Suicide is a rising epidemic in today’s contemporary society. According to the World Health Organization (WHO), globally nearly one million people die each year at their hands, by an act of suicide and more than thirty thousand people die annually in the United States alone. Since the risk for suicide is largely determined on a continuum, the severity of suicidality can vary with individual circumstances. Because of this realization, nurses play a pivotal role in suicide prevention because they often have the greatest number of opportunities to identify and recognize suicidal patients and tendencies in the health care arena.
Suicide Screening Strategies
While many hospitals are working diligently to comply with the Joint Commission in implementing suicide-screening questions, there is limited evidence available to guide suicide risk initiatives in the inpatient clinical setting. To help resolve this issue, researchers developed the Ask Suicide-Screening Questions to Everyone in Medical Settings tool (asQ’em), aimed to identify suicidality in the inpatient units and subspecialties. The asQ’em two-item screening tool is a unique instrument designed specifically for nurses to administer to medical-surgical patients at risk for suicidal tendencies and predispositions. Due to the straightforward nature of the asQ’em suicide-screening questionnaire, researchers have found it to be an efficacious method in properly recognizing suicidality in susceptible patients across the health care setting.
Applicability in the Clinical Setting
Although suicide risk assessments are an essential tool in the hospital setting, there is a growing body of evidence suggesting the underutilization of suicide screenings among medical-surgical patients. As a psychiatric-mental health nurse, I understand the importance of assessing patients for suicidality because it provides me with vital information on how to properly care for patients suffering from suicidal thoughts.
The asQ’em suicide-screening questionnaire is a tremendous tool that can be easily implemented in all inpatient units because it consists of two questions that determine if patients are at risk for suicide as a result of their present thoughts or past behaviors. Based on their answers, nurses can consequently determine if the patient exhibits enough significant emotional distress to ensure proper safety measures are in place before subsequent inpatient treatment and stabilization.
As a result of this realization, increased efforts must be made to ensure suicide-screening tools are readily available to not only uncover meaningful clinical data but also promote safe holistic nursing practices to preserve the health and well-being of suicidal patients nationwide.
Due to the ever-evolving nature of health care in contemporary society, more and more nurses are being looked upon as transformational nurse leaders among the scientific community. If you are interested in becoming a transformational nurse leader yourself, here are the five steps you must take to inspire change among your patients and your colleagues alike.
1. Set a Vision
Having a vision is an essential characteristic of a transformational nurse leader because it addresses the “why” and “how” of their actions. Transformational nurse leaders must not only be inspirational but also courageous in conveying their unique beliefs and viewpoints in order to bring their vision to life.
2. Foster Creativity
It’s imperative for potential transformational nurse leaders to foster creativity because it encourages innovation and adaptation to change. The transformational leadership style is vital to this approach because it identifies areas in which change is required while inspiring followers to embrace innovation in the clinical setting.
3. Communicate Effectively
A transformational nurse leader who communicates effectively not only focuses on what other individuals are attempting to convey but also essential themes important to those individuals. Effectual communicators adapt their communication style based on each individual’s ability to process and comprehend the interaction successfully despite cultural and socioeconomic differences.
4. Inspire Positive Change
To become a successful transformational nurse leader, an individual must also be charismatic and inspire real positive change across generational gaps. A transformational nurse leader must know how to inspire change because it not only promotes self-reliance but also trust in others to commit to their vision.
5. Be a Role Model
Lastly, knowing how to be a role model is a crucial trait of the transformational nurse leader because it motivates others to become better versions of themselves. Nurses who are not only transparent but also honest embody the value of integrity that is vital in promoting trust among their followers. Leaders who display integrity are consistent when it comes to their actions, values, and expectations and are considered reliable and trustworthy. Therefore, individuals who yearn to be transformational nurse leaders must be willing to demonstrate their commitment to excellence by striving to become a positive example to those around them.
Due to nursing’s involvement in examining phenomena within a contextual health care framework, phenomenology is not only conducive to the discovery of information but also the development of nursing knowledge essential to the profession.
The phenomenological approach is increasingly being utilized as the method for nursing research studies because it is comprised of data collection tools such as open-ended questions and observational cues appropriate for nursing research practices and methodologies. Phenomenology is also quite useful to qualitative nurse researchers because it can be an effective vehicle for illuminating and clarifying fundamental issues in the health care sector.
Because the science of nursing is concerned with treating individuals holistically, many nurses recognize the significance of individuals’ experiences and support them in exercising control over their health and well-being. Based on this understanding, phenomenology plays a pivotal role in the nursing profession because it values not only the individual’s experience but also the principles and modalities of their holistic healing into daily life and clinical practice.
Current and Postmodern Influence on Nursing
The current and postmodern philosophical schools of thought play an integral role in the nursing profession because of its contribution to the creation and development of nursing science and theory.
Some of the ways these philosophies helped contribute to the nursing profession were through the promotion and utilization of multiple methods for the development of scientific understanding and incorporation of different techniques to improve overall understanding of humanistic idiosyncrasies.
By developing and applying the discipline-specific knowledge that was required, different philosophical theories and perspectives were able to aid in recognizing the relationships of human responses to health issues while addressing the biological, behavioral, and cultural domains of nursing science simultaneously.
Based on this reality, modernism and postmodernism not only dislodged the authority of a single research paradigm in nursing science but also emphasized the meaning of integration of qualitative and quantitative research into a holistic and dynamic model to improve nursing practice in the clinical setting.
