Reflection might lead to insight about something not noticed in time, pinpointing perhaps when the detail was missed. I believe reflection reaches the parts other forms of thinking can’t reach. Effective reflection on practice is thought to generate nursing theory and answers questions that develop nursing practice (Schön, 1983). However, there is lack of empirical evidence to support on the use of reflection in nursing. Schön, (1992), had describes two types of reflection, which is reflection in action and reflection on action.
PART A: DIGNIFIED CARE IN NURSING: Dignity; “the state or quality of being worthy of honour or respect.” (Oxforddictionaries.com, 2016). Nurses must respect patient dignity because they have a duty of care to each client. Without respecting this, a patient may feel they have not received the correct standard of care, which may prolong their recovery time. Dignified care in nursing practice means delivering a service to patients or clients in a way that respects their rights as human beings. Nurses have a responsibility to encourage patients to be as independent as possible.
P, 2012). Florence nightingale pioneered the practice known as reflection-on-practice, this is a tool that is needed in developing improvement and knowledge to enable an individual to grow in their nursing profession. Nightingale wrote “the very elements of nursing are all but unknown” through this statement she implied that nurses word be learning for the rest of their career (journals.lww, 2017). Reflection is when an activity or incident requires thought about the action, and is used to determine what points are positive and negative, and how it could be improved or changed if done again in the future. The reflection process begins with thinking about an incident and how the situation can be utilised in future situations.
According to the study Magnet Environments for Professional Nursing Practice, nurses of excellence take the time to listen, understand and protect the patient 's cultural beliefs. Intuition The best nurses use experience, scientific knowledge, and instinct when assessing patients. Intuition in nursing is defined as the immediate understanding of a problem without the necessity of conscious thought. Nurses pick up on the smallest cues, nuances and seemingly unrelated patient statements that may render further investigation. Through intuition, superior nurses save lives and prevent further illness.
The bathing issue occurs for months without anyone saying anything about it, because most of the elderly family members don’t even go visit them, so they are not there to witness or defend their relative. I do believe nurses should be taking care of their patients with compassion (Peate 1). I am sure that when their family members get sick they want the best care they could get so why not treat your patients like they are part of your family. There are many nurses out there that I’ve seen from my experience not even liking to teach student nurses when they go to their clinical. If they are not happy with what they do they should not be there making sick patients feel worse than they already
However, the problem was not resolved due to the director catering for the nurse’s personal issues that he was aware of. The Codes of Professional Conduct; the code of ethics, and the Standards of Practice will be discussed related to Scenario 2. The Codes of Professional Conduct is a legal document that should be obeyed by nurses. It sets professional behaviour and expectations in all practice settings, therefore providing safe practice and guidance to the public including bullying,
That is, one must be willing to suspend judgments until one truly understands another point of view and can articulate the position that another person holds on an issue. So this will help nurses come to rational decisions so this will make can act competently in practice. The nurses continually monitor their thinking; questioning and reflecting on the quality of thinking should be occurring in what they want to achieve in nursing practice. However, the nurses with sloppy, superficial thinker can lead to poor nursing
Moreover, knowledge, competency and confidence, gain through clinical experience. Furthermore, novice nurses are taught to practice on simulated patients, which may increase their self-efficacy, self-confidence and clinical judgment. According to Stefanski and Rossler (2009) Use of simulator in nursing training develops skills without compromising patient safety and it also allows novice nurses to work on a critically ill patient. Undoubtedly, it is true that nurses are taught during their nursing programs on simulators but literature says working on simulator does not make them confident enough to providing competent care in life and death situation. (Greenwood, 2000, as cited in Saintsing, Gibson & Pennington, 2011).
Nurses admit to mistakes they have made. For example, if a nurse administrates a medication to the wrong patient by mistake, the nurse has to be honest and admit the mistake in order to save patient's life. In conclusion, Professionalism is extremely important in the nursing profession in order to maximize Patient's outcomes. Furthermore, nurses’ interactions and relationships with patients are important to ensure that the outcomes are met. Professionalism in nursing profession has basic principles Such as discipline, integrity, teamwork, Appearance, caring, empathy, and honesty.
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.
Current research depicts that physicians fail to recognize depression and tend to provide inaccurate treatment (Allgaier, Fejtkova, Hegerl, Kramer, & Mergl, 2009, p. 355). In this case, it may be helpful if physicians collaborate with counselors in order to obtain accurate information on depression, or to have physicians obtain a therapist
When a patient has a lack of knowledge of the care that is being provided, the nurse also has a responsibility to explain the care and why it will help the patient in the process. With educating the patient nurses can help the patient reach their goals to recovery to a better health status. A good nurse is also a leader. A Leader is someone who takes charge of any situation in confidence, and makes good sound decisions on situations that promote good health. Along with being much of all these things the nurse should deliver the highest quality care in order to accomplish great outcomes in patient care.
I would like to know if these, or any other barriers, were a problem for your NP and what steps she took to overcome them. Being a new nurse can be overwhelming, and the guidance of an experienced NP could help minimize any concerns an RN would have about continuing their education.
Sally also had a question on informed consent, which we explained to her and told her daughter can be the new health proxy for her. As we got more into the scenario, I felt a bit more confident because these are some questions we can ask and almost fell like a real patient talking to us. These questions sally was asking are very relevant and realistic; questions that a patient might ask in the preoperative phase. I remember when I went into surgery, I was asking the doctors and nurses questions upon questions because of the fear of unknown. If the patient knows the information and the facts, the patient is more comfortable and is less anxious.
In addition, there 's concerns as to how the patient is taking her medication and the changes of mental health providers. I feel that the mother needs to be consistent with her mental health services and work with us as we are not working against her. One positive thing I can share is that Marie is motivated to get her children back." The Supervisor then provided this writer the patient new DCF worker contact information: Maribel Santos @860-418-8239. This writer thanks the Supervisor for her input about the patient 's case.