Lydia E. Hall’s “Care Core Cure” nursing theory (also commonly called the “Three C’s of Nursing” theory) is one that incorporates (and further develops) Emancipatory Knowing in nursing. This Emancipatory Knowing relies upon the caregiver to recognize that there are social or behavioral problems within the healthcare system, and within the patient. The nurse must ask the critical questions to determine what is wrong with the situation, and who should be the one to benefit (Bickford, 2014). The caregiver must realize that something is incorrect, or unjust, and must work towards the goal of remedying this issue – all with the overall goal of improving the life of the patient (Chinn and Kramer, 2011). To do this, Hall created a new method/standard of care, and referred to this standard of care as the “Care Core Cure” nursing theory.
Some workers mistreat disabled clients with no respect. We should take action like Alison While and Louise Clark did by writing the article called Overcoming Ignorance and Stigma Relating to Intellectual Disability in Healthcare: A Potential Solution, to spread the message on making a better health care system. Allison and Louise wants to find a way to improve a positive environment for them. “The UK Learning Disability Consultant Nurse Network 2006 set out their vision of learning disability nurses leading the way to the achievement of positive health outcomes for this client group through a collaborative approach to address barriers to social inclusion. This is perhaps overambitious given that many people with intellectual disabilities are not known to what remains of learning disability services and with the nursing specialty in decline with very limited research and development standards.” This is great idea to contribute in the health care system for people with disabilities.
Simply put, the physicians were putting themselves above the nurse’s immediate experience and plan of care recommendations. This puts patients at an unnecessary risk. If the communication and collaboration between the physician and the nurse is ineffective, then the quality of care is being compromised (Tang, Chan, Zhou, & Liaw, 2013). The dietary representative suggested that the nurses integrate the dietary protocols since they were the ones who were in charge of the maintenance pathway. The problem ended up being bestowed upon the patient in so far that they were indirectly considered as a last priority.
We know she is sick. We can safely assume that some sort of depression is a result her low quality of life. Can we really be certain that a dying elderly human is of sound mind? An argument certainly can be made that Sarah’s current condition is affecting her judgment in this matter. Another point could be made that Sarah is ultimately still in control of her own medical treatment.
If the nurse does not have the tools to manage emotions and adjust to fit the mindset of the patient, the idealized state is lost. With the knowledge of TA the nurse will be able to address the how, what, and why the deviation from the idealized state exists from self or the patient. 5- Cultural Competency in the Nursing: personal life: In my personal life with the knowledge of cultural competency, This will enable nurse to collect relevant cultural data regarding the client’s presenting problem and accurately perform a culturally specific physical assessment, that will help make a clinical diagnosis for the client. Social life: Cultural knowledge, involves the process of seeking and obtaining an information base on different cultural and ethnic groups. Nurses can develop and expand their cultural knowledge base by accessing information offered through a variety of sources, including journal articles, textbooks, seminars, workshop presentations, Internet resources, and university courses.
A clinical example where the nurse would be able to exemplify safe and effective care would be teaching a patient about Patient Controlled Analgesia (PCA) pumps. In this situation the nurse must teach the patient about they are the only ones who are allowed to control the pump based on their level of pain and need for medication. The PCA pump is intended to provide fast acting relief for patients who need consistent pain medication. If the nurse does not stress the importance of the patient being the only person allowed to release the analgesic, family members could feel obligated to help control the medication administration. This could lead to an unnecessary need for pain medication that can decrease the patients respiratory drive if given too much and is also unethical.
From the article of Recognizing Caregiver Burnout (2014) by Melinda Ratini, “burnout” is a common situation for family caregivers, which means symptoms of stress and depression. If caregivers have a negative condition, how can people believe they can take care of patients? To solve this handful problem, Large numbers of experts gives advises to caregivers. From Family Caregiver Alliance summarized in Taking Care of You: Self-Care for Family Caregivers(2012), caregivers should keep a relaxed mood at first. And then, caregivers should keep a healthy body, to store enough energy to look after others.
That is why safety for the residents and their well-being should be among the top priorities for a personal support worker. Whether the administrator 's credibility would be up for debate is up to Extendicare, but the wellness of the residents, including Luba, should be handled accordingly with standards which nursing homes hold themselves up to. This only instills uncertainty among the families with relatives in nursing homes, and presents a bad lighting for personal support workers. The unfortunate truth is that this is one of many serious cases involving nursing homes and their neglect for their residents, and it should stand as an example for personal support workers to
What was once thought of as a profession driven by compassion and the desire to help those in need has now become filled with weary burnt out nurses who have lost sight of their purpose. Stress has caused them to distance themselves from the principles nursing is built upon. Our health care system needs to be revamped to improve the quality of care being administered. Nurses can be proactive and take steps to avoid burning out but, our health care administrators have to take matters into their hands because they have the capacity to initiate change. They must realize the gravity of the situation and take an offensive position to make a stand against the crisis of nursing
Tanner (2006) defined clinical judgment is “an interpretation or conclusion about a patient’s needs, concerns or health problem and the decision to take action or not, use or modify standard approaches, or improvise new ones as deemed appropriate by the patient’s response”. And he also suggested that there are various factors that impact on this process such as nurses’ experience and perspective, knowledge of the patients, their preferences and culture of the care environment. This model, clinical judgment viewed as a problem-solving activity and consists of four phases noticing, interpreting, responding and reflection. It begins with assessment of the patient followed by the planning and implementation of nursing interventions and finish with evaluation or reflection of the effectiveness of those nursing actions. Noticing refers to observing, which is very similar to the assessment, gathering information and data.
Additionally, knowledge and understanding of nursing home residents vulnerability in a way to provide contact in an accepting manner, as much as possible, maintain their autonomy (Kjolseth et al., 2010, p. 44). Most nursing home residents attempt to acquire autonomy when choosing their treatment options. However, many helpers fail to take residents seriously about symptoms till it is too late. In order to aid nursing home residents in an effective manner, one must not only integrate preferences and options, but also refine nursing home environments (Choi et al., 2008, p. 545). The changes in the nursing home facilities may range from no longer including structured activities to making residents feel at home.
These mentors must be chosen with the care that they are experienced and they must embrace the role of a mentor relationship. A mentor who does not want to be one can cause more harm than good. The mixture of parent and friend that takes a personal stake in the development of the new nurse in the environment is vital (Grossman & Valiga, 2013). If the mentor does not play an active interest in the role and is not personally vested, it will not work. The act of good mentoring can significantly impact the maturation of the nurse’s career and longevity in that position (Grossman & Valiga, 2013).
The National Drug Abuse Institute reported that, “A person with an addiction can recover with proper care, but an addicted person is unlikely to recover alone” (Bartlett et al. 350). The negativity and improper care posed by caregivers is the main reason for rehab failure. Assessments of proper and guidance should be given to nurses to help addicts successfully achieve rehabilitation to overcome addiction (Bartlett et al. 350).
Martin et al. (2006) in their study noted that some personal factors that reduced confidence in clinicians were due to inexperience with physical restraint, and a lack of knowledge of aggression. Nurses require good assessment skill to manage or prevent aggression and this skill can be acquired by having hands on training by experienced specialist. The nurse has to be aware of the triggers of aggression and moreover be able to recognise early signs of aggression. Of equal importance, developing a better understanding of the causes of aggression might lead to more effective treatment and preventive strategies (Shub, Ball, Abbas, Gottumukkala & Kunik, 2010).