuminates the beauty of the dynamic nurse-patient
relationship, that makes possible authentic spiritual-ethical
choices for transformation—healing, health, well-being, and a
peaceful death” (p. xxiv). As the clinical nurse leader and the
nursing staff in this situation engaged in caring practice that
focused on the well-being of the patient, they simultaneously
created a caring-healing environment that contributed to the
well-being of the whole—the emotional atmosphere of the unit,
the ability of the clinical nurse leader and staff nurses to
practice caringly and competently, and the quality of care the
staff were able to provide to other patients. The bureaucratic
nature of the hospital included leadership and management
systems that conferred power, authority, and control to the
nurse manager, the clinical nurse leader, and the nursing staff in
partnership with the vice president for nursing. The actions of
the nursing administration, clinical nurse leader, and staff
reflected values and beliefs, attitudes, and behaviors about the
nursing care they would provide, how they would use
technology, and how they would deal with human relationships.
The ethical and spiritual choice making of the whole staff and
the way they communicated their values both reflected and
created a caring community in the workplace culture of the
hospital unit.
Critical thinking activities
Based on this case study, consider the following questions.
1. What caring behaviors prompted the nurse manager to assign
the clinical nurse leader to engage in direct caring for Mrs.
Smith? Describe the clinical nurse leader role established by the
American Association of Colleges of Nursing in 2004.
2. What issues (ethical, spiritual, legal, social-cultural,
economic, and physical) from the structure of the theory of
bureaucratic caring influenced this situation? Discuss end-of-
life issues in relation to the theory.
3. How did the nurse manager balance these issues? What
considerations went into her decision making? Discuss the role
and the value of the clinical nurse leader on nursing units. What
is the difference between the nurse manager and the clinical
nurse leader in terms of caring practice in complex hospital care
settings? How does a clinical nurse leader fit into the theory of
bureaucratic caring for implementation of a caring practice?
4. What interrelationships are evident between persons in this
environment—that is, how were the vice president for nursing,
nurse manager, clinical nurse leader, staff, and patient
connected in this situation? Compare and contrast the
traditional nursing process with Turkel, Ray, and Kornblatt’s
(2012) language of caring practice within the theory of
bureaucratic caring.
Please I need the paper in APA style, with 3 references, no
PLAGIARISM is acceptable, and answers for each question.
thank you
Mrs. Smith was a 73-year-old widow who lived alone with no significa.docx

More Related Content

Similar to Mrs. Smith was a 73-year-old widow who lived alone with no significa.docx

189JOURNAL OF TRANSCULTURAL NURSING JULY 2002Leininger .docx
189JOURNAL OF TRANSCULTURAL NURSING  JULY 2002Leininger .docx189JOURNAL OF TRANSCULTURAL NURSING  JULY 2002Leininger .docx
189JOURNAL OF TRANSCULTURAL NURSING JULY 2002Leininger .docx
aulasnilda
 
Nursing Metaparadigm Paper
Nursing Metaparadigm PaperNursing Metaparadigm Paper
Nursing Metaparadigm Paper
Ashley Thomas
 
Wgu Rtt1 Task 2
Wgu Rtt1 Task 2Wgu Rtt1 Task 2
Wgu Rtt1 Task 2
Gina Alfaro
 
Concept Synthesis Paper on Personal Nursing Philosop.docx
Concept Synthesis Paper on Personal Nursing Philosop.docxConcept Synthesis Paper on Personal Nursing Philosop.docx
Concept Synthesis Paper on Personal Nursing Philosop.docx
mccormicknadine86
 
borrowed theory.pdf
borrowed theory.pdfborrowed theory.pdf
borrowed theory.pdf
bkbk37
 
Nursing Metaparadigm Essay
Nursing Metaparadigm EssayNursing Metaparadigm Essay
Nursing Metaparadigm Essay
Dani Cox
 
THEORETICAL FOUNDATIONS OF NURSING.pdf
THEORETICAL FOUNDATIONS OF NURSING.pdfTHEORETICAL FOUNDATIONS OF NURSING.pdf
THEORETICAL FOUNDATIONS OF NURSING.pdf
HaraLakambini
 
Leadership and Nursing Roles HW.pdf
Leadership and Nursing Roles HW.pdfLeadership and Nursing Roles HW.pdf
Leadership and Nursing Roles HW.pdf
bkbk37
 
