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Caring in the nursing profession
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There are many nursing theories that are being used in the emergency room when the employees are treating psychiatric patients. Jean Watson’s caring theory is seen being used in the emergency room when the staff members are involved in the care of the psychiatric patients (McEwen & Wills, 2014, p. 182). The staff members are trying to provide the patients with holistic care and having a therapeutic environment is important for the patient to receive holistic care. The nurses and staff members are taking time out of his or her busy assignment to sit down, talk with these patients, and make sure that the patient is comfortable and has everything that he or she needs. Hildegard Peplau’s theory of nurse to patient relationship is another nursing theory that is currently being used in the emergency room when the staff members are taking care of psychiatric patients (McEwen & Wills, 2014, p. 30). A good nurse to patient relationship is important in nursing …show more content…
Florence Nightingale’s theory of the importance of environment should also be a theory that is put in place in the nurse’s practice that is working in the psychiatric area of the emergency room. With the implementation of Jean Watson’s theory of the caring model the nurse practices in a holistic way and the nurse has to work off his or her evidence based practice education so the patient receives the quality care he or she needs (Smith & Parker, 2015, p. 322). Both of the theories mentioned are effective in promoting master’s level practice, even though these theories seem so simple. Working with the psychiatric population, the nurses sometimes need to use multiple resources and his or her master’s level knowledge to take care of these
Never has it been more critical to provide high quality care in the hospital while being cost effective. The American Association of Colleges of Nursing (American Association of Colleges of Nursing [AACN], 2005) has created the Clinical Nurse Leader (CNL) role to introduce lateral integration of care for specified groups by creatively and intentionally using a variety of health care resources (AACN, 2005). The CNL’s purpose is to aid in various departments of the health care system including the psychiatric department. Although there is continuous tension between medical care and psychiatric care and choosing which is more important for a patient, the Clinical Nurse Leader is intended to bridge the gap between the two.
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
According to the article, “A Risk to Himself: Attitudes Toward Psychiatric Patients and Choice of Psychosocial Strategies Among Nurses in Medical-Surgical Units”, Nurses professional attitudes towards stereotyped psychiatric patients have a major effect on the psychosocial interventions chosen for that patient.” In the article, stereotype is defined as a cognitive element of a strongly held attitude toward a particular social group (Nelson, 2006). Nurses working in different units outside of the psych unit in the hospital are expected to know how to care for psychiatric patients ( Zolneirek, 2009). These nurses base there nursing implications on past personal experience with dealing with other psychiatric patients (MacNeela, Scott, Treacy, & Hyde, 2010). The article elaborates on a research study done by 13 nurses that watch a video of a psychiatric patient with anxiety that was admitted to a med-surgical unit. Research in Nursing and Health, discovered that “Nurses professional attitudes play a key factor in the psychosocial strategies chosen for psychiatric patients”. The two attitudes chosen amongst the nurses in the research study for the psychiatric patient were risk, vulnerability, or both. Depending on the attitude towards the patient, the nurses recommended three psychosocial interventions: Reassurance, encouragement, and structured engagement.
The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes from the therapeutic relationship. The health care provider should ensure that they communicate effectively to the patient/client. The skills explained in the above essay are the relevant skills that nurses in the contemporary hospital environment should adhere to and respect.
Does the theory have broad application or is the application only confined within a narrow focus? This theory can be applied to all areas of nursing because all patients experience a form of uncertainty when health is not
Dr. Hildegard E. Peplau, one of the world's leading nurses and theorists who is known to the world as the mother of psychiatric nursing, was born into an immigrant family in Reading Pennsylvania, USA in 1909 ( Sills, 2007). The devastating flu epidemic of 1918 influenced Dr. Peplau’s understanding and the impact of illness and death on families ( Sills, 2007). As a result, Dr. Peplau decided to attend nursing school. In 1931 she received her diploma from Pottstown Pennsylvania School of Nursing (Sills, 2007).Soon after graduation she began her career as a staff nurse in Pennsylvania and New York City (Sills, 2007). After becoming the school nurse at Bennington College in Vermont, Peplau earned her Bachelor’s degree in interpersonal psychology, in 1943 ( Sills, 2007). She then started working in a private psychiatric facility. During the world war second (1943-1945) Dr. peplau served in the Army Nurse Corps and was assigned to the Field Station Hospital in England, where the American School of Military Psychiatry was located ( Sills, 2007). It was during the war that Dr. Peplau enhanced her nursing knowledge and practice through direct participation in both learning and practicing. In 1947 Dr. Peplau received her masters and doctoral degrees from Teachers College, Columbia University ( Sills, 2007). In 1954 she was certified in psychoanalysis by the William Alanson White Institute of New York City ( Sills,2007). In the early 1950s, she developed and taught the first classes for graduate psychiatric nursing students at Teachers College ( Sills, 2007). From 1954- 1974 Dr. Peplau was a member of the faculty of the College of Nursing at Rutgers University ( Sills, 2007).There she created the first graduate ...
