Nursing in the community - full length film
Summary
TLDRThe transcript highlights the experiences and reflections of community nurses, emphasizing the personal, compassionate care they provide to patients of all ages. They discuss the flexibility, variety, and emotional rewards of their work, from managing complex medical care to offering emotional and spiritual support. The nurses also speak about their dedication to keeping people out of hospitals, focusing on holistic, patient-centered care. Despite the challenges, the job is highly fulfilling, allowing them to make meaningful impacts on patients' lives while fostering deep, personal connections.
Takeaways
- 😊 The speaker became a community nurse to spend more time with patients and make a meaningful difference in their lives.
- 🏡 Community nurses provide holistic care, allowing patients to remain at home, offering a wide range of services from physical to spiritual support.
- 👶 Community nurses treat patients from 18 years old to the elderly, covering all types of nursing care needs.
- 🎯 The unpredictability of the job is a positive aspect for the speaker, as every day presents new challenges.
- ❤️ Building strong relationships with patients is central, with nurses often becoming like friends to the individuals they care for.
- 💼 The speaker highlights the importance of communication in community nursing, along with using advanced skills like injections, assessments, and prescribing.
- 🌈 Community nursing is described as emotionally rewarding, despite dealing with tough end-of-life situations.
- 📚 The speaker has developed more skills working in the community than in a hospital, with a broader scope for learning.
- 🎁 Memory boxes were discussed as a way to leave meaningful items for loved ones, with the reminder that they are not only about giving but also receiving.
- 🏥 The speaker emphasizes that community nursing plays a crucial role in keeping patients out of hospitals by identifying issues early, contributing to the overall healthcare system.
Q & A
Why did the speaker choose to become a community nurse?
-The speaker chose to become a community nurse because they wanted to spend more time with their patients, plan their own day, and make a difference by helping people stay at home when they can. They enjoy the unpredictability and the holistic care approach.
What does the speaker mean by holistic care in nursing?
-Holistic care involves looking beyond the medical aspects of care. The speaker examines the patient's overall situation, including how they're sleeping, eating, mobilizing, and whether they need spiritual or psychological support.
What types of patients does the speaker deal with as a community nurse?
-The speaker cares for a wide range of patients, from 18 years old to the elderly. They provide any type of care that a nurse is required for, including advanced nursing skills like injections, nasogastric feeds, and leg ulcer care.
What does the speaker enjoy most about working as a community nurse?
-The speaker enjoys the autonomy and the chance to develop a wide range of skills. They appreciate making decisions regarding patient care and treatment, and the variety and unpredictability of their day.
How does the speaker describe their relationship with their patients?
-The speaker describes building strong, friendly relationships with patients, stating that it often feels like they are friends. Patients enjoy spending time with them, even when the treatments might be uncomfortable.
What are some challenges the speaker faces in their role?
-The speaker acknowledges that the job comes with emotional challenges, particularly dealing with patients nearing the end of life. However, they balance these moments with lighter experiences, such as taking patients to exercise classes.
How does the speaker feel about advanced nursing skills in community nursing?
-The speaker emphasizes that community nurses use a full range of advanced nursing skills, such as prescribing medications, performing assessments, and managing long-term conditions, contrary to the perception that these skills are only used in hospitals.
What support do community nurses offer to vulnerable populations?
-Community nurses support vulnerable populations, including homeless individuals, sex workers, asylum seekers, and gypsies or travelers. They provide care in hospitals or on the street and help connect these individuals to further resources.
What was the impact of the memory box project discussed in the script?
-The memory box project had a significant emotional impact on the speaker and the patient involved. It allowed the patient to create lasting memories for their 13-year-old son, highlighting that it's not only about giving to others but also about receiving comfort and connection.
What is the speaker's overall perception of community nursing?
-The speaker finds community nursing to be incredibly rewarding, describing it as a 'lifeline' and expressing love for their job even after many years. They encourage others to consider it as a career, emphasizing the importance of primary care in keeping patients out of hospitals.
