Despite the widespread recognition of bullying in nursing practice, many healthcare organizations, notably in the United States, maintain a culture of silence (Butler, 2018). This culture is all hallmarks of underreporting of incidents, a lack of community response, and ineffective intervention measures. In my nursing assignment help clinical experience, bullying frequently results in psychological stress for the victims, which can impair treatment and degrade care as a whole. According to my personal experience, a lack of proper support from other staff members and a lack of action by nurse administrators are two significant reasons why bullying continues to be an issue in the workplace for nursing professionals.
Forms of bullying and possible consequences
It has come to my attention that newer, less experienced nurses and medical students who are now performing their clinical rotations constitute the majority of those attacked. As a newly hired nurse at the clinic, I was subjected to bullying, which contributed to my burnout. Several new nurses reported hearing administrators say that they did not think they had the skills to accomplish their jobs, and this was echoed by many of the administrators themselves (Butler, 2018). According to many of them, there was an absence of assistance from the management for new nurses. The threat of violence was also made against those who did not meet their responsibilities. If the patient does not improve by the third day, you are no longer required to be present. It is not uncommon for senior nurses to confront or threaten a nurse in front of patients or other team members to have their way with them. Occasionally, a supervisor would tell a new nurse that they were unfit for the profession after she made a mistake while delivering care to a patient. When the nurse made a mistake, this would happen.
People who were not from the same racial or ethnic group as the minority workers, such as African- and Asian-Americans and Latino-Americans, bullied them regularly. Several patients felt averse to having them care for them after an incident in which their talents were questioned concerning specific conditions (Han, 2016). Gossip about coworkers is another action that contributes to bullying in the workplace. Professional devaluation, rumors, and water cooler chitchat are the most typical forms of workplace bullying. Using these talks, coworkers’ perceptions about their colleagues could be obliterated. To further humiliate and degrade a fellow nurse, some nurses have failed to answer phone calls, disregarded emails, or otherwise neglected to reply to these forms of communication. The many forms of bullying had a devastating effect on the nursing staff because they shattered the trust that existed in the workplace. Individuals’ social standing also suffered as a result of their actions.
Strategies that can help to break the cycle of incivility in nursing practice
Bullying education should be a joint effort between management and nursing staff. The most common forms of workplace bullying can be traced back to a lack of policies intended to protect employees from authoritarian leadership and dishonest team members. How to deter and prevent bullying should be the focus of instruction (Han, 2016). Healthcare businesses must undertake an audit to determine whether or not they have internal policies to address oppressive behavior. When punitive evaluation systems and oppressive rules that encourage the administration to mistreat workers are eliminated, policies that foster peer support, empathy, teamwork, equality, and a voice for all employees should be established. This will open the door to rules that encourage the administration to abuse its employees. Although laws do not effectively address the issue of bullying, they do provide victims with legal support when they are unable to resolve the matter in other ways.
The rationale to support these strategies
One of the main reasons for the prevalence of bullying in today’s workplaces is that upper management is often unwilling or unable to provide adequate protection for employees who are more vulnerable to bullying (Han, 2016). Examples include laissez-faire and authoritarianism, which encourage bullying behavior to flourish. In some cases, upper-level management might act as a catalyst for workplace violence. After learning that no effective action is taken against people who bully others, I discovered that many victims, like myself, prefer to keep quiet. As it happened, I fell prey to one of these calamities. Europe’s most vulnerable workers have been protected against workplace bullying by rules in Sweden, Norway, and Denmark. Because they provide a legal foundation and straightforward reporting procedures, these guidelines have effectively deterred workplace bullying.
References
Butler, E., Prentiss, A., & Benamor, F. (2018). Exploring perceptions of workplace bullying in nursing. Nursing & Health Sciences Research Journal, 1(1), 19-25. Retrieved from https://assignmenthelpsite.com/nursing-assignment-help/
Han, E. H., & Ha, Y. (2016). Relationships among self-esteem, social support, nursing organizational culture, the experience of workplace bullying, and consequence of workplace bullying in hospital nurses. Journal of Korean Academy of Nursing Administration, 22(3), 303-312.
