Nursing Expertise Self-Report Scale Valerie Reigle HCS/350-Health Care Communication Frances Johnson The Nursing Expertise Self-Report Scale and Reflection was an interesting assessment on my nursing skills. The questions that were asked in the scale were difficult to answer based on the grading scale. Overall it was a good reflection of how I approached my patients and utilized my skills. After completing the nursing scale, I realize that there are some things that I need to do different. For example, question number six mentioned, “Emotional attachment to get in the way of good care.” (Hansten, 2009, pp.
Definations and correlation between asumptions and relationships are evolved from the nursing models to provide a systematic approach in the delivery of patient care via describing, explaning, predicting and prescribing (Mckeena, 1997). The primary role of nurses when they are committed to a patient is accountability, integrity; colloboration and advancement in the profession (Daniels, 2004).Hence nursing theories are important basis especially for the novice nurse who has little or no clinical engagement. These nurses may attribute harm or risk to patients who are dependant on them for care. These theories act as guideliness for nurses from blunders when an organisation engages a formal model to practice. Thereby patients’ lives are guarded from stake of harm.
Due to the nature of profession, nurses provide care to patients of diverse faith. Faith diversity is especially of great importance in health care. Understanding the way spirituality is defined and why it is important in nursing is a necessary part of thinking about this concept in a multi-faith society (Maclaren, 2003). Spirituality in nursing has shown to produce a break in barriers between health care providers and patients, better multi-disciplinary care, and a greater focus on the holistic model of care rather than the medical model. According to Joint Commission on Accreditation of Healthcare Organization (JCAHO), patients deserve treatment and care with respect to their personal dignity, culture and spiritual values (needs citing).
Dealing with Spirituality in Nursing Traditionally the nursing profession has viewed people holistically, even though the term itself wasn’t introduced into nursing literature until the 1980’s by Rogers, Parse and Newman. In any era it would’ve been difficult to find a nurse that only saw the physical aspects of care as that which specifically defines nursing. Florence Nightingale, not only brought traditional Christian values but also some very “modern” nursing values such as autonomy, professionalism and was a firm believer in holistic care. She claimed, “The needs of the spirit are as critical to health as those individual organs which make up the body.” We are aware that when a person is emotionally and spiritually hurting, physical ailments can be manifested. If we accept that spiritual care is a legitimate goal of nursing then we as nurses are able to care for the “whole” person and not just their physical ailments.
Integration of Evidence-Based Practice into Professional Nursing Practice In this paper we will discuss the integration of evidence based practice into professional nursing practice. Scott & McSherry (2008) define evidence based practice as the combination of individual, clinical, or professional expertise with the best available external evidence to produce practice that is most likely to lead to positive outcomes for a patient. Despite literature surrounding what evidence based nursing is and isn’t, nurses struggle to get evidence into practice. Many reasons have been reported including a lack of understanding about evidence based nursing means. Scott & McSherry (2008) also define evidence based nursing is a process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient outcomes.
Though nurses generally align themselves with a favorite nursing theorist to form their approach to practice, many concepts are based on the basic metaparadigm of nursing: person, environment, health, and nurse. It is difficult to only utilize one theory as the practice of nursing addresses many different clients, environments and situations. I plan to utilize multiple nursing theories throughout the educational and professional growth process while pursuing a graduate degree: McAuley’s careful nursing philosophy, and professional practice model, Benner’s model of skill acquisition, and Leininger’s culture-care theory. Multiple nursing theorists, as well as those from other disciplines have attempted to define person, health, and environment. These concepts form the foundation, along with the concept of nursing as practice, the basic metaparadigm, or ideology of nursing.
Underlining this concept are the nursing ethical principles of autonomy, beneficence, and nonmaleficence (Taxis, 2002, p.158). It is not difficult to understand how these principles may cause a dilemma for nurses who attempt to balance the risks and benefits of restraint use. A review of literature has shown that nurses want to protect their patients from harm but also maintain the patient’s rights and dignity (Janelli, 2006). With the inherent risk of violence that is common to all psychiatric settings it is important to understand the nurses perspective and reasoning in the use of restraints. In studies addressing the views of nurses on restraint use, important findings have been brought to light.
PROMOTING HEALTH THROUGH INTERPERSONAL RELATIONSHIPS MPLHS1PHR Word Count : 2288 Many people believe that the term “health” refers just to how somebody is physically, however, it is about social and mental well-being as well. The term applies holistically. (World Health Organisation, 1948). Nurses need to promote this in each of their patients and can do so with effective communication. It is extremely important nurses can do this in different ways such as verbally and non-verbally and uphold the Principles of Nursing Practice set out by the Royal College of Nursing as the fifth of eight principles is related to effective communication.
Since communication is an intricate task with a likelihood of being misinterpreted by the client, the nurse must be conscious of how they appear and what impression they are giving, since communication is not limited to ideas and feelings, but can be expressed by the nurse’s body language. The nurse should present with a relaxed and pleasant look, not appearing hurried or rushed enabling the client with an opportunity to open up and share their feelings, thereby fostering a nurse-client relationship. The following will be discussed: Definition of health care Communication; Relevancy of effective personal health care communication with other health care professionals, clients, and patients; Relevancy of effective professional health care communication to health outcomes; How the lack of effective personal and professional health care communications contributes to poor health outcomes; Theories and principles of
Method of Analysis Walker and Avant introduced the process of concept analysis in nursing .Walker and Avant is the most common method of concept analysis in nursing .As guided by Walker and Avant, the concept of presence, evaluates the purpose of determination, definition and formulation of patient cases that optimize and compare the concept, and identifies the antecedents and consequences of the concept. Analysis Purpose A precious part of human experience for both the patient and nurse, study of presence in nursing practice can improve relation between nurse and patient and can reveal the curative effects for healing and recovery. Presence begin from the caring moment itself with the patient and their families. So presence connects the nurse and patient through the sharing of personal experience and understanding. Uses of the Concept Studies and analyses about the term ’caring presence’ were eliminated, because the underlying idea of the term ’caring’ has not completely defined.