Why Phenomenology is Imperative in Nursing
Due to the nature of its theoretical teachings, phenomenology has become an important philosophical worldview in the nursing profession. Phenomenology not only requires nursing researchers to understand it as a philosophy but also as a phenomenon tied to human consciousness in the form of lived experiences. This realization illustrates the significance of phenomenology as a fundamental field of inquiry in the nursing profession and the scientific community at large.
Therefore, by having a deeper understanding of phenomenological philosophy, nurses are not only able to make important clinical decisions but also innovative and progressive approaches vital to improving patient care processes in the clinical health care sector and beyond.
As an individual who holds himself to a high professional standard, I have grown to recognize three distinctive qualities that I believe every great nurse should possess: compassion, integrity, and perseverance.
Compassion is not merely the sympathy you show toward a friend or family member in need, but rather the empathy that drives you to act on an inner desire to help those around you. In the summer of 2008, I was fortunate to take part in a medical mission trip overseas serving the underserved populations in the Philippines. During my time abroad, I was inspired by the amount of compassion the nurses and medical staff exemplified in the clinical setting. As a volunteer, I was astonished not only by the sheer magnitude of homelessness that has stricken the country, but also by the positive impact that I was making on a daily basis. By allowing myself to be immersed in the service of others, I have grown to appreciate the many blessings that God has given me, and develop an unyielding compassion toward others that I believe is essential in today’s rapidly growing society.
The second quality that I believe a great nurse must possess is integrity. Integrity means doing the right thing at all times and in all circumstances, whether or not anyone is watching. During my tenure as an emergency room nurse, I was assigned to care for a little girl complaining of a headache. The father confided in me that her symptoms began after she was inadvertently hit in the head with a soccer ball. The medical doctor on staff quickly dismissed the girl as having a “minor headache” and told the father that ice and rest was all that she required. As a nurse of integrity, I did not feel comfortable sending the little girl home after she confided in me that she never had a headache this painful before. Seeing her grimace in pain, I urgently requested the doctor to have a computed tomography (CT) and magnetic resonance imaging (MRI) scan prepared for the patient. Despite the doctor’s initial objection and reluctance, he finally agreed, and upon evaluation of the final results, we discovered a small intracranial hemorrhage that was beginning to form. Seeing the tears of gratitude the father displayed allowed me to recognize the importance of doing the right thing even in the midst of adversity. It was this realization that has continued to fuel my innate desire to remain truthful and transparent in all aspects of my nursing care while fostering the deep interpersonal relationships that I form with my patients.
Lastly, the quality of perseverance plays a vital role in determining an excellent nurse. When I first began nursing school, I was completely unprepared for the academic expectations that were required of me. Due to my immaturity, my grades suffered immensely during the early stages of my academic career and I was humiliated and rejected from numerous nursing schools. Despite the constant vilification and dejection that seemed to surround me during this tremendously dark period of my life, I remained optimistic knowing that I had a purpose in this world. Within the next couple of months, I decided to make a conscientious effort to become more academically driven and was eventually accepted into West Coast University’s nursing program where I excelled scholastically, receiving numerous awards such as the Perennial Dean’s List, the Kaiser Permanente RN Scholarship, and ultimately culminating to my successful graduation in 2013.
As I look back on what I have accomplished over the years, I feel extremely blessed to have been surrounded by amazing individuals who inspired me to be the nurse that I am today. And it is because of this realization that I have come to recognize that being a great nurse is not measured by how intelligent you are but rather your commitment to providing indelible and compassionate care to those who seek it.
Mental illness is a growing epidemic in today’s modern society. Due to the prevailing societal stigma that exists for this vulnerable population, there is often a huge disparity and lack of empathy present in the care provided for individuals suffering from psychiatric disorders.
As a psychiatric-mental health nurse, I have worked closely with patients suffering from a wide gamut of psychosomatic disorders ranging from schizophrenia to bipolar disorder, and I have discovered that the art of empathy is often a necessity to ensure quality patient care is maintained at all times.
Last month, I was caring for a young girl suffering from major depressive disorder. Based on the report I received from the previous nurse, I discovered that the girl was noncompliant with all her medications as well her treatment at the hospital. When I first met the girl, she appeared extremely depressed and exhibited little to no motivation to participate in her plan of care. Upon closer inspection of her chart, I was surprised to discover that it was her birthday, so I decided to collaborate with my team members to see if we can possibly bring a cake for her to enjoy on her special day. When the cake arrived, I noticed that we did not have any candles so I decided to be creative and use a crayon instead, which worked perfectly since it was also made out of wax. When we went into her room, she was pleasantly surprised to see us standing there with a cake in our hands singing “happy birthday.” Witnessing her smile for the first time brought a tear to my eye because it illustrated to me the importance of treating all patients with the same dignity and respect regardless of their mental illness or diagnosis. After that encounter, I noticed a significant difference in her overall demeanor and we ultimately established a rapport that enabled her to take the medication and treatment she needed in order to regain her sense of well-being.
As a nurse, I have come to realize that patients do not solely rely on medications to get better, but rather on the bond and trust formed between themselves and their designated health care provider. As a result of this realization, I try to make a concerted effort every day to continue to develop not only creative approaches to my nursing care but also empathetic techniques that ensure patient safety and satisfaction is achieved across the patient gamut.