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. Orlando's Deliberate Nursing Process Theory emphasizes the shared relationship between patient and nurse. It describes the responsibility of the nurse is to find out and meet the patient's immediate needs for assistance. Nurses have to use their discernment, thoughts about perception, and the feelings produced from their ideas to explore the meaning of the patient's behavior. This method assist the nurse in discovery out the root of the patient's suffering and offer the aid they require.
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.
According to Furedi (2004, p174) a typical form of a therapeutic process for counseling involving individuals is composed of different techniques and theories which are taken from different approaches. These approaches are psychodynamic, cognitive-behavioral and person-centered approaches as well as behavior modification techniques. All these approaches were chosen to depend on their effectiveness and relevance to the client. The relationship expected to thrive between a therapist and a client should be a fiduciary one which is characterized by distinctive trust. It is noteworthy that professional boundaries should ensure that patients needs remain primary.
At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011). The key objective of praxis is through reflection to incorporate theory, practice and art to aid in the recognition and valuing of diverse types of knowledge (Kilpatrick, 2008). Praxis plays an integral role for the APN and there should be a solid foundation of understanding. There are several benefits for APN’s use of nursing praxis; it influences the relationship the practitioner develops with patients, their families and colleagues. Moreover, it provides the opportunity for change, personal nursing theory and knowledge development through self-reflection.
By applying the Watson caring theory in caring for patients, “it allows nurses to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization” (Cara, 2003, p 2). Watson believes it is crucial that nurses apply caring values to their practice because it is essentially a byproduct in discovering the meaning of the nursing profession (Theory of Human Caring, n.d.). The foundation of this paper is to expound on the caring theory Jean Watson designed “to bring meaning and focus to nursing as a distinct health profession” (Cara, 2003, p 2). Description of the Theorist In the 1940’s, Jean Watson was born in West Virginia in a small town in the Appalachian Mountains. In 1961, graduated from the Lewis Gale School of Nursing, furthering her career at the University of Colorado in Boulder in 1964, received a bachelor’s degree, in 1966 a Master’s degree in psychiatric and mental health nursing and in 1973, a Ph.D. in educational psychology and counseling.
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.
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.
Neal (2003) cited in Hinchliff et al (2003) states that a therapeutic relationship can be described as being between nurse and patient and is based on the patient’s needs for care, assistance and guidance. It is a relationship that is established solely to meet the needs of the patient and therefore, is therapeutic in nature. I felt that it was very important to develop a therapeutic relationship with my patient in order that they could feel that they could put their trust in me and that I was there to talk and listen to them, and not just in a caring capacity. Therefore there is a great need for good interpersonal skills to be able to achieve a therapeutic relationship. Cutliff (2005) states that you can gain comfort from drawing on your interpersonal skills by having strength and endurance, feeling self confident and brave, having sufficient competence, feeling independent, being at peace and at ease with oneself and also having a sense of being valued and useful.
It is important for the counselor to understand the risks and benefits of the medication and communicate this effectively so the client has a clear understanding of the treatment options. The mental health counselor must be aware that the patients choice is potentially influenced by a variety of personal, economic, familial, and cultural factors and the influence these factors have when guiding a patients decisions regarding medications and treatment options. Prescribing therapists must give responsibility to the patients for the decision of whether to include medication in their course of treatment (APA). This is very important for mental health counselors when prescribing medication by letting the client make the decision. Some client’s have had adverse reactions to medications and may have tried a serious of medications therefore; they are not willing to be on medications and would rather try different treatment options.
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