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Change is part of our daily healthcare environment. Clinical nursing judgements based on quality and safety,...

Change is part of our daily healthcare environment. Clinical nursing judgements based on quality and safety, as well as protocols and standards, reflect our patient-centered care values. What steps could you take to develop more resilience in your practice setting? How might you communicate a change in practice to patients and nursing peers?

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Nursing is a noble profession of health protection, promotion,healing and optimization, prevention of illness , injuries, and minimization of suffering through diagnosis, treatment and care for patients. Nurses are prone to stress and difficult situations as they provide daily healthcare for patients. This puts nurses at the risk of anxiety, depression, stress-related illnesses. Therefore resilience training and coping mechanisms is important to maintain balance in work and life.

The American Psychological Association has suggested some factors which can help nurses in increasing and supporting their resilience

  • Maintaining good, positive relationships
  • Accepting that there are circumstances which are out of one’s control
  • Sustaining optimism and a hopeful outlook for the future
  • Keeping a long term perspective

Nurses should be able to take control of their heart, mind, and body throughout the day. Nurses need to be able to love and accept who they are as a person, and understand what they need to be to work on their resiliency skills. Besides nurses should incalculate the following qualities to build up resilence.

  • they should practice beginners mind:- i.e, stay focused in the present moment and pay attention to the situation at hand
  • they should let go negative emotions and feelings.  Nurses are highly exposed to pain, suffering, and helplessness, which is why being able to let go is critical for building resilience.
  • they should be compassionate towards the patient.
  • they should practice gratitude i.e, appreciate the blessings of life to stay positive and motivated.
  • they should stay committed to their work. They should be persistent in their work
  • they should be authentic that is true to their personality, spirit or character despite external pressure
  • they should trust themselves. they should use their intuition towards the patient in their healthcare i.e, they should overcome fear and gain confidence over themselves.

Effective communication is the key for patient safety and quality care.Poor communication practices in health care are a root cause of poor outcomes for patients. Therefore effective communication is important to the role of nurses in influencing and improving patient outcomes (Adams & Osborne-McKenzie, 2012). Further, effective communication practised by the entire care team increases shared knowledge and goals concerning patients and their plan of care (Radtke, 2013).

Nurse leaders should develop a “teaming strategy” to plan how people will act and work together, including effective use of communication technology to help them make better use of face-to-face time. In healthcare, good team building happens where all team members understand, believe in and work towards the shared purpose of caring and working for patient. Team leaders should talk about the team purpose at every opportunity, in particular how it links to the individual purpose of each team member.

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