Wednesday, May 6, 2020

Nursing Collaborative Care for Depression

Question: Describe at least one situation in which you acted as a member of a team. Describe the team, identify the role you played on the team, and explain how your behavior in the situation is different than it would have been without your additional education from this RN to BSN program. (Please make solution on depressed patient). Post the APA citation and a descriptive summary of the article you located addressing Team Dynamics. (NOTE: Please find one article that is less than 5 year) Answer: The nursing team is based on the concept of a group of people working together towards a common goal to provide comprehensive nursing care to the patients. I am a team member of a nursing team and our team consists of the following members: chief nursing officer, director of nursing, nurse manager or supervisor, advanced practice nurse or clinical nurse specialist, charge nurse, bedside nurse (RN), licensed practical/vocational practical nurse (LPN/LVN) and unlicensed assistive personnel. I have a bachelor's degree in nursing (BSN), and I am working as a bedside nurse in this team. As a bedside nurse, I have a lot of responsibilities for patients. I am the person to whom patients approaches first. Depending upon the requirement, I take the appropriate steps or in the case of any critical situations, I will inform my other colleagues and seniors. Besides that, I have to provide a daily report about the condition of patients to nursing supervisor (Inspiration et al., 2016). Depression is a common syndrome, which can affect both young and older human. Recently, a 28-year-old married woman, Jessica was admitted to the hospital with severe mental depression. She is working in a large hospital as s medical resident, and the job is very stressful. For the past few weeks, her husband noticed that she was getting fatigued and find difficult to concentrate on her work. Her colleagues also notice that she has become short-tempered and reserved, which is unusual for her previous welcoming approaches. Her husband also noticed that she is having regular tearful phone conversations with her adjoining friends. Though she has not yet made any suicide attempt, she is under immense depression, and that make her husband worried (Ekers et al., 2013). After Jessica had got admitted, I was the bedside nurse for her. Initially, she did not talk to me a single word, but after few days she has started to respond normally. I have made detailed record of her behavior and send it to nursing supervisor. I have consulted with physician and other healthcare professionals and based on the treatment plan I have started the treatment. My BSN degree helped me in this regard to work in a nursing team. The follow up measures as taken by our nursing team help Jessica to return to her normal life after spending one month under our nursing team (Ekers et al., 2013). In order to provide a comprehensive health care service to mentally depressed patients, the health care personnel should form a team and all the team members should take care of such patients in a proper way. All the team members through their individual training and skills should take a constructive part to manage depressions. Practice nurses gather their skills of depression management through disease management of several chronic diseases, such as diabetes, asthma, and hypertension. They can provide a valuable contribution within the framework through specialized training and clinical guidelines. Team dynamics indicates the psychological force that influences the course of a teams behavior. The nature of the work and the environment of the team influence team dynamics. As discussed by Gilardi et al., 2014, in emergency department a distribution of work between physicians and nurses were observed. Treatment room nurses carry out the memory organization and cross monitoring to allow the physicians to keep track on every patients. The dynamic pattern of work in nursing profession increases the collaborative work (Gilardi et al., 2014). References: Ekers, D., Murphy, R., Archer, J., Ebenezer, C., Kemp, D., Gilbody, S. (2013). Nurse-delivered collaborative care for depression and long-term physical conditions: a systematic review and meta-analysis.Journal of affective disorders,149(1), 14-22. Gilardi, S., Guglielmetti, C., Pravettoni, G. (2014). Interprofessional team dynamics and information flow management in emergency departments.Journal of Advanced Nursing,70(6), 1299-1309. doi:10.1111/jan.12284

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