NUR 4153-Deliverable 2-The Impact of Relational Inquiry

NUR 4153-Deliverable 2-The Impact of Relational Inquiry

How Relational Inquiry Was Applied

 As my first day of clinicals in this leadership course clinical experience unfolded, I watched as relational inquiry was used in practice. Let this journal entry show how the team worked to keep the operating room running smoothly and the client satisfied.

From Context and Culture

 It was essential for us to understand the religious object’s value for the patient. It may have been a meaningless object for us, but it held significance for the client. The client’s previous experience with healthcare personnel has left him feeling scared and vulnerable. The client is firm in his faith and feels this is the last feeling of control he will have. The language we use to address him should never be demeaning or dismissive of his need for the object of his faith (Peters et al., 2017).

Optimization of Health and Well-being

 As nurses, we have been taught to see the individual client and think as individuals are solely responsible for our client’s well-being. As we think of inquiry as a form of action, we know how the relationships of the nurse, client, and system weave together (Doane & Varcoe, 2015).

Collaboration Across Differences

 Communication is vital when it comes to successful collaboration. When beliefs collide with policy differences, the nurse tends to lean toward the policy as a known variable. As I grow as a nurse leader, I hope to learn from my peers and clients. The system can be rigid and outdated. Policies are put in place for safety, but they can also be amended by thoughtful and purposeful leadership input (Doane & Varcoe, 2015)

NUR 4153-Deliverable 2-The Impact of Relational Inquiry

Relational Inquiry

We used humility by considering a new process. The suggestion by another staff member to create a sterile environment so the object could still be used showed that we could look at the situation from a different perspective. Pragmatism would have us examine what could go right with the problem instead of what could go wrong. We created a safe condition and put the client at ease. That went right today. I felt vulnerable today. I am often anxious about conflict. Initially, when the problem arose, I wanted to step as far back as possible to avoid the situation. As I watched the situation unfold, I learned the feelings of anxiety were not just mine but the client’s as well. He was anxious and scared. Knowing how to think of new ways to make everyone happy made the day better (Doane & Varcoe, 2015).

Was the Action Appropriate

 The team decided the object could be wrapped in non-conductive material and applied to the client under a sterile dressing. The surgeon approved, and the client was happy. This was the most appropriate action for the situation. There was no harm to the patient and no surgical field contamination.

Defense for the Action

 As nurses, we should always explore new possibilities and look for new ways to work out problems as they arise. I believe in a person’s right to freedom of religion. As long as reasonable accommodations can be made, we should look to provide a way for the patient to exercise their religious freedom. I can remember early in my nursing training when absolutely no jewelry or objects would have been allowed in, on, or around the patient for any reason. The hospital made no accommodations and no excuses. The current situation shows how we can work with clients to achieve a more collaborative outcome that makes everyone happy.

References

 Doane, G. H., & Varcoe, C. (2015). How to nurse: Relational inquiry in action. Wolters Kluwer Health.

Peters, A., Vanstone, M., Monteiro, S., Norman, G., Sherbino, J., & Sibbald, M. (2017). Examining the influence of context and professional culture on clinical reasoning through rhetorical-narrative analysis. Qualitative Health Research, 27(6), 866–876.

ORDER A PLAGIARISM-FREE PAPER HERE

We’ll write everything from scratch

NUR 4153-Deliverable 2-The Impact of Relational Inquiry

Explain the impact of relational inquiry when recognizing and analyzing cues to action in the process of clinical reasoning.

Scenario

You are a nursing student in a BSN Program, currently enrolled in a Leadership course. As part of your current immersion experience, you are working with the charge nurse in the operating room. In pre-op, on the first day of this clinical experience, you observe an upset client refusing to sign a surgery consent unless a small religious object could accompany him and stay attached to his body. This object is a key component of his cultural beliefs, and he will cancel the surgery if he is unable to keep the religious thing attached to his body. The charge nurse states, “Let me check and see what we can do, I will need a bit of time to collaborate with others and see if we can identify a solution.” You observe the charge nurse gather a team of nurses in the pre-op area and begin reviewing the policy and procedure manuals for the facility to determine if a solution can be identified to allow the object to be taken into the operating room. While the healthcare team was looking for an answer, someone recommended that the thing be wrapped in non-conductive material and applied to the client under a sterile dressing. According to policy, this would work with Surgeon approval.

Instructions

In post-conference, you debrief with a faculty member and discuss this powerful example of healthcare team members working together to support and respect a client’s unique cultural needs and belief system. The clinical faculty tells you to complete a clinical journal entry that describes the process involved in this example of professional practice. Include the following in your journal entry:

Explain how relational inquiry was applied in this situation to promote the process of clinical reasoning.

From context and culture

Optimization of health and well-being

Collaborating across differences

Do you believe this action was appropriate, and why or why not?

Provide a supporting argument to defend the choice for appropriate or inappropriate response by the nurse and include personal biases.