Outlines
👩⚕️ Passion for Community Nursing
The speaker shares their journey toward becoming a community nurse, driven by the desire to spend more time with patients and make a meaningful difference in their lives. They appreciate the flexibility of planning their own day and the unpredictability of the job, which includes providing care to patients from all age groups. Despite some challenging tasks, they enjoy connecting with patients on a deeper level, offering holistic care that goes beyond medical treatment.
🩺 Holistic Care in Nursing
Community nursing offers more learning opportunities than hospital settings, and the speaker emphasizes the wide range of skills used daily, from injections to advanced assessments. The importance of communication is highlighted, along with the psychological aspects of care. The speaker also touches on the emotional aspects of the job, like helping patients prepare for the future, such as creating memory boxes for loved ones. They express fulfillment from the holistic approach to nursing, caring for the 'whole person' rather than just their medical needs.
Mindmap
Keywords
💡Community Nurse
💡Holistic Care
💡End-of-life Care
💡Autonomy
💡Advanced Nursing Skills
💡Patient-Centered Care
💡Primary Care
💡Memory Box
💡Psychological Support
💡Vulnerable Populations
Highlights
The speaker highlights the desire to spend more time with patients and not be limited to working on the same ward every day.
Community nursing allows the speaker to plan their day and have the flexibility to make a difference by helping people stay at home if they choose.
Community nurses handle patients ranging from 18 years old to the elderly, providing comprehensive care without knowing how their day will unfold.
Despite performing procedures that might be uncomfortable for patients, the speaker enjoys interacting with them and making them happy.
Community nurses look beyond medical tasks, also focusing on the patients' living conditions, diet, mobility, and emotional or spiritual needs.
The speaker reflects on the bond developed with long-term patients, mentioning that the interactions feel more like friendships.
The speaker is part of a program helping vulnerable populations such as the homeless, asylum seekers, and other marginalized groups, aiming to support them daily.
The speaker shares how they were encouraged to pursue nursing despite hesitations due to age and financial concerns, ultimately finding fulfillment in the career.
Community nursing offers a great deal of autonomy, with nurses making critical decisions regarding patient care and treatment.
The speaker highlights the emotional challenges of working with end-of-life patients but also mentions the rewarding and fun aspects of the job.
Working in the community has provided more learning opportunities and skill development for the speaker than their time in the hospital setting.
The speaker emphasizes the advanced nursing skills required in community care, challenging the misconception that community nurses don't use advanced skills.
The holistic care approach involves addressing the psychological and emotional aspects of patient care, not just the clinical needs.
A moving moment is shared where a patient reflects on creating a memory box for their 13-year-old son, adding an emotional depth to the discussion of patient care.
The speaker expresses passion for community nursing, stating that it allows for delivering holistic, compassionate care, which is the essence of nursing.
