Nursing is a practise-based profession, so it is vital that the clinical skills, that are the tools of the grade(Maggie 1999).According to White(2000),‘To enable students to develop their proficiency in clinical skills nurse educators use innovative methods of supplementing the practice placement experience by turning to simulated practice to achieve this’ (2000). When I was in University, we use role play in simulation lab to monitor vital signs and record it in different Standard Adult General Observation (SAGO) charts. Mayne et al. (2004) further explained that ‘Simulated practice enables students to increase their competencies in the performance of the practical skills in a safe environment’(2004). Being a first year student, my mentor usually allocated me a post-operative patient received back from theatres to record patients' observations includes blood pressure, heart rate, temperature and respiration (Bulman and Schutz 2004).In the postoperative phase, patient surveillance is based on routine and regulated observation.
Abstract Planning and delegating nursing care efficiently and effectively is an essential skill for all registered nurses to develop and master. The nursing process will assist the registered nurse to effectively plan and implement nursing interventions as well as to appropriately delegate nursing interventions to co-workers. Additionally, following the professional standards for nurses will assist in safely managing a patient load. Equally important is the use of communication. Effective communication is essential to ensure patient safety and positive outcomes, as is effective communication between nurses and the multidisciplinary team.
The definition of Evidence Based Practice (EBP) is “professional understanding and action that is based on the thoughtful use of knowledge and information from available, reliable, and dependent sources” (Brown, 2002). The definition also includes the balance of clinical experience, proven evidence from scientific studies with patient input. This input from patients will incorporate their culture, values and other preferences.. Evidence Based Practice is a fluent process that requires nurses to be current and correct on information as it pertains to their daily practice. The intent of EBP is to improve the quality of the care that is delivered to the client.
Jean Watson is recognized for her theories on human caring and the way nurses give care. Her theories are used to educate nurses on the integration of care and compassion within the discipline and technology of today’s healthcare organizations to better serve patients. Watson believed that human caring is “not just an emotion, concern, attitude, or benevolent desire. Caring is the moral ideal of nursing whereby the end is protection, enhancement, and preservation of human dignity” (George, 2011, p. 29). With this idea in mind, assessment tools are used by the nurse and physician to protect, enhance, and preserve human dignity (George, 2011).
New knowledge is applied into practice through evidence based decision making, quality improvement processes, instituting policy changes, and providing patient and community education opportunities. With background in OB/GYN, my interest is the role of Women’s Health Nurse Practitioner. My aim involves collaborating with other healthcare professionals to provide high quality individualized care, promote health education, disease prevention, advocacy, and counseling to women in a community setting. WHNP certification is provided by the National Certification Corporation
APNs can facilitate the ability to practice both the art and science of nursing and reduce the chasm between theory and practice by using nursing theory as a foundation. According to Chism, nursing theory is made up of ideas brought together by associated expressions that characterize, clarify, and foretell phenomenon that are in accordance with nursing viewpoints (Chism, 2013). Nursing theory helps to identify what should shape the foundation of practice by clearly describing nursing. It is essential the APN use nursing theory in evidence-based practice, to provide better patient care, improve communication between nurses, and as a guide for nursing research and education. In addition, because the main champion of nursing, caring, cannot be quantified, it is crucial to have a theory to examine and spell out what the APN does.
I will further discuss key concepts of the theory, uses of the concepts, cases, and finally apply a graphic model of the theory as well as modifications to the model for use in my personal practice. Theory Summary Major Concepts In Patricia Benner’s theory of skill acquisition she adapted the Dreyfus model of skill acquisition to nursing practice and clinical knowledge development.
This theory provides a guide for nurses to follow to provide holistic care for the patient. Jean Watson developed her theory on caring based on ten carative factors, developing transpersonal relationships with patients, and being captured in caring moments. Watson’s model is the new model of caring-healing practices. It is focused primarily on the nurse-patient relationship. To provide care based on Watson’s model, a nurse must first ensure he or she believes in its values or concepts.
Pre-interaction preparation I have chosen Peoplau’s theory of interpersonal relations. It’s the use of a therapeutic relationship between the nurse and the client. The idea of the theory is the dealing with clients as they are the important matter and then by focusing on their problems, treatment and their health rather than treating them as if they are a secondary consideration (Kozier etl al., 2009). Peoplau’s work is responsible for the combination of the therapeutic relationship and the nurse-client relationship into nursing theory (Forchuk, C., Dorsay, J., 1994). Peoplau’s interpersonal relations were found in all major theoretical works today.
In order to be successful the nurse is able to understand and communicate the needs of the patient, be knowledgeable of available resources, and have the tenacity to stand up for their patients. Definition of Nursing In my initial paper I mention M. Jean Watson, Florence Nightingale, and Dorthea Orem as theorists that captured my philosophy of nursing. While I still think there is a great deal to be 2 learned from these theorists, I have found through my clinical experiences that the theorist I lean more towards depends on where in the hospital or community I am working and the patient or client I am working with. As the semesters have gone on I have found a love for fast paced, high stress environments, such as the Emergency Department. Virginia Henderson’s Definition of Nursing targets this population, focusing on patient safety and nursing knowledge.