OVERVIEW Objective: know the metaphors used in their educational-assistance interventions, primary care nurse and users identify what vision of the world is behind them and get to know the impact of these metaphors in the understanding of the phenomenon of health by users. Method: chose by the interactionism symbolic, the framework theoretical of the metaphors basic of Pepper and the scheme analytical of Kilbourn. Results: It notes that all interviews are saturated with metaphors. The nurse is dominated by mechanistic metaphors and formistas in all the studied categories, while users predominate the contextualistas and also mechanistic in the categories of cholesterol, stress and sugar.
Nursing practice requires both critical thinking and clinical reasoning. Critical thinking is the process of deliberate higher level thinking to define a patient’s problem, examine the evidence-based practice in caring for the patient’s, and make options in the delivery of optimal care. Critical thinking involves the demarcation of statements of fact, judgment, and opinion. The progression of critical thinking requires the nurse to think imaginatively, use reflection, and engage in logical thinking (Alfaro-LeFevre, 2013). Critical thinking is a vital skill needed for the recognition of patient’s problems and the execution of interventions to endorse effectual care outcomes (Bittencourt & Crossetti, 2012).
Limitations of the paper Although the paper gives a brief view over the concept of Culturally Competent Nursing Care by defining the term of "Cultural Competence", highlighting its importance in nursing care, and introducing a few number of assessment models to assure the highest population-specific care, it avoids to bring into attention a simplified step-by-step approach for nurses on how to learn the necessary skills of cultural competent care, how to incorporate it into their daily practice, and how to evaluate their current skills for the weak areas necessitating modification. It seems the main purpose of the criticized paper was to emphasize the importance of the nursing care to underrepresented minorities in the US health care system. This was achieved by introduction of a series of assessment tool and their utility in different cultural settings.
Expert nurses are vital in each specialty of nursing. Dr. Benner makes it clear that, expert nurses are infinitely adaptable with their responses in an unfolding situation, because they are able to engage situated, context driven reasoning that shifts between the general and the particular, and draws on similar past experiences. The expert nurse has the ability to teach and mentor the preceding phases of learning for the learning nurse. If the profession of nursing does not support expert practice or foster the development of expertise, it risks losing what is fundamental to nursing
In the first article, the main focus is the cause of errors and what can help nurses to not make mistakes anymore. As a student nurse myself, I can relate and see the ways that these distractions occur. This article gave me an insight of what not to do and what I need to look out for. In Let 's do no harm: Medication Errors in Nursing Part 1, the article is more about the costs of medication errors and how it leads to the eventual loss of trust by clients in the healthcare system. It also talks about small ways that can contribute to making mistakes.
Particularly without mindful awareness, projection of the nurse 's unacknowledged enthusiastic encumbrances (counter-transference) debilitates the adequacy of nurse-client
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. The process consists of being open, this would involve an individual looking at things from a different perspective. In addition, the process would involve being inquisitive, desiring knowledge.
Registered Nurses’ Association of Ontario, (2002) report that the nurse can carry out this task by strongly including their patient as a partner in care due to the fact that the client is the rue expert on his/her own life. Identifying what the patient ’s goals, aspirations and desires and making them the core of the care program. Maintaining boundaries focuses on nurses being responsible for effectively beginning and keeping the limits or bounds found within the therapeutic nurse-client relationship. To meet this particular standard the nurse can start by setting up and managing the appropriate boundaries within the relationship. Additionally helping the client understand when his/her demands are stepping beyond the limits set of the therapeutic relationship.
I am getting use to navigating through Cerner to get to what I need for my patients. I still need to gain confidence in myself and trust that I know how to perform skills. I love my nurse Abbi and feel she is really good about explaining procedures, policies, how to admit new patients and discharge patients. She is a bit of a control freak so she doesn’t really allow me to do things on my own but I know I can learn the skills when I get hired wherever I go next.
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.
Whilst the checklist’s main focus is to ensure that key factors have been accounted for by the appropriate staff member it’s an opportunity to promote team cohesion. Having nursing staff lead helps recognise nurses as equals to remove the hierarchy and egos which may prevent good communication and team working. Furthermore, it provides the opportunity to introduce new members and their roles (Wahr et al., 2013;World Health Organisation, 2008). Additionally it affords a chance to ask questions and clarify patient specific protocols. Such as flow direction of cardioplegia.
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.