In this case reflection being the expression of my expectations, perceptions and feelings of the experience represented by the evidence in this case scenario (Rodgers, 2002). Changing Childbirth, the report of the expert committee on maternity care (DoH, 1993), promotes a woman centred care philosophy that encourages the midwife to have a continuous and ongoing relationship with the women in her caseload. This facilitates the midwife in applying her professional autonomy in decision-making, in collaboration with the woman and other health care professionals, thus, ensuring that the client and her family are the main focus of her midwifery care (Page, 1997). The theories underpinning midwifery practice will be discussed in this assessment using literature and research to support the discussion. For me this scenario provided a unique experiential moment from which to learn hence I have chosen to highlight it here as my case scenario.
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 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
Watson developed her theory influence by the Eastern culture, international travels, and experiences obtained from her sabbatical leaves. Caring theory, which has been developing over the years, serves as a guideline to educate nurses how to apply the theory in nursing practice. Later, Watson expanded her theory publishing her book Nursing: Human Science and Human Care to Human Caring Science: A Theory of Nursing. Watson’s job evolves “framing and naming caring science as the disciplinary foundation for nursing profession” (Watson, 2012, p. ix-xi). This theory has been used to help the new generation of nurses to view the human being as a whole with a connection between body, mind, spirit and the environment, understand transpersonal relationship, and create caring moments in nursing practice to improve patient care to obtain positive outcomes.
Career Mapping In this essay I will briefly be describing the roles of a registered nurse, self evaluating myself by comparing personal transferable skills that I can bring into nursing. I will be looking at how to develop my skills that I am lacking in and discussing nursing career goals and opportunities I have learnt so far. The role of a nurse is very diverse, they have to be a care giver by assisting patients attending to their needs, communicator as they have to communicate with a range of people; patients and other healthcare professionals. Teacher by educating patients learn about their health and health care procedures they need to perform maintain or restore Health, Advocate to protect the patient and the human rights. Counsellor which is a process helping the patient recognise and cope with the problems.
All nurses have a scope of practice they must follow but depending on the patient will tell them what procedures to perform. Some roles that RNs are responsible for are developing nursing plans, instructing patients or their family members how to properly take care of the ill, providing direct patient care, and also teaching in nursing programs. The direct patient care is when they examine the patient and record signs, symptoms, temperature, height, weight, and any other problems. (Daily Activities). Most nurses usually work in healthcare facilities unless they are home health care providers such as school nurses or for the elderly.
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.
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.
After reviewing each specific case study, the team will examine the fundamental legal aspects, the legal responsibilities of nurses in the work setting, how personal and societal values can influence ethical decision making, and how the American Nurses Association Code of Ethics would influence a final decision in each case study. The fundamental aspects of each case must be understood to make a decision. In the case of a potential end-of-life decision, there are multiple family members with conflicting views trying to make a decision on behalf of a 79 –year old female who has suffered a hemorrhagic stroke and is in an unresponsive state on a ventilator. There is no advanced directive or durable power of attorney. In the case of malpractice, a nurse has been called as a witness to testify against a fellow colleague who performed negligent patient care resulting in harm.
According to “Code of Ethics” (2007), the second provision states, “The nurse’s primary commitment is to the patient, whether an individual, family, group, or community” (ANA, 2001, p. 18). Therefore, as nurses we are obligated to tell the court what we had observed, when we had observed it and to whom we reported the incident to. References Chmielewski, C., (2004). The Importance of Values and Culture in Ethical Decision Making. Retrieved November 8, 2012 from NACADA Clearinghouse of Academic Advising Resources Web site: