Discuss question from NUR/403 THEORIES AND MODELS OF NURSING PRACTICE UOP Discuss a specific theory used in your practice setting. How does using this theory affect care? (if there is not a specific theory, what theory do you think would fit?) I chose Travelbee theory because it is what deep in my core and how I strive to practice as a nurse. "Travelbee believed nursing is accomplished through human-to-human relationships that begin with the original encounter and then progress through stages of emerging identities, developing feelings of empathy, and later feelings of sympathy.
A clear solution to this dilemma would be if the patient had a DNR (do not resuscitate) advance directive. Unfortunately the patient does not have one and the family refuses to assign him one. According to the American Nursing Association’s code of ethics “The nurse’s primary commitment is to the patient, whether an individual, family, group, or community; as well as, The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient”(as cited by Potter & Perry, 2013, Pg. 288). In this scenario the family is now the voice of the patient and it is the nurse’s responsibility to carry out their wishes.
A Patient’s Bill of Rights was adopted in 1973 by the American Hospital Association in order to be able to provide effective health care services that are fair to both patient and medical personnel. June was hospitalized for severe anorexia and she initially agreed to have a feeding tube placed to save her life. I am sure her physicians informed her of the pros and cons of the placement of the feeding tube. According to the summary of the Florida Patient’s Bill of Rights and Responsibilities within our textbook “a patient has the right to refuse treatment” (Showalter, p. 272). When she was in her right state of mind she consented to treatment.
When providing patient care in the healthcare field, as professionals, nurses need to be prepared for the challenges that might arise on the hospital setting. Being prepared can make challenges or situations in the nursing field less difficult or provide less resistance for decisions to make in delivering the best quality of care. Whether it is caring for a minor in labor or a same sex couple in the hospital being evaluated, special protocols must be implemented to provide the highest quality of care. As in the case of Rachel who is a minor unwed and in the early stages of labor admitted to the hospital, accompanied by her parents who has not been given meds or been seeing by the physician on duty who happens to be attending another emergency. Where clearly has brought a difficult situation to the healthcare team of the hospital raising ethical and legal issues in all aspects due to the fact that the parents of the pregnant teen have refused any assistance and the nurse assigned has complied silently.
Introduction Background - The history of communication, what is communication, which definition(s) I am I going to accept in this essay and why are they important to nursing. - What are the fundamental principles of communication in nursing. - What am I accepting as the nurse’s role in communicating with patients. - Team work: The dynamics partnership between service provider and patient and contribution of inter professional and interagency team working in achieving affective seamless care. - Barriers to effective team working In this essay I will be using the Gribbs reflective cycle (Reid, 1994: see appendix 1) to structure my reflection on a clinical incident that occurred during placement.
Henry is due to have surgery in 3 month; this essay will explore the nurse’s role in Henrys care. This is a fictional scenario therefore no permission to use names during this essay is needed. If real people where being used then authorization and consent will have been gained or alias names would be used. In this essay there will be discussions on the roles and responsibilities of the nurse in relation to safeguarding vulnerable patients which will later be linked to Henry and his care. The nurse has a responsibility to find out if Henry is a vulnerable adult and if so what makes him vulnerable and what makes people in general vulnerable, including concerns that could arise from being vulnerable for example abuse.
Ethical and Legal Issues in Nursing The nurse has a unique ability to follow a specific and a general code of ethical decision-making while caring for the most vulnerable of patients. The nurse must navigate public health law, educational law, and his or her institutional policies while keeping his or her own personal beliefs from controlling what is best for the patient. Ethics are “the principles of conduct governing one’s relationships with others-basic beliefs of right and wrong…. Law is the minimum ethic, written down and enforced.” (Ellis& Hartley, 2008, p. 288) The registered professional nurse must use resources to assist her, including the ANA Code of Ethics and the state’s nurse practice act. A final influence in the case of both of these cases, as with case one, Marianne could not make her decisions, as a patient advocate, the code ethics states in provision 1.3, “The nurse respects the dignity and rights of all human beings irrespective of the nature of the health problem.
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
Her medical history included advanced senile dementia and severe heart problems with a ‘DO NOT RESUSCITATE ORDER”. She was added to the operation list and the procedure was scheduled to take place towards the end of the day but the patients relatives who accompanied the patient was not informed of the decision either by the nursing or the surgical staff. She consented to having surgery with the medical staff but told the nursing staff that she had changed her mind. The nursing staff informed the consultant, which is in accordance with the Nursing and Midwifery Code of Conduct, which states that, we must work with others to protect and promote the health and well being of those in your care, by making referrals to another practitioner when it is in the best interest of
The following reflection is based on a patient who received bad news without any support. All names have been changed to respect confidentiality (Nursing and Midwifery Council 2008). During this reflection I will be using the Driscoll (2001) model of reflection. I have chosen to use this model as it has helped me to explore my experience and knowledge further. What?