Reed’s process model for clinical specialty education and psychiatric mental health nursing practice articulates relationships among the metaparadigm constructs of health, persons and their environments, and nursing activity (Smith & Liehr, 2014). Self-transcendence theory delineates specific concepts from Reed’s process model: constructs of health (i.e., well-being), a person (i.e., self-transcendence), and environment (i.e., vulnerability), and it proposes relationships among these concepts to direct nursing activities (1986, 1987). Reed (1991) and Coward and Reed (1996) have suggested nursing activities that facilitate the expansion of self-conceptual boundaries journaling, art activities, meditation, life review, and religious expression,
Contextual Project on Public Health Management 1. Concept of Public Health nursing Public Health Nursing is the science and art preventing disease, prolonging life, and promoting physical and mental health and efficiency through organized community effort toward a sanitary environment (Basavantappa 2008). Public health nurse deals with health promotion and prevention by identifying risk population and initiate ways of prevent such identity risk. Broadly public health nursing covers the care of an individual’s families and community as a whole in terms of epidemiology and policies for healthy action. Health is not static is dynamic therefore human being has to adjust to their environment.
The Theory of Self-Transcendence: History of the Theory The theory of self-transcendence is a middle-range nursing theory which was developed by Pamela Reed (Cramer, 2013; Smith & Liehr, 2008). Self-transcendence theory establishes a framework for healthcare providers through the promotion of well-being during life-altering events (Reed, 2008). In addition, this theory provides a holistic framework for nursing care focused on the relationship between persons and their environment (Reed, 2008). This can be achieved by creating self-transcendence activities that promote improved well-being through a broadening of personal boundaries (Reed, 2003).
Effective communication is one of the most fundamental tools of the nursing practice. Communication involves two parties the conveyor and the recipient, in which information is exchanged through personal and interpersonal mediums (verbal and non-verbal forms), allowing the message conveyed to be received and understood. Ultimately effective communication in healthcare reduces barriers constructed by language and cultural differences etc, creating a safe environment for the client in which they can actively participate in positive health-related behaviours. This explanatory synthesis will explore the concept of self- awareness in relation to therapeutic communication and how it significantly influences nurse-client rapports. It will also
This connects back to the learning outcome (4.1), “Demonstrates use of professional standards and the Code of Ethics to inform safe nursing care as applicable”. Using the code of ethics will help me provide competent, safe, compassionate care to clients. And my awareness and knowledge still need to develop to perform the ethical care I require to do in the long-term care
Through the process of nurturing care, Hall states that the patient is more likely to examine themselves as a whole and make greater strides toward recovery (Touhy & Birnbach, 2005; as cited in Touhy & Birnbach, 2005). In addition to the patient discovering themselves, the nurse who discovers his or herself can develop trust with the patient as well so that they can work with them, not for them (Touhy & Birnbach, 2005). This idea differs from the aforementioned personal nursing philosophy in that it addresses the cause and effect relationship between the nurse and patient, not just separately, and it shows how the nurse’s actions can affect the patient’s outcomes significantly (Touhy & Birnbach, 2005). Summed up, Hall theorizes that the “role of professional nursing was enacted through the provision of care that facilitates the interpersonal process and invited the patient to learn to reach the core of his difficulties while seeing him through the cure that is possible” (Touhy & Birnbach, 2005,
Furthermore, they consider problems faced by patients and try to solve them. Given that care is core of nursing performance, perhaps ethical sensitivity of ethical leaders could be considered related to their sense of dutifulness; an attribute
This is also when decline in the bodily functions begins (Travers and Dacey, 1996). According to Berk (2007), apects such as the skin, cadiovascular, respiratory, muscular and immune systems gradually decline as one gets older. Degeneration of sensory organs and the nervous system degeneration is less gradual and accelerates in middle age. In ‘Adult Development & Aging’ Susan Krauss Whitbourne (2001) highlights that physical decline can result in decreased sense of ability in the elderly (as cited in Hewstone et al., 2005, p. 216.) Numerous physical illnesses and psychological diorders such as emphysema and dimentia are linked to adulthood as a result of physical decline.(Berk,
Introduction In today’s health care system, the quality and delivery of nursing care are influenced by the development of technological support which also contributed some patient to accomplish a better quality of life, while for others it prolonged their distress. Nurses’ main responsibility is to manage situations and to give safe and proper legal and ethical care by using their ethical knowledge. Perrault, 2008 defines ethics as a branch of philosophy dealing with what is morally right or wrong. It also helps to maintains standard of care provided.
The practice involves the use of clinical decision in the provision of care to enable nurses to improve, maintain or receive health to cope with health problems and to achieve the best possible quality of life .Good nursing practice requires that practical efficacy .The authority for the practice of nursing is based upon a contract that determines professional rights and responsibilities as well as mechanism for patients accountability (Danjuma & Adeleke,2015). Ethical caring is an essential in nursing practice. Nurses are confronted with difficult situations in which they are expected to autonomously make decisions in delivering good care to patients.
Events such as death, being wounded can mentally shut a person down, research has shown that traumatic events such as this caused veterans to end up homeless. Veteran affairs which are known as VA have treated more than 230,000 patients for serious mental illness such Bipolar Disorder and many patients have died about 13 to 18 years younger than the regular population Davis, C. L. (2012). There was a study for veteran participants for mood disorders (CIVIC-MD), and the purpose of the study was to identify amend individuals and treatment factors connected to harmful outcomes with Bipolar Disorder Copeland, L. A. (2009). Homelessness in VA patients with Bipolar were reported 12% and 55% in a lifetime, in an analysis there were current medication was freely associated with lower risk of lifetime homelessness (odds ratio [OR] = 0.80 per point range 0-4; 95% confidence level interval [CI]= 0.66, 0.96) Bipolar is caused by homelessness in
It is viewed as a constellation of correlated physical, cognitive, and social fears that are often misinterpreted as anxiety. Individuals with anxiety sensitivity respond to a traumatic stressor in addition to their own reactions and sensitize the trauma. A traumatic event generates anxiety sensitivity and PTSD with the fear that anxiety might be activated. A small research was conducted to determine whether anxiety sensitivity increased the risk of posttraumatic stress reactions. A cross-sectional study of 51 trauma survivors reported to display acute stress disorder and higher anxiety sensitivity (Marshall, Miles, & Stewart, 2010).
The State-Trait Anxiety Inventory (STAI) is a self-report inventory that determines if a client has brief episodes of anxiety (states) or more stable personality features with chronic levels of anxiety (traits) (Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983). This psychological test is reviewed and critiqued through the use of an overview, psychometric properties, research, strengths and limitations, as well as diversity considerations. The STAI, which measures anxiety, was developed by Charles D. Spielberger. The approximate time of this psychological test is 10 to 20 minutes.
Great points Seema, as per Giger (2013), nurse practitioners are expected to prepare to provide culturally fitting nursing care for their clients, regardless of cultural background. You are right in order to deliver appropriate nursing care they should know the important factors that affect person’s health and illness behaviors. Accurate cultural assessment can give an insight about behaviors that might otherwise be guessed negatively. If the cultural behaviors are not appropriately recognized, their significance will be confusing to the nurse. The main inspiration, for knowing culture is that culture is intertwined with an individual’s health beliefs, values, preferences and practices.