Chapter 14 Self-care deficit theory of nursingVioleta A. Be
Chapter 14 Self-care deficit theory of nursingVioleta A. BeChapter 14 Self-care deficit theory of nursingVioleta A. Be
Chapter 14 Self-care deficit theory of nursingVioleta A. Be
EstelaJeffery653
 
jean watson
jean watsonjean watson
jean watson
crolauk
 
Brief background of Martha E.RogersMartha Elizabeth Rogers (.docx
Brief background of Martha E.RogersMartha Elizabeth Rogers (.docxBrief background of Martha E.RogersMartha Elizabeth Rogers (.docx
Brief background of Martha E.RogersMartha Elizabeth Rogers (.docx
richardnorman90310
 
Leiniger
LeinigerLeiniger
Leiniger
tonefeleo
 
Comfort theory
Comfort theoryComfort theory
Comfort theory
Sangita Maharjan
 
Theory of transpersonal caring (jean watson )...
Theory of transpersonal caring (jean watson )...Theory of transpersonal caring (jean watson )...
Theory of transpersonal caring (jean watson )...
Ahamed Masooth mohamed
 

Similar to Mrs. Smith was a 73-year-old widow who lived alone with no significa.docx (14)

189JOURNAL OF TRANSCULTURAL NURSING JULY 2002Leininger .docx
189JOURNAL OF TRANSCULTURAL NURSING  JULY 2002Leininger .docx189JOURNAL OF TRANSCULTURAL NURSING  JULY 2002Leininger .docx
189JOURNAL OF TRANSCULTURAL NURSING JULY 2002Leininger .docx
 
Nursing Metaparadigm Paper
Nursing Metaparadigm PaperNursing Metaparadigm Paper
Nursing Metaparadigm Paper
 
Wgu Rtt1 Task 2
Wgu Rtt1 Task 2Wgu Rtt1 Task 2
Wgu Rtt1 Task 2
 
Concept Synthesis Paper on Personal Nursing Philosop.docx
Concept Synthesis Paper on Personal Nursing Philosop.docxConcept Synthesis Paper on Personal Nursing Philosop.docx
Concept Synthesis Paper on Personal Nursing Philosop.docx
 
borrowed theory.pdf
borrowed theory.pdfborrowed theory.pdf
borrowed theory.pdf
 
Nursing Metaparadigm Essay
Nursing Metaparadigm EssayNursing Metaparadigm Essay
Nursing Metaparadigm Essay
 
THEORETICAL FOUNDATIONS OF NURSING.pdf
THEORETICAL FOUNDATIONS OF NURSING.pdfTHEORETICAL FOUNDATIONS OF NURSING.pdf
THEORETICAL FOUNDATIONS OF NURSING.pdf
 
Leadership and Nursing Roles HW.pdf
Leadership and Nursing Roles HW.pdfLeadership and Nursing Roles HW.pdf
Leadership and Nursing Roles HW.pdf
 
Chapter 14 Self-care deficit theory of nursingVioleta A. Be
Chapter 14 Self-care deficit theory of nursingVioleta A. BeChapter 14 Self-care deficit theory of nursingVioleta A. Be
Chapter 14 Self-care deficit theory of nursingVioleta A. Be
 
jean watson
jean watsonjean watson
jean watson
 
Brief background of Martha E.RogersMartha Elizabeth Rogers (.docx
Brief background of Martha E.RogersMartha Elizabeth Rogers (.docxBrief background of Martha E.RogersMartha Elizabeth Rogers (.docx
Brief background of Martha E.RogersMartha Elizabeth Rogers (.docx
 
Leiniger
LeinigerLeiniger
Leiniger
 
Comfort theory
Comfort theoryComfort theory
Comfort theory
 
Theory of transpersonal caring (jean watson )...
Theory of transpersonal caring (jean watson )...Theory of transpersonal caring (jean watson )...
Theory of transpersonal caring (jean watson )...
 

