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 nursing process is beneficial to the patient, the nurse, and the nursing profession. It ensures that a high quality of care is provided to patients and enhances the patient’s participation in all stages of the process. It provides personal and professional growth to nurses and leads to job satisfaction. For the nursing profession, the nursing process contributes to the autonomy of the profession and defines the scope of the nursing practice. The nursing process includes four phases: assessment, planning, implementation, and evaluation of care (Habermann and Uys, 2005).
One of the major roles of APN is to ensure the staff competencies by refining and facilitating the nursing practice with support and supervision on the ward staff. Encouraging and motivating them in update their knowledge and skills, strive for continuous improvement for both themselves and the standard of care in ward. Thus, to create a harmony working environment for the staff
They can ensure smooth handoffs as the patient transitions through the continuum. They often prevent medication errors, reduce infection rates and facilitate patient transitions from hospital to home. (Howell, 2013) Nurses at every level take a leadership role through knowledge and caring. Demonstrating understanding of the person, health and environment helps to drive nursing practice and patient care. (AONE, 2010) Leadership is not just managing but facilitating.
It is evident that she is aware of barriers to effective communication. Additionally, it is made apparent that communication skills are vitally and fundamentally important in clinical practice. When there is effective communication it creates positive health practices. The need for a therapeutic relationship (patient-centred) is to be the main focus of the student/nurse. The key success in this role is accurate assessment of the patient’s needs, abilities and commitment to meeting them with sensitivity.
Therefore, nurses should be up to date with knowledge, skills and attitude by introducing significant evidence into their practice (ONMC 2011). Nowadays, health organization systems are guided by a philosophy statement which contains beliefs, thoughts and values (Huber 2006, p.224). The philosophy of an organization plays an important role for nursing practice as it directs the nurses towards a shared goal (Huber 2006, p.224). For instance, if the mission contains a statement about patient quality care, therefore, all employees will be involved to achieve the mission. Through consistent philosophy, all health care providers will strike to deliver high quality care.
The Department of Health [DH] [2001] explained that communication comprises of a number of skills used to promote professional practice. These skills will be identified and used appropriately to promote the outcome of the patients care. This writer will use some of these communication skills to demonstrate the impact on the care nurses provide in line with the NMC standard and good record keeping will be discussed as a factor that is essential in effective communication practice. Also, the concept of communication in collaborative work and how it influences the works of nurses through verbal and non-verbal means of expressions in building therapeutic relationship by active listening, respect and assertiveness will be looked into as well as the barriers of communication in nursing practice. Communication is the transmission of information from a sender through a channel to a receiver, it can either be verbal or non-verbal means of communication.
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 Therapeutic communication is the corner stone of good practice and paramount to the provision of good care. Doheny et al. (2007) observed that when certain skills are used to facilitate communication between nurse and client in a goal directed manner,the therapeutic communication process occurs. According to McCabe (2004) patient centred communication is a basic component of nursing and facilitates the development of a positive nurse - patient relationship. Nurses have a great opportunity to shape the future of the nursing practice through therapeutic communication Armold&Boggs, (2011).
Always at the ready to provide care in a crisis patient, provide family education and collaborate multidisciplinary teams regarding patient care are also vital for a critical care nurses (Cottrel, 2010). My long term-goal, professionally, is to become a clinical educator. Mateo (1998) described clinical educator role in a clinical setting include clinical and professional development of staffs. In clinical development, main responsibility of the educator nurse is to provide structured program for orientation, in-service program and evaluate competency of staffs. Professional development of a staff is also one of many important roles.