“A philosophy of nursing presents a particular professional nurse’s belief system or worldview of nursing the nurse’s personal definition of nursing” (Kearney-Nunnery, 2012, p. 17). My personal nursing philosophy is one in which the patients overall health, including emotional and spiritual needs are being met. This is done through collaborative care with the patient, physicians and colleagues. The collaboration must obtain effective communication within every interaction. I believe the exchanges between every member must be open and honest, that builds a relationship centered in trust.
Imogene King covers the creation of collaborative goals that can be effectively used to reach quality competencies. This model requires nurses to collect data about the patient, and then verify the interpretation of the data with the patient. This insures that both sides agree from the beginning before goals are created. Each patient varies in their needs, and quality requires that nurses be proactive in implementing new and creative ways to provide access to healthcare that is cost efficient and safe for each patient (Thomas et al., 2011). King reaches this goal by including the patient in the creation of the goals.
Consent can be legal, ethical or professional, (Wheeler 2013), and is more than a simple signature on a form, it forms the process of good communication between patient and professional providing the treatment (Dimond 2015). In order to ensure that patient are aware of the care that will be given, the patient is informed and consent gained before or during care delivery Mental capacity Act (2015) additionally, obtaining consent encompass in the legal and ethical framework, hence this must be sort and healthcare professional must assess if the patient has capacity to consent to care Mental Capacity Act (2015). However Mary has the capacity to give consent for her care as she demonstrate her understanding of what will be done and why it is done
All of these topics are essential for an individual reviewing the RN’s profile, because they give the interviewer a basic generalization of a possible candidate for their position. The interviewer can get a good grasp on how long an individual stays at a job, what specialty of nursing they’ve been in, where they went to school, years of experience and why they wanted to go into nursing in the first place. All these descriptions about an individual will lay down the foundation for an interviewer to get know the RN. Next, I would like to discuss the importance for clinical experience to be included in the portfolio. The Clinical experience essentially displays to an interviewer how well a RN documents, how they performed during clinical and how they took care of their patient.
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions.
However, I am aware that the beginning of effective leadership would be by developing a vision of the organization where a nurse leader serves. Coming up with a picture of what would be a future of excellence in delivering nursing care in the organization would be crucial in motivating and raising commitment among the other nurses. As a nurse leader, the vision that I would hold dear would be to ensure I have the capacity to make sure that the systems in place benefit individual needs of the patients in a manner that patients are always handled with respect and dignity while the work that nurses perform is respected and valued. For this to be met, there is a need for the nurse leader to assist the other nurses grasp the envisioned picture and remaining at the forefront in directing the others on where to go. Subsequently, I would want to be the kind of a nurse leader who can enable the staff to grasp the vision, to make sure the appropriate people assume the nursing roles and to model the behaviors that are desired of the other
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).
The Purpose of The Theory The purpose of Henderson’s theory is to give the principles that help construct practice and to generate further nursing knowledge. Considering doing so, it helps nurses to understand their purpose and role in nursing in the healthcare setting. Henderson believes that the unique function of the nurse is to help the person sick or well, in the performance of those activities contributing to health or its recovery (to a peaceful death) that he would do unaided if he had the strength, will or knowledge.
According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis.
With reflection it is important that the individual is honest, which needs to be reflected in written record keeping, this enables others to easily understand what has occurred (Williams et al, 2012). Reflective practice is mainly used to assist nurses and healthcare professionals to gain an
This leads to a process of actions and reaction resulting in an interaction. An interaction is the goal directed portion of relationship built upon perception and communication. This leads to a transition, which is when mutually valued, as goals are achieved. Building a nurse-patient relationship with good communication is the key to mutually work towards an attainable goal to improve the patient 's’ health and quality of life.
For the future, I will continue to use the Shuler model, as well as diligently assess patients, and listen to their specific needs to gain a higher level of expertise, which will only come with time and
In many cases, ED nurses are the first health care provider to assess patients; therefore, it is essential that they have the clinical knowledge necessary to identify those at risk for sepsis, or exhibiting signs of early or even late sepsis. Quality improvement initiatives in the ED should include thorough educational efforts to ensure that nurses understand the sepsis condition in relation to the pathophysiology; the clinical triggers; its progression and implications; and the appropriate treatment that is best supported by evidence based research. Additional quality improvement measures should include the implementation of tools, processes, protocols/guidelines, and procedures required to assist nurses in the early identification and treatment of sepsis. Frontline nurses play an important role on the health care team, and perhaps are the key to reducing the morbidity and mortality of septic patients.
The expected outcomes are standards against which nurse judges if goals have been met. Evaluation of client response to nursing care requires the use of evaluative measure simply as the reassessment of patient symptoms. Vital signs and auscultation of breath sounds. Observation of client skill performance and discussion of how they feel. Lab results such as chest x-ray to confirm whether pneumonia diagnosis is still present.
Reviewing the standards and practices employed by primary care the practices, training is the very important when it comes to risk management, and achieving accreditation with a self-governing organization such, as The Joint Commission on the Accreditation of Healthcare Organization. This organization performs intermittently on site reviews of procedure and compliance. This will help to promote awareness and compliance (Reising, 2012). Nurse Practitioner needs to protect themselves by: (1) Caring, establishing a good connection with patients and maintaining confidentiality. (2) Communicating with client by following up with all laboratory results and follow up with referrals as this will show competence.