Friday, January 20, 2012

Provider Autonomy & Respect (mid-Feb12)

*new* 5Feb12 but related to below:
A rising number of registered nurses rank "on-the-job assault" as one of their three greatest safety concerns. http://nyti.ms/zEf01v

Patients in the emergency department can be quite disrespectful to providers, who can't really walk away.
http://onlinelibrary.wiley.com/doi/10.1002/hast.5/full

11 comments:

  1. This comment has been removed by the author.

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  2. I think this article really shows just how rude and selfish our society is becoming. For a patient to call a doctor who is trying to take care of a major injury a douchebag, shows the degree of disrespect people have now days. As a nursing major who wants to become an emergency room nurse at children's hospital I realize that I will have to not only provide care for the children that I see, but also deal with the parents or guardians the child. Our society is becoming more and more selfish because of the instant gratification we get, it makes people think of themselves and only themselves. Yes this is just one guy telling of how he deals with patients that are inconsiderate, but this is just one doctor in one hospital. Add up all the hospitals and doctors in just the United States alone and think of all the patients that are selfish and rude to everyone around them, when they should be grateful of the health care providers around them. Health care providers should be allowed to ask a patient to leave if they are potentially harming other patients or staff.

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  3. As a nursing student who has to deal with patients on a weekly basis I really empathize for the doctor in this article. Working with rude and disrespectful patients can be very frustrating. I feel that in situations like this medical staff should be able to ask a patient to leave. Doctors should not have to waste time trying to force someone to cooperate. The time they are spending on this rude patient could be spent on someone patiently waiting for care. No medical staff should have to experience such rude and disrespectful behavior, just as workers in other fields would not tolerate this behavior and demand they leave.

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  4. Also being a nursing student and working in a hospital, I have seen many patients who lack the common respect the hospital staff deserves. The hospital I work at puts patient satisfaction high on the priority list, so there are many times the nurses must bite their tongues. Unfortunately even though the patient's best interest is in mind, a complaint from the patient to the hospital is sometimes not worth the fight. Everyone deserves care and compassion but no one deserves to be treated poorly for trying to help. If the patient refuses treatment (unless they are not in the right mind set to make responsible decisions) then the hospital staff has no choice but to let them go.

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  5. Being a nursing student as well I have had some patients where I have had to keep back what I would have wanted to say to them for being so disrespectful. But in maintaining the nurse-patient relationship the nurse really has to pick what issues are really worth bringing up with the patient

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  6. This is something I feel happens a lot these days. I think that in many ways the patients forget that the doctor is also a human being and has feelings. I think we live in a society today where people think its ok to act in certain ways because they think the doctor is used to handling things like that. I have so much respect for doctors because they have to juggle so much while remaining professional at all times. The moment they display their emotions we as the public look at them as if it is so out of the character to display humanly emotions. I agree a lot with what’s already been stated I think it’s rather absurd for someone to have to deal with rudeness at their place of work. I could never understand how someone could be rude when they’re the ones in need. Sadly however I think that this is problem that will continue to face many doctors across the world.

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  7. This is really sad that the doctor had to encounter this situation but the truth is that this is happening quite often in emergency rooms all over the country. It is sad to see a patient be so rude and disrespectful to someone who is trying to help him. Unfortunetely many people in the ER take advantage of the care they recieve and its unfortunete that in this case the patient is a customer and the doctor is the patients slave instead of a provider.

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  8. Since many of us are nursing student in this class, I think that we all have the same reaction to this article. The behavior that is shown by this patient would make anyone feel uncomfortable in that situation. I would honestly be worried if I had a patient that was not allowed on one of the hospital floors because of his actions. Safety is one thing that we are always taught in nursing school. We constantly have to ask ourselves if we feel safe and if we do not, then we are generally not giving the best care that we could (compared to caring for a patient who is kind and respectful). It is a tough situation to be in because the article said that the hospital debated whether they should even admit him or not. I believe that everyone deserves care, but I personally would not want to take care of a patient who behaves like that.

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  9. Many of my good friends are nursing majors either at Thomas More or other schools. The first article is crazy to think about. I have never thought about how patients being mean and or physical with a nurse or doctor until now. Often times I think of the hospital as a somewhat calm place where mostly very sick people are at, but then I remember the ER and Trauma Units are both crazy places along with the ICU. I know that many other floors can be very hectic but these three are in my mind as the most hectic. My cousin is a nurse in the Trauma Unit at a hospital in downtown Columbus and get many loud and crazy patients. I can understand why often time male nurses are given patients that are a little harder to handle especially male patients. This article was an eye opener and I hope that hospitals figure out a way to protect their workers and allow them to not feel threatened.

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  10. Reading this article really made me aware of things that happen at a hospital. As a communication major this is something that I will personally never have to deal with but it is sad to know that this taking place. Even as a male I would be very concerned about a patient who has already been banned from a floor in any hospital.

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  11. I think that patients in these situations feel alot of anger towards their condition, and it makes them cynical and bitter towards medical procedures and disrespectful of the staff. This is a form of internalization of a problem that turns into an outward attack on the world as well as a form of selfishness. They're so focused on whats wrong with them, they forget that doctors and nurses are people too. They are people who are trying to help, and they deserve respect and gratitude. I think that it should always be the doctor's say as to whether he stays on the case or not. It is impossible to do a good job medically treating someone if you are physically afraid of them. That isn't to say that the patient strictly shouldn't receive treatment. Maybe they should find another doctor, or receive therapy for their anger issues. If none of these things work and the patient is still extremely aggressive, then I think they give up their right to medical care. It isn't fair to ask one person to be in fear of their own person to save someone who is trying their hardest to push everyone trying to save them away.

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