Intuition is a theory that is used in nursing to ensure correct and effective clinical decision making is being used by health care professionals; this overall supports patient safety and care (Robert, Tilley & Petersen 2014, p. 343). Furthermore, intuition is often described as a ‘gut feeling’ and a type of knowing (Burns & Grove 2012, p. 18). The ‘gut feeling’ individuals experience with intuition refers to an emotional and physical awareness that supports analytic reasons, leading an individual to act or do something in a certain way without the individual completely understanding why (Hughes 2016; Rovithis et al. 2015, p. 18). Additionally, for effectiveness and accurate intuition feelings, knowledge and clinical experience are essential as they are the most prompting influences in intuition (Massey, Chaboyer & Anderson 2016, pp. 6-7). Scientifically intuition cannot be explained, however, is more related to experience leading to an increased knowledge and greater understanding of nursing (Finkelman & Kenner 2010, p. 51). Nurses most commonly expressed the feeling of intuition when recognising that a patient is in a …show more content…
This is because although a nurse who is an expert in an area such as a cardiac nurse, when this nurse transitions into a different role such as a mental health nurse this new role will need to be learnt (Hunt 2015, p. 249). Overall, this resulting in making intuition difficult until the knowledge and skills are developed (Hunt 2015, p. 249). In contrast, intuition has advantages this is due to the ability for nurses to determine problems before they become worse (Robert, Tilley & Petersen 2014, p. 343). These signs are often determined by the nurse’s inner self-indicating that something is not right with the patient (Robert, Tilley & Petersen 2014, p. 343). This expert clinical judgement is effective in guiding the patients care to ensure the best
Making a clinical decision is a skill that needs to be acquired, and nurses are accountable for any decision that is made, so they need to understand how they make decisions (Nursing and Midwifery Council (NMC), 2015). A greater understanding of how nurses make decision is essential to follow research and development of decision making skills (Clark et al, 2009) . A first step to a decision making process may entail understanding a framework or model. Baumann and Deber (1986) define decision making as situations in which a choice is made among a number of possible alternatives often involving values given to different outcomes”.
This essay will demonstrate an understanding of the clinical reasoning cycle which describes the procedure by which nurses gather prompts, process the data, come to an understanding of a patient’s problem, design and implement interventions, assess results, and reflect on and learn from the process (Hoffman, 2007; Kraischsk & Anthony, 2001; Laurie et al., 2001). The clinical reasoning cycle consists of five main stages, it comprises of; considering the persons condition, collecting indications and data, processing the information, recognizing problems/issues and detailing the assessment (Levett-Jones 2013). Throughout this essay these five main parts of the clinical reasoning cycle will be discussed and put into context. The first step of
The framework of this model is utilized throughout hospital settings to form a basis for all nursing decisions in respect to nursing diagnosis, care plans, discharge planning, and quality assurance (Reynolds & Cormack, 1991). This conceptual model focuses on the effects of internal and external environments that contribute to someone’s behavior. Pain (being the internal force) in patients with altered mental status usually manifests externally in non-verbal cues. Nursing as the external force can use tools that focus on the non-verbal cues given by the patients to accurately assess the pain and properly treat it.
This also includes creating personal connections this is knowing how to be approachable and engage with groups and listen attentively. Understanding the importance and what is emotional intelligence and developing this to help these management and leadership skill to develop and ensure the application of these kills is shown ( (Beauvais, Brady, & O’Shea, 2011). It is important that newly qualified nurses understand their own emotional intelligence to develop these skills as leadership and management skills are used in all areas of clinical care. In the workplace newly graduate nurses will undertake the care and responsibility of patients that are critically ill. In these settings changes in the patient’s condition can rapidly change in a
Clinical decision making involves the gathering of information, awareness, experience, and use of proper assessment tools. The term is often used when describing the critical role of nurses. The process is, therefore, continuous, contextual, and evolving. Authentic practices and experienced people are required to offer guidelines when needed. Effective decision making in clinical environment combines skills such as pattern recognition, excellent communication skills, ability to share, and working as a team, reflection, use of the available evidence and guidelines as well as application of critical thinking. A Clear understanding of this term contributes to consistency, broadening of the scope and improving the skills. However, this paper aims at providing an opinion on clinical decision making and how it is connected to nursing practices.