Discussion; Clinical Decision Support
Summary of the Video on Clinical Decision Support System
The video link I have chosen for this discussion is https://www.youtube.com/watch?v=_1ub86XvuAc. The clinical decision support system enhances medical choices using clinical skills, patient data, and other health information. A typical CDSS is software meant to enhance clinical decision-making by matching patient characteristics to a computerized clinical skill set and presenting the physician with patient-specific assessments or suggestions. CDSSs are utilized to integrate practitioner expertise with CDSS information or recommendations at the point of care. CDSS may exploit data and observations normally unobtainable by humans (Health Informatics Forum: Digital Health Education, 2022). CDSS aids doctors in decision-making. CDSSs have evolved rapidly since the 1980s. They are now widely delivered using electronic health records and other automated clinical procedures, thanks to the growing worldwide deployment of modern EMRs. Despite these developments, CDSS’s influence on providers, outcomes for patients, and costs is uncertain. In the last decade(s), several CDSS success stories have been reported, yet major disasters have revealed that CDSS is not a hazard. In the world of healthcare IT, CDS is a complex component. To generate and present beneficial information to clinicians while care is being delivered, it is necessary to access computerized medical knowledge, individual data, and reasoning or make inferences mechanism that combines the two.
The takeaway from the Video on social science assignment help
To better the health and well-being of patients, clinical decision support provides accurate information in real-time. It also aids healthcare providers in providing higher-quality treatment to patients. CDS also contains critical information that is only relevant to a small group of workers. CDS tools, according to a Health Information Technology study, “include automated notifications to care professionals and patients; following guidelines; disorder order sets and targeted healthcare information reports along with summaries.” (Lakshmanaprabu et al., 2019). When it comes to providing medical experts with useful information, these instruments are constantly at their disposal. Diagnostic documentation templates are common in CDS tools. Employees may rely on them for help with reference material while they do their responsibilities.
References
Health Informatics Forum: Digital Health Education. (2020, May 19). Unit 5: Clinical Decision Support Systems Lecture A [Video]. YouTube. https://www.youtube.com/watch?v=_1ub86XvuAc
Lakshmanaprabu, S. K., Mohanty, S. N., Krishnamoorthy, S., Uthayakumar, J., & Shankar, K. (2019). Online clinical decision support system using optimal deep neural networks. Applied Soft Computing, 81, 105487. https://assignmenthelpsite.com/tag/plant-based-diet/
Ovarian cancer in Malaysia
Ovarian cancer, also known as a silent killer, is one of the most challenging diseases to treat. Improper screening tests bring this about for the disease. For many patients worldwide, ovarian cancer is a devastating diagnosis because most patients subjected to it are often diagnosed at a late stage. Most ovarian cancer cases were diagnosed at the last stages, with over 60% in stage III and 30% in stage IV (Walsh, 2017). Furthermore, it has been proven that ovarian cancer has caused more deaths than any other gynecologic cancer. Ovarian cancer cause of delay in detection is mainly explained by limited knowledge and awareness of the disease by many, together with unclear symptoms like pelvic pain or bloated abdomen. Up to now, the leading causes of ovarian cancer are not yet fully understood by doctors. The risk of getting this disease increases with age. In Malaysia, this disease is ranked as the fourth most common cancer disease globally and contributes to over 4% of women’s cancer cases (Walsh, 2017). In this work, we will discuss the awareness and attitude of Malaysian women on this disease, strategies the government and health workers can implement in fighting this disease and lastly, the roles of the nurses on cancer patients.
Attitude and awareness
Retrieved from assignmenthelpsite.com
Research conducted on the awareness of this disease in Malaysia revealed that younger women, those with a higher level of education, are more aware of the condition than the low-level education women. This indicates that young women who have been educated gain knowledge of the risk factors of this disease based on education. In Malaysia, more educated women can access information about ovarian cancer, increasing the gap in awareness among women. Furthermore, attention is directly proportional to the education level among women in the Malaysian country (Devaja & Papadopoulos, 2018). Research has also revealed that almost over half of the Malaysian women population are ignorant about the ovarian cancer risk awareness factor compared to other types of cancers. This report resembles the other pieces reported in other countries on the attitude of women toward this disease. This shows that the attitude of women toward the ovarian cancer risk factor is shallow.