The nurse- patient relationship is an important key for nurses, because it can help to provide competent care and quality for the patient. Communication is the best way to approach a patient, obtain health history and understand their behaviors. Often effective communication with the patient can be hard for nurses because of a lack of time due to work overload or lack of professionalism in these areas, and lack of knowledge for nursing students. Nurses must learn the different types of communication that can help them to gain more skills to communicate more effectively. Patients with different types of mental health problem sometimes are able to interact in a conversational setting, and nurses can support these interaction efforts using different strategies. For example, nurses should have important conversations in a quiet environment, these approach should be undertaken to ensure maximal resident engagement in the planning and delivery of nursing
As a nurse in a psychiatry emergency room, the staff must collaborate for the safety of patients and staff. There is a triage process that must be followed when a patient comes to the Psych ED, security takes any electronic devices, keys, purses, lighters, knives, wallets, etc. A nurse takes a mini-triage, which determines whether a patient needs to go to the medical ED side, if the patient is cleared to go to the Psych ED, the nurse must then decide whether to place the patient in a locked involuntary area or unlocked voluntary area. Any patient that goes into the involuntary waiting area must be searched, and go into a patient gown. Once there the patient must be seen by a nurse, then by a doctor. If a patient is agitated to the point of
7 In 1952, Peplau published her Theory of Interpersonal Relations. 4 Her theory emphasized the nurse-client relationship as the foundation of nursing practice. It gave emphasis on the give -and –take-nurse client relationship that was seen by many and revolutionary. 8 Peplau went on to form an interpersonal model emphasizing the need for a partnership between nurse and client as opposed to the client passively receiving treatment and the nurse passively acting out doctor’s
Nursing in this theory is described as an art that helps individuals who are in need of health care, and goals are attained threw following a series of steps in a pattern. The nurse and the patient have to work together threw this process to achieve said goals. The Theory of Interpersonal Relations is a process that starts with the roles of the nurse, and those roles began with the nurse as a stranger, teacher, resource person, counselor, surrogate and leader (Nursing Theories, 2012). The theory begins with the role of the stranger, which is defined as the introductory phase and is an environment where about the patient is meeting the nurse and developing a trusting relationship. The nurse as a teacher allows the nurse to provide knowledge and information on a particular interest while the resource person provides specific information to a problem or situation. As counselors the nurses help to make life decisions and provides guidance. The surrogate role acts as an advocate on the patients’ behalf, while the role of the leader has the nurse assuming most of the responsibility to help patients meet treatment
Nursing theory can be applied to resolve nursing problems or issues, irrespective of the field of practice. A nursing theory benefits nurses and the patients that are in his or her charge. . Depending on the issue or problem that is needed to be solved determines what theory needs to be used. Nursing theory started with Florence Nightingale. She believed that a clean environment would promote better health. Virginia Henderson’s need theory emphasizes the need to ensure that the patient’s independence is being increased while in a health care facility. Ensuring that a patient can increase his or her independence allows for them to experience better outcomes upon discharge home. This is just two examples of nursing theories that were used
This article reveals the lived experience of psychiatric nurses who are working in perilous institutions. As a result of the unnoticed or veiled life-threatening condition by most organizations, psychiatry hospitals in our today society are experiencing critical nursing shortages leaving patients and staff more exposed and vulnerable to threats and violence. The researchers believe that a descriptive qualitative study is the best approach to understand the participant’s lives experience. They also draw on some relevant literature to contextualize their research. This study follows Peplau’s interpersonal theory as well as Heidegger’s interpretative phenomenological theories, which indicate that nurse-client relationship is crucial for the therapeutic
In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented and evaluated by myself, a second year student nurse, under supervision from a qualified member of staff.
Peplau published her Theory of Interpersonal Relations in 1952, and in 1968, interpersonal techniques became the crux of psychiatric nursing. The Theory of Interpersonal Relations is a middle-range descriptive classification theory. According to (Senn, 2013, p. 31), middle-range theories focus on a portion of reality or human experience, involving a selected number of concepts. Peplau’s theory was influenced by Henry Stack Sullivan, Percival Symonds, Abraham Maslow, and Neal Elger Miller.