It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).
Compassion is showing care for others and displaying a positive attitude towards the care and concern of others. According to How does it really feel to be in my shoes? Patients' experiences of compassion within nursing care and their perceptions of developing compassionate nurse, "The importance of this relational aspect of compassion to the participants in this study cannot be overlooked when planning and implementing care. Compassion is a process that can be nurtured through attention to patient-centered assessment and planning of care. Patient centeredness is no stranger to nursing discourse, however, adopting this element to care and compassion is challenging in today's healthcare arena, especially when treating massively increased numbers of patients" (Bramley and Matiti, 2014).
These qualities and their related practices are the very embodiment of nursing and midwifery practice and form the basis of professional decision making and actions (Department of Health, 2016).The HSE, (2015) define their four core values as, care, compassion, trust & learning. In the UK the core values of nursing are described as the 6 Cs Care, Compassion, Competence, Communication, Courage &Commitment. The 6Cs are the esteem base for Leading Change, Adding Value; a structure for nursing, midwifery and care staff. (NHS,2016). The Department of health (2014) state the core values in Southern Australia are caring with kindness, person-centred, respect, integrity and accountability& in New Zealand they are respect, integrity, trust, working in partnership with health consumers.
Tom Kitwood (1997) cited in (The Open University, 2017) supports the approach of seeing and treating people as individuals, he calls this ‘person-centred care’. This approach looks at the physical, social and psychological needs of the individual. Person-centred care encourages people to have more involvement in making decisions about their care so they get the support and service they need. There are three main types of long-term care settings such as residential care homes which offer different degrees of personal care, Nursing homes offer care which requires the skills of qualified nursing staff and long-stay hospitals which offer a more specialised medical care. (The Open University, 2017).
Roper herself said that this model is simply a tool and should not be used solely alone, however, oftentimes in the UK it is (nursingtheory.org, 2013). In conclusion, The Roper, Logan and Teirney Model of Nursing on the Activities of Daily Living is very effective in assessing a patients independence, guiding the nurse on appropriate care to provide for her patients and assisting the nurse with tasks such as time management and making decisions on safety measures. It also helps to monitor the progress of a nurses patients and nursing models guide nursing practice in all of the above ways. This model is overall a key tool used in many hospitals across the globe, especially in the UK and Ireland to
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
They are considered to be the foundation of nursing (Watson, 2005). The processes entail forming selfless values in order to provide supportive care, being attentive to the belief system of the patient, showing understanding of oneself therefore being able to incorporate it into patient relations, developing a trustworthy relationship with the patient, accepting the patient’s feelings as valid emotions, and problem solving in all aspects of care, which is a similar aspect to the personal theory’s viewpoint of critical thinking (Watson, 2005). Other processes include adapting teaching styles and methods to meet the patient’s needs, creating an environment that is comfortable and healthy to promote healing, providing assistance with daily care which also promotes healing, and being attentive to the soul and its well-being (Watson, 2005). Watson (2005) compares these statements to love invoking, which “allows love and caring to come together for a new form of deep transpersonal caring,” which “connotates inner healing for self and others” (p.
O’Shaughnessy, 2014, wrote a continuing nursing education article on the importance of Orem’s theory in relation to elderly patients performing peritoneal dialysis. The examination was of elderly patient’s self-care abilities and the success of nursing staff allowing patients to do as much individual care as possible. “Orem’s theory postulates that people have a natural ability for self-care, and nursing should focus on identifying these deficit areas” (O’Shaughnessy, 2014, p. 496). The argument proposed is that peritoneal dialysis at home allows the elderly patient to maintain life closer to their previous life pre-dialysis. In order for the patients to be successful with their home peritoneal dialysis nurses have to assess the gaps in care that need to be addressed.
All of those aspects are pivotal in order to maintain a healthy, therapeutic relationship with our clients and to provide the greatest, holistic care possible while maintaining a sense of respect. Brennan and Monson (2014), say it best, stating, “professionalism is an indispensable element in the compact between the medical profession and society.” I consider autonomy and accountability a package deal when it comes to the professional nurse. Being able to work autonomously means that you handle certain situations independently while utilizing your knowledge and the evidence presented to you to come to a decision. You also have to remain accountable for the decisions you made while using that knowledge and take responsibility for those choices and any possible mistakes. These qualities are essential when it comes to operating within a healthcare team in order to gain
She believes that nursing interventions are key to nursing care. Watson’s nursing theories express that the mind, body and spirit of the patient should be taken into consideration. I agree with Watsons that while providing care the nurse should consider care base on the patient as a whole and not just focus on the disorder. I was taught to use Maslow’s hierarchy of need while planning and providing care for my patients. Maslow’s hierarchy is use to prioritize a patient need from life treating issues to love and belong.