More from griffinruthie22

My country UAE No reflection UAE relies heavily on the busin.docx
My country UAE     No reflection UAE relies heavily on the busin.docxMy country UAE     No reflection UAE relies heavily on the busin.docx
My country UAE No reflection UAE relies heavily on the busin.docx
griffinruthie22
 
My degree is an EDD in Performance Improvement Leadership .docx
My degree is an EDD in Performance Improvement Leadership .docxMy degree is an EDD in Performance Improvement Leadership .docx
My degree is an EDD in Performance Improvement Leadership .docx
griffinruthie22
 
My name is Rachael Bamgboye. I am from African - Nigeria to be p.docx
My name is Rachael Bamgboye. I am from African - Nigeria to be p.docxMy name is Rachael Bamgboye. I am from African - Nigeria to be p.docx
My name is Rachael Bamgboye. I am from African - Nigeria to be p.docx
griffinruthie22
 
Must use the required Template below. No attachments. Do a copy.docx
Must use the required Template below. No attachments. Do a copy.docxMust use the required Template below. No attachments. Do a copy.docx
Must use the required Template below. No attachments. Do a copy.docx
griffinruthie22
 
My company is AmazonA software engineer designs, develop, te.docx
My company is AmazonA software engineer designs, develop, te.docxMy company is AmazonA software engineer designs, develop, te.docx
My company is AmazonA software engineer designs, develop, te.docx
griffinruthie22
 
My name is Hassan Almahdi. I was born and raised in a city in Saudi .docx
My name is Hassan Almahdi. I was born and raised in a city in Saudi .docxMy name is Hassan Almahdi. I was born and raised in a city in Saudi .docx
My name is Hassan Almahdi. I was born and raised in a city in Saudi .docx
griffinruthie22
 
My last name starts with an M DirectionsBased on the firs.docx
My last name starts with an M DirectionsBased on the firs.docxMy last name starts with an M DirectionsBased on the firs.docx
My last name starts with an M DirectionsBased on the firs.docx
griffinruthie22
 
My Bondage andMy FreedomByFrederick DouglasA Penn .docx
My Bondage andMy FreedomByFrederick DouglasA Penn .docxMy Bondage andMy FreedomByFrederick DouglasA Penn .docx
My Bondage andMy FreedomByFrederick DouglasA Penn .docx
griffinruthie22
 
My name is Meridith Hollins and I work and live in Birmingham, Alaba.docx
My name is Meridith Hollins and I work and live in Birmingham, Alaba.docxMy name is Meridith Hollins and I work and live in Birmingham, Alaba.docx
My name is Meridith Hollins and I work and live in Birmingham, Alaba.docx
griffinruthie22
 
My research topic is How does the company Whole Foods go abou.docx
My research topic is How does the company Whole Foods go abou.docxMy research topic is How does the company Whole Foods go abou.docx
My research topic is How does the company Whole Foods go abou.docx
griffinruthie22
 
My role is a cuban male, he coe to USA when he has 13 years, studied.docx
My role is a cuban male, he coe to USA when he has 13 years, studied.docxMy role is a cuban male, he coe to USA when he has 13 years, studied.docx
My role is a cuban male, he coe to USA when he has 13 years, studied.docx
griffinruthie22
 
My evaluation of journals will focus on originality, application of.docx
My evaluation of journals will focus on originality, application of.docxMy evaluation of journals will focus on originality, application of.docx
My evaluation of journals will focus on originality, application of.docx
griffinruthie22
 
My intent is to provide each member of the community of this class t.docx
My intent is to provide each member of the community of this class t.docxMy intent is to provide each member of the community of this class t.docx
My intent is to provide each member of the community of this class t.docx
griffinruthie22
 
My major is mechanical engineering. As you gave me an idea to relate.docx
My major is mechanical engineering. As you gave me an idea to relate.docxMy major is mechanical engineering. As you gave me an idea to relate.docx
My major is mechanical engineering. As you gave me an idea to relate.docx
griffinruthie22
 
Must use the attached articles · Present an argument.docx
Must use the attached articles · Present an argument.docxMust use the attached articles · Present an argument.docx
Must use the attached articles · Present an argument.docx
griffinruthie22
 
My hometown — Port Clinton, Ohio, population 6,050 — was in the 19.docx
My hometown — Port Clinton, Ohio, population 6,050 — was in the 19.docxMy hometown — Port Clinton, Ohio, population 6,050 — was in the 19.docx
My hometown — Port Clinton, Ohio, population 6,050 — was in the 19.docx
griffinruthie22
 
