{"id":185,"date":"2013-02-28T17:03:12","date_gmt":"2013-02-28T17:03:12","guid":{"rendered":"https:\/\/www.nicholls.edu\/magazine\/?p=185"},"modified":"2020-11-18T20:19:42","modified_gmt":"2020-11-18T20:19:42","slug":"improving-patient-care","status":"publish","type":"post","link":"https:\/\/www.nicholls.edu\/magazine\/2013\/02\/28\/improving-patient-care\/","title":{"rendered":"Improving patient care"},"content":{"rendered":"

Using research and innovative teaching, Nicholls trains nursing students to care compassionately for patients from birth to death.<\/em><\/h4>\n
\"Nursing<\/a>
Through research, hands-on clinical experiences and innovative classroom teaching (such as in labs shown above), Nicholls nursing faculty stress not only technical skills but also a compassionate, caring spirit.<\/figcaption><\/figure>\n

From first breath to last, nurses are there, infused in life\u2019s most precious moments. Their patients all hope for the same thing \u2014 nurses with the medical know-how and caring bedside manner to help them through their life\u00a0cycle of health care needs.<\/p>\n

For patients in the tri-parish area, chances are high that they will\u00a0receive just that \u2014 competent, compassionate care \u2014 most likely from Nicholls graduates, who make up 80 percent of the nursing staff at the region\u2019s clinics and hospitals.<\/p>\n

With that in mind, the Nicholls Department of Nursing<\/a> continuously strives to improve its preparation of students. Through applied research, innovative classroom techniques and hands-on clinical experiences, faculty members stress the importance of notonly the technical skills but also the compassionate spirit needed to care for people from the cradle to the grave. A new master\u2019s degree program<\/a> at Nicholls will provide additional opportunities for nurses to gain advanced-level education.<\/p>\n

\u201cWhether it\u2019s the bachelor\u2019s degree or master\u2019s program, we focus on a holistic approach to patient care,\u201d says Dr. Todd Keller, director of the undergraduate nursing degree program. \u201cBiological, psychological, sociological and spiritual \u2014 we teach our students to care for every aspect of a person. The greatest beneficiary of that learning is, and will continue to be, the patients of our graduates.\u201d<\/p>\n

Avoiding fatigue in labor and delivery<\/h3>\n

The celebratory sounds of new life \u2014 joyous laughter, spontaneous outbursts of happy tears and a newborn\u2019s piercing cries \u2014 spill out into the hallway of Thibodaux\u00a0Regional Women and Children\u2019s Center.<\/p>\n

A few doors down, the sounds of anguish and heartbreak are\u00a0heavy as a couple learns that the baby they had so desperately wanted would be stillborn. What should have been a celebration turns into unspeakable pain.<\/p>\n

So begins another day in the life of a labor and delivery nurse.<\/p>\n

Being a part of life\u2019s biggest moments is both exhilarating and exhausting. Navigating the highs and lows of the profession while maintaining a sense of personal well-being often becomes challenging. Nurses who fail to find a balance are at risk of developing compassion fatigue. They might find themselves burnt out, disengaged, emotionally overloaded, less productive and struggling to empathize or form bonds with their patients.<\/p>\n

\u201cNurses are expected to be happy and vibrant and never appear upset or overworked,\u201d says Dr. Amanda Eymard, assistant professor of nursing. \u201cWe need to let nurses know that we recognize that they have stress and give them an outlet so that they don\u2019t experience burnout and leave the profession.\u201d<\/p>\n

As an honors nursing student, Chelsea Tamplain (BSN \u201912) conducted research revealing that labor and delivery nurses are reluctant to discuss the effects of working in such an emotionally charged environment.<\/p>\n

\u201cNurses are, at their very core, nurturing caregivers who put others\u2019 needs above their own,\u201d Tamplain says. \u201cThey didn\u2019t want to talk about the toll the stress of the job was having on them for fear it would make them appear like a \u2018bad nurse.\u2019\u201d<\/p>\n

Tamplain\u2019s research on compassion fatigue among labor and delivery nurses was the first of its kind, though many studies have examined compassion fatigue in other medical areas, such as oncology, ICU and hospice care. To minimize the potential for burnout, Eymard advises new and experienced nurses to create support groups of medical professionals with whom they can talk candidly. A healthy diet, regular exercise and time set aside to decompress are also important.<\/p>\n

\u201cFrom freshman- to senior-level classes, we weave lessons of compassionate care throughout the curriculum \u2014 compassion for patients and compassion for themselves,\u201d Eymard says. \u201cIf we don\u2019t teach our nurses to take care of themselves, how can they take care of others? And that\u2019s our ultimate goal \u2014 the best possible care for the patient.\u201d<\/p>\n

Fostering Elder Empathy<\/h3>\n
\"Nursing<\/a>
More than 100 Nicholls students have participated in the Take A Walk in My Shoes project, which use simulation equipment to help them better understand elderly patients. A physical-limitation suit lined with metal rods restricts bending and stretching.<\/figcaption><\/figure>\n

Dr. Amanda Eymard loves old folks. The 41-year-old assistant professor of nursing first stumbled upon her career path at age 11, when she began volunteering at a\u00a0local nursing home.<\/p>\n

