NUR 4153-Deliverable 2-The Impact of Relational Inquiry How Relational Inquiry Was Applied

NUR 4153-Deliverable 2-The Impact of Relational Inquiry How Relational Inquiry Was Applied

 To: Staff Nurse

From: Charge Nurse

CC: Human Resources

Per deliverable one assignment, this is a recap of how the charge nurse, staff nurse, and a patient with stage five pancreatic cancer occurred. The staff nurse, just coming off of bereavement leave, was assigned a group in the morning on the med-surgical floor, including a patient recently diagnosed with stage five pancreatic cancer. The patient requested assistance with obtaining advance directives and calling his estranged daughter. The staff nurse offers help with getting the forms for advance orders but is unwilling to assist with calling the patient’s daughter. The staff nurse goes to her charge nurse and reports she cannot care for this patient and urges the charge nurse to change the assignment. After assigning the nurse to another patient, the charge nurse goes to the patient with pancreatic cancer to assist him. Nurses and their attentiveness to their surroundings play a huge role in the nursing process and successful patient outcomes. The relational inquiry approach allows the nurse to understand better what the patient may be going through and build a relationship to help guide the patient along the way. ( Doane/Varcoe pg.30)

Many factors play a role in the nursing process, including internal and external factors. Some internal cues for the staff nurse included self-monitoring, in which she recognized she could not care for the patient with stage 5 pancreatic cancer, which she reported to her charge nurse and requested a change of assignment. Self-monitoring is when an individual recognizes their strengths and weaknesses and applies them to their performance ( Kuiper, 2017). Other internal cues could be whether she has ever had a patient with stage five pancreatic cancer and already knows this could be a terminal illness. Is the nurse still dealing with her emotions as she recently came off bereavement leave? The charge nurse recognized when the staff nurse came to her that rather than argue or refuse the assignment change, she changed the assignment for the best outcome for all parties involved. The charge nurse practiced self-monitoring and self-reflection, recognizing behaviors in the nurse and approaching with the best intentions for all. The charge nurse Knowing the staff nurse was just on bereavement leave is an external factor to include when assessing this situation. Nurses gather these cues when approaching similar problems and remember how to process them and have better outcomes each time they deal with them. (Dickison et al., 2016) .