My degree is an EDD in Performance Improvement LeadershipSyste.docx
My degree is an EDD in Performance Improvement LeadershipSyste.docxMy degree is an EDD in Performance Improvement LeadershipSyste.docx
My degree is an EDD in Performance Improvement LeadershipSyste.docx
griffinruthie22
 
My homework is to answer 16 questions (questions are below). No need.docx
My homework is to answer 16 questions (questions are below). No need.docxMy homework is to answer 16 questions (questions are below). No need.docx
My homework is to answer 16 questions (questions are below). No need.docx
griffinruthie22
 
Must have to do with a FEDERAL administrative agency, not local or s.docx
Must have to do with a FEDERAL administrative agency, not local or s.docxMust have to do with a FEDERAL administrative agency, not local or s.docx
Must have to do with a FEDERAL administrative agency, not local or s.docx
griffinruthie22
 
Must follow attached text book In chapter 6, the author desc.docx
Must follow attached text book In chapter 6, the author desc.docxMust follow attached text book In chapter 6, the author desc.docx
Must follow attached text book In chapter 6, the author desc.docx
griffinruthie22
 

More from griffinruthie22 (20)

My country UAE No reflection UAE relies heavily on the busin.docx
My country UAE     No reflection UAE relies heavily on the busin.docxMy country UAE     No reflection UAE relies heavily on the busin.docx
My country UAE No reflection UAE relies heavily on the busin.docx
 
My degree is an EDD in Performance Improvement Leadership .docx
My degree is an EDD in Performance Improvement Leadership .docxMy degree is an EDD in Performance Improvement Leadership .docx
My degree is an EDD in Performance Improvement Leadership .docx
 
My name is Rachael Bamgboye. I am from African - Nigeria to be p.docx
My name is Rachael Bamgboye. I am from African - Nigeria to be p.docxMy name is Rachael Bamgboye. I am from African - Nigeria to be p.docx
My name is Rachael Bamgboye. I am from African - Nigeria to be p.docx
 
Must use the required Template below. No attachments. Do a copy.docx
Must use the required Template below. No attachments. Do a copy.docxMust use the required Template below. No attachments. Do a copy.docx
Must use the required Template below. No attachments. Do a copy.docx
 
My company is AmazonA software engineer designs, develop, te.docx
My company is AmazonA software engineer designs, develop, te.docxMy company is AmazonA software engineer designs, develop, te.docx
My company is AmazonA software engineer designs, develop, te.docx
 
My name is Hassan Almahdi. I was born and raised in a city in Saudi .docx
My name is Hassan Almahdi. I was born and raised in a city in Saudi .docxMy name is Hassan Almahdi. I was born and raised in a city in Saudi .docx
My name is Hassan Almahdi. I was born and raised in a city in Saudi .docx
 
My last name starts with an M DirectionsBased on the firs.docx
My last name starts with an M DirectionsBased on the firs.docxMy last name starts with an M DirectionsBased on the firs.docx
My last name starts with an M DirectionsBased on the firs.docx
 
My Bondage andMy FreedomByFrederick DouglasA Penn .docx
My Bondage andMy FreedomByFrederick DouglasA Penn .docxMy Bondage andMy FreedomByFrederick DouglasA Penn .docx
My Bondage andMy FreedomByFrederick DouglasA Penn .docx
 
My name is Meridith Hollins and I work and live in Birmingham, Alaba.docx
My name is Meridith Hollins and I work and live in Birmingham, Alaba.docxMy name is Meridith Hollins and I work and live in Birmingham, Alaba.docx
My name is Meridith Hollins and I work and live in Birmingham, Alaba.docx
 
My research topic is How does the company Whole Foods go abou.docx
My research topic is How does the company Whole Foods go abou.docxMy research topic is How does the company Whole Foods go abou.docx
My research topic is How does the company Whole Foods go abou.docx
 
My role is a cuban male, he coe to USA when he has 13 years, studied.docx
My role is a cuban male, he coe to USA when he has 13 years, studied.docxMy role is a cuban male, he coe to USA when he has 13 years, studied.docx
My role is a cuban male, he coe to USA when he has 13 years, studied.docx
 
My evaluation of journals will focus on originality, application of.docx
My evaluation of journals will focus on originality, application of.docxMy evaluation of journals will focus on originality, application of.docx
My evaluation of journals will focus on originality, application of.docx
 
