The student nurse will reflect on health promotion issues as this stood out to me in several areas, The student nurse discovered that although we can nurse a patient back to health it is so important to make the patient aware of how necessary it is for them to participate in their care by adhering to what is recommended to them by various members of the Multidisciplinary Team and the devastating consequences that the patient can encounter if advice is ignored. The student nurse will use the Gibbs (1988) reflective cycle, this encouraged thinking systematically about all phases of an activity. Gibbs (1988) is descriptive with regards to feelings, evaluation, analysis, conclusions and action plans, therefore ideal for this assignment. Although I experienced many different aspects of care regarding health promotions this assignment will concentrate mainly on a single event that will stay with me throughout my nursing career. According to Scottish Government (2010) Healthcare Quality Strategy for NHS Scotland, nurse’s carers and people at the heart of the healthcare and care delivery services should improve conditions in NHS Scotland and the care provided, on reading this strategy I understand a nurses responsibility, but the importance of patient participation in their own care is invaluable and the cooperation and communication with the Multidisciplinary Team is essential to complete patient care package to the highest standard.
The nurse can either help or interfere with the patient’s healing process, depending on how this nurse-patient relationship is developed and followed through. Watson’s theory helps nurses examine themselves and their patients on a holistic level - mentally, physically, and spiritually. “In Watson’s theory, nursing is centered around helping the patient achieve a higher degree of harmony within mind, body, and soul, and this harmony is achieved through caring transactions involving a transpersonal caring relationship” (Suliman, Welmann, Omer, and Thomas, 2009, p 293). This
I felt the need to develop therapeutic relationships with service users so they felt they could put their trust in me that I was there to listen and talk to them not just care for them. Forster (2001) stated that, “In mental health nursing, a therapeutic relationship is defined as the relationship developed by two people essentially based on trust”. There is also a need of good interpersonal skills, communication and care skills when forming a therapeutic relationship. In order to develop a therapeutic relationship with a client, it is essential to identify the client needs, wishes, feelings, fears, strength and weaknesses which can interfere with understanding and providing care to the client (College of Nurses of Ontario (CNO), 2004). Effective communication is an important skill in nursing practice as it is a tool to uncover service users’ needs and facilitate care.
In this paper, I will discuss about patient teaching that I have done as a student nurse at Antelope Valley Hospital on the Medsurg Unit. Some of the teaching are how to promote a productive cough with deep coughing technique, how to use an incentive spirometer, explanation of Thoracentesis procedure, the importance of HbA1C in diabetic management and lastly, teaching of noninvasive technique to help with urinary retention and the use of straight catheterization. Patient teaching is one of the many important elements in nursing care. Nurses provide and teach basic health information pertaining to the patient’s condition and demonstrate important self-care techniques to the patient so that they can independently perform to take care of themselves. With this knowledge, the patient can self-promote their wellbeing.
A woman centred care: case study This summative assessment will enable me to apply the knowledge and skills I have acquired from the theory sessions of the fundamental aspects of care module. In order to meet the requirements of this assessment a public health issue will be identified from a case scenario. Whilst using a problem solving approach I will critically analyse the woman’s needs and the evidence- based midwifery care involved. By reflecting on the case scenario of a client that I helped to care for in the postnatal ward, I hope to show integration of the roles of the midwife and that of the student in achieving a woman centred care approach within our caseload of that day, through reflection. In this case reflection being the expression of my expectations, perceptions and feelings of the experience represented by the evidence in this case scenario (Rodgers, 2002).
UNDERGRADUATE EDUCATION IN CLINICAL NURSING To what extent does the oral shift report stimulate learning among nursing students? A qualitative study* Mari W Skaalvik, Hans K Normann and Nils Henriksen Aim and objective. The aim of this study was to describe oral shift reporting and to discuss whether it stimulates learning for nursing students in clinical rotations in nursing homes. The goal was to investigate aspects that are important for oral shift report to be instructive for nursing students. Background.
The model of hypothetico deductive reasoning proposed by Elstein et al., (1978) served as the main frame work for the analysis. The major out come of the study was that although hypothetico deductive method of clinical reasoning appeared to be predominant in diagnostic procedure the collaboration between the therapist and patient occurred at various stages. Also it describes how therapist used collaborative information in patient’s management. This paper explores these findings and relating them to the research in the field of reasoning. This paper also includes discussion of findings, and employment of above mentioned models in physical therapy practise and how it is use full while teaching students in health profession.
The traditional approach includes collecting subject matter on “biographical data, present health concerns (or present illness) and the chief complaint, past history, family history, review of system and patient data” (Farrell & Dempsey, 2010, p. 74). The assessment interview builds the foundation of the nurse and patient relationship. Building good rapport with the patient will alleviate any stress, anxiety or discomfort the patient may be feeling. The patient will be asked personal questions and at times may not understand or may not want to divulge information about their personal life/situation. As a nurse being open and honest, explaining why this type of information is necessary and asking open-ended questions will help prompt the patient to disclose the facts required, expedite the process and be fundamental in performing a successful assessment (Springhouse, 2004).
This theory has been used to help the new generation of nurses to view the human being as a whole with a connection between body, mind, spirit and the environment, understand transpersonal relationship, and create caring moments in nursing practice to improve patient care to obtain positive outcomes. Watson’s theory focus in caring as it must to remain constant. The words “human care” in Watson original book, was later changed to “human caring” or “caring” to describe transpersonal interaction, caring moments, and carative factors, elements of Watson’s theory (Watson, 2012). Watson describes caring as an intentional act from the nurses. In her theory, Watson emphasis that the nurse has
The purpose of this paper is for the nurse to complete a health assessment of a family by using Gordon’s 11 functional health patterns and the system’s approach. By using open ended questions for the 11 principals, the nurse can predict potential problems in the health perception, nutrition, elimination, activity-exercise, cognitive perception, rest-sleep, self perception/concept, role relationship, sexuality, coping, values and beliefs by evaluating the risk taking and behavioral patterns within the family. A nursing diagnosis and care plan can then be developed by using the data collected during the interview. The nurse can then provide health care interventions which will assist the family in obtaining optimal health (Edelman & Mandle, 2010). The family interviewed consists of five family members.