Case Study 2: Joanne Duffy’s Quality Caring Model©
Safe labor and delivery is dependent on successful interaction of the four P’s; one of these P’s represents psyche. Psyche refers to “a woman’s emotional structure that can determine her entire response to labor and influence physiological and psychological functioning” (Silvestri, 2011, p. 298). Anxiety and fear are two common emotions experienced by women in labor, especially first time mothers, and can have an unfavorable effect on the labor and delivery process (Silvestri, 2011). In the situation described, Keisha is beginning to experience and express emotions that could be damaging and complicate a safe and successful birthing process. Although Keisha has an outpouring of support from her husband and extended family, it is imperative for the nurse to implement the Quality Caring Model© in this situation. Through implementation of the eight caring factors, the nurse must build and foster caring relationships with Keisha, her husband, their family, and other members of the healthcare team to achieve the best possible outcome for this situation.
The nursing process aids the nurse in assessing the patient and situation; this includes diagnosing the problem, making a plan, implementing the plan, and eventually evaluating the outcome. Keisha is a scared first time mother, who has chosen to forgo pain relief and other interventions during her labor; currently she is becoming uncomfortable and doubting herself. The presence of pain and fear can cause a problem which will affect not only Keisha, but also the labor process. With her husband at the bedside, there is a possibility that he may also start to become fearful for his wife and unborn child and react accordingly. The...
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...y caring in nursing: Applying theory to clinical practice, education, and leadership. New York: Springer Publishing Company.
Duffy, J.R., & Hoskins, L. (2003). The Quality Caring Model©: Blending dual paradigms Advances in Nursing Science, 77-88. Retrieved from https://polk.desire2learn.com/d2l/le/content/98735/viewContent/2324948/ViewReference
Heartland Health. (2012). Heartland Health Clinical Affiliation: Student Orientation 2012. [PowerPoint slides]. Retrieved from https://www.mymosaiclifecare.org/PageFiles/5467/2012ClinicalStudentOrientation.pdf
Jenko, M. (2013). The Quality Caring Model© Joanne Duffy. [PowerPoint slides]. Retrieved from https://polk.desire2learn.com/d2l/le/content/98735/viewContent/2324952/View
Silvestri, L. A. (2011). Saunders Comprehensive Review for the NCLEX-RN Examination. (pp. 298-307). St Louis, MO: Elsevier Saunders.
meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work” (QSEN, 2017). The six QSEN competencies include patient- centered care, teamwork and collaboration, evidence- based practice, quality improvement, safety, and informatics. Two QSEN competencies that relate to MAS are safety, and teamwork and collaboration. The nurse needs to have the knowledge, skills, and attitudes regarding MAS to ensure the newborn’s safety. In order to keep the newborn safe, the nurse must have critical thinking skills to be able to recognize and communicate pertinent information, such as new
Saunders (2012) states that the treatment of a breech delivery requires the paramedic team to work simultaneously and efficiently to perform several interventions. He states that the paramedic team should undertake a primary survey and introduce themselves to the patient on arrival. From the initial patient contact, the paramedics should begin providing reassurance to the patient and their family, both verbally and non-verbally (Saunders, 2012). Reassurance aims to reduce patient anxiety, create a rapport with the patient and encourage an environment of care, respect and understanding (Pincus et al., 2013). The paramedic team should complete a secondary survey, including vital signs and a complete patient history, particularly pregnancy relevant
Nurse Jackie is a television series that is set in a hospital environment. Within the hospital there is an interdisciplinary approach which focuses more on the work the nurses perform. Jackie is the main character who we follow and is an emergency department (ED) nurse. Jackie is a hard working nurse who is experiencing severe back pack pain thus causing her to use narcotics to control the pain. That said, this paper will explore how nursing
A care relationship is special and requires skill, trust and understanding. This essay will elaborate how the quality of that relationship affects the quality of the care given and the experiences felt in receiving care. These different relationships will depend on the type of care given, who the care is given by and what sort of previous existing relationship there was to begin with. For a good care relationship to work it needs to follow the 5 K101 principles of care practice which are 'support people in maximising their potential','support people in having a voice and being heard','respect people's beliefs and preferences','support people's rights to appropriate services' and 'respect people's privacy and right to confidentiality'.(K101,Unit 4,p.183). If all of these needs are met a far exceptional quality of relationship between the carer and care receiver will be achieved.
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence-based practice. I will conclude by explaining what I have learned from the experience and how it will change my future actions. In accordance with the 2002 Nursing and Midwifery Council, the client details and placement setting has not been disclosed in order to maintain confidentiality. Critical incidents are snapshots of something that happens to a patient, their family, or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001).
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins
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 nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
The hospital room holds all the usual scenery: rooms lining featureless walls, carts full of foreign devices and competent looking nurses ready to help whatever the need be. The side rails of the bed smell of plastic. The room is enveloped with the smell of plastic. A large bed protrudes from the wall. It moves from one stage to the next, with the labor, so that when you come to the "bearing" down stage, the stirrups can be put in place. The side rails of the bed provide more comfort than the hand of your coach, during each contraction. The mattress of the bed is truly uncomfortable for a woman in so much pain. The eager faces of your friends and family staring at your half naked body seem to be acceptabl...
There are various definitions of “models of care”. However, the most important feature remains how health care services are delivered. Model of care was defined more precisely as a conceptual tool which is a standard that associates concept, belief and intent linked in several ways (1). This implies people getting care when it is required, with optimal utilization of resources and by the appropriate provider. ****find reference…..
These students are beside the mother during every step of her labor and delivery, and when the mother suffers a traumatic event sometimes the midwives are affected. As a future nurse, it is important not only to notice the signs and symptoms of PTSD in any patient, but to say something and document it. Just mentioning a difference in demeanor may be all it takes for them to speak freely. Sometimes it takes more than one or two times for offered help to be accepted. In practice with patients, this future nurse will draw upon the knowledge of the charge nurse, the social workers, and providers, together a positive solution can be
Sampaio, C., & Guedes, M. (2012). Nursing process as a strategy in the development of
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.
In the healthcare setting, a systematic process to ensure maximum care and maximum recovery in patients is needed, which is called the nursing process. This process consists of four steps: assessment, diagnosis, planning, implementation, and evaluation (Walton, 2016). The nursing process is important to ensure quality care and to get the preferred outcome. In the nursing process, critical thinking is used to recognize the issue and come up with a logical solution to solving it. One important aspect of the nursing process is that the plan is not set in stone; it is meant to be manipulated in order to better suit the patient. Nurses must be able to think critically in order to recognize the issue, develop a way to correct it, and be able to communicate the issue to others. Throughout the nursing process, critical thinking is used to determine the best plan of care for a patient based on their diagnosis.