My intent is to provide each member of the community of this class t.docx
My intent is to provide each member of the community of this class t.docxMy intent is to provide each member of the community of this class t.docx
My intent is to provide each member of the community of this class t.docx
 
My major is mechanical engineering. As you gave me an idea to relate.docx
My major is mechanical engineering. As you gave me an idea to relate.docxMy major is mechanical engineering. As you gave me an idea to relate.docx
My major is mechanical engineering. As you gave me an idea to relate.docx
 
Must use the attached articles · Present an argument.docx
Must use the attached articles · Present an argument.docxMust use the attached articles · Present an argument.docx
Must use the attached articles · Present an argument.docx
 
My hometown — Port Clinton, Ohio, population 6,050 — was in the 19.docx
My hometown — Port Clinton, Ohio, population 6,050 — was in the 19.docxMy hometown — Port Clinton, Ohio, population 6,050 — was in the 19.docx
My hometown — Port Clinton, Ohio, population 6,050 — was in the 19.docx
 
My degree is an EDD in Performance Improvement LeadershipSyste.docx
My degree is an EDD in Performance Improvement LeadershipSyste.docxMy degree is an EDD in Performance Improvement LeadershipSyste.docx
My degree is an EDD in Performance Improvement LeadershipSyste.docx
 
My homework is to answer 16 questions (questions are below). No need.docx
My homework is to answer 16 questions (questions are below). No need.docxMy homework is to answer 16 questions (questions are below). No need.docx
My homework is to answer 16 questions (questions are below). No need.docx
 
Must have to do with a FEDERAL administrative agency, not local or s.docx
Must have to do with a FEDERAL administrative agency, not local or s.docxMust have to do with a FEDERAL administrative agency, not local or s.docx
Must have to do with a FEDERAL administrative agency, not local or s.docx
 
Must follow attached text book In chapter 6, the author desc.docx
Must follow attached text book In chapter 6, the author desc.docxMust follow attached text book In chapter 6, the author desc.docx
Must follow attached text book In chapter 6, the author desc.docx
 

Recently uploaded

Temple of Asclepius in Thrace. Excavation results
Temple of Asclepius in Thrace. Excavation resultsTemple of Asclepius in Thrace. Excavation results
Temple of Asclepius in Thrace. Excavation results
Krassimira Luka
 
Electric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger HuntElectric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger Hunt
RamseyBerglund
 
How to Manage Reception Report in Odoo 17
How to Manage Reception Report in Odoo 17How to Manage Reception Report in Odoo 17
How to Manage Reception Report in Odoo 17
Celine George
 
Data Structure using C by Dr. K Adisesha .ppsx
Data Structure using C by Dr. K Adisesha .ppsxData Structure using C by Dr. K Adisesha .ppsx
Data Structure using C by Dr. K Adisesha .ppsx
Prof. Dr. K. Adisesha
 
Bossa N’ Roll Records by Ismael Vazquez.
Bossa N’ Roll Records by Ismael Vazquez.Bossa N’ Roll Records by Ismael Vazquez.
Bossa N’ Roll Records by Ismael Vazquez.
IsmaelVazquez38
 
Oliver Asks for More by Charles Dickens (9)
Oliver Asks for More by Charles Dickens (9)Oliver Asks for More by Charles Dickens (9)
Oliver Asks for More by Charles Dickens (9)
nitinpv4ai
 
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
TechSoup
 
Geography as a Discipline Chapter 1 __ Class 11 Geography NCERT _ Class Notes...
Geography as a Discipline Chapter 1 __ Class 11 Geography NCERT _ Class Notes...Geography as a Discipline Chapter 1 __ Class 11 Geography NCERT _ Class Notes...
Geography as a Discipline Chapter 1 __ Class 11 Geography NCERT _ Class Notes...
ImMuslim
 
Wound healing PPT
Wound healing PPTWound healing PPT
Wound healing PPT
Jyoti Chand
 
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 8 - CẢ NĂM - FRIENDS PLUS - NĂM HỌC 2023-2024 (B...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 8 - CẢ NĂM - FRIENDS PLUS - NĂM HỌC 2023-2024 (B...BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 8 - CẢ NĂM - FRIENDS PLUS - NĂM HỌC 2023-2024 (B...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 8 - CẢ NĂM - FRIENDS PLUS - NĂM HỌC 2023-2024 (B...
Nguyen Thanh Tu Collection
 
