As I moved through each of the case studies, I was able to expand my knowledge and learning regarding the clinical decision making process. In particular, I believe my understanding as to the importance of conducting a physical assessment of a patient was the largest development I had in my learning. This is due to the fact that as the course went on, it was reinforced to me that a physical assessment is imperative to care as it allows the nurse to determine any health concerns that a patient may have, whether they are associated with his or her initial reason for the appointment, or separate. Following this assessment, the nurse can then work with the patient to establish a specific care plan that can meet his or her needs and goals. Moreover, …show more content…
Specifically, I recognized the importance of the nurse not only providing care to the patient who was the focal point of each case study, but also to those who could have been affected by or contributed to the changes in this person’s overall health. As I made my way through each case, particularly those of Suzan and Lillian, I found that the individuals working on the Rwandan perspective did not address the needs of these women’s children or their husbands. At first, I found this to be mildly concerning as I believe that these needs are related to and can influence Suzan and Lillian’s health concern(s) in one way or another. Upon further reflection on this situation, I realized that those developing this perspective might have decided that it was best to solely focus on the patient who was seeking care because amongst other reasons, her family members might have chosen against being part of the care process. Moreover, although focusing on the central patient is a critical aspect in nursing care, I believe that the individuals working on this perspective should have also stated that the nurse must address the needs of Suzan and Lillian’s family members at a later time. They could have then explained some ideas as to how the nurse could work with these people to meet their needs and in turn improve their health. In Suzan’s case, these ideas might include providing care to John to help with his abusive tendencies and drinking as well as assessing what could be causing him to act in this manner. Additionally, the nurse working with Lillian could address her children’s issue with television and video games, suggest coping mechanisms Eric could employ when he is feeling down as a result of his slower maturation, and propose relaxation techniques for Aileen to use when she is feeling
Angela Burke who was a patient admitted to the psychiatric ward for suspected mental health issues required care. When working with mental health patients, it is necessary to use a patient centered care approach which emphasizes on each individual’s personal preferences and needs (Bromley, 2012). The main goal of this is to empower patients so that they can participate and become active in their care and allowing them to have a sense of control of their life (Bromley, 2012). For this to happen, it is essential for Authorised Mental Health Practitioners (AMHPs) to work together in collaboration using the NMBA’s Nursing Practice Decision Making Framework Tool in order to develop an efficient and effective patient centred care plan using goals to avoid or minimise potential risks in a ward setting. This paper will also discuss the different appropriate delegation, supervision and mentoring strategies which can be used amongst the inter-professional in order to create an effective shared
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
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
In conclusion, Mr. Devi journey discussed throughout the essay, focusing on the role of the nurse in clinical decision-making. This essay looks at the Tanner (2006) model that begins with gathering relevant information about the patient and assembling that information to identify the problems. To assess and comprehend his condition Mr. Devi physical, mental and social information gathered from a nursing perspective. Based on Mr. Devi background, current condition and assessment, his risk factors for stroke were identified. Further, in response to his problem a nursing care plan formulated in partnership with patient and nurse considering his values, customs and spiritual belief. Nursing interventions and actions were placed based on best available
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.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
This paper will discuss three theories of decision-making that can be adopted in nursing practice, additionally how decision-making theories are able to be implemented and used. Decision-making in nursing is adopted through the critical thinking process that provides each nurse a model to make the best choices, solve problems and to meet goals in clinical practice (Berman & Kozier 2018, pp. 199-200; Levett-Jones & Hoffman 2013, pp. 4-5). Effective decision-making in nursing is a vital component and part of the role of a registered nurse; each year a substantial number of patients die due to medical errors and poor decision-making (Levett-Jones & Hoffman 2013, pp. 4-5; Nibbelink & Brewer 2017, p. 3). Through the use of effective decision making
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
The intent of this interview was discussed with the family, namely, how the data would be used to discuss family experiences for an assignment in Family and Societal Nursing for RNs at State University. Most importantly, I mentioned to the family that I hoped to provide them with interventions and support to...
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
Dhamani K., Paul P., and Olson K. J., (2011) “Tanzanian Nurses Understanding and Practice of
Like all professions and disciplines, nursing is influenced by, and must respond to global trends needs, challenges, and opportunities. These strategies will influence and shape the future of the nursing community and health care nationally and internationally. Also in a global committee health care exhibit problems some of which are political, educational, educational, nursing , environment and social issues. Therefore, improving and achieving health in a global community is of great concern to the nursing profession. Hence, “health and healing varies across countries and culture, the pursuit of healthy individuals and communities is a universal goal” (Jacobsen, 2008, p. 1). Nurses can be advocate, educator, counselor as well as an advocate to this society.
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...