the theory is patient-specific because of the patient’s diagnoses and the limited verbal communication. The theory assumptions are helpful with this patient as the nurses make it a priority to interpret cues which reflect his end of life experience and giving prompt intervention to maintain peaceful experience even at his dying moment. The theory was developed be used with terminally ill adult patients and their families/significant others. The theory is not applicable in its totality with non-hospice or palliative care patients. The goal of the end of life care is not to optimize care rather is to provide comfort measures, dignity and peaceful end of life experience.
The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings . ( Schubert et al 2012 ) . However , Nursing clinical rounds lead nurses to interact with patients, respond to their interest , and adjust the unsatisfying conditions. regular nursing rounds provide an opportunity to recognize patient needs by progress nursing procedures. Although hospitals worker various methods of rounds for hospitalized patients, the main components of all rounds are pain preventing, bathing, changing position, and environmental comfortable .
She believes that nursing interventions are key to nursing care. Watson’s nursing theories express that the mind, body and spirit of the patient should be taken into consideration. I agree with Watsons that while providing care the nurse should consider care base on the patient as a whole and not just focus on the disorder. I was taught to use Maslow’s hierarchy of need while planning and providing care for my patients. Maslow’s hierarchy is use to prioritize a patient need from life treating issues to love and belong.
In addition, philosophy prepares nurses with the tools to act as moral agents in providing the patient with the best care (Bruce, Rietze, & Lim, 2014, p. 65). There are several theories and practices of nursing, the ones I will be focusing in my philosophy include, Watson’s Caring Theory, Standards of Practice for Registered Nurses, Evidence-based Practice, Person-centred Care and Nursing Process. My nursing philosophy is based on utilising these theories by providing professional care to the best of my ability by utilising my attributes, working in a multidisciplinary team and not judging any patient. This is important to me because I have always wanted to be a nurse that is caring, in some of my hospitalisations when I was younger I was treated unprofessionally and disrespectfully by some nurses. These experiences make me want to be the best nurse I can possibly be and to not let my patients experience the negativity I did.
Compassion is showing care for others and displaying a positive attitude towards the care and concern of others. According to How does it really feel to be in my shoes? Patients' experiences of compassion within nursing care and their perceptions of developing compassionate nurse, "The importance of this relational aspect of compassion to the participants in this study cannot be overlooked when planning and implementing care. Compassion is a process that can be nurtured through attention to patient-centered assessment and planning of care. Patient centeredness is no stranger to nursing discourse, however, adopting this element to care and compassion is challenging in today's healthcare arena, especially when treating massively increased numbers of patients" (Bramley and Matiti, 2014).
By doing so it affected her personal belief she could have been cared for better, and also they failed to communicate and inform the family thus inflicting pain in them for years. They only thing they wanted was answers. It is what shapes views and ways of learning. Therefore, communication plays an important role in how culture is learned and passed on. As nurses, communication is key in having a successful interaction with patients.
Rehabilitation nurses, whether novice or expert, search for and use current evidence, and supportive technology to deliver optimal client and family-centered care (Stephanie, Kristen, Cynthia, Pamala, Jill, Wendy, Christine, David, 2015, p.35). According to the association of rehabilitation nurses, “the role of the nurse is to assist clients in adapting to an altered lifestyle while providing a therapeutic environment for client’s and their family’s development”. Rehabilitation nurses identify client and caregiver health and wellness needs, including facilitators and barriers to health improvement, and integrate community care services that manage chronic disease and support healthier time (Smeltzer, 2010)”. Health promotion through primary prevention, as well as preventing complications for those with existing disabilities is essential to the role of the rehabilitation nurse (ARN, 2014a,b). The rehabilitation staff nurse designs and implement treatment strategies that are based on scientific nursing theory related to self-care and promote physical, psychosocial, and spiritual health (ARN, 2014).
As such nurses also go into the communities to create awareness on recent developments and how to manage our environment to prevent the inhabitants from becoming sick. Nursing to me is showing that love; care and compassion to those in need. The society can see the difference in our practice, as we go about protecting patients, promoting good health, and preventing diseases. For nurses to be successful, they work together with other health care members and families to provide care. Definition of Person A person
The school taught hospital and home care nurses how to teach other nurses. She was aware of the poor reputation of nurses and sought out to change the image of nursing. To improve overall conditions for nurses, she began working relationships with philanthropists, journalists, law makers, and administrators so that patient care would improve and respectable women would be drawn to the profession. Using her strong voice and determination, she fought constantly for healthcare reform for all individuals and sought for an improvement in health standards focusing on cleanliness and
It should also be noted that 55.7% of the nurses agreed that the reason for not using the tools was due to fact that nurses lack the knowledge of how to use these tools. This agree with earlier finding by Clark (2005), MacDonald et al (2002) and Langhlin and Torbler( 2000) who stated in their studies that inadequate knowledge of pain assessment as the greatest barrier to optimal pain
After a 12 hour shift, nurses are tired and just wants to give report and go home. According to Horrigan, Lightfoot, Larivière, and Jacklin (2013), working long hours can cause nurse illness and injury, fatigue and safety problems, feelings of burnout, and depression. This causes the nurses to get discouraged from having to say longer than necessary checking the same patients at the end of each shift. The result of this is neglecting to comply with the policy and a failure in the skin assessment sign-off. Using incrementalism as a policy making mode, skin assessment sign-off at shift change can be successful.
Nurses experiencing compassion fatigue are also more likely to have an increased number of sick days due to feelings of fatigue and inability to care for others. I know many nurses, including myself, who have had to take “personal days”, away from the bedside, by calling in
According to PAULA GRALING who is a DNP, RN, CNOR, FAAN CLINICAL NURSE SPECIALIST, DEPARTMENT OF SURGERY, INOVA FAIRFAX MEDICAL CAMPUS ,FALLS CHURCH, VA; “Nurses become the champion of change should work with your doctor to develop an atmosphere of mutual respect and stroke and other medical colleagues. We need to get used to using the vocabulary and evaluation tool that is used to measure the quality of the communication. Nurses, thoughtful, in the case of stakeholders for collaboration and interdisciplinary teamwork can we create and maintain with our environment and safety culture.”
Furthermore, there is a vast need for additional research. There is a necessity to gain knowledge on risk factors and on ways to prevent suicide in order to aid nursing home residents (Bugeja et al., 2015, p. 811). The knowledge of preventing suicide in a nursing home can be helpful for residents as well as for social services. Suicide occurs in nursing homes partially fur to the lack of knowledge on depression. Current research depicts that physicians fail to recognize depression and tend to provide inaccurate treatment (Allgaier, Fejtkova, Hegerl, Kramer, & Mergl, 2009, p. 355).