Theoretical Basis: Watson's Theory of Human Caring An advanced practice nurse (APN) to help guide professional practice and provide a working framework can use many different theories and models. Theories provide a foundation in which an APN can seek to understand patients and their problems and effectively plan interventions. Basing our practice on a particular theory can help improve the care we provide by not only providing structure but also providing boundaries and goals for our nursing actions and it defines a framework to evaluate the effectiveness of the actions we provide (Eldridge, 2014). This paper is going to review Watson’s theory of human caring and provide a description of the interrelated concepts for the grand nursing theory. The theorist’s background and perspectives will be explained and lastly the theory will be discussed as to how it can serve as an underpinning and improve nursing practice.
NR451 – Capstone Project Milestone #2: Draft Design for Change Assignment Guide/Rubric PURPOSE Creation of a draft “Design for Change” proposal inclusive of your PICOT and Literature review information from your Course Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program. COURSE OUTCOMES This assignment enables the student to meet the following course outcomes: CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1) CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities.
The aim of evidence based practice (EBP) being to help clinicians base their actions on best current evidence. Newly educated nurses are aware that nursing research is very valuable to nursing because it challenges and tests the effectiveness of the care we
Nurses need to be educated on these indicators to understand the care they provide directly affects patient outcomes. The American Nurses Association (ANA) recognized areas of patient care and developed nursing-sensitive indicators to improve care of patients. Nursing-sensitive indicators reflect three aspects of nursing care: structure, process and outcomes. (American Sentinel University, 2011, para. 2) They identify structures of care and care processes, which influence patient care outcomes.
Patient education should be personalized and suitable to the educational level of the patient, treatment, and management requirements of the diagnosed disease to promote active involvement from the patient in their plan of care. Together, the nursing process and Bloom’s taxonomy help with the development of educational plans to stimulate patient participation. Cognitive Domain A nurse must first assess the patient’s intellectual aptitude to effectively allocate medical knowledge. Clark (2013) stated, “Cognitive domain is the recall or recognition of specific facts, procedural patterns, and concepts that serve in the development of intellectual abilities and skills” (2). The cognitive domain includes six categories that must follow sequential order before moving to the next stage.
Based on these two premise, communication in nursing focuses on attending, listening, intervening and exploring the contents of information while observing the feelings of the patient (Arnold and Boggs, 2009, pp37-38). This piece of work will evaluate different aspects of my own learning; focusing on the importance of good communication and its influence in clinical practice. Throughout the essay, the significance of different communication skills will be explored. The essay will also evaluate different aspects of personal and professional values and their relevance in clinical practice. References will be made to some health related legislations such as; The Nursing and Midwifery Council (NMC) code of conduct, Care Quality Commission (CQC), Francis Report, Department of Health (DoH), The National Health Service (NHS) constitution and the fundamental values of care (Six C’s).
The Literature review of self-care to find the key attributes of self-care. The paper will identify the importance of self-care in promotion of optimal health. The nurse’s role in facilitation and promoting self care in patient care. The key attributes
Components of good documentation are the same as Watson’s theory and nursing process; assessment, plan of action, intervention, and evaluation. A caring nurse will want to be able to improve and become more efficient with documentation so that they are able to provide more direct nursing care to their patients. Carative factor number seven in Watson’s theory call for the promotion of interpersonal teaching-learning. This describes “the caring nurses as one that must focus on the learning process as much as the teaching process” (Current Nursing, 2012, para. 3).
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.
A model case will be used to give example of competence and its defining attributes. The author will also discuss what the concept is not by presenting a borderline, related, and contrary case. Competence is significant in the discipline of the advanced practice nurse to define the role. In nursing, competence and competencies are interchanged although their meanings are different. Advanced nurses sometimes find themselves pressured to work outside their competence.