Leveraging Generative AI to Drive Nonprofit Innovation
Leveraging Generative AI to Drive Nonprofit InnovationLeveraging Generative AI to Drive Nonprofit Innovation
Leveraging Generative AI to Drive Nonprofit Innovation
TechSoup
 
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptxPrésentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
siemaillard
 
How to Predict Vendor Bill Product in Odoo 17
How to Predict Vendor Bill Product in Odoo 17How to Predict Vendor Bill Product in Odoo 17
How to Predict Vendor Bill Product in Odoo 17
Celine George
 
How to Fix [Errno 98] address already in use
How to Fix [Errno 98] address already in useHow to Fix [Errno 98] address already in use
How to Fix [Errno 98] address already in use
Celine George
 
Educational Technology in the Health Sciences
Educational Technology in the Health SciencesEducational Technology in the Health Sciences
Educational Technology in the Health Sciences
Iris Thiele Isip-Tan
 
Haunted Houses by H W Longfellow for class 10
Haunted Houses by H W Longfellow for class 10Haunted Houses by H W Longfellow for class 10
Haunted Houses by H W Longfellow for class 10
nitinpv4ai
 
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
EduSkills OECD
 
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem studentsRHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
Himanshu Rai
 
Pharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brubPharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brub
danielkiash986
 
Benner "Expanding Pathways to Publishing Careers"
Benner "Expanding Pathways to Publishing Careers"Benner "Expanding Pathways to Publishing Careers"
Benner "Expanding Pathways to Publishing Careers"
National Information Standards Organization (NISO)
 

Recently uploaded (20)

Temple of Asclepius in Thrace. Excavation results
Temple of Asclepius in Thrace. Excavation resultsTemple of Asclepius in Thrace. Excavation results
Temple of Asclepius in Thrace. Excavation results
 
Electric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger HuntElectric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger Hunt
 
How to Manage Reception Report in Odoo 17
How to Manage Reception Report in Odoo 17How to Manage Reception Report in Odoo 17
How to Manage Reception Report in Odoo 17
 
Data Structure using C by Dr. K Adisesha .ppsx
Data Structure using C by Dr. K Adisesha .ppsxData Structure using C by Dr. K Adisesha .ppsx
Data Structure using C by Dr. K Adisesha .ppsx
 
Bossa N’ Roll Records by Ismael Vazquez.
Bossa N’ Roll Records by Ismael Vazquez.Bossa N’ Roll Records by Ismael Vazquez.
Bossa N’ Roll Records by Ismael Vazquez.
 
Oliver Asks for More by Charles Dickens (9)
Oliver Asks for More by Charles Dickens (9)Oliver Asks for More by Charles Dickens (9)
Oliver Asks for More by Charles Dickens (9)
 
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
 
Geography as a Discipline Chapter 1 __ Class 11 Geography NCERT _ Class Notes...
Geography as a Discipline Chapter 1 __ Class 11 Geography NCERT _ Class Notes...Geography as a Discipline Chapter 1 __ Class 11 Geography NCERT _ Class Notes...
Geography as a Discipline Chapter 1 __ Class 11 Geography NCERT _ Class Notes...
 
Wound healing PPT
Wound healing PPTWound healing PPT
Wound healing PPT
 
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 8 - CẢ NĂM - FRIENDS PLUS - NĂM HỌC 2023-2024 (B...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 8 - CẢ NĂM - FRIENDS PLUS - NĂM HỌC 2023-2024 (B...BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 8 - CẢ NĂM - FRIENDS PLUS - NĂM HỌC 2023-2024 (B...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 8 - CẢ NĂM - FRIENDS PLUS - NĂM HỌC 2023-2024 (B...
 