The researchers also identified that most women in Malaysia had no awareness of any cancer disease risk factors. This indicates that the attention to ovarian cancer risk factors was limited among the Malaysian women’s population. Some of them underestimated this disease’s risk factors, and some had misconceptions about the disease. The common misconceptions that the researchers identified include that over 80% of the interviewed tall women gave wrong answers about the risk factors of the disease (Kademani, 2019). This contributes to the information that awareness was dependent on the height of women, with tall women being at the highest risk of suffering from the disease. However, there is no adequate proof to support that matter. The available evidence suggests that the hormones of tall women stimulate the division of dividing cells as compared to the hormones of short women, therefore, increasing the chances of the cell becoming abnormal and later turning cancerous (Devaja & Papadopoulos, 2018). This creates a big question that future researchers should work on providing the relevant answers on the issues of ovarian cancer risk factors.
In the Malaysian population, women who had their means of transport were privileged to access health care. Therefore, they were exposed to some of the risk factors education about ovarian cancer in those facilities compared to those who had no means of transport. Malaysian health is rated at about 60% of the population; therefore, most of them were discouraged from knowing about the risk factors of the disease due to inadequate health systems (Walsh, 2017). About 20% of Malaysian women have had cancer or had a close relative or friend who had cancer. This is a considerable percentage indicating that most were ignorant of the risk factors awareness of cancer. Additionally, researchers have also revealed that about 20% of them were current smokers, thus showing their neglect of the awareness 18.7% of participants reported that they were current smokers.
Primary prevention
The prevention and control of cancer is not an easy task. It requires a well planned, systematic, and coordinated approach that should cover all stages of the cancer continuum. Furthermore, it heavily depends on resources, and some of the resources are most likely to be limiting. It is acknowledged that the disease cannot be fully eradicated in the coming years, but its effects are the ones that can be minimized. Through establishing the National Cancer Control Strategy (NCCS), numerous means for effective control of cancer can be archived, even under limited resources (Kademani, 2019). The cancer control strategies entail all aspects of cancer care. The WHO has made work easier by publishing the Managerial Guidelines for National Cancer Control Program (NCCP) by classifying and identifying cancers that are effectively treatable, preventable, those available for palliative care, and lastly, those that are detectable easily. Other sections that the government needs to consider are equality in workforce development, access to the services, data collection and analysis, monitoring, and the need for essential research.
By covering these sections, the government of Malaysia can form the basis of the establishment of the NCCP depending on the Malaysian cancer pattern and load. The enthusiastic commitment of the government, health workers and non-governmental organizations is highly required to make this strategy effective (Alqunaibet, Herbst, El-Saharty, & Algwizani, 2021). If the glossy document is not acted upon, little effect on cancer will be archived in Malaysia. Additionally, long term engagement and stakeholder input are highly required in this strategy. Recent research has indicated that cancer prevention should be the primary objective in all cancer control programs. Cancer prevention should focus on the factors that favour an individual developing the disease and protective factors like physical activity and diet (Steel & Carr, 2022). Prevention services should involve disease prevention strategies, health promotion, and health protection to alert the Malaysian population about cancer risk, build a healthier environment, and promote their lifestyles.
Because exposure to risk factors results in a complex range of social, cultural, economical, and behavioural factors that do not change easily, the strategies implemented to reduce this lifestyle-related cancer effect need to be comprehensive. Most the overseas nations have indicated that the effectiveness of these strategies depends upon their implementation over a long time together with good leadership, adequate resources and a good research base (Alqunaibet, Herbst, El-Saharty, & Algwizani, 2021). The best important approach for primary prevention should be public cancer education on matters that cause possible risk factors. Cancer education may be conducted in various ways, including public rallies, print media, posters, electronic media, banners, scientific interviews, etc.
Monitoring and surveillance
Comprehensive and accurate data coverage is essential in planning and evaluating cancer control policies, improving patient care, and planning health programs. In 2019, the only cancer cases recorded in the Patient Registry Information System (PRIS) were the online cancer cases notifications over the Malaysian Health Data Warehouse (MyHDW) (Kademani, 2019). Malaysian National Cancer Registry (MNCR) are still in the early phase of system improvement, monitoring data quality, and training in data submission. Relevant trained personnel and infrastructure are highly required in the MNCR and any other facility that supports the system. The MNCR 2012-2016 5- year report was published in 2019 (Devaja & Papadopoulos, 2018). The report had information involving comparison with the prior report abasing on the burden and trend of cancer in Malaysia between 2007 and 2016.
