22 Sep Support or critique your peers’ claims with your own investigations into the literature. Do you agree with your peers’ characterization of the ‘right to healthcare’? How do their indi

Tabatha Discussion:

Hello all, 

My name is Tabatha or Tabby for short. I am a Labor and Delivery nurse on an LDRP unit. I have the privilege of working in labor, post-partum, nursery nurse and circulating nurse in the operating room during c-sections. I have been a Labor and Delivery nurse for two years now prior to LDRP I worked in a COVID-step down unit for a year and a half. I have other nursing experience working in med-surg as well. I have been a nurse for five years now. Currently I also teach nursing students part time on my current unit. I enjoy teaching nursing students because they are the future of healthcare. What I strive for when educating is decreasing the anxiety level of my students. This starts with having a calm approachable manner myself. Clinical instructors play a vital role in assisting nursing students to gain clinical knowledge and confidence (Juan, et al ,2023). The role I play on the healthcare team is making sure patients and their family members feel empowered and safe during their labor and post-partum period. I assist with breast feeding and bottle feeding and educate families on how to care for their new baby.  My worldview of the "right to healthcare" looks like treating all patients equal during their birthing process. (Pezaro,et al, 2022) Shows the care we provide patients that are nonbinary or transgender during the birthing process should be non-judgmental. I have cared for many patients lately and find the older generation of nurse's struggle to care for patients that are non-binary or transgender. I pride myself in providing equal care for all my patients and advocating for equal rights. All people have different ways of creating their families and every family dynamic looks different. My place is to love on and support my patients during their process. Opinions diverge because it's a personal issue or dilemma of judgement. Nurses are meant to care for and not judge and this is where I personally pride my practice. 

References:

         Juan, S., Esseiva, Z., Macrae, J., & Nielsen, R. (2023). Anxiety provoking behaviors of nursing clinical instructors and effects on undergraduate nursing students’ wellbeing: A mixed methods design. Nurse Education in Practice, 66, 103517.  https://doi.org/10.1016/j.nepr.2022.103517

      Pezaro, S., Crowther, R., Pearce, G., Jowett, A., Godfrey-Isaacs, L., Samuels, I., & Valentine, V. (2022). Perinatal care for trans and nonbinary people birthing in heteronormative “maternity” services: Experiences and educational needs of professionals. Gender & Society, 37(1), 124–151.  https://doi.org/10.1177/08912432221138086

Kat Discussion:

 Hi! My name is Kat. I have been a registered nurse for almost 17 years. My experience ranges from med-surg, emergency, to procedural nursing. I finished my BSN in June and quickly jumped into the master’s program geared toward executive leadership. My goal is to advance my career within my institution in nursing administration. 

I am currently in a mid-level leadership position on an endoscopy unit that is located within a level one trauma center. We take care of outpatients as well as critically ill inpatients. I have been in this position for less than 2 years so far, but I really enjoy overseeing daily operations as well as maintaining patient contact. My role is to maintain patient flow efficiently and support team members who provide direct care while protecting patient health and safety. Efficiency is crucial in procedural nursing.  To facilitate the volume of patients, leaders such as myself must be organized and aware of deficiencies in wasted time. Additionally, inpatient services are essential in hospital-related expenditures. For example, some patients need procedures to determine safe discharges. If a time cannot be coordinated, the patient’s length of stay is prolonged, leading to unnecessary costs.

The short or standard answer is that everyone should be able to have access to healthcare, no matter what. Unfortunately, that is not a reality. Hospitals have suffered from permanent nursing shortages related to the COVID-19 pandemic. Many nurses left, and replacement has been a struggle, leaving administrators to have to implement changes. For example, a reduction in the number of available beds directly affects patients’ access to care. Emergency services are available, but the triage algorithms may cause longer wait times or even refusal of needed care. Thankfully, access and quality healthcare are on a constant continuum of improvement (Choo, 2022).

References

Choo, E. (2022). Working in healthcare right now means being asked to do the impossible—then being abandoned to our inevitable failure. BMJ, o197.  https://doi.org/10.1136/bmj.o197