Registered Nurse- Medical Surgical ICU at Boston Children's Hospital summary:
A Registered Nurse in the Medical Surgical ICU utilizes clinical judgment and reasoning to provide high-quality care to patients. This role involves collaboration with healthcare teams, advocacy for patients, and a commitment to continuous learning and practice improvement. The nurse promotes compassionate care tailored to individual needs while integrating diverse perspectives and facilitating a therapeutic environment.
CLINICAL JUDGEMENT: Clinical reasoning, which includes clinical decision making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and experiential knowledge. CLINICAL INQUIRY: The ongoing process of questioning and evaluating practice and providing informed practice. Creating practice changes through research utilization and experiential learning. CARING PRACTICES: Constellation of nursing activities that are responsive to the uniqueness of the person that creates a compassionate and therapeutic environment, with the aim of promoting comfort and preventing unnecessary suffering. Caring behaviors extend to all members of the care team. RESPONSE TO DIVERSITY: Sensitivity to recognize, appreciate, and incorporate differences and preferences into the provision of care. Differences may involve patients/family and members of the healthcare team. ADVOCACY/MORAL AGENCY: Working on another’s behalf and representing the concerns of the patient/family/community; serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within the clinical setting. FACILITATOR OF LEARNING: Ability to facilitate patient, family and staff learning across the care continuum. Contributes to a learning environment characterized by safe discourse, mentoring and team development. COLLABORATION: Working with others patients/families/healthcare providers/community to promote and encourage each person’s contributions toward achieving optimal and realistic patient goals. Collaboration involves interdisciplinary work with colleagues and ability to negotiate and resolve conflict. SYSTEMS THINKING: Body of knowledge that allows the nurse to manage whatever environmental and system resources that exist for the patient and family, within or across healthcare systems.
Keywords:
Registered Nurse, Medical Surgical ICU, patient care, clinical judgment, healthcare collaboration, critical thinking, patient advocacy, nursing skills, diversity in healthcare, therapeutic environment