Having a nursing philosophy is the foundation that a nurse uses and builds upon during their nursing career. My personal philosophy attempts to answers questions such as, “what is nursing?” and “what does nursing mean to me”. Nursing involves far more than just taking care of a patient; nursing is a career that requires a certain passion, dedication, and commitment. In this paper, the idea of holistic caring with the use of compassion and respect for the patient, and the ideas of patient-centered care is explained and described. Additionally, the use of the four nursing metaparadigms helped link the connection between the the patient and nurse.
The PIT provides exploratory rationale to the patient. The therapist attempts to bestow a rationale for the patient, which affirms the significance of relating emotional or somatic symptoms to interpersonal conflicts or problems. By the end of initial sessions, the link between the interpersonal difficulties and emotional problems and distress should be constructed. To be able to do this is important because it is one of the principal points for patient to remain in therapy (Guthrie,
According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis. An excellent communication skill between nurses and patients is essential for the successful outcome of individualized nursing care of each patient.
If you look out for the wellbeing of you patient and express what is best for your patient then you are actively practicing the value of altruism in the field of nursing. Next, the professional value of autonomy. Autonomy is the personal value of one over themselves, free form control of others (96). An autonomous person is one who acts intentionally, with understanding and without the influences of others opinions on them. As a nurse it is important to know when to give your input and when to hold off.
The assessment therapy helps Hoober gain more insight into the young adult’s mental state, behaviors, emotions, and history. Furthermore, attachment therapy is a therapy that Hoober values the most and is put into play when a counselor wants to understand the adult’s relationship with others (p. 439). On the other hand, Hoober uses person-centered therapy to facilitate the client’s personal growth. Person-centered therapy is when the counselor attempts to bring the client to reality about their experiences. When conducting structural family therapy, Hoober discloses how he barely works with children, although, when he does work with children, he is mostly conversing with the parents.
I am in my third year of nursing and I am currently working in a hospital on an Orthopedic Neurological Trauma Unit. I collaborate with patients to identify the prominent health issues they are experiencing and advocate to ensure the care they receive is the most effective for their healing process. Patient interaction, learning new skills and evidence based practice, and being hands on with patient care are the benefits of my job that I enjoy the most. I form a bond with these patients and listen to their personal story to ensure that I give care individualized for each patient. As a Family Nurse Practitioner, I can connect with patients of various age ranges and diagnoses by applying these
Berrios and Lucca (2006) indicated, in their study that quantitative research is not new in the field of counseling. It has been demonstrated in counseling setting is has help counselor with various treatment and provides treatment with a positive outcome. Therefore, the relationship has increased as there a numerous researched done in counseling that has helped with the client treatment. Some cases the counselor must support their counseling session with an evidence-based practice to show that counseling made an impacted in the client’s life. According to Lecture 1 Evidence- based practice is a clinical modality that can be used for therapy to prove with research that counseling is effective by providing measures and outcomes.
The interventions I used were reflective listening, the use a scale to determine how confident she was in her willingness to change and goal setting. I also used open-ended questions and summarized our session at the end to gain clarification and to wrap things up with the client.After talking about the consequences of not eating healthy and exercising and talking about how her diagnosis can turn into Diabetes Type 1, I believe that encouraged Rachel more.
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. Florence Nightingale Theory of Nursing Upon initial assessment of Mrs. Adams case, many things are out of line according to the theory of nursing by Florence Nightingale.
All things considered, the best treatment option for Ryan is Motivational Interviewing Therapy—a Person-Centered Therapy. To point out, the clinician can utilize the motivational interviewing technique with five main principles express empathy, develop discrepancy, avoid argumentation, roll with resistance, support self-efficacy. Not to mention, using other tools such as open-ended questions, reflective listening, and empathetic responding. Thus, collaborating a bridge for communication, which works by evoking the client 's own motivation for change and adherence to treatment. Nevertheless, the main goal for change is ambivalence and the development of discrepancy, between the present behavior and the desired behavior in a non-threatening manner.
Ms. Cabral supports and enhances patient self-determination and follows the ANA code of ethics for nurses. She helps support the patient’s wishes when determining end of life care. She serves as a resource for patients, families and staff in addressing ethical issues and directs them appropriately to the palliative care team and or Medical Center Chaplin. Professional Development/ Educational/
While understanding communication between nurses is important, similarly, communication is also important to the nurse and other disciplines. I was able to witness effective communication between disciplines that focused on the patients’ health. One example of this was pertaining to a patient in the ICU room. The respiratory therapist discussed the patient’s current situation with the hospitalist. The nurse I was shadowing used successful communication with the CNA on duty to help assist with the patient’s current needs at that particular time.
This leads to a process of actions and reaction resulting in an interaction. An interaction is the goal directed portion of relationship built upon perception and communication. This leads to a transition, which is when mutually valued, as goals are achieved. Building a nurse-patient relationship with good communication is the key to mutually work towards an attainable goal to improve the patient 's’ health and quality of life. According to King “If nurses with special knowledge and skills communicate appropriate information to clients, mutual goal setting and goal attainment with occur” (as cited in McEwen & Wills, 2014, p. 176).
Combining Nurse Leader with Advocacy Advocacy is not a new concept for the profession of nursing. Many nursing leaders including Florence Nightingale, have supported the concept of nurse accountability to lead changes that improve patient and population healthcare while protecting the needs and advancements of the nursing profession. (Stanford, 2012). Nursing leadership is key to effective advocacy and well documented in the writings of Ms. Nightingale (Selandars & Crane, 2012). Today’s nurse must understand the definition of advocacy as it relates to quality and safe healthcare for patients, families and communities.
In this theory, therapists facilitate self-review of people’s thoughts, emotions, beliefs, and experiences to understand their scope and assess their trends. Identifying trends helps to evade distress or adopt defense mechanisms so that they can adapt or change the patterns. In psychodynamic therapy, the therapeutic relationship is crucial since it shows the way a client associates with acquaintances (Higdon, 2012). Furthermore, the transfer of feelings can reveal how relationship trends affect the person currently, which can be influential in transforming the dynamic. Unconscious thoughts influence behavior, and the moment it processes painful feelings, they are alleviated by the defense mechanisms.