the nurse received a report on four patients. what patient should the nurse see first?

What is the nurse’s relationship with the patient?

In this sense, the majority of nurses interviewed asserted that the patient must accept his illness, collaborate, and carry out all indications imposed on him by the professionals. Otherwise, there are conflicts that cause changes in the attitude of the nurse and configures the concept of the “good” or “bad” patient.

What are the characteristics of a patient that requires a nurse?

The patient does not obey the treatment prescribed by the doctor, nor does he pay attention to the nursing advice. There appears a third concept of patients that is perceived by the nurse as an increase in their workload and that requires a lot of care. This is a patient who is qualified as agitated or disoriented with neurological alterations.

Why are nurses reluctant to report patient information?

In younger and less experienced nurses, there is a resistance to provide information to the patient, and if it occurs, it reduces workloads. In contrast, in older nurses and more professional experience, the need to report is present in almost all cases. I2: “I believe that patients are left to carry a lot for us.

What does the patient perceive the nurse to do?

The patient perceives the nurse as one who makes decisions about his/her care, becoming a reference of imposed power, as indicated in the study by Buchmann [ 29 ].

Abstract

Background: The patient is observed to acquire a passive role and the nurse an expert role with a maternalistic attitude. This relationship among others determines the capacity for autonomy in the decision making of patients.

1. Introduction

In general, most of the literature does not deal with behaviours and communication skills between the nurse-patient relationship and the role of both. There has been a large amount of documentation on self-care strategies, medication adherence, psychological interventions, and patient and nurse satisfaction [ 1, 2, 3, 4]

2. Background

The most concurrent topics in the literature reviewed on nurse-patient relationship are the (a) role of the patient, (b) role of the nurse, and (c) type of nurse-patient relationship.

3. Materials and Methods

A phenomenological qualitative study was conducted. A discourse analysis was conducted for two sources. On the one hand, through in-depth interviews with nurses, and on the other hand, nursing records about the clinical evolution of patients from internal medicine and specialty departments in a general hospital.

4. Results

Singular characteristics of the construction of nurses’ discourse on the clinical evolution of a patient are observed. The set of nursing registers are, for the most part, brief, unstructured, centred on clinical plots of the patient, and without connection to each other.

5. Discussion

This study reveals that the patient is not autonomous in making decisions about their care due to the characteristics of the nurse’s relationships with the patient, as an important factor among others.

6. Conclusions

The passive role of the patient acquires its maximum expression in hospitalization units, in which the context is assumed to lack autonomy to participate in their care and decisions regarding treatment.