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Having patients involved in their care at admission has proven to be very effective. Reassuring patients that the relationship isn’t a dictatorship rather a partnership is calming, and it opens up for more suggestions and recommendations they wouldn’t have normally considered. This partnership can lead to improved quality of care and patient outcomes. According to The Growing Role of Patient Engagement: Relationship-based care in a changing health care system, “patient engagement strategies have been shown to improve care delivery and translate into better outcomes related to patient satisfaction and recovery”. Patient involvement helps to instill trust and reassurance in the medical staff.  As long as we, the nursing staff, maintain our nursing principle of “Fidelity” in keeping our words to the patient, we can aid in the process of keeping the patient informed resulting in them making informed decisions. The nursing profession’s role in patient engagement and advocacy is key to the care that we deliver and continues to evolve to meet the needs of patients. (Guglielmi et al., 2014, p. 518)

Nurse empowerment can be accomplished by staff led councils. They can potentially improve quality of care and job satisfaction if leadership and management are supportive of the concept. (Guglielmi et al., 2014) My institution has empowered the nursing staff by allowing us to make staffing adjustments based on acuity verses quantity. This is not always possible but whenever staffing allows, they make adjustments based on acuity. This has been a recommendation for many years and as of recently, its now being implemented. Its made a major difference in patient care and staff safety.

Last week I got a new admission that was very aggressive, loud and profane. No one could assess him but me. I maintained my calmness even though he was loud, angry, and paranoid. I explained to him what I was doing, as far as the EKG, skin assessment, security screening, etc. He initially refused the ppd and I explained that if he changed his mind he could come back and get the ppd at a later time during his admission. Within an hour of me completing my assessment, the patient came to me and asked for his ppd. He was still paranoid about it and said hurry up CJ before I change my mind. I smiled and quickly delivered without incident. That was a good way to end my shift. I feel I empowered him to make a decision on his medical needs without forcing treatment or procedures on him that weren’t medically necessary at that time.