Therapeutic Nursing Interventions
The University of Arkansas for Medical Sciences NUSC 5961 syllabus defines therapeutic nursing interventions as “purposeful, goal-directed, theory-based activities aimed at assisting individuals, families, groups, and communities to promote and restore maximum health, or death is imminent, to provide support that will help the person die with dignity. These activities may include, but are not limited to, psychomotor/psychosocial components.”
Criteria related to therapeutic nursing interventions include:
• Employs diagnostic reasoning skills, evidence-based practice/theory in the application of therapeutic nursing interventions.
• Develops therapeutic nursing interventions which may impact healthcare outcomes
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Furthermore, my case analysis reveals that nurse leaders should appreciate individuality, and most importantly, regardless of the type of interaction, we as humans’ desire, feeling valued, especially by an organization, which can empower individuals. Therefore, applying The Quality-Caring Model© by Dr. Joanne R. Duffy effectively addresses the global issues of job satisfaction and nurse retention, which in turn, can have a significant impact the healthcare outcome for individuals, families, populations, and/or …show more content…
Therefore, my PowerPoint presentation demonstrates how the human caring concepts of providing basic personal needs, creating a healing, caring environment, solving problems mutually, respecting all people and appreciating individuality can be applied to all forms of therapeutic nursing interventions in areas of practice, education, and administration.
Develops therapeutic nursing interventions which may impact healthcare outcomes for individuals, families, populations, and/or systems (i.e. rural and underserved areas).
My PowerPoint demonstrates how the concepts from The Quality Caring Model © can facilitate the provision of quality patient care by using therapeutic nursing interventions. Most notably, the research and the creation of my PowerPoint demonstrates how this model investigates exactly how therapeutic nursing interventions can be measured for their effects on patient outcomes using experimental designs, which has yielded favorable outcomes.
Incorporates human caring values, ethical principles, cultural and spiritual sensitivity in all aspects of therapeutic
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.
Week One Discussion Two Response to O 'Neill The addition of nurse leaders in the executive suite is essential in facilitating the perception that nurses are critical decision makers in the health care industry. Furthermore, it is imperative that a formal succession plan is incorporated in organizations to assure strategic leadership, quality care, and operational effectiveness incorporate nursing at the uppermost level of decision and influence (Trepanier & Crenshaw, 2013). The Chief Nurse Executive role is evolving as a tactical authority in acquiring a major influence on our nation’s health care delivery systems and clinical outcomes (Bradley, 2014). As health care shifts and changes, nursing must be at the forefront to assure optimal influence
Nursing administration on a national level is best described by The National Center for HealthCare Leadership (NCHL). This is a non profit organization that exemplifies quality care and leadership in the 21 st century. The goal of this organization is to improve healthcare on a national level through efficient and effective management that is in accordance with it’s mission. In keeping with it ’s mission, NCHL embarked upon an ambitious initiative with the support of the Robert Wood Johnson Foundation, examining the role of the senior leadership team in promoting quality and safety in his/her organization (Disch, Dreher, Davidson, Sinioris, & Wainio, 2011).
Nurses have to work with the health care team to develop and implement the best-individualized, evidenced-based plan of care for the patient. Nursing practice is informed and modified in response to systematic evidence based decision making. Nurses use research to provide evidence-based care that promotes quality health outcomes for individuals, families, communities and health care systems as well as to shape health policy in direct care, within an organization, and at the local, state and federal levels (Quigley, 2017). Nurses communicate to patients to help them with their needs including physical, emotional, cognitive, social, and spiritual. They communicate with the client, support persons, other health professionals, and people in the community.
In the past decade or so, increasing numbers of hospitals and academic programs in the United States and other parts of the world, have begun to use Watson’s Theory of Human Caring in very specific ways. Watson’s theory can serve as a guide to changing nursing practice. It can change the culture of hospital nursing and academic nursing (Watson, 2009). Watson’s caring theory can be incorporated into many current nursing interventions. Some of them would include active listening, preventing falls, preventing illness, controlling pain, promoting self-care, and restoring health.
The concept of health care needs includes physical, psychospiritual, social, and environmental needs that arise for patients in stressful health care situations. The concept of nursing interventions outlines nursing actions that promote comfort care. The concept of the intervening variables described as factors that influence recipient’s perception of comfort and affect outcomes. The concept of comfort defined as the immediate result of nursing interventions. Health seeking behaviors concept defined as “patient actions, which serve as predictors or indicators of improved health, categorized as internal (e.g., healing, immune function), external (e.g., functional status, a perception of health), or as a peaceful death” (Kolcaba, 2001, p.91).
Theory of Caring Tammy Radford East Tennessee State University Nursing Theory Jean Watson’s Theory of Caring is a middle range theory which “focuses on the human component of caring and the moment to moment encounters between the one who is caring and the one who is being cared for, especially the caring activities performed by nurses as they interact with others”. According to Watson, “caring is central to nursing practice and promotes health better than a simple medical cure”. Nursing theories improve patient care, patient outcomes and communication between nurse and patient.
Module 3 (Week 3) Part Three: Community Health Nursing Intervention Directions: Please complete the following information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.
Description A patient I formed a therapeutic relationship with was a 72-year old man, Robert O’ Brien. Robert was a regular at the hospital. However, when I met him he was uneasy as he was new to my ward. He was familiar with nurses and other members of staff on another ward.
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
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).
The final concept is nursing. To define it, it’s a serving service, and a technology (Dorothea Orem 's Self-Care Theory, 2014). Engagements intentionally designated and executed by the nurses to support individuals below their precaution to sustain or altered disorders (Dorothea Orem 's Self-Care Theory, 2014). This also includes the patient’s viewpoint of health state, the Doctor’s standpoint, and the nursing perspective (Dorothea Orem 's Self-Care Theory, 2014). Nursing’s goal is to concentrate on the patient and how to sustain his or her well-being, life and health (Dorothea Orem 's Self-Care Theory, 2014).
They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or
Adams, it is important to address all areas from a holistic standpoint. This would include psychosocial, environmental and medical interventions. While providing care it is important to remember Florence Nightingale’s goal of nursing is to “assist the patient to regain “vital powers” by meeting their needs, which in the end puts the patient in the best condition for nature to act upon.” (Smith & Parker, 2015). Nightingale believed that nurses contribute to restoring health in a direct and indirect way by the management of patient’s environment (Smith & Parker, 2015).