Nurses need to be educated on meeting the needs of patients more efficiently. Leaders must initiate the Orlando nursing theory model within the unit. When using Orlando’s nursing theory as a framework, nurses can identify their own perceptions, thoughts and feelings about the patient’s behaviors, and validate them with the patient (Potter & Tinker, 2010, p. 41). Leaders must provide staff with confidence and skills needed to identify patient’s immediate needs. Leaders can hold individual conferences with nurses and listen to their opinions and concerns within the unit.
It is a middle range theory that focuses on interpersonal relations. This theory teaches us on how to interact with our patients so that they feel more in control of their treatment. In this paper, I will be talking about the importance of nursing, the summary of Peplau's theory, and how nurse practitioners can apply it. Nursing theories form the supportive framework on which our patient care relies
Collaboration is an effort of multiple members of a healthcare team to achieve a desired outcome. It is partitive that in healthcare the goal of the patient is centered around the patient needs. Here should be open dialogue and shared decision making amongst all members of the healthcare team and the patient (Davis, 2010). Professional boundaries are the intimate nature of nursing and often present challenges as nurse’s share problems and difficulties with patients that can be quite stressful (ANA, 2010). When the nurse finds that professional boundaries are becoming endangered the nurse should seek assistance from peers or supervisors or seek to remove themselves from the situation (Olin,
The relationship is created to achieve a goal based off the patient's priority needs in which the nurse acts as the leader who guides the relationship to attain the end goal (Videbeck, 2016). The nurse can do so through teaching, answering questions, providing respect and counseling the patient. This type of nurse-patient relationship would be demonstrated in the clinical milieu by the nurse taking the time to notice if there are any changes in a patient's behavior then taking action if there are changes by asking the patient what they are feeling. If the patient opens up and talks about their situation, the nurse should use therapeutic communication skills such as broad openings to encourage communication, active listening, reflecting and others techniques (Videbeck, 2016). I have noticed many other demonstrations of therapeutic nurse-patient relationships in the milieu during my clinical experience.
The article summarizes that the role of an advocating nurse is to be able to communicate with the patients about their patient rights, support any decisions made, be the voice for patients with ineffective communication skills, and to protect the interests of the patients. The aim of the study was to explore the perspectives of nurses in patient advocacy and how it is related in the socio-cultural aspect. The literature also mentions that the concept of care and quality of patient care is recommended by nursing organizations. Patient advocacy is a duty that the advocating nurse expresses when it pertains to the rights of patients, and includes preserving the human dignity of the patient. Patient advocacy is when information, skills, and resources are used to voice decisions to improve the quality of care for those individuals who are unable to effectively speak for themselves.
Different ages, genders and the cultures of clients effect how nurses communicate with their clients to obtain and preserve a therapeutic relationship. Therapeutic relationships are relationships between nurses and clients, which are focused on the health of the client and their health needs (Day, Levett-Jones & Kenny 2015, p. 510), where nurses must obtain their personal boundaries (Nursing and Midwifery Board of Australia (NMBA), 2010). Communication is vital to nurses as required to develop therapeutic relationships. Communication is an interaction that provides a response and information to another. It can either be verbal, written, physical or diagrammatic.
Documentation is one of the vital components of ethical, safe and effective nursing practices that provide comprehensible image of the clients health status and their outcomes. As nurses we must draw on critical thinking and problem solving skills to make clinical decisions and plan care for the patient being assessed. If any abnormal findings are identified, the nurse must ensure that appropriate action is taken. This may include communicating the findings to the multi-disciplinary team. Davison and Neale, (2001, p.62) state that “The purpose of the assessment process is to diagnose, and to find the best treatment for a disorder and to do this the problem it must be classified correctly”.
The nursing issue experienced One significant nursing issue I encountered, during my clinical experience, is centered on nursing delegation. Delegation is a complex nursing practice aimed towards patient care. It requires the 2ability to make judgments under very complex situations and to have accountability for patient care. Nurses are brokers of patient care resource. They synthesize data collected by other healthcare professionals, for the purpose of coordinating safe and individualized care, thereby addressing the needs of the patient and their families.
Accountability looks to see if the RN used his or her nursing knowledge, critical thinking, and clinical judgment skills in delegating a task” (Catalano, 397). When nurses do their tasks, they need to be aware of the importance of rules and “periodically review the rights and responsibilities of assertiveness to help reinforce the assertive communication process” (288). The responsibilities of nurses have a variety of the parts with patients that have different health problems, including mental health and disability. Furthermore, nurses have the responsibilities to help doctors urges for the patients, whether it is in the surgery or emergency room. Nurses demand the following
When the nursing staff are consistent with addressing manipulative behaviour, they create structure for the patient. When structure is provided, changes in the patients behaviour can occur. (Austin and Boyd, 2015). Within clinical reasoning, the outcome that the nurse wants to achieve is the ability to change the behaviour. Setting limits can allow consistency that will give the patient structured care.