Quote from pldlpn
That is exactly what I mean. Some nurses find it hard to go with the flow of a home routine. As a result, the parents become confused. The parents are used to the routine of the hospital and find it hard to relax with their child. This especially happens with premies coming home. How to explain to these nurses there is "grey" area when you work in someones home. You don't need a Dr. order for everything.
Hi again! Yes, for sure there are "grey" areas when you work in a home. Preemies....wow! I don't do babies. But I imagine the nurses would play an important role in helping the parents relax and adjust to life at home with their little one.
In your original post, you mentioned looking for articles about this aspect of private duty. In my 3 years now of private duty, I have not been able to find specific articles or info about some of the unique issues of private duty. It seems lacking...
My one case was a long-term disabled child. At one point I was looking for articles/info on how families cope and respond to long-term disability as the years go by and their child's condition only progresses. I was facing some challenging psycho-social family dynamics, and wanting a nursing perspective on it.
Actually, I have not experienced personally nurses acting like the home is a "mini-hospital". But an issue I have faced now with two nurses, is nurses who totally lack a professional boundary. (They socially integrate into the family, become too close, and lose all nursing objectivity. It causes/creates multiple issues and problems.) I wish I could find an article to give to nurses new to private duty on the importance of maintaining a professional boundary.
Hmmm...maybe we should consider writing some articles! : )