These five steps are: 1. Nurse to have a critical self-assessment of their own knowledge, attitudes, and skills. The nurse should also obtain a cultural assessment of the patient’s background. The nurse can use subjective and objective findings by both a physical exam and health history. 2.
This will help the nurse reflect on their own shortfalls and modify their attitudes toward this set of people with a different background (Andrews, M. & Boyle, J., 2016). The nurse must then collect subjective and objective data about the patient, this includes their health history and physical exam. Next, the nurse must meet with the family members including religious, spiritual healers and the healthcare team to set clear and concise goals. These people discuss their options and how to meet the desired outcome. After the goals are established a plan of care is developed.
This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation.
A nurse needs to have varied beliefs and strategies for handling situations and patient care issues. She needs to listen and be tolerant. Being understanding of differences will not only broaden her own horizons, but also will help her to become a better nurse. A cultural competent nurse should ask questions and listen carefully to the answers in order to better understand the cultural diversity issues in health care that affect her patient. This approach emphasizes the patient’s role in promoting his wellness and in his responsibility for his own care.
Adding on when nurses are self-aware they are able to adapt to, or positively change their attitudes and actions and to understand how different people treat them and this creates a better nurse-patient relationship. In addition a positive self-awareness gives a sense of continuity, wholeness and consistency to a person. In relation to nursing, self-awareness helps nurses to learn about their strength and weaknesses. “It helps nurses to deliver better client care thus; client gets well soon and builds a trusting relation between the client and the nurse. Self-awareness helps nurses to identify several problems that might be a cause I providing better care”(Nancy Burns, 2005).
To conclude, reflection is a skill necessary to the efficient function of a nurse in order to identify risk factors, which can be reduced by better preparation. To summarize, there is a constant need for health frameworks to govern nursing procedures. Nursing assessments require frameworks to reduce risks of wrong treatment, effective communication is required between colleagues and patients to avoid confusion. A standard of professionalism is required to ensure nurses aren’t over involved with their patients, education is important in promoting individual health, clinical reasoning is vital for the immediate treatment of a patient. Lastly reflection is ideal to analyse the positives and negatives, it is best to follow the Gibbs reflective cycle when evaluating methods.
Secondly, these points will be explained in detail in reference to manual handling and its effect on patients and practitioners in a health care setting. Lastly, the process in which evidence is transferred into clinical practice will be evaluated in terms of how nurses and other practitioners take on the new information and whether or not it is actually been implemented. Evidence based practice was originally identified as evidence based medicine, but over time it has been passed on and used in other professions such as education, and began to be acknowledged as evidenced based practice. Evidence based practice helps to define and justify clinical decision making. Some evidence based practice excludes the patient but this should be one of the main priorities the research should consider when validating guidelines to assure that decisions been made are for the best possible outcome for the patient.
For nurses to be able to empathize with their patients and treat them with compassion, they have to be self-aware. When nurses are self-aware, they are able to positively change their attitude and actions in order to best understand how different people treat them, hence improving nurse- patient relationship. Relationships are easy until there is emotional turmoil. Thus, being self-aware is important to any health care professional that needs to manage their cognitive, affective and behavioural self in order to engage effectively in therapeutic relationship (Taylor, 2006). Self-awareness is important because it helps us to build a better understanding of ourselves.
As we begin to see more and more people from various cultures come into our health system it is important for nurses to look at their own culture values and customs and be aware of any biases that they might have toward groups that are different from their own. Defining Culturally Sensitive Nursing Madeline Leininger (1984) defines transcultural nursing as “a humanistic and
“Care can be considered simply an ethical task and thus a burden of one more thing to do, or it can be considered a commitment to attending to and becoming enthusiastically involved in the patient’s needs” (Applying the Ethics of Care to your Nursing Practice, page 116). In this model, nurses need to be knowledgeable about human behavior and responses to health problems, individual needs, how to respond to others, and the strengths and limitations of the patient and family. The nurse also comforts and offers compassion, and empathy to the patient and family. There are many concepts in Jean Watson’s Theory of caring. The three major concepts that will be discussed are: transpersonal caring relationship, caring occasion/caring moment and the ten caritas processes.