This assignment is going to discuss the importance of needs assessment in nursing practice. Firstly it is will define the nursing process, its phases and how it can be applied when delivering patient centred care. It will then give a brief synopsis of the case scenario, identifying the patients’ needs that require assessment using the Roper Logan-Tierney model. Tools used for assessment will be given and a rational for the required assessment using relevant literature. Furthermore, one priority tool will be selected and then applied to the case scenario outlining the nursing interventions required.
These nursing practices must base on nursing theories we are using in the clinical setting of practice. The core concept of theories help us to understand the things surround us and provide a guide in nursing practice. According to George, “Concepts are the elements used to generate theories” ((2011). Additional, theories are composed of concepts and provides the foundation, knowledge and guide us in our nursing
Examine the research base for one aspect of nursing care and compare and contrast the recommendations found with the practice observed during your clinical placement. The overall aim of this essay is to explore an aspect of evidence based or best practice and compare the findings witnessed in a nursing environment. Conclusions will then be drawn from this process and recommendations made for proposed changes to practice where necessary. The Nursing and Midwifery Council state in The Code (NMC 2008a) that care must be delivered on the best available evidence or best practice. Research is the systematic investigation into and study of materials and sources in order to establish facts and reach new conclusions (Oxford Dictionary 2011).
Concept Analysis of Effective Walker & Avant’s methodology (2005) is used to analyze the concept of the word effective; this provides clarity to the meaning of the concept and identifies its unique attributes, particularly in relation to medical treatment. Antecedents and consequences of presumed effective medical treatment are discussed followed by empirical referents, which aid in illuminating the concept of effectiveness. Assumedly, “effective” is an adjective most healthcare professionals and their patients would hope to use in describing the outcome of the treatment or the care provided. The purpose of this concept analysis is to understand that for physicians and nurses to provide truly effective treatment, it must attend to multiple needs of the patient, not just their illness. Not only is it important for healthcare providers to construct and implement a treatment plans, but also to involve patients in medical decision making about their treatment.
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.
If a theory is proven, it can help to develop nursing science and be used in nursing practice to accomplish numerous results such as identifying standards of care to direct, evaluate, and predict patient care/outcomes, for example (Cherry & Jacob, 2011). Development of a sound theory commands the presence of not only key concepts, but also great insight toward the particular subject matter; it’s definitions, and the assumptions surrounding it. This is critical to ensure a well-educated appraisal and study follows. (Alligood & Tomey, 2010). Relatively speaking, applying the concepts of stress in relation to adaptation of a particular health circumstance, for instance, may provide a speculative overview that will yield a methodical interpretation of how these two incidents are entwined with one another (Cherry & Jacob, 2011).
Introduction Background - The history of communication, what is communication, which definition(s) I am I going to accept in this essay and why are they important to nursing. - What are the fundamental principles of communication in nursing. - What am I accepting as the nurse’s role in communicating with patients. - Team work: The dynamics partnership between service provider and patient and contribution of inter professional and interagency team working in achieving affective seamless care. - Barriers to effective team working In this essay I will be using the Gribbs reflective cycle (Reid, 1994: see appendix 1) to structure my reflection on a clinical incident that occurred during placement.
It also contributes to patient care by classifying nursing phenomena and standardizing language among nurses. Nursing diagnoses are scientific interpretations of data that appeared and that are used to guide planning, implementation, and evaluation of nursing practice. The use of nursing diagnoses gives more visibility to nurses, whose caregiving has previously been invisible or unrecognized(20). Defining characteristics and factors are related to nursing diagnoses. Those characteristics are passible clues of observations and checks.
Step three would be planning and the outcomes of the patient’s diagnosis, the nurse must do some rapid changes in the patients care to make sure they get treated. Step four consists of the nurses implementing the patients planned health care plan to ensure full recovery of the patient. Last but not least is step five, which incorporates evaluation of both the patients and the nurses’ health plan for the patient (“The Nursing Process”). Just like the nursing process, the scientific process includes five steps as well, with step one being asking a question for the problem being faced with. Step two consists of making a hypothesis to what is to what the answer to the question is Step two would be to develop a study design in order to solve the question Step four is testing the hypothesis with an experiment and analyze the data gathered to see if the hypothesis is.
Effective communication is an important skill in nursing practice as it is a tool to uncover service users’ needs and facilitate care. Verbal, written communications, as well as body language, are all vital implementations for successful treatment. A therapeutic milieu is a scientific structuring of the environment in order to effect behavioural changes and to improve the psychological health and functioning of the individual (Skinner, 1979).This essay would also show how a therapeutic milieu was established and maintained.