Peplau explains that the nurse assumes different roles as the relationship between patient and nurse progresses and develops (Feely, 1997). These roles evolve from stranger to teacher to resource to counselor to surrogate and finally to leader (Feely, 1997). As a stranger, the nurse and patient are greeting each other and regarding one another as an unfamiliar person (Feely, 1997). As a teacher, the nurse provides knowledge related to a patient’s need (“Theory of”, 2012). As a resource, the nurse provides specific knowledge in response to a new situation (“Theory of”, 2012).
It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005). The nursing assessment is the foundation to building a therapeutic patient-nurse relationship. The patient-nurse relationship begins to form at the first encounter. Nursing assessment is the first encounter between patient and nurse. First impressions are made and these judgements can greatly affect how a client perceives a nurse (Patrick, 2013).
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). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse. The purpose of this theory, being to define both nurse and patient roles and nursing as a profession, is seen as a strength of the self-care deficit nursing theory.
Bedside handoff is one of the ways we are involving the patient more. Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D. M. (2012) (P.141) “stated the Joint Commission said in their National Patient Safety Goals for 2009 and 2010 that they wanted patients to be more involved with their care as well as Nursing to have a standard hand off process when there is a change of care”. Bedside handoff covers both initiatives laid out by Joint Commission. Bedside handoff will allow the patient to meet the oncoming nurse and the patient will be involved with his/her care (Maxon et al., 2012). Patients have also felt more at ease with this process with being able to hear what the plan was for their care and are able ask questions about their care
Bedside shift reporting is used in many health care facilities to promote a beneficial handoff for both patients and nurses. This type of reporting is an important process in clinical nursing practice because it allows staff to exchange necessary patient information to guarantee continuity of care and patient safety. “Moving the change-of-shift handoff to the patient’s bedside allows the oncoming nurse to visualize the patient as well as ask questions of the previous nurse and the patient” (Maxon, Derby, Wrobleski, & Foss, 2012). The standardization of shift handovers was identified as one of the 2009 National Client Safety Goals from The Joint Commission (TJC). Even though TJC and many others believe bedside reporting is conducive to patient
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.
An LPN is someone who works under registered nurses or physicians and takes care of sick, injured, or disabled patients. Licensed Practical Nurses take vital signs, give out medication and measure/monitor frequency and amounts, provide personal hygiene assistance to patients, supervise nursing assistants and aides, set up, clean up, and use catheters, oxygen supplies, and other equipment, and provide care and feeding to infants. They are required to know how to do these things and be certified in doing them. A Licensed Practical Nurse is required to have a diploma or certificate in practical nursing. All Licensed Practical Nurses are to take and pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN).
Epidemiologic process and nursing process are similar. First step in nursing process and epidemiologic process are assessment. Nurses assess patients to collect data and obtain history. Epidemiologic process assess the outbreak to collect data and obtain history. Second step in nursing process and epidemiologic process is similar.
Virginia Henderson Theory used Today Virginia Henderson is one of many nursing theorists who changed the nursing profession. Henderson’s theory was considered a “needs” theory (Ahtisham& Jacoline, 2015). It was considered a needs theory because the primary focus was on the patient and the 14 fundamentals needs of the patient to aid in recovery. A nurse taking care of a patient with dementia will utilize Virginia Henderson’s theory in his or her practice by assessing the patient while making a connection with that patient, involving the patient and family to help maintain current health status, providing an environment that will provide safety and security, and using the 14 fundamental needs to guide the nursing process that is being
A 1- The one question or decision relevant to a Hospital business that I will answer by collecting and analyzing a set of data is: Is there a relationship to the number of hours a Registered Nurse (RN) works and patient safety? RNs are the main caregivers to the patient. They
Continuous mandatory onsite consultant intensivists in the ICU: Impacts on patient outcomes. J Patient Saf, (00)00, 1-6. Ezziane, Z., Maruthappu, M., Gawn, L., Thompson, E.A., Athanasiou, T., & Warren, O.J. (2012). Building effective clinical teams in healthcare.
(2013). What’s The Difference Between A Physician Assistant And A Nurse Practitioner And What Should You Choose?. Gap Medics US. Retrieved 3 August 2015, from http://www.gapmedics.com/blog/2013/12/23/what-s-the-difference-between-a-physician-assistant-and-a-nurse-practitioner-and-what-should-you-choose/ Garment, V. (2013). Nurse Practitioners and Physician Assistants: Why You Should Hire One (or the Other).
What is your perception on professional boundaries? Professional boundaries are guidelines that help to keep a nurse and patient’s relationship professional. Professional boundaries help to keep the nurses focused on patient care and the patients focus on meeting their health care related goals. Give one example for each of the following and explain- Professional boundary, boundary crossing and boundary violation. Professional boundaries are the spaces between the nurse’s power and the patient’s vulnerability National Council of State Boards of Nursing (NCSBN), (2014).