The purpose of the article, “The impact of Using Nursing Presence in a Community Heart Failure Program”, is to describe the concept of nursing presence and how it can positively influence patient outcomes. Key points mentioned were that presence as the basis of intervening builds trust, which is key to developing and maintaining self-care behaviors; nursing presence is a tool for the patient to experience physical and spiritual healing; committing to true presence means the nurse will willingly listen to the patient and supporting decisions. In a way being presence, is advocating for the patient; the nurse needs to be there mentally in order to effectively and safely care for the patient. According to Anderson, some key attributes of presencing
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
The systematic review indicated (1) ‘Case management interventions were associated with reduction in all-cause mortality at 12 months follow up, but not at six months’. (Takenda, et al, 2012) The systematic review also went on to state that while case management interventions were not associated with reduced mortality, case management interventions were indicated to reduce the occurrence of patients presenting to hospital with exasperations of chronic heart failure. The benefits of case management based interventions were apparent after 12 months had lapsed. Six of the twenty five studies assessed (2) heart failure clinics, and the evidence for this intervention was less convincing with the review stating ‘there was no real difference in all-cause mortality, readmissions for HF or between patients who attended a clinic and those who received usual care’. (Takenda, et al., 2012)
The Iowa model, developed by Titler in 1994, focuses on organization and collaboration incorporating conduct and use of research, along with other types of evidence (Titler et al, 2001). Since its origin in 1994, it has been continually referenced in nursing journal articles and extensively used in clinical research programs (LoBiondo-Wood and Haber, 2006). This model allows us to focus on knowledge and problem-focused triggers, leading staff to question current nursing practices and whether care can be improved through the use of current research findings (Titler, 2006). In using the Iowa model, there are seven steps to follow: (1) selection of a topic or problem for evidence-based practice, (2) forming a team, (3) Evidence retrieval, (4) Grading the Evidence, (5) Developing an EBP Standard, (6) Implement the EBP, and (7) Evaluation (Titler et al, 2001.
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
On the day I shadowed, I had to wake up at 4:30 in the morning to meet with the women I was shadowing. We got to UPMC Shadyside in about 1 hour and 30 minutes due to all the delays and traffic. As soon as we got to the hospital, we parked in the dedicated parking garage and then headed off into work. We took the elevator and many hallways to get to the particular wing of the hospital, the ICU. The intensive care unit is a part in the hospital where patients that are critically ill reside in. It can be temporary or permanent. Whenever we first got to the ICU, we went into the break room, and we put all our belongings in a locker. Jana, the women I shadowed, then checked in by using her card in this electronic swipe system. We then had to meet with the nurses working the night shift to get updates on the patients we would be taking care of that day. In the intensive care unit, nurses are usually given two patients to watch over for their whole
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event, our mutual goal is to provide the appropriate care for the patients/residents so they can restore their health after their hip or knee surgery. In the nursing leadership and management textbook it stated “interprofessional practice removes the gatekeeper and allows client access to all caregivers based on expertise needed.” (Kelly & Crawford, 2013, p.35) In this event, my preceptor and I gained knowledge about Revera and will pass on this information to patients who are interested in staying at a retirement home after they discharge from the hospital. One literature talked about how according to the Institute of Medicine, it is critical to have the capacity to work together as part of the interdisciplinary team to assist in delivering high quality, patient-centered care. In addition, effective collaboration among health care professionals results in improved patient care and outcomes. (Wellmon, Gilin, Knauss & Linn, 2012) This indicates the importance of interprofessional collaboration to provide...
According to the author, nursing practice needs to stay current with technological advances while keeping its identity as a patient focused profession. Nurses use technology to improve care from a patient?s perspective, both in quality of care and cost. At the same time, nurses must learn to balance technological knowledge with personal skills, thus providing optimum clinical care while maintaining a person-focused relationship with the patient.
Luong, (2012) indicated that work engagement has three extents: (1) cognitive; belief in and support for the goals and values of the organization, (2) affective; sense of belonging, pride and attachment to the organization, (3) behavioral; willingness to go the extra mile, intention to stay with the organization. Also, nurse engagement is considered an affective state that reflects nurse's personal satisfaction and a sense of inspiration and affirmation that get from work and being a part of the organization
...uality of sleep and rest while in the hospital while being given an element of control over their care. By continuing to explore and offer these interventions, the field of nursing continues to provide patient-centered care that holistically treats patients in an effort to restore them to their maximum health.
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
We are living in electrifying times. Mobile health (mHealth) technology is changing every facet of the way we live. Possibly no area is more imperative or more reflective than the improvements we are observing in healthcare (Fox & Duggan, 2012). In current years, there has been an increase of wearable devices, social media, smartphone apps, and telehealth, and each has immense promise for the future of organized health care (Fox & Duggan, 2012). With the capacity to assemble and interpret patient-made data, these mHealth tools keep the assurance of changing the way health care is provided, proposing patients their own customized medical guidance (Manojlovich et al., 2015). Health care availability, affordability, and quality are
Supportive relationships between patient’s family and hospital staff benefits the patient, the family and the staff. The following are the ways in which each of them is benefitted: • Family: The formal involvement of family members in family-staff care partnerships provides social support, lowers distress, and reduces feelings of guilt and loss to the family. It helps the family adapt to the changes involved in transition to nursing home, and helps fight the feeling of being entrapped in sadness and obligations. • Staff Members: When family members involve themselves in the treatment procedures, nursing home staff often feels a sense of satisfaction about their roles. They realize that their services are well enough to keep the patient and the staff contented.
(2013) among 40 care workers in the same facility. The study came out with the four major themes; (i) acknowledgment of the patient, it is about recognizing a person’s physical, psychological and social needs, (ii) recognition as an individual, everyone is different from the other, they are unique individuals that needs to be understood, (iii) value of the relationship, it is related to the feelings and warmth which they receive from their friends, family and even the carers. It also resembles the bonding between residents and staff, (iv) encouragement of independence, it is about the environment of the care homes and residents’ right to decision and independence. Apart from these, barriers were also identified which were time, system constraints and process of evaluation and planning.
The theory is based on the fundamental concept of human interaction. The theory is multidimensional and based on interactions and the shared human experience. According to Wu and Volker (2012), the authors of the humanistic theory, describe nursing as both a mode of doing something and being present with the patient. Interactions between patients and the nurse are unique experiences that emerge as a reflection of experience and connectivity. Nursing as a profession is a complex profession that is heavily rooted in the ability to communicate and interact throughout a therapeutic nurse-patient relationship. According to Wolf and Bailey (2013), Zderad stressed the importance of perspectives on patients’ subjective worlds. The concept of human interaction in the healthcare setting extends beyond the patient to include family and community. Paterson and Zderad’s theory identify the act of nursing as the ‘between’ in the ‘call-and-response’ (Silva, 2013, p.133). Silva (2013) affirms Patterson and Zderad’s theory by stating, “nurses are prompted to respond to health-related concerns through entering the world of another” (p. 133). Connectivity between the nurse and the patient has a dramatic effect on perception and holistic care. The shared human experience is unique to each individual involved. Effective nurse-patient relationships are