Re: Nursing Policy

From: Milree Keeling (mkeeling@tiac.net)
Tue Oct 29 20:52:02 1996


Cindy Anderson wrote: >
> What you describe seems to me to be an example of how we sometimes
> lose sight of our ultimate goal...providing safe, effective care to our
> clients. Rather than get into a power struggle, if disciplines would
> cooperate and consider the client's well-being the ultimate goal, this
> would be a non-issue. Mutual respect for each discipline's role and
> responsibilities would encourage this process.

> Communication is key here, as well as a trusting
> relationship.
>
> We can all make a difference, enhance our care to our clients and each
> other through mutual respect.
>
> Cindy Anderson, WHNP-C
> Parent/Child Clinical Nurse Specialist
> College of Nursing, University of North DakotaI agree, but would suggest that TRUST be limited to trust that each
professional is acting accountably and out of their understanding of the patients' best interests. All of us work intensely with each other in L&D, and it is risky for us and for our patients if we act or influence patient care relying on emotional or personal trust of each other as individuals. Then what happens if there is a mis-communication? It gets all balled up in interpersonal ways that can be hurtful or wasteful of valuable time and energy. To focus on the interest of a GROUP of clients with different managing providers is a complex task, and we (MDs and CNMs) have to support the charge nurses' efforts to do the best they can in this. Milree Keeling, CNM Leominster, MA





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