Human capacity building and development
Over the years, the number of cancer cases in Malaysia has increased. From 2007 to 2011, over 100,000 cancer cases were reported to MNCR (Steel & Carr, 2022). This was a drastic increase from the previous report in 2012 to 2016. Due to the increase in cancer cases, there is a high demand for cancer health care services. To cope with this demand, the Malaysian government need to ensure they are providing high-quality cancer services and that they are also adequate to serve the demand. It is essential that the health workers should be highly skilled and sustainable to provide this high-quality cancer service (Walsh, 2017). There is also a requirement for the government and health workers to cope with the shortage of skilled workforce in some areas of Malaysia.
Patient navigation
The approach of implementing patient navigation is a community-based healthcare delivery support system that assists in the timely treatment and diagnosis of cancer patients across the healthcare continuum by eradicating barriers to care. At Harlem Hospital Center, New York, in 1990 was the first time that the Patient Navigation Program (PNP) was initiated by Dr Harold P. Freeman based on the report issued by the American Cancer Society (Steel & Carr, 2022). The program’s main objective was to save lives from cancer by eradicating the barriers to timely care between two points, namely point of suspicious finding and resolution finding by further diagnosis and treatment. Based on the MNCR report of between 2012-2016, over 60% of all cancer cases were mostly detected at Stages III and IV at the time of diagnosis (Devaja & Papadopoulos, 2018). These stages ate later stages, and the diagnosis done at these stages, the likely hood for the patient to survive is very minimal. Many factors have contributed to the majority of the diagnosis being at the late stages. Patient navigation covers the entire continuum, including detection, prevention, treatment, survivorship, end life and diagnosis.
Roles of nurses.
Nurses’ role is vital in the clinical area for ovarian cancer patients to the extent to which the supportive care is concerned. For ovarian cancer patients to be supported, the nurse needs to identify different physio-psycho-social needs of their patients using a holistic approach (Gillespie, 2020). Nurses are invited to nurture patients to attain holistic health and cope with an approach that incorporates all aspects of their life into care decision making through the philosophy of nursing. The philosophy of a holistic approach in nursing goes hand in hand with a focus on Quality of Life (QoL) (Gillespie, 2020). The best possible chance to select intended actions, make decisions, and identify needs that a nurse makes to improve patients’ wellness and supportive role is provided by the QoL.
Nurses need to offer also the role of psychosocial support for ovarian cancer patients. The establishment of good communication is one of the key elements for the nurse to understand how their patient feels about him or her, how their relationship with others and what is important to them affect their decision before, during, and after the treatment. Furthermore, the nurse needs to develop good communication with the patient’s family so that the patient can have the necessary support he or she needs throughout the treatment (Gillespie, 2020). Research has shown that psychosocial care is almost 100% effective in minimizing psychological distress. It also reduces the stress-induced on the cancer patient by the physical symptoms and improves the quality of life.
Nurses caring for the spiritual status of their cancer patients is also one of the elements of holistic patient care. Spiritual well-being is regarded as an experience that is subjective and can occur both inside and outside of the traditional religious system (Alqunaibet, Herbst, El-Saharty, & Algwizani, 2021). Research conducted over the years has indicated that diagnosis of cancer is a turning point for each cancer patient and that spirituality can positively impact the management of this situation. This gives hope and strength to the cancer patient, therefore, improving the cancer patient’s quality of life. Spirituality in the patients increases as they advance to the later stages of cancer due to fear of losing their lives (Kademani, 2019). Other interventions that the nurse can offer to the patient are optimistic culture and hope, assessing the patient’s mental condition, and referral to a specialist when there is a spiritual discomfort.
Conclusion
In conclusion to this work’s discussion, we say that the awareness and attitude toward ovarian cancer risk factors among Malaysian women are low. In the Malaysian women population, the misconception of ovarian cancer risk factors is pronounced different between age groups of women and class of education. Older women need a lot of attention than the low-class education women. More attention should be given to older women and lower educated women. It is important to increase the public understanding of ovarian cancer for future screening, prevention, and awareness programs. The Malaysian government and health workers need to put into action the outlined strategies to attain their current and future objectives and plans. To reduce the cancer burden in Malaysia, sufficient resources and support from the government, health workforce and non-governmental organizations are required. Nurses contribute to the treatment of cancer patients by providing holistic care to the cancer patients. One of the main roles of the nurses to cancer patients is to ensure that they have a better quality of life at any stage of cancer. The needs of any cancer patient are man, but the most important outcome of any nurse training program should be the effort to improve patient care.
