Relationship between Nursing Process and Peplau’s Model Peplau’s key concept focuses around the therapeutic nurse-client relationship which develops through overlapping and interlocking phases of orientation, working, and resolution through which the nurse-client relationship evolves throughout the patient’s healing process (Blais & Hayes, 2011). Peplau’s therapeutic nurse-client relationship phases and the nursing process goes hand in hand. The nursing process of assessing applies to Peplau’s orientation phase of gathering data, actively listening, building trust, and reducing any anxiety (Videbeck, 2011). This takes place in the beginning of the therapeutic relationship and it differs from other patient relationships because it focuses on only the needs of the patient (Videbeck, 2011). The nurse is responsible for setting the parameters of the meetings and then providing the client with direction.
The theory is a framework that healthcare professionals can use to provide a basis for self-care and symptom management in the chronic disease patient. Keywords theory analysis, UCSF Symptom Management Theory, Symptom Management Model, chronic illness, chronic disease Introduction Symptom Management and its relationship with chronic disease has been named a research priority in the nursing profession (NNRA Process, 2006). The development of theories to guide research and Evidence Based Practice in this area is crucial, with further progress through analysis and application to practice. The UCSF Theory of Symptom Management (SMT) provides the guidance for the nurse to understand patient symptoms with better assessment, support and treatment in nursing practice. The symptom is usually what brings the patient to seek out health care (Humphreys et al., 2008) and adherence to treatment by the patient is crucial.
THERAPEUTIC APPROACHES IN MENTAL HEALTH NURSING CARE. This essay will reflect on my experience whilst on placement. It would show how I engaged, sustained and disengaged from the therapeutic relationship with a service user through the use of appropriate communication and interpersonal skills. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult situations. I felt the need to develop therapeutic relationships with service users so they felt they could put their trust in me that I was there to listen and talk to them not just care for them.
Dorothea Orem-Self Care Theory Dorothea Orem- Self Care Theory Dorothea Orem’s theory of self-care is based on three related theories: the theory of self- care, the theory of self-care deficit and the theory of nursing systems (Roussel, 2013). Dorothea Orem’s theories have become a central point in the progress of curriculum for numerous schools of nursing (Flynn & Heffron, 1988). According to Orem, it is the special focus on human beings that distinguishes or differentiates nursing from other human services (Nursing Theory, 2013). Orem’s viewpoint of nursing is centered on each person’s self-care agency. She defined self-care as, “the practice of activities that individuals personally initiate and perform on their own behalf in maintaining life, health, and well-being” (Nursing Theory, 2013).
What is the Definition of Nursing Practice? Nursing practice is defined as the act of providing care to the patients. In providing care to the patients, the nurses implement a nursing care plan which is based on initial condition of the patient. It is based on a specific nursing theory. Following nursing theory and nursing research side by side is a must for patient care and nursing practice.
The second belief stems around what resources are available within their environment to aid the dependent individual. This theory is the core of Orem’s grand theory of nursing because it characterizes when nursing is needed. The third and final interrelated theory is the theory of nursing systems. This describes the actual actions the nurses perform to assist people with the self care needs and deficiencies. It breaks down the nurse patient relationship and roles into three categories, Wholly compensatory, partly compensatory, and supportive.
This is why empowerment in health promotion is key to individuals with mental health problems (Morrissey et al, 2008). In order to empower service users, nurses should apply health promotion theories to their approach to care (Mutsatsa, 2015). Theories include the Health Belief Model (Becker et al, 1974) and the Self-Efficacy Theory (Bandura, 1977b). All these theories are based on actions by the nurse provide the service user with sufficient information that allows them to understand their health, triggers, their ability to improve and how they go about doing so. Nurses should also provide cognitive behavioural therapy in their approach to person-centred care when dealing with service users as it can have a positive impact on the way
Watson’s Theories of Human Caring NUR /403Theories and Models of Nursing Practice Priscilla Ricardo Introduction. Watson defined therapeutic nurse-patient relationship as, “ Nurse’s are expected to portray and act professionally, legally and ethically in order to established an effective nurse-client relationship. The significance of an effective nurse patient’s relationship is critical to maintenance, promotion and recovery of patients in every aspect of life. It is central to meeting the patients care needs and therefore communication between the nurse and patients is the foundation on which this relationship is built. The techniques to establish a warm and mutual nurse-client relationship are vital to understand and needless to say important in practice in order to come up with healthy and quality outcome for the patient as well as the nurse.
The nurse can either help or interfere with the patient’s healing process, depending on how this nurse-patient relationship is developed and followed through. Watson’s theory helps nurses examine themselves and their patients on a holistic level - mentally, physically, and spiritually. “In Watson’s theory, nursing is centered around helping the patient achieve a higher degree of harmony within mind, body, and soul, and this harmony is achieved through caring transactions involving a transpersonal caring relationship” (Suliman, Welmann, Omer, and Thomas, 2009, p 293). This
The following essay aims to identify how reflection in action and on action may impact on the provision of services by District Nurses. The author felt it important to define the two concepts, in order to understand their relevance to practice. It was found by Schon (1983) that reflection- in-action, was a nurses’ ability to understand how an individual was responding to a nursing intervention at the present time; in contrast to reflection-on-action which was thinking through a situation after it had occurred. From this understanding the author established through in depth reading that reflection has been a topic of discussion within nursing, health and social care professions for years (Kinsella, 2009). The theory of reflection has made the author identify the epistemology of reflection in and on action and the effect this can have on her professional growth.