The writer has chosen the topic of Nurse Competence, the one of the most expected quality of nursing practice for Concept analysis. The article of “Nurse Competence: A Concept Analysis” by Sarah A, Smith which based on Rodger’s Evolutionary Concept Analysis Model has been studied to apply with any of the concept analysis in future to evaluate the strength and weakness of any subjects in nursing. The purpose of this analysis of concept in nursing competence will aided in enhancement of knowledge , practice and research through identification of factors involved in nursing competence in details. The effect of incompetency of nursing is part of medical management of population considered to cause death of 44,000-98000 clients per year due …show more content…
Efficiency of nurse’s in knowledge of the disease, assessment, treatment, monitoring, and evaluation of patient condition.
Surrogate Terms
The second step in Rodgers’ evolutionary concepts analysis, surrogate terms in nurse competence are qualified, skilled, and competency. The competency is refer to the skill considered according to the institutional practice expectations. Graduated nurses with valid nursing license to practice must be eligible to work only stated competent nurses, just the qualification will not be termed competent. Nursing skills developed with experience of at least 2 -3 years of practice.
Sample and Settings The third step in RECA method recommends samples and settings with key word searching by nurse competence, registered nurse competence, nursing competence, nurse competence ssessment method, nurse competence in acute setting.
Identify Attributes of the Concept
The characteristics of a concepts is defined as attribute, must studied in nurse competence are integrating knowledge into practice, critical thinking, experience,proficient skills, caring, communication, motivation, environment, and
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The more competent seen with more cnfiedent implying skills. According to Ramritu and Barnard (2001) characterized safe practice as “following standards as outlined in policy and procedure manuals; awareness of limitations of knowledge and experience and asking for assistance; utilizing strategies that prevented harm to patients and oneself; and being aware of principles behind nursing actions” (p. 50). Holistic care demonstrates nurses relationship with patients with cultural diversity, and spending time with patients by consistent with the humanistic aspects of Jean Watson’s Theory of Human Caring
The concept of caring incorporates empathy, connection, and the ability to transpose these concepts into compassionate, ethical, sensitive, appropriate care to individuals in their nursing practice (Ray, 2015). CNMU ascertains the four domains of nursing as: Person: An individual is a holistic being that possess intrinsic dignity and worth (New Mexico State University (NMSU), 2013). An individual is part of a family, a community, and the world, and becomes the primary focus of nursing when there is a potential or an actual health care need (ENMU, 2015) Health: Pertains to the holistic aspect of a person (NMSU, 2013). It envelops the persons mind, body, spirit to maintain harmony physically, psychologically, socially, spiritually, and in all moral realms of the holistic aspect of the person (ENMU, 2015).
Apply Watson’s Theory of Human Caring to Advanced Practice Nursing. Watson’s Theory of Human of Caring can be applied to advanced nursing practice in many ways one great way would be to apply the ten Carative Factors as an action plan and a guide in opening a practice to foster a holistic caring nurse practitioner – patient relationship. To begin with the practitioner could use the first carative factor I helping to formulate a mission statement that included a humanistic-altruistic system of values. Before selecting the practice the practitioner could use the third factor of cultivation of their own self and looking at what their feelings of empathy is for other to help decide what practice specialty they should open.
This theory provides a framework for understanding the different ways that nurses know and use their empirical, ethical, personal, and aesthetic knowledge in their practice. Carper suggests that incorporating these key components of knowing, combined with the science available, improves patient centered care and better outcomes. Empirical knowledge uses evidence based practice with current research and up to date scientific knowledge that the nurse continues to learn throughout practice. A nurse also applies the basic ethical principles to guide their patient care, such as respecting patient autonomy and ensuring non-maleficence while being treated medically for their health concerns. To provide holistic care, the nurse may also very cautiously apply personal knowledge from their own experience and value system to impact their practice, making sure to reflect on personal biases and keep their own feelings in check while ultimately respecting the patient’s wishes.
Although nursing is a diverse field in every sense of the word. I consider the act of Caring to bring our diverse backgrounds together. Therefore it is here that my philosophy intersects with Watson's theory and Science of Nursing. Watson's philosophy list 10 basic caritive processes.
