OPERATIONAL DEFINITION OF NURSING CARE
In simple terms, caring is an art and a scientific practice. However, the operational definition of the term “CARING” in OAUTHC, Department of Nursing Services is quoted as thus; “Caring is a health promoting activity delivered to consenting individuals or service consumers during the course of legal duty by competent professional nurse(s) capable of utilizing standardized tools in solving identified client-centered problems towards the actualization of a mutually acceptable outcome of care within the limitations of available resources in a conducive health care facility or service unit”. [© 2010 OAUTHC Department of Nursing Services, Ile-Ife.]
OUR VISION
Caring for humanity through effective management
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siblings, relatives, associates, community residents, etc.)
2.RESTORATIONhelping clients attain their pre-morbid state according to the scientific concept of health-illness continuum.
3.REHABILITATIONrapid social reintegration of our clients, enhancing their positive coping mechanisms to actualize and maintain optimal activities of daily living and functional productivity for sustenance of their wellbeing.
4.RENEWALstaying healthy through self-care, preventive habits and healthy behaviors through health education as an integral component of nursing care.
5.REWARDINGmeeting client’s expectations of satisfaction and outcome of care within the limitations of available resources. [© 2010 OAUTHC, Department of Nursing Services, Ile-Ife.]
NURSING CARE APPROACH-- Domains of Nursing
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Meeting the Daily Care Needs of our Clients according to the Abraham Maslow’s Concept of Human Needs requires that Professional Nurses carry out specialized PROCEDURES. The outcome of care is therefore determined by the level of expertise and skillfulness of the PROFESSIONAL, when provided with adequate required resources to carry out specified tasks within a positive practice environment.
Hence, the Psychomotor domain is emphasized by the Department of Nursing Care by adopting the NURSING CARE PLAN as the professional TOOL used in planning while physically delivering care, after utilizing the NURSING PROCESS in taking client history and critical assessment towards making diagnosis of the ACTUAL and POTENTIAL NEEDS of the CLIENT accurately expressed in compliance to the NANDA International Nursing Diagnosis Template.
This is the documented part of nursing care and requires professional expertise, skill and experience which are acquired only in practice by consistently using the COGNITIVE and AFFECTIVE domains to establish a Positive Nurse-Client Relationship as a prerequisite for facilitating client’s consent to care, co-operation and collective responsibility to actualize the PREMIUM STANDARDS of NURSING CARE according to our QUALITY ASSURANCE
Apply Watson’s Theory of Human Caring to Advanced Practice Nursing. Watson’s Theory of Human of Caring can be applied to advanced nursing practice in many ways one great way would be to apply the ten Carative Factors as an action plan and a guide in opening a practice to foster a holistic caring nurse practitioner – patient relationship. To begin with the practitioner could use the first carative factor I helping to formulate a mission statement that included a humanistic-altruistic system of values. Before selecting the practice the practitioner could use the third factor of cultivation of their own self and looking at what their feelings of empathy is for other to help decide what practice specialty they should open.
The Nurse of the Future (NOF) Core Competencies Models were choosing to achieve one optimal goal of providing quality of care to patients and their families. The NOF Nursing Core Competency provides a normal structured of approach to nursing and patient care, and they are all equally important in their unique ways. However, out of the 10 Nurse of the Future Core Competencies, I have chosen Healthcare professionalism and quality improvement which in my opinion are two main core outstanding competencies. Professionalism in any profession dictates the conduct, purpose, or qualities that define a profession.
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
(Kitson et al, 2013) Patient care is initial assessment collaborated with commitment for the nurse to care for the patient and build a trusting comfort relationship to meet patients’ fundamental needs (Kitson et al, 2014). Patient-centred care focuses on involving patients’ by allowing choice and decision-making. It takes into consideration patients’ individual physical, psychosocial, cultural and emotional needs (Feo and Kitson,
The concepts of this theory include function of professional nursing, presenting behavior of the patient, immediate reaction, nursing process discipline as well as improvement (Petiprin, 2016). One of the roles of a nurse is to meet the immediate needs of the patient. Patients typically present to a facility with a requirement that should be identified and met by the nurse. The nurse should be able to identify the problematic situation from the patient to be able to address the need for help. The patient develops their perception of events and circumstances based on their automatic feelings and thoughts which causes the patient to have an immediate response.
