Application of Theory Paper Nursing theory is the framework that defines nursing practice, establishes standards of care and provides the information essential for functioning patient care. Theory presents logical and educated reasons for nursing actions, based on structured, written depictions of what nursing is and what nurses do (Rousell, 2010). When problems arise within the educational, research, administration and direct patient care settings; theory supplies a foundation for dialog. When using theory to facilitate resolution of a nursing issue it guides leaders in the direction of the common goal of affording superior patient care (Rousell, 2010). In this paper I will apply the Ida Jean Orlando’s Nursing Deliberate Nursing Process Theory to patient boarding in the Emergency Department (ED), a current issue at the facility I am employed.
In many professions, nursing especially, one can find rationale for every action. Rationale can be defined as the fundamental reason to account for something (Potter & Perry, 2006). While rationale may be present in many professions the importance of rationale may only be distinctly evident in a certain few. In nursing, rationales are used in everyday practice as nurses interact with patients (Potter & Perry, 2006). The way in which a nurse practices can greatly affect the outcome of the patient (Potter & Perry, 2006).
An equal nurse-patient relationship is important in order to ensure that safe, effective and personal health care is delivered and that the patients’ needs are appropriately met (The Health Foundation, 2012). Briant and Freshwater (1998) discuss how the development of the nurse-patient relationship may be effected; they further this, stating that everyone differs in regards to their personal boundaries and how they perceive interpersonal interactions from others. In consideration of this, in order for a nurse to develop the required skills in order to form an effective nurse patient relationship, they must recognise the individual boundaries of their patients. The professional expectation of nurses is very high and this is something which is greatly acknowledged within society. The media is very influential in regards to how society perceives nurses; this is something which has altered the image of nursing within the past, (Benison and Voogd, 2008) Appropriate examples of cases which have been focused upon within media will be underlined and discussed throughout this essay.
Skills in how to communicate effectively with both the pediatric patient and their parents are important for a nurse to foster to maintain good therapeutic relationships. Person centred care becomes family centred care when babies and children are the patients. The dependent nature of the patient increases the need for parental responsibility and advocacy for the child. It is important for all members of the family to be taken into account when nursing a pediatric patient, especially the primary caregivers and siblings. Chochinov, 2007 (cited in Cornwell & Goodrich, 2009), states simply that compassion is ‘a deep awareness of the suffering of another coupled with the wish to relieve it.’ Pediatric patients and their families are highly sensitive to the compassionate nature of health care professionals and a successful therapeutic relationship with them depends on the sensitive, compassionate care offered by the nurse.
It is also important to know where and how theories can best apply to current nursing practice. Compare and Analyze a Common Core Concept A common core concept among Virginia Henderson’s need theory and Dorothea Orem’s self-care deficit nursing theory is nursing. Both theorists use the nursing concept in their theory to define the role of nursing. Henderson defines nursing as the unique function of a nurse to help a person sick or well in the performance of activities contributing to health or its recovery that the person would perform unaided if he or she had the necessary strength, will, or knowledge. Nursing can also consist of assisting an individual to a peaceful death.
(2009) also highlights the importance of linking the philosophical perspective of nursing, the disciplinary goals, theory and practice when expanding knowledge for the discipline. Nursing's philosophical basis for disciplinary knowledge is a synthesis of the individual and the common good (McCurry et al., 2009). Knowledge for the discipline expands when philosophy, disciplinary goals, theory and practice are linked together. Further directions of the discipline are revealed when linkages between philosophy, disciplinary goals, theory and practice are strengthen (McCurry et al., 2009). My philosophy of nursing includes three important factors (1) the patient, which may include a family, a community or individuals.
Promoting health and well-being is a valuable part of a health care professional, it takes on the Nursing and Midwifery Council (NMC, 2008) principles that all individuals should be treated with the utmost respect and receive the highest standard of care. This reflective essay aims at explaining how learning experiences in two different health care settings have helped build on my ability to protect those vulnerable people in society and promote good health and wellbeing. Gibbs (1998) model of reflection will be used throughout the essay to describe the event, feelings, evaluation analysis and conclusion and out an action plan in place for future events. My first placement was a residential unit for those people with learning disability, my second setting was a maternity unit and I experienced both neonatal and antenatal care. Pseudonyms will be used in accordance with The Nursing and Midwifery council (NMC, 2008) to protect confidentiality.
Nurses should get effective workforce planning to get more data and information. 4. Nurses should practice and get higher level of education and training. The nursing education primary goal is patient safety. “Two consensus reports from the Institute of Medicine (IOM) which calls for greater interprofessional education of physicians, nurses, and other health professionals, as well as new methods of improving and demonstrating competency throughout one’s career (IOM, 2003b, 2009)” The Robert Wood Johnson Foundation of nursing research network is estimate costs of nursing education for different degree levels.
In nursing, it allows a nurse to instruct a competent co-worker or health-care member to perform specific duties in his or her place. If done properly, delegation will allow work to be done more proficiently by the health-care team, but it will also allow patients to benefit from the expertise of various staff members. In relation to nursing delegation, there are two main legislations that govern it: The Regulated Health Profession Act, 1991 (RHPA) and The Nursing Act, 1991. The RHPA “sets out two elements: a scope of practice statement, and a series of controlled or authorized acts for each profession” (CNO, 2013a, p. 3). A controlled act is defined “as acts that could cause harm if performed by those who do not have the knowledge, skill and judgment to perform them” (CNO, 2013a, p.4).
For example, I can delegate the task of emptying a catheter to a nursing assistant instead of having the nurse do it. Identifying the ability and skill is important as well. I will not be able to delegate a task of inserting an intravenous line if the nurse does not have training on it. To choose the right person we also need to consider the personality, reliability, and commitment because it can make the tasks of delegation easier. If a person is committed and reliable, then we know that the task will be done.