Imogene King's Framework Analysis

Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations

The idea of how nurses can conduct themselves in a daily basis for some can be viewed as they have it easy or least make it look easy and for others it’s world’s best job. The truth is being a nurse is very difficult job and it can be very labor intensive and very rewarding at the same time. Just think every time you go into the doctor’s office or have an overnight stay in the hospital what all to do your nurse during their shift? In an ideal world and scenario nurses have the perfect amount staff with all the proper equipment readily available. The truth of the matter is that in most cases nurses are short staffed and must maximize their time effectively and effortlessly unbeknown to patients.

With today changes, nurses face cases such as heavy workload, lack of resources, increased patient awareness, low occupational ,various problems related to staff skills, life quality and workplace violence. In But, there is the anticipation that nurses should treat patients in an ethical manner and put ethics first in their professional performance. Across the world, nurses are guided to use professional codes that highlight their obligation to respect, protect and safeguard the essential rights of the patient involved in nursing and health care(Sharifabad

Due to hospital care reaching an all-time high in America, we need nurses now more than ever before. Currently in America, we have an issue with nurses having too many paperwork to fill out. In the article “We Need More Nurses” by Alexandra Robbins argues we need more nurses in the hospital. Nursing shortage has been a common issue throughout the world. Because of this issue others are being affected in many different ways. This issue is not only affecting the hospital, but also the patients. In the article “When Hospital Paperwork Crowds Out Hospital Care” by Theresa Brown argues that nurses have too much paperwork to fill out about their patients. Having too many paperwork takes away from the nurses getting involved with their patients. In my opinion, neither of the arguments are valid because they lacks supporting details .Even though Robbins and Brown are passion about their topic, they both did a great job using pathos

My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.

The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care. The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered.

Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices. They make up the biggest health care occupation in the United States. Nursing job duties include communicating between patients and doctors, caring for patients, administering medicine and supervising nurses ' aides”(study).

According to Nictitas, Middaugh, and Aries (2106), nurses are the largest segment of the healthcare workforce and are indispensable when it comes to quality patient care, patient safety, and patient satisfaction. It is projected by 2020; there will be a shortage of over 500,000 nurses (Nictitas, Middaugh & Aries, 2016). A shortage of this magnitude will have a negative impact on our healthcare system. This paper will attempt to reflect on the issues that have resulted in the nursing shortage and discuss the future of the nursing profession.

A primary concept of nearly all nursing theories is the belief that humans are the center of nursing care. No matter what setting nurses are practicing in, the goal is to optimize patient outcomes by holistically caring for patients, families, and their environments. Imogene King took this idea, divided in into three systems: personal system, interpersonal system, and social system, and related the systems to goal attainment and specific concepts.

Our nurses are being over worked and understaffed and no one is saying anything! There are mountains of evidence that show the adverse relationship between subpar nursing care and patient outcomes. Many people work overtime to make that overtime money because the hospital is usually understaffed. But because patient outcomes really depend on nurses to be in tip top shape, I think it is extremely important that hospitals eliminate working overtime. That is why I am asking policy makers to cosponsor the bill S. 1132: the Registered Nurse Safe Staffing Act of 2015. This act will mandate Medicare associated hospitals to create committees to create staffing plans specific to each unit.

that while nurses plays a very important role in improving the health care system of the country,

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).

Orem affirms the theory of nursing systems defines exactly how the patient 's self-care essentials will be resolved or met by the patient or nurse (Self Care Deficit Theory, 2014). Orem classifies three classifications of nursing systems to encounter the self-care conditions of the patient. They are categorized as wholly compensatory system, partly compensatory system, and supportive-educative system (Self Care Deficit Theory, 2014). Nursing systems are a “sequence and structures of measured applied engagements of nurses to protect any disease processes, detect any abnormalities and to bring that patient back to equilibrium (Self Care Deficit Theory, 2014). A good example of this theory would be the nursing process. Nurses use this tool for Assessment, Diagnosing (nursing), Planning, Implementing and Evaluation for the

This means that the nurse and patient have an interpersonal relationship where they communicate information, set goals together and then take action to achieve these goals, in order to grow and develop in hope of attaining certain life goals (Petripin). The patient is a social being with three fundamental needs: the need for information, the need for care that seeks to prevent illness, and the need for care when a patient is unable to help themselves (Petripin). King (1992) states that “the goal of nursing is health promotion, maintenance and/or restoration; care of the sick or injured; and care of the dying”. Based on these goals of nursing, The Theory of Goal Attainment is then separated intro three interacting systems: the personal system, the interpersonal system, and the social system. According to King, Individuals compromise one type of system in the environment called personal systems. Individuals also interact to form dyads, triads, and small and large groups, this system is called the interpersonal system. And finally, groups with special interests and needs form organizations which make up communities and societies and are called social systems (King, 1981, p.

Just like a saw needs to stop being used in order to be sharpened, a nurse needs time off to recuperate; it’s as simple as that (Covey, 1989). It is important not to burn the candle at both ends, working more than the designated shifts and longer than 12 hours should be avoided. An example used regarding medication errors and working too many hours involves a nurse working a double shift on a pediatric oncology unit didn’t correctly prime an IV line and caused cardiac arrest in a patient (Kelley, 2004). Although nurses work three days a week, their hours remain the same as other full time employees that work the typical 5 day schedule. A nurse’s time off should be valued because they are the last line for patient care, they are the ones administering the medication the doctor prescribes and the pharmacy makes (Kelley, 2004). They need to be cognizant of not only their mistakes, but the mistakes of those making the decisions before them. Therefore, nurses should not be constantly asked to work overtime because that is how mistakes are missed or made (Kelley, 2004). Nurses should sharpen their saws between shifts and their days off, only then can they perform their absolute