At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011). The key objective of praxis is through reflection to incorporate theory, practice and art to aid in the recognition and valuing of diverse types of knowledge (Kilpatrick, 2008). Praxis plays an integral role for the APN and there should be a solid foundation of understanding. There are several benefits for APN’s use of nursing praxis; it influences the relationship the practitioner develops with patients, their families and colleagues. Moreover, it provides the opportunity for change, personal nursing theory and knowledge development through self-reflection.
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.
Reflection as a learning tool allows me to identify the positive and negative aspects of my practice and to draw upon previous experiences and apply them to new situations “Reflective practice has, however, the potential to help practitioners in all fields unlock the tacit knowledge and understanding that they have of their practice and use this to generate knowledge for future practice”. (Schutz, 2007 pg.26) The clinical competency I have chosen in this report is Phlebotomy. As part of my role as a health care support worker within a District Nursing team Phlebotomy is one of my primary duties. The clinical skill I have chosen to reflect upon within this account is venepuncture. Confidentiality has been maintained throughout within this assignment and all names and locations are changed in accordance with the Nursing and Midwifery Council code of conduct (2008, Section: Confidentiality) and for this purpose I have chosen to name the patient as Mrs Jones.
More often a nursing assessment is based on the medical side of the patient rather than the holistic approach. In this assignment I will be discussing the importance of the nursing process, care planning, and looking at how these are used in practice. I will look at the tools used in the nursing process and show an understanding of how effective they are when used correctly. I will achieve this by describing a case study of a patient from my practice area, and discussing two specific areas that affect the patients care. Throughout this assignment I will be using a pseudonym to maintain patient confidentiality in order to conform to ‘The Nursing and Midwifery Code’ (NMC, 2008).
200). “Grounded theory was used to illuminate the social and technical process of a multidisciplinary health care team and the members’ interactions in order to explain the subjective aspects of team-based care delivery and participating as an individual on the team” (Leach & Mayo, 2013, p. 200). A framework was developed from the study findings. This framework could guide future studies. Five categories were identified to be important when the RRT effectiveness is being described.
This essay will explore and focus on what the impact of culture has on my professional practice as an adult nurse; furthermore, a critical analysis of cultural similarities and differences will be discussed, whilst critically analysing, comparing and contrasting some cultural similarities and differences. I will also include my own ideas which will be supported by theoretical evidence and frame works. Through the essay I will also include some of my own ideas, whilst providing some theoretical evidence and frameworks to support these ideas. In addition, Furthermore, this the essay will also highlight the importance of cultural awareness in order to incorporate cultural sensitivity and conclude with cultural competence. Culture aids us to understand how groups of individuals come together and how they familiarise and differentiate themselves from others.
Healthcare is an important area where the cultural practices of an individual have got lot of influence. Therefore it is important for nurses as healthcare providers to know how to assess a person’s heritage in order to build up a healthy client- provider relationship and provide holistic care. Heritage and ethnicity are in a way inter-related as ethnic groups have a common or similar heritage. Different cultures or ethnicities have different life values about spirituality, relationships, wellbeing or illness and life and death etc. The use of heritage assessment tools helps one to understand the values and
The ethical factor of the theory is dealing with issues that do not have a concrete answer. When looking at the ethical part of the way of knowing there are many issues that need to be considered. When I worked in intensive care I assisted patient’s families with code status issues. I considered my patients outcome, legal rights of medical power of attorney, religion, and different ethical backgrounds and their beliefs. The intervention was having a case conference with patient’s family, physicians, pastoral care, and myself to discuss the best outcome for the patient.
Work Based Learning Project NURB 275. The following piece of work adheres to the Nursing Midwifery Council (NMC) (2008) Code of Conduct, with either fictitious names being used or omitted to protect confidentiality. Abstract This report will discuss the implementation of a change related to a cardiovascular ward. The change comes in the form of an information leaflet to raise awareness to the patient and their family about the importance of maintaining a good well balanced nutritional intake and how this affects wound healing. There is evidence to suggest that giving clients written information helps to reduce anxiety and therefore improve healing, give empowerment and increase satisfaction (Little et al, 2004)).
As a former lecturer in microbiology the inherent difficulties of maintaining asepsis within community based settings was an issue that became immediately apparent particularly in respect of dressing wounds and the potential for cross contamination and healthcare associated infections [HCAI’s]. With this as the focus the purpose of this assignment is to explore five key themes, it is anticipated that by using prior knowledge, personal values in respect of lessening the incidence of HCAI’s and incorporating effective infection control measures in personal practice might be significantly enhanced. Concepts of caring and nursing– learning the skills The first theme for consideration is concepts of caring, the focus being the fundamental skill of hand washing with specific reference to working within community settings. It has been suggested that “hand hygiene is the cornerstone for infection control activities” (Smith, S. M. 2009, p788) However evidence exists within this study that suggests there are still lessons to be learned with regard to technique and efficacy of training methodologies with regard to acquiring this fundamental skill. The World Health Organisation [WHO, 2011] similarly recognise that the endemic nature of