Assignment 2: Conceptual/critical thinking exercise – The concept of trust and the nurse-patient relationship The concept of trust and nurse-patient relationship The bulk of the nursing literature tends to agree that trust underpins good nursing practice and is a vital component of the therapeutic nurse-patient relationship (Hem, Heggen & Ruyter, 2008; Johns, 1996; Belcher, 2009). However, there is much ambiguity in the literature about what this abstract concept actually means. The purpose of this essay is to define and develop the concept of trust as it relates to the nurse-patient relationship. This essay will also highlight the importance of trust in the nurse-patient relationship and some of the good points and bad points about this concept. In addition to this, the role of nursing theory and research in concept development will briefly be discussed.
In many professions, nursing especially, one can find rationale for every action. Rationale can be defined as the fundamental reason to account for something (Potter & Perry, 2006). While rationale may be present in many professions the importance of rationale may only be distinctly evident in a certain few. In nursing, rationales are used in everyday practice as nurses interact with patients (Potter & Perry, 2006). The way in which a nurse practices can greatly affect the outcome of the patient (Potter & Perry, 2006).
Comparison and Contrast: Jean Watson’s Theory of Human Caring and Rosemarie Parse’s Theory of Human Becoming Nursing theory, according to Florence Nightingale, helps to describe and explain what nursing is and what it is not. Nursing theory is important because it assists the profession of nursing to develop and understand nursing practice (Parker, 2006). Two nursing theorists, Jean Watson and Rosemarie Parse, share some common themes and perspectives as well as some significant differences in their theories. The purpose of this paper is to compare and contrast these two theories in order to understand these similarities and differences as well as to examine the similarities of other nursing theories to Watson and Parse’s theories.
Ensure your response per question is 350- words. •What primary relationships do you see between legal and ethical issues faced by nurses in their practice? How would you explain these relationships to others? In the website Nursetogether.com, author Jennifer Ward (2014) states, “Nursing ethics shares many principles with medical ethics such as beneficence, non-maleficence, and respect for autonomy. However, those in nursing can be distinguished by its emphasis on relationships, collaborative care and human dignity.” Legal and ethical issues can intertwine and can vary from person to person.
Abstract Comfort is an important concept in nursing practice that must be used as a guide in providing holistic care to improve patient’s health status. In the history of nursing practice, the concept of comfort is vague and is often times linked to end of life situations only. Dr. Katharine Kolcaba, a teacher and a nurse researcher, developed the theory of comfort with the goal of improving the patient’s experience and overall satisfaction as well as to promote higher hospital integrity and better institutional outcomes. This paper informed the reader of the concept of Comfort Theory, its strengths and weaknesses including the barriers and challenges met when using the theory, its application and implication to critical care setting, and its relevance to healthcare professionals and to the health care system. Further on, the plan to implement the theory in critical care nursing was presented.
Reflective Competency – Therapeutic Relationships This essay addresses my experience of therapeutic relationships within an acute hospital setting. I have changed the name of the patient and places in order to protect confidentiality as outlined in the Nursing and Midwifery Council Guidelines (2010). I have used the Gibbs Reflective Cycle (1988) to demonstrate my understanding of the situation and how I feel it should be performed. By using this cycle, it has enabled me to reflect in a structured way. Neal (2003) cited in Hinchliff et al (2003) states that a therapeutic relationship can be described as being between nurse and patient and is based on the patient’s needs for care, assistance and guidance.
Nurses intermingle with people from diverse branch of the world with a mixture of civilizing practices, so cultural alertness seems essential in creating a patient-nurse relationship during the interview phase of the health assessment, initial step of the nursing process. Every culture perceives wellbeing and sickness differently; as a result, cultural traditions have power over nurses’ decision making process which represents a baseline to begin action for healing and provides high quality of care that nurses have to give. “Cultural ability means the aptitude of nurses to value and admit the cultural backgrounds of persons and give care that best meets the persons’ requests—not the nurses’ requests” (Edelman & Mandle, 2010, p.
Bandman, E. L. & Bandman, B. Nursing ethics through the life span (2nd Ed.) Norwalk, CT.: Appleton Lange, 1990. An outstanding text divided into major sections. Section one deals with the moral foundations of decision making in nursing and includes portions devoted to exploring the role of the nurse as client advocate and the dynamics of the nurse-physician relationship.
The relationship between substance abuse and physical and sexual abuse is well documented, and there is evidence that women prisoners are likely to have experienced extreme mental, sexual, and physical abuse as well as exploitation. A recent survey of 258 newly incarcerated women at Rikers Island Correctional Facility in New York City found that women who reported ever having been physically and sexually abused were significantly more likely to abuse drugs and reported extremes of violence. Women inmates often had been abused by more than one partner. In addition, prisoners may have minimized the abuse they reported, because some incidents the researchers considered abusive were not considered abuse by the women themselves, who rationalized the assaults against
The importance goes further to the core of the problem focusing on the nurse and evaluating what is needed to be done in order to educate this patient group. The research problem involves nurses who are not comfortable discussing end-of-life issues with their patients and is identified in the first few paragraphs of the article. This is a significant problem nurses and doctors can educate, manage and monitor for these chronic patients. The purpose is not clearly stated in the study, but is inferred within the abstract of the article as well. Patients and families dealing with potential end-of-life issues is a very common problem in health care today.