Abstract Comfort is an important concept in nursing practice that must be used as a guide in providing holistic care to improve patient’s health status. In the history of nursing practice, the concept of comfort is vague and is often times linked to end of life situations only. Dr. Katharine Kolcaba, a teacher and a nurse researcher, developed the theory of comfort with the goal of improving the patient’s experience and overall satisfaction as well as to promote higher hospital integrity and better institutional outcomes. This paper informed the reader of the concept of Comfort Theory, its strengths and weaknesses including the barriers and challenges met when using the theory, its application and implication to critical care setting, and its relevance to healthcare professionals and to the health care system. Further on, the plan to implement the theory in critical care nursing was presented.
Compare and Contrast Two Nursing Theorists Callista Roy’s model is that of adaptation, which is an ever-changing point made up of different stimuli tailored to each individual and their specific needs. Dorothea Orem’s model is self-care, which is a human function that is deliberate in providing the necessary means for a productive and healthy life and development. These theories guide nurses to use the power of observation and interpersonal skills in doing an individualized assessment of each patient. NURSING THEORISTS WORKSHEET Nursing Theorist | Theoretical Framework (metaparadigm) | Theory Summary | Application to Nursing Practice | Nightingale, Florence | Environmental theory, Theory of practice | Ventilation, light, warmth, and noise level are essential in creating a safe environment for patients. Nightingale believed in treating the person itself and not just the disease.
Case study for Six Caps The nurse has an important role as a patient advocate. The patient’s family needs to make a decision regarding the care of Marianne. The nurse’s role as being the patient advocate for Marianne is to assist the family with the ethical decision by either assembling the ethics committee or performing a role on the committee. The functions of the ethics committee includes: policy and procedure development; educate committee members about competencies regarding health care ethics; education of hospital staff regarding ethical policies and procedures; develop an ethics team to be consulted on cases within the hospital and monitor the outcome of the decisions made on each case. The ethics committee may use the following two ethical principles to make the decision regarding Marianne’s proposed surgery.
Nursing-sensitive indicators have taken the forefront of quality measures and the definition of how quality of nursing care is evaluated in hospitals and out-patient care settings. These indicators allow nurses and administrators to evaluate how the care they are providing is following evidence-based practices, and how they may improve their practices toward better patient outcomes. The American Nurses Association has made steps forward in promoting these indicators as the definitive standards for patient care and quality improvement. This paper will evaluate how nursing-sensitive indicators could have assisted the staff in taking care of a patient, Mr. J, how nursing-sensitive indicators can advance quality care practices, and evaluate the ethical considerations and solutions to the problems encountered in Mr. J’s care. In the care of the patient Mr. J, utilizing nursing-sensitive indicators could have greatly assisted the nurses and aids in identifying issues that may interfere with patient care and cause negative patient outcomes.
Elements of a recognised framework by Cormack (2000) will be used as a guideline through the critique process. Critique is defined by Polit et al (2000) as a careful critical appraisal of the strengths and limitations of a piece of research. They state that a written critique should serve as a guide to researchers and practitioners, and should help to advance a particular area of knowledge. The critique should also help those who are practising nursing, to decide how the findings from a study can be best incorporated into practice (Nieswiadomy, 2002). Knapp (1998) points out that if research is to provide convincing evidence on which to base practice, it must be capable of withstanding scrutiny regarding the quality and relevance of the researchers work.
In order for a nurse to deliver patient focused care, they must first develop an effective nurse-patient relationship with the service users that they care for. This is important in order to ensure that the highest quality of care is provided to the patient. As, according to Sheldon (2009), a nurse-patient relationship is based upon the commitment of a nurse to work alongside their patient’s, in order to deliver personal and effective care which meets the identified health needs. Patient focused care involves the patient and nurse working together as a partnership and places the patient and their relatives central to decision making in regards to the planning, implementation and assessment of care. 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).
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.
This paper will discuss the need for CDSS in the health sector particularly on clinical tasks. CDSS can provide support to clinicians at various stages in the care process, from preventive care through diagnosis and treatment to monitoring and follow-up. EFFECTIVENESS OF CLINICAL DECISION SUPPORT SYSTEMS Diagnostic assistance Based on the patient’s data and the system’s knowledge base, CDSS can
Furthermore, the way in which the holistic approach is utilised when delivering healthcare to a patient, will be discussed. For clarification, a brief definition of roles, skills and qualities will be provided. Principally, the various roles, skills and qualities of the nurse, other professionals, and non professional carers will be examined, and how each contributes to delivering effective health care under this holistic approach Lastly, possible barriers to the effective delivery of care that could occur will be discussed. Possible scenarios will be given as examples on how the quality of care can become compromised due to the highlighted barriers, following this; possible solutions to these barriers will be considered. The Greek word holos originates the word ‘holistic’, as it means, “whole” (Kenworthy 2002).