Provide a safe environment for the patient and staff
Patient risk factors
A healthcare facility patient is a suffering person with a violation of physical, mental and social well-being, a disorder of biosocial adaptation, a feeling of dependence on a disease, an experience of constrained freedom. Both the disease itself and the new environment force him to change his usual way of life.
Risk factors that negatively affect a patient in a healthcare facility can be conditionally divided into two groups:
- threatening the safety of human life.
This group includes the following risk factors:
- changed role function;
- reduced individual ability to adapt and overcome stressful situations;
- a high degree of risk from the instability of life;
- reduced reaction to social interaction;
- movement stress syndrome;
- violation of self-esteem.
The patient’s psychology is characterized, on the one hand, by sensations of a physical order (for example, pain, fever, etc.), ideas about the disease, and on the other hand, by a certain attitude towards the disease. The patient disrupts the usual course of relationships, new relationships with loved ones, connections with people unfamiliar before the illness arise. An important task of a nurse is to penetrate into the patient’s psychology. For the proper organization of care for him, you need to know how the patient reacts to his illness.
The relationship between a nurse and a patient can be divided into three stages:
- A patient, once in a medical facility, feels uncomfortable. You can establish contact with him by mentioning mutual acquaintances, news, famous people, providing the necessary information about the hospital, etc. The most important method of establishing contact is the ability to listen to the patient; and one should listen with interest, reacting to what he heard. Everything is important – both the environment in which the conversation takes place, and how naturally the nurse behaves.At the stage of treatment, the changing picture of the disease, the course of the examination and other factors can cause the patient to fear, uncertainty, pickiness, which can be reduced or even eliminated by showing attention to the patient.
- At the final stage of discharge from the hospital, psychological difficulties often arise. Some patients are afraid to leave the ward in which they have been reliably protected from danger, while others are eager to be discharged as soon as possible. Patients often doubt that they will be able to follow a diet at home and maintain the achieved effect. You should talk with patients, reassure them, explain the peculiarities of behavior at home. To eliminate the negative influence of the hospital environment on the patient’s emotional sphere, he needs to be given more positive emotions, which will help the best and fastest adaptation to the conditions of the hospital.
Among the measures to ensure the regime of emotional security in health care facilities are:
- maintaining silence, calm and welcoming atmosphere in the department;
- communication with the patient in a quiet voice only with a positive intonation;
- the creation of a comfortable interior, the availability of rooms for rest and visits to patients with loved ones;
- organization of leisure time for patients, providing the opportunity to engage in any available activities, such as reading, knitting, watching TV;
- elimination of negative emotions that can be caused in patients by the appearance of medical instruments, care items, stained with blood and secretions;
- providing an appropriate environment and psychological support during each manipulation (the nurse should not show irritation about the patient’s fears and shyness);
- rational filling of wards (this helps patients to more fully satisfy the need for communication);
- ensuring silence during the daytime rest and night sleep of patients.