Empirical Referents Empirical referent studies support Watson’s theory by affirming the existence of a positive relationship between patient satisfaction and nurse caring behaviors in numerous clinical settings. Nursing education plays a significant role in the achievement the caring concept and is accentuated throughout the nurse's professional career (Labrague, Mcenroe-Petitte, Papathanasiou, Edet, & Arulappan, 2015). Patient satisfaction is a measurable component used to determine the care received from nurse clinicians. Stroehlein (2016) indicates that although there is a large constituent of many occupations, caring in the nursing occupation assumes an exceptional meaning with a higher purpose. Caring is multifaceted and comparable have determined individuals whose intention is to open the eyes of the society through rendering high quality patient care (Stroehlein, 2016).
According to Tronto (1993:102), care implies is reaching out to something and generally involves some type of action. In addition, it is not restricted to human interaction with others (can revolve around objects or environment), care varies across cultures, it is an ongoing process and can be regarded as both a practice and disposition (Tronto, 1993:104). Moreover, there are different interconnected phases of caring. Firstly, ‘caring about’ involves the recognition that care is necessary, secondly, ‘taking care of’ involves assuming some level of responsibility for the identified need and ultimately determining how to address it, thirdly, ‘care-giving’ involves meeting the direct needs for care (physical work) and lastly, ‘care-receiving’, recognizes that the particular object of care will respond to the specific level of care it receives (Tronto, 1993:104-107). Nonetheless, in reality, despite care being an integrated and ongoing process, there is likely to be conflict within each of the phases of care and between them (Tronto, 1993:104-109).
Caring: Caring is one of the most important words used to describe a nurse. Larson (1984) defines caring as the core, essence and distinguishing attribute of nursing. I believe that I possess the strength to care for others and behave in a caring manner.
Now nurses have many roles, such as care takers, decision makers, advocates and teachers and they often assume several roles at the same time. Because of the diversity of nursing role nurses need a philosophy of nursing to guide their practice. The practice of nursing is the care of patients through a professional interpersonal relationship. Nurses apply behavioural scientific principles, biologic scientific principles, and principles of humanism in a
The physiological needs are met when the nurses provide the patient with the necessary amount of food, water, oxygen (if needed), blankets for warmth and sleep by providing pain or sleeping pills (if needed). The safety need will be met by the security of the hospital to help the patient feel secure and safe in his/her environment. Love and belongingness can be created through intimacy (if possible), affection and friendship. This can also be given to the patient by his/her family members or friends. To ensure that the patient’s self-esteem needs are met, the Health Care worker has to help to improve the patient’s confidence and independence.
Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge
The therapeutic nurse-client relationship is established for the purpose of promoting client health and well-being. RNs practice in accordance with standards for nursing practice and the Code of Ethics for Registered Nurses (CNA 2008). RNs are responsible for setting and maintaining the appropriate boundaries within the therapeutic nurse-client relationship regardless of the wishes of a client or the setting in which the relationship occurs. RNs are responsible and accountable for their own actions in the therapeutic nurseclient relationship, including actions which result in outcomes that may have been unintended, but should have been foreseen. RNs recognize the impact that the determinants of health*and individual characteristics of the client have on both the therapeutic nurse-client relationship and the health of the client.
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.
Nursing Theory Virginia Henderson: Definition of Nursing Princess Oliver Averett University Abstract Theorist’s Background Virginia Avenel Henderson (November 30, 1897 – March 19, 1996) was a nurse, theorist, and author. Henderson is also known as “The First Lady of Nursing,” “The Nightingale of Modern Nursing,” “Modern-Day Mother of Nursing,” and “The 20th century Florence Nightingale. Henderson received her early education at home in Virginia with her aunts, and uncle Charles Abbot, at his school for boys in the community Army School of Nursing at Walter Reed Hospital in Washington D.C. In 1921, she received her Diploma in Nursing from the Army School of Nursing at Walter Reed Hospital, Washington