13:305-309. Rigby P and Alexander J (2008). Understanding Schizophrenia: Nursing Standard 22:28, 49-56 Sheldon, LK (2009) Communication for nurses: talking with patients, Jones and Bartlett Publishers, Sudbury Sturdy, D. (2007) Indignity in care: are you responsible? Nurs Older People. 2007; 19(9): 9.
This method of reflecting on my own personal experiences in a specific set of circumstances promoted thought-provoking questions and ideas. It also helped me to realize the importance of having all the data prior to making a decision on a plan of care. It becomes obvious while attempting to answer questions on case studies when there is not enough information. Case studies are a great way to put yourself into the clinical situation so that as nurses we may have a greater understanding of critical thinking (Asselin, 2012). Challenges as an Evolving Leader Today’s nurse, as an evolving leader, must be compassionate, professional and treat the patient as a whole.
These goals ranged from critical thinking decision making, culture, growth & development, legal and ethical to clinical competence safety/holistic care, evidence-based practice, and professionalism lifelong learning. Critical Thinking and decision making Relate personal learning style to preparation for the NCLEX-RN: Critical thinking and being able to work together with the healthcare team is a key to be a successful nurse and providing the best care to the patients. A nurse should understand the disease process to fully understand how to care and organize a plan to care for assigned patient. This concept will also help me learn and understand better and eventually apply this knowledge toward NCLEX as well. My goal is to exhibit the use of my critical thinking skills throughout assessing, diagnosing, planning, implementing and evaluating nursing care (ADPIE).
Nursing theories are the support of nursing practice nowadays. Application of nursing theory into practice has significant impact on improving quality of patient care and overall healthcare outcomes. In particular, a practice theory called Plan-Do-Study-Act cycle (PDSA), developed by W. Edwards Deming, can be applied to improve processes in healthcare settings. According to Varkey, Relle, & Resar (2007), this theory “involves trial-and-learning approach in which a hypothesis or suggested solution for improvement is made and testing is carried out on a small scale before any changes are made to the whole system” (p. 736). Healthcare processes need to be constantly evaluated based on evidenced-based-practice for quality improvement and better patient outcomes.
Nurses use theory to assist in providing education and care to their patients. Utilization of nursing theories enhances the nurse’s ability to use concepts that have been researched and proven in the application of nursing care. Behavior is an important keyword when discussing health promotion theories because lifestyle modification requires a change in beliefs and attitude. Many health promotion theories explain how behavior can enhance or deter a patients progress in health related activities. Nola Pender, a nursing theorist and educator, has developed the Health Promotion Model (HPM).
Nursing theories are the support of nursing practice today. They are significant to nursing practice, education and scientific research because they help to determine, what is already known, and what additional knowledge and skills are needed. Nurses are usually first exposed to nursing theories during nursing education and further exposure comes from hands on training. The gained knowledge, about nursing theories, through education and training enhances better outcomes for patients and caregivers, allows application of professional boundaries, and assists in decision making. In this paper I will attempt to analyze, in general, the importance of nursing theory to the nursing profession; discuss middle-range theory, furthermore Benner’s model of skill acquisition, and how this theory addresses nursing’s metaparadigm; and how this theory views nursing education.
After all, it is nurses who are responsible for maintaining the integrity of our profession. Truth Telling and Promise Keeping: Foundations of the Nurse-Patient Relationship The right thing to do was obvious, when put into the perspective of the patient and the nurse-patient relationship. Tele-nursing involves a special sort of nurse patient relationship, one that must be developed with an immediate rapport and understanding of trust with a caller (Nagel, Pomerleau & Penner, 2013). Patients enter into a relationship with the provider and by extension, the after-hours nursing staff, and place their trust in their provider at a potentially vulnerable time (Carter, 2009). While training a nurse who was new to telephone triage, it became evident to me through several calls and transactions that the nurse was not honest in her interactions.
2007; 19(9): 9. The National Institute for Health and Clinical Excellence (2009), information on medication management available from http//: www.nice.org.uk (accessed on 14th February 2011) Voegeli D; British Journal of Nursing (BJN), 2010 Jul 8; 19 (13): 810, 812, 814 Care or harm: exploring essential components in skin care regimens. Watson J (1995), Postmodernism and knowledge development in nursing, Nurs Sci Q 8 (2):60, World health Organisation (2010) ‘Oral Health’, at http://www.who.int/topics/oral_health/en/ (Accessed 19/11/2010
One extract focuses on the process of clinical assessment and it begins by highlighting the significance of its application in the nursing practice. This significance has been emphasized in my studies as we have been gaining knowledge in preparation for our OSCA examinations and I am aware that we will continue building upon these skills throughout the remainder of this course. The most commonly used frameworks for nursing assessments are described in the text, and this information is a valuable foundation for me to refer to in future practice. The ability to assess a patient effectively will be vital in practicing as a nurse, so this knowledge is valuable for me to refer to. Assessment is ongoing and continuous in the nursing process; and involves a comprehensive collection of objective and subjective information in regards to the physiological, psychological, sociocultural, developmental, and spiritual aspects of the patient.
However, one’s attitude towards incorporating and utilizing nursing standards in their practice is essential in determining its success or failure. Having an attitude of acceptance and valuing new ideas is something that I am beginning to acquire in my nursing practice. My positively changing attitude is applied to the leadership standard of nursing. Functioning effectively within a multi-faceted team requires open communication, shared decision making, and mutual respect. I am learning to have better leadership attitudes as it relates to appreciating the importance of collaboration between the multi-disciplinary medical team, respecting the unique qualities of each member, and acknowledging my own contributions to the effectiveness or dysfunction of the team.