From the perspective of a person within the health sector, autonomy may and may not be practical for the purposes of preventing liability from litigation and avoiding ethical criticism, especially when it 's measured against the patients’ best interests. In certain circumstances such as cases where patients don 't have the decision-making capacity, then nurses may treat the patient without consent. This type of situation is usually grounded on the principle of necessity. When professionals working within the health sector act under necessity, they must be able to prove that they did no more then what was necessary and in the best interests of the patient. This is a common problem in today 's nursing homes as many residents are not of sound mind and are unable to make decisions that affect them.
In many areas the APNs can not work individually and they supervised by anesthetist. Autonomy is the freedom to make discretionary and binding decisions consistent with one’s scope of practice (Lewis,2006). Other challenge an APN is gaining trust and building rapport in health care team. Multi cultural language and culture difference affect to the effective communication with patients and their families. Role of Identity can not maintain because of lack of knowledge by staff and department managers on the role of an
‘’Having a conceptual nursing model to practice may enable nurses to gather a detailed database that identifies actual and potential healthcare problems’’ (Capers, 1986). The grid, checklist format is a simple, fast and straightforward assessment guide and can be very useful in practice. Any given ward or healthcare environment may choose to implement a nursing model to guide its practice and philosophy. The theoretical framework of Orem’s model can aid knowledge based practice (Anonymous, 2010). As the model encompasses all aspects of the nursing process and acknowledges deficits that are not only a problem at ward level , but for the person post discharges , it is helpful in delivery quality, holistic, care from admission to discharge, allowing for discharge planning.
• Documentation- all findings are properly recorded and kept in patient’s records file or electronic medical record. 3.1 PERSONAL CONTEXT Nursing assessment is pivotal to provide holistic care through a careful understanding of patient’s complaints, preservation and personal observation by the health care giver. Nursing assessment are sensitive indicators of patients condition. It is use to confirm data obtained in the nursing practice. 3.2 SOCIAL CONTEXT It helps to know coping ability and adjustable tendencies of patient to change and socio-economic of the community where he resides.
INTRODUCTION: This contextual project consists of 10 concept from the block 1 study with the title “Research and Nursing Research”. The meaning of each concept will be clarified, critically analyzed and applied to social context, personal life and current professional life. The usefulness of the concept to the current world will also be explained. 1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”.
For this phase, nurses generally refer to the evidence based nursing outcome classification, which is asset of standardized terms and measurements for tracking patients’ wellness. The nursing intervention classification may also be used as a resource for planning. 2. IMPLEMENTATON The implementing phase is where the nurse follows through on the decided plan of action. The plan is specific to each patient and focuses on achievable out comes.
Without collaboration from nurses, hospital aids, nursing assistants, community nurses and nurse managers, a poor quality standard of care might be delivered as there is no continuity of care and no one to lead and carry out the daily task. Within a ward, handover within ward nurses to the oncoming shift is another example of collaborative care
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 (Schon, 1983). However, there is lack of empirical evidence to support on the use of reflection in nursing. Schon (1987), had describes two types of reflection, which is reflection in action and reflection on action.
Barriers encountered by nurse include insufficient time and authority, limit knowledge and research searching skills, negative attitude toward EBP, also obstructed by traditional based practice. Organizational barriers include unsupported administration, inadequate resources and no platform for communication and cooperation. In research’s aspect, enormous amount of health care literature, unjustified and foreign language research become resistance to develop EBP. Also, there was a gap between research and practice. However, nurse and organization can acts as a role of facilitators to develop EBP.
INTRODUCTION This contextual project consist of 10 concept from the module Entitled Evidence Based Practice. Each concept will be described in terms of its meaning, will be critically analyzed for its real life application and will be followed by some reference of the current research evidence. Real life application will explore a possible relationship of the concepts with personal, social or professional life. CONCEPT:-1 CONCEPT OF RESEARCH AND NURSING PRACTICE This concept is taken from module 1. Subtopic 3 entitled research in nursing practice.