Now in the classroom, Eymard looks for creative ways to share\u00a0her infectious passion for the elderly. Instead of lecturing about the many trappings of old age \u2014 loss of hearing, failing eyesight, shortness of breath, compromised balance and stiff joints \u2014 she wants her students to literally feel what it\u2019s like to be old. In 2006, Eymard received a grant, resulting in more than $23,000 of simulation equipment that does just that.<\/p>\n

Vision-distortion goggles cloud students\u2019 eyesight, making it difficult to read prescribed medication instructions. Special gloves make their fingers stiff and create difficulty opening pill bottles or brushing their hair. A physical-limitation suit lined with metal rods restricts bending and stretching. Empathy lungs create shortness of breath, and earplugs impede their hearing.<\/p>\n

In the past six years, 128 students have participated in the Take A Walk In My Shoes project, and their journals indicate that the experience has helped teach them patience and empathy.<\/p>\n

\u201cThe students\u2019 journals confirmed that we are getting through to them and actually changing their stereotypical thinking,\u201d Eymard says. \u201cOne student wrote, \u2018I used to get really frustrated with older patients because I wanted them to move quicker, but now I realize that they want to move quicker; they just can\u2019t. My whole perspective has shifted.\u2019\u201d<\/p>\n

In 2010, Americans 65 and older represented 13 percent of the total population. According to the U.S. Census Bureau, that number is expected to rise to 20 percent by 2050. A growing elderly population means an increased demand in geriatric nursing care and training.<\/p>\n

To meet those needs, Eymard and student volunteers have taken the empathy project on the road \u2014 providing in-service programs for nurses, lab technicians and certified nursing assistants throughout the region.<\/p>\n

\u201cNot only were our students excited about going out into the community, but many professionals who took part have indicated that their attitudes and prejudices about elderly patients changed because of our program,\u201d Eymard says.<\/p>\n

Embracing a pre-death phenomenon<\/h3>\n
\"Research<\/a>
Dr. Tanya Schreiber, left, talks with colleagues about her groundbreaking research on premortem surge \u2014 a phenomenon that gives a near-death patient a resurgence of energy.<\/figcaption><\/figure>\n

A brain tumor was ravaging Richard\u2019s body. The beloved son, brother and friend was bedbound and unresponsive\u00a0and hadn\u2019t eaten in weeks. With his death imminent, nurses\u00a0summoned his family and friends.<\/p>\n

Then something extraordinary happened.<\/p>\n

Richard awoke. He asked to be helped out of bed and into his\u00a0favorite recliner, and he requested his favorite cocktail \u2014 scotch on the rocks with a splash of water. Richard spent the evening surrounded by loved ones, sipping cocktails and reminiscing. He went on and on about how wonderful his life was and how grateful he was for his family, friends and faith. The following morning, he ate a hearty breakfast of toast, eggs and bacon, but by noon, he was back in bed. Richard died at 6 p.m. that day.<\/p>\n

In the eulogy, his brother said, \u201cThe night before Richard died, he gave us the most wonderful gift of all \u2014 the gift of his presence once again.\u201d<\/p>\n

Richard\u2019s gift was the result of premortem surge, an often-seen phenomenon that gives a near-death patient an unexplainable resurgence of energy, improved physical function and mental clarity, increased appetite and the ability to communicate.\u00a0The surge usually occurs 24 to 48 hours before death and lasts anywhere from six to 24 hours.<\/p>\n

Dr. Tanya Schreiber, assistant professor of nursing, has exhaustively researched the subject and is even credited for establishing the name, premortem surge. A longtime hospice nurse, Schreiber has seen the phenomenon with several patients and hopes that her research will help health care providers respond to it.<\/p>\n

\u201cDying is a part of life,\u201d she says, \u201cand if I can help our students better understand end-of-life events such as premortem surge, then they can provide better, more compassionate care for patients and their families.\u201d<\/p>\n

For example, families unfamiliar with premortem surge can misinterpret it to mean the patient\u2019s condition is improving \u2014 creating a false sense of hope and uncertainty about treatment decisions.<\/p>\n

End-of-life care isn\u2019t easy, but Debra Gorr (BSN \u201905), director of nursing at Haydel Memorial Hospice in Houma, says each workday is a day of giving.<\/p>\n

\u201cWe give the care that the patients and their families need, while educating them about the dying process,\u201d Gorr says. \u201cBut what they give us is so much more. They allow us to be a part of their journey from this life. The rally [premortem surge] is a beautiful opportunity for loved ones to say their final farewells and create loving, lasting memories.\u201d<\/p>\n

\u2014 Written by Renee Piper, director of University Relations<\/em><\/p>\n

This article originally appeared in the 2012 issue of\u00a0<\/em>Voil\u00e0!\u00a0magazine. Click\u00a0here<\/a>\u00a0to read the entire issue.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Using research and innovative teaching, Nicholls trains nursing students to care compassionately for patients from birth to death. From first breath to last, nurses are there, infused in life\u2019s most precious moments. Their patients all hope for the same thing \u2014 nurses with the medical know-how and caring bedside manner to help them through their […]<\/p>\n","protected":false},"author":6,"featured_media":192,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-185","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nImproving patient care - The Colonel<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.nicholls.edu\/magazine\/2013\/02\/28\/improving-patient-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Improving patient care - The Colonel\" \/>\n<meta property=\"og:description\" content=\"Using research and innovative teaching, Nicholls trains nursing students to care compassionately for patients from birth to death. 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