Transcripts
okay you can tell me when you want me to
stop my colleague said why'd you want to
be a community nurse I said well because
I want to be able to spend more time on
my patients I want to do a very job I
didn't want to be on a war the same ward
every day
I like planning my day the way I want
it's helping people it's making a
difference and making sure people that
want to stay at home are able to stay at
home we do see patients from 18 to the
grave and we do any kind of care that
requires a nurse and you can't really
look at what's on your piece of paper
and predict how your morning's going to
go which is probably why I quite like it
although I'm doing something which
probably isn't very nice
which might hurt or you know they still
enjoy sitting me and that's why I wanted
to be a nurse because I wanted to make
people happy crying with it
well you hear hello Bell there we go
head up bombing I don't want to just go
in and knock off someone's wound I'm
looking at where they're sleeping how
what they're eating how the mobilizing
providing them spiritual support if they
need counseling you know I'm seeing the
whole picture that could be affecting
their health care - start kicking don't
you kick me no I will throw out the
trouble when I let me lay whew - okay
all right don't worry about it I only
went to the gym yesterday
don't you surely be off name--but in
district nursing now Robert 23 years
ah wonderful love it absolutely amazing
well to me it's been a lifeline it
breaks your days I have someone come in
that door especially when you're very
poorly surely your tummy's misbehaving
again say to me we're like friends now
oh wait we are so she torments me and
vice versa
[Music]
we in reach into both hospitals to
vulnerable adults so anyone who is
Street homeless sex working asylum
seeking and more recently gypsies and
travellers so we have a bed for you at
the Crypt and we'll catch up with you in
the morning and we aim to come every day
if we can and touch base with you and
see what we can do to support you that's
our primary contacts as when people are
admitted to hospital but that doesn't
mean we won't stop and talk to people or
peewee you know here we see what am i
walking across the city it's getting
cold now that you know there's a
homeless practice down the road you know
but I think everybody is somebody's
somebody everybody is significant to
somebody you know their purse and people
you know people deserve to have a chance
and yeah and I feel I feel privileged to
be able to do that
I met nurse who said why don't you why
don't you do nurse training I thought
you know it's all women and I'm not
young anymore and also I can't afford to
do it cuz I have to be a student for
three years well for each one of those
she said well it's not true and you'd be
good at it so I did it and Here I am now
I've just finished my training and I'm
just starting my new jobs in my first
week it's a great job but it does come
with it so here we on it with a lot of
responsibilities working autonomously so
you are everyday making decisions
regarding patient care and treatment yes
there are parts of the job that are
tough quite emotionally because we are
dealing with patients towards their it's
wards end-of-life as well but we have
fun days like today we go to an exercise
class and it's not all doom and gloom
[Music]
right at the top end of your heart rate
target which is fantastic yeah but
working in the communities being a great
move for me fantastic it's like I say
it's opened up so many more learning
opportunities I've not only developed
more since I've come to the community
than I ever did in the hospital I've got
a lot more Skills than I ever did it's
completely changed my perception of
district a cinema that just nurses
they'll come and sort you out with
whatever problem you've got they've got
the answer often the perception of
people working in a hospital is if they
move into the community we don't use
advanced nursing skill but we use every
every range of nursing skills that you
can imagine the most important one is
communication
but everything else so injections
nasogastric feeds intravenous drugs
assessments advanced assessment skills
prescribing leg also care long-term
conditions care it's a place to learn
it's a really good place to learn make
sure that it doesn't catch on the other
bone but this other tip of your finger
just use it to around ya
so sometimes the nursing aspect is not
what is worrying the patient it's a
psychological aspect so when we do
holistic care we're taking in
consideration the whole person okay find
me - clay yeah you know you can talk to
me
go on fire away oh yes your mouths going
yes Marcia talk to me about memory boxes
it's just something I need to do because
we have a 13 year old son
so I'm unlikely to be here for his 14th
birthday so we're talking about how what
we can put into that and how to do that
so it's not just clinical not just
medical the most salient point that's
stuck in my mind from that conversation
yesterday was that she said remember a
memory box is not just about you giving
to others it's about for you receiving
from others
which took me to a nicer place and
that's district nursing
I wouldn't want to do anything else
possibly I'm get up in the morning and
I'm ready for work I think it's a grand
job and there are lots of different
community nursing jobs out there whether
you want to specialize or not I would
never discourage anybody from working in
the community and that we keep a lot of
people out of hospital because we pick
up on things and quicker because we know
patients say well I love my job
if it's any job quite like nurse and in
the world I've been doing this 35 years
I still love coming to work but I do I
do and if you're like me and you want to
spend more time with patients and do
what we're trained to do which is
deliver holistic compassionate care then
community Nursing is by far the job for
you it's like an advert what do you
think of the district nurses when they
come in look they are lovely aren't they
absolutely brilliant it's not having
another friend so it helped me a lot
actually they are lovely there need to
be more district nurses that you know we
need more so if you look at the Health
Service this is called primary care we
can't manage without hospitals but
absolutely you can't manage without
distributism
[Music]
you
関連動画をさらに表示
5.0 / 5 (0 votes)