Leveraging Generative AI to Drive Nonprofit Innovation
Leveraging Generative AI to Drive Nonprofit InnovationLeveraging Generative AI to Drive Nonprofit Innovation
Leveraging Generative AI to Drive Nonprofit Innovation
 
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptxPrésentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
Présentationvvvvvvvvvvvvvvvvvvvvvvvvvvvv2.pptx
 
How to Predict Vendor Bill Product in Odoo 17
How to Predict Vendor Bill Product in Odoo 17How to Predict Vendor Bill Product in Odoo 17
How to Predict Vendor Bill Product in Odoo 17
 
How to Fix [Errno 98] address already in use
How to Fix [Errno 98] address already in useHow to Fix [Errno 98] address already in use
How to Fix [Errno 98] address already in use
 
Educational Technology in the Health Sciences
Educational Technology in the Health SciencesEducational Technology in the Health Sciences
Educational Technology in the Health Sciences
 
Haunted Houses by H W Longfellow for class 10
Haunted Houses by H W Longfellow for class 10Haunted Houses by H W Longfellow for class 10
Haunted Houses by H W Longfellow for class 10
 
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
 
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem studentsRHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
RHEOLOGY Physical pharmaceutics-II notes for B.pharm 4th sem students
 
Pharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brubPharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brub
 
Benner "Expanding Pathways to Publishing Careers"
Benner "Expanding Pathways to Publishing Careers"Benner "Expanding Pathways to Publishing Careers"
Benner "Expanding Pathways to Publishing Careers"
 

Mrs. Smith was a 73-year-old widow who lived alone with no significa.docx

  • 1. Mrs. Smith was a 73-year-old widow who lived alone with no significant social support. She had been suffering from emphysema for several years and had had frequent hospitalizations for respiratory problems. On the last hospital admission, her pneumonia quickly progressed to organ failure. Death appeared to be imminent, and she went in and out of consciousness, alone in her hospital room. The medical-surgical nursing staff and the nurse manager focused on making Mrs. Smith’s end-of-life period as comfortable as possible. Upon consultation with the vice president for nursing, the nurse manager and the unit staff nurses decided against moving Mrs. Smith to the palliative care unit, although considered more economical, because of the need to protect and nurture her because she was already experiencing signs and symptoms of the dying process. Nurses were prompted by an article they read on human caring as the “language of nursing practice” (Turkel, Ray, & Kornblatt, 2012) in their weekly caring practice meetings. The nurse manager reorganized patient assignments. She felt that the newly assigned clinical nurse leader who was working between both the medical and surgical units could provide direct nurse caring and coordination at the point of care (Sherman, 2012). Over the next few hours, the clinical nurse leader and a staff member who had volunteered her assistance provided personal care for Mrs. Smith. The clinical nurse leader asked the nurse manager whether there was a possibility that Mrs. Smith had any close friends who could “be there” for her in her final moments. One friend was discovered and came to say goodbye to Mrs. Smith. With help from her team, the clinical nurse leader turned, bathed, and suctioned Mrs. Smith. She spoke quietly, prayed, and sang hymns softly in Mrs. Smith’s room, creating a peaceful environment that expressed compassion and a deep sense of caring for her. The nurse
  • 2. manager and nursing unit staff were calmed and their “hearts awakened” by the personal caring that the clinical nurse leader and the volunteer nurse provided. Mrs. Smith died with caring persons at her bedside, and all members of the unit staff felt comforted that she had not died alone. Davidson, Ray, and Turkel (2011) note that caring is complex, and caring science includes the art of practice, “an aesthetic which illuminates the beauty of the dynamic nurse-patient relationship, that makes possible authentic spiritual-ethical choices for transformation—healing, health, well-being, and a peaceful death” (p. xxiv). As the clinical nurse leader and the nursing staff in this situation engaged in caring practice that focused on the well-being of the patient, they simultaneously created a caring-healing environment that contributed to the well-being of the whole—the emotional atmosphere of the unit, the ability of the clinical nurse leader and staff nurses to practice caringly and competently, and the quality of care the staff were able to provide to other patients. The bureaucratic nature of the hospital included leadership and management systems that conferred power, authority, and control to the nurse manager, the clinical nurse leader, and the nursing staff in partnership with the vice president for nursing. The actions of the nursing administration, clinical nurse leader, and staff reflected values and beliefs, attitudes, and behaviors about the nursing care they would provide, how they would use technology, and how they would deal with human relationships. The ethical and spiritual choice making of the whole staff and the way they communicated their values both reflected and created a caring community in the workplace culture of the hospital unit. Critical thinking activities
  • 3. Based on this case study, consider the following questions. 1. What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004. 2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of- life issues in relation to the theory. 3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice? 4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring. Please I need the paper in APA style, with 3 references, no PLAGIARISM is acceptable, and answers for each question. thank you