Carper’s (1978) pivotal work of identifying nursing’s ways of knowing was a seminal work that laid the foundation for further analysis. Her ways of knowing have identified methods that have allowed the nursing discipline to further its own knowledge as well as the profession. Two other ways of knowing have emerged, Munall’s (1993) “unknowing” pattern; and also sociopolitical knowing by Zander (2011, p. 9) or emancipatory pattern (Chinn & Kramer, 2011, p. 5). Here these patterns are discussed through experiences in my personal practice.
Uncertainty, according to the theory put into place by Merle Mishel, is the inablility to determine the meaning of illness-related events because of a lack of sufficient cues that allow patients to assign value to objects or events and accurately predict outcomes (Elphee, 2008). This author believes it is important for nurses to completely understand the patient as a whole and what they are experiencing when faced with a new and frightening diagnosis. It is necessary to supply patients with sufficient information regarding their diagnosis, if they desire. This author believes the Theory of Uncertainty may help the nurse understand more fully what challenges and uncertainty the patient is presented with when undergoing a new diagnosis. Mishel’s Uncertainty of Illness Theory is a middle-range theory indicating the theory is not overly broad or narrow (Black, 2014).
412-3). Intuition has been found to be an important skill for knowledge development in nursing practice; it enables an individual to unconsciously establish information quickly to make connections and hypothesises to an event through past experiences (Chilcote 2017, p. 63). In another sense intuition is “a feeling that guides a person to act a certain way without fully understanding why” (Robert, Tilley & Petersen 2014, p. 343). In nursing practice, the theory of intuition plays a great part on patient care, especially during assessments as intuition can lead to clinical interventions through a nurse’s perception to a patient’s condition (Robert, Tilley & Petersen 2014, p. 344). Intuition is a theory that is slowly shifting focus to be replaced by evidence-based practice where all decisions made by healthcare professionals are backed by evidential factors and evidence but still has its part in current practice (Hassani, Parkhide, Abdi & Jalali 2016, p.
The philosophy of nursing consists of values, beliefs and ethics that shape the way a nurse thinks, performs their duties, and behaves. “Philosophy is the intense and critical examination of beliefs and assumptions. Philosophy gives coherence to the whole realm of thought and experiences" (Burkhardt, Nathaniel, & Walton, 2014, p.25). Nurses follow their personal philosophies, but also need to adhere to the professional standards and guidelines set by their governing body. This paper will discuss my personal nursing philosophy including my values, beliefs, ethics and clinical practice. I will outline my definition of nursing philosophy and how this relates to standardized practice guidelines
A great deal of emotions occur in the postpartum period, emotions that you could never understand unless you have been there. Before I attended a conference on depression in pregnancy & postpartum the thought of fathers suffering from postnatal depression never even entered my mind. As far as I was concerned, It was only associated it with giving birth. The knowledge I gained has not only changed my outlook on the subject but the way that I interact with and educate my patients. My focus is no longer just on the dyad of mom and baby it’s on mom, dad and baby if there is a partner involved at all. The purpose of this essay is to explore a particular concept related to professional caring in nursing. It will discuss the patient/client situation, exploration of the concept, how the concept relates to personal caring through noticing, interpreting, responding and reflection. The concept that will be explored in this paper is empathy.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Carper, 1978). Nursing is an art. Performing and caring for a patient requires a skill set that involves expressive details that may be subjective. Esthetics can contain an emotional component with either the patient or the nurse. Empathizing with a patient gives the nurse knowledge and helps the nurse perceive what the patient is experiencing and allows for the nurse to provide better care through understanding the patient’s experiences (Barbara A. Carper,
Whittemore R. (2000). Graduate student scholarship. Consequences of not "knowing the patient". Clinical Nurse Specialist. 14(2), 75-81.
I chose nursing as my profession because nursing is my ideal profession. In nursing, I can provide others with the care and the knowledge they need to maintain a healthy lifestyle. I can also give others the love and attention they need to be proud of the life they live. I think that society is very vulnerable and I want to make great contributions to the world of nursing. I don’t just want to be a nurse. I want to be a great nurse who is looked up to because of my experience, knowledge, and competence as a healthcare professional.
Nursing theory has been the basis of nursing since Florence Nightingale. Theorist have made the science of nursing what it is today by years of research. Theory has laid the base and frame work for the nursing practice. Alejandron (2017) states that a demand for excellence influences Magnet recognized hospitals to use nursing theories to achieve positive patient outcomes. In this paper the nursing process discipline theory will be discussed along with the importance of this theory to nursing. The identification of the nursing process theory and the importance of this theory will be discussed. Then a summary of the key concepts related to the nursing process discipline theory will be discussed and