Contribution Watson’s theory contributes to the discipline of nursing by using the value of human caring theory as an introductory idea and viewpoint for any health professional. Watson’s theory concentrates on caring in several health disciplines and is compatible with the caring attitude that nursing has had over time. The center of the human caring theory is about human caring relationships and the intense human understandings of life itself, not just health-illness singularities, as conventionally demarcated inside medicine. The concept is an exceptional way of being human, a unique way of being contemporary, observant, mindful, and calculated as the nurse operates with another person.
“Concept clarification is an important step in developing useful and useable knowledge in nursing science.” (Tofthagen, 2010). Within the home health field of nursing one of the major and most significant concepts is team work. Simply stated, concept analysis incorporates a method or approach by which concepts that are of interest to a discipline are examined in order to clarify their characteristics or attributes” (Cronin, 2010). Within a home health care team there are Registered Nurses, Physical Therapists, Home Health Aides, Medical Social Workers, Managed Care Coordinators, and Clinical Managers.
Jean Watson’s theory of care is a grand theory which falls into middle-range theory. Watson’s Theory of Human Caring described care as both an art and science. The framework of the method of care accepts art, science, humanities, spirituality and new directions on mind, body, spirit, medicine, and nursing (_______). With high nurse to patient ration, the nurse will not be able to provide the ten carative factors of Dr. Jean Watson’s theory of care. They will also not be able to perform all the necessary care and treatments required for a patient.
A patient care situation is described below to elaborate these differences in competencies between an ADN and
From these realizations I have concluded that the professional nursing theories which most align with my own philosophy is a combination of Jean Watson’s theory of human caring and Rosemarie Parse’s theory of human becoming. Watson’s theory of human caring outlines the science behind caring as a driving force and framework for practice in nursing. It explores the concept that “humanities address themselves to deeper values of the quality of living and dying, which involve philosophical, ethical, psychosocial and moral issues” (Watson, 2005, p. 2). Within her original text, Watson outlined 10 “carative factors” which help integrate the science of healthcare field with the more holistic nuances of nursing and the phenomena that is the human
These factors provide guidelines for nurse-patient relationship, and the goal of nursing to help persons attain a higher level of harmony within the mind-body-spirit, healing and health. The 10 caritas processes include the practice of loving kindness, equanimity, and belief system for oneself and other. She promotes cultivation one’s world spiritual practices, self-awareness, authentic relationship with the patient, and support patient’s expression of feelings. In addition, she encourage to creatively use the nursing knowledge as part of the caring process, engage in genuine teaching-learning experience, and create a healing environment at all levels. Watson believes that the nurse’s assistance with patient’s basic needs potentiate alignment of the mind-body-spirit.
The second key aspect related to expertise,the nurses must have technical skills in order to provide effective and safe care. The third aspect mentioned that nurses must have communicative capabilities. The nurses serve as spokespersons for patients who are often in vulnerable positions. The nurses are easily accessible and can act as a link between the patient and other professions.
It is created through analysis of research and construction of concepts and theories (Busso, Poles, & Monteiro da Cruz, 2014). Concept analysis serve a purpose within theory development as it represents continuation of knowledge in nursing profession. When theories and concepts are developed, it must be practiced in a clinical setting to validate research. The caring concept applies to Jean Watson’s Theory of Human Caring as it creates an environment for healing, bonding, and improving patient outcomes. The concept of caring depicts the attitude of the nurse and the inclination given to meet the needs of the patient from emotional or physical standpoints (Emerson, 2017).
This theory defines nurses developed skills and the understanding of patient care over the years, with a combination of educational background and personal experiences in the clinical area. This theory has five levels of Nursing; Novice, Advanced Beginner, Competent, Proficient, and Expert. . A novice-is a beginner with no experience, they are bound by rules to assist in performing tasks.
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge
Attributes are one of the many factors that influenced the achievement of the students. This study will greatly contribute to the nursing profession not only in terms of learning the different attributes on achievement