VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team. Core fundamentals of performance include know-how and participation in the units’ program level quality improvement processes and initiatives as well as client service
One of the most exciting things about nursing is that it is always changing. One of the frustrating things about nursing is that it is always changing. Nursing theory is no different. Theories are continually being updated and revised as worldviews and healthcare itself changes (McEwen & Wills, 2014). Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011).
Worldwide today there are about 14 million nurses of which in 2015 136854 were found to be in South Africa, who serve as the core of the health care system (Morteza, et al., 2012) (Anon., 2015). Over the years nursing has evolved, with the professional identity of nurses changing from merely being seen as doctor’s assistants to being important members of the health care team. Professional identity is described as a career or occupational identity which is a component of an individual’s overall identity (Johnson, et al., 2012). It is said to be “ a sense of self that is derived and perceived from the role we take on in work that we do” which is amplified by one’s societal standing, how you interact with others and interpretations of one’s experiences (Johnson, et
The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care. The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered.
In this assignment I will explore a clinical experience where dignity was maintained and reflect on my practice. It is important to reflect in both personal and professional development. Reflection will allow me to recognise both good and bad practice and how I can improve as a person as well as professionally. For this assignment I will be writing in first person, as it is appropriate for a reflective essay. Hamil (1999) can be used to support this, in the essay. I will also use Gibbs (1988) reflective framework to structure this assignment, as it can help with understanding what went well, what did not do so well and how to improve. Whilst reflecting on the clinical experience where dignity was maintained, I will analyse the situation and use literature to validate my findings. Royal College of Nursing, (2008) defines dignity as ‘Dignity is concerned with how people feel, think and behave in relation to the worth or value of themselves and
Utilitarianism and Deontology are two major ethical theories that influence nursing practice. Utilitarian principles of promoting the greatest good for the greatest amount of people parallels the nursing tenet of beneficence. Deontological principles of treating individuals with dignity, and promoting the well-being of the individual parallels the nursing tenet of non-maleficence. Utilitarian and Deontological principles can be utilized to resolve ethical dilemmas that arise in the nursing profession. The purpose of this paper is to define utilitarianism and deontology, discuss the similarities and differences between the two, and to address an ethical dilemma utilizing utilitarian and deontological principles.
Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
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.
Nursing is proving care, support, and serve people who are in need. The purpose of nursing is to improve patient 's health condition to a better life. The goal of this paper is to explain my personal philosophy and clarify some of my values of nursing.
As SCDNT is described as a conceptual model, there are many concepts, however, according to Smith and Parker (2105) there are six main concepts, four being patient related and two nursing related along with a peripheral concept that connects with all the concepts. The first patient related concept of self-care is defined as a purposeful action to maintain life, while the second concept of self-care agent is defined as the person receiving care (McEwen & Wills, 2014). The agent can be further defined as the patient, a family member delivering care or the nurse (Smith & Parker, 2015). Therapeutic self-care demand is outlined as the nurse delivering care due to the patient’s inability to provide their own therapeutic care (McEwen & Wills, 2014). The final patient related concept, self-care deficit, relates to the inability to provide self-care (Taylor & Renpenning, 2011). The two concepts related to nursing are described as nursing systems, which becomes necessary when the patients’ needs exceed that which can be managed by self–care making nursing required (McEwen & Wills, 2014).Nursing agency is comparable to
This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse.
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.
Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016). Because of this fact, knowledge can be seen as a vital quality to
This will be the assignment of individual research reports in the literature on the subject of respect and dignity. Since the subject of respect and dignity is so wide, I will pay more concentration on respect and dignity in end of life. My main reason for choosing this area of research is because I wanted to acquire more knowledge and develop my understanding as it will be aid while on practise as a student nurse and also later in the future when a become a qualify nurse. According to the NMC (Nursing and Midwifery Council) code of conduct, all nurses and midwives must follow the code which sets standards of conduct and ethics including making the care of patients their first concern by treating them as individuals and their dignity must
My philosophy of nursing is a statement I will stand by as a nursing student and as a graduate nurse and will continue to incorporate it into my daily care. In my eyes, nursing is the ability to provide safe, holistic care to all people regardless of their age, race, gender, social status, or sexuality. Nursing is a profession in which it is essential to be caring and respectful of all patients in which they may be experiencing the most difficult health situations of their lives and to provide culturally safe care.