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Essays on cultural competence in nursing care
Essays on cultural competence in nursing care
Essays on cultural competence in nursing care
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As a first year student nurse, I am now beginning to develop my individual identity as a New Zealand nurse. Thinking about how I would like to nurse and why I would do so. In my opinion partnership is an integral part of nursing with three important aspects, which determine the strength and effectiveness of any partnership: respect, trust and integrity. A house is a metaphor; where respect, trust and integrity form the solid foundation of the house (partnership). In addition, the partnership between the client and builder is another an exemplary of partnership. This paper will address the theory and foundational documents on which I have based my idea of nursing. Through this paper I will continue to develop my understanding of the type of …show more content…
The theory outlines responsibilities of the patient and the nurse within the Nurse-Patient Partnership, throughout the nursing process. The client has the responsibility to communicate any problem they might be experiencing and preparing oneself for interventions that the nurse might have. The nurse has the responsibility of having the correct knowledge to identify what the problem might be and using critical thinking develop the best possible nursing care plan for the client. Learning within the Nurse-Patient Partnership is dynamic: the client may share their cultural beliefs, values and experiences, about nursing procedures, that may better suited to them. While simultaneously, the nurse may share her professional knowledge in a formal or informal way to educate the client and their families. Using such effective communication, along with critical thinking allows for an effective partnership: where cultural barriers are overcome through the involvement of family members and substitutions. The metaphor of the builder and the client also demonstrate dynamic learning but also a dynamic partnership where both work hand in hand to develop the plan for the house to be built (nursing care plan) and ultimately accomplish our common goal. Note that the nurse also has the responsibility to be attentive to ensure the patient has an active role in their treatment and to constantly coach and encourage the client. The …show more content…
The Treaty is a partnership, between the Maori and the British crown, where the British claimed sovereignty over the country and in return, the Maori were given equal rights as the British. As recognized by the Nursing Council of New Zealand (2011), principle two of the Treaty of Waitangi is based of Partnership; which involves nurses working together with Maori with the mutual aim of improving health outcomes for Maori (Nursing Council of New Zealand, 2011). By working together with an agreed common purpose to achieve positive health outcomes (Nursing Council of New Zealand, 2011). Effective communication with the two parties is an important aspect of partnership, as it allows for knowledge sharing but also allows both parties to negotiate an agreed treatment plan to maximize positive health outcomes. Integrity is another important aspect of this principle as it preserves the trust and respect between the two parties, concerning information relating to either the client or the nurse. Principle two demonstrates the three aspects of partnership; trust, respect and integrity: which collectively work to ensure the partnership formed is culturally safe and
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). 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. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
A very important concept that needs to be implemented world-wide is collaboration. Collaboration can be defined as “working with other individuals or groups to achieve a common goal. It differs from cooperation which involves groups working together to achieve their own individual goals’’ (Tomajan, 2012). This concept is critical in making the nursing image as clear and accurate as possible while also properly representing the profession. Worldwide, if nurses can represent themselves in a particular way, having the same ideals, morals, and knowledge, there would be little room for people to criticize the profession. Collaborating also allows for the formation of new ideas and discoveries, strengthening the knowledge of nurses and creating the opportunity for more authority. The entire profession as a whole need to help everyone understand what nurses really do for patients. Nurses are the invisible hand behind the success in every hospital or health-care facility. From a quick visit to the doctors to an emergency room visit, the ones the patients interact with and grow a relationship with are the nurses. The nurses know the ins and outs of every patient and have the direct connection with the patient along with tremendous knowledge and skills. This needs to be addressed in the media rather than challenging the nursing image. Giving
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
Therapeutic relationship is well-defined as the process of interrelating, that concentration on advancing the physical and emotional comfort of a patient. Nurses use therapeutic practices to provide support and evidence to patients. It may be compulsory to use a variation of techniques to achieve nursing goals in collaborating with a patient. By discovering the reluctance of the patient to study, as well as the opinions and beliefs of the client and their family, the nurse work together with the client to discoveraexplanation. The...
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
Orlando’s Theory of Deliberative Nursing Process is based on key concepts and dimensions. Key concepts include: patient’s behavior, need for help, improvement, nurse’s reactions, perception, though, feeling, nurse’s activity, automatic nursing process, and deliberative nursing process. Frameworks from the theory have evolved from other theorist in regards to Orlando’s theory and include: professional nursing function, the patient’s presenting behavior, immediate reaction, deliberative nursing process, and improvement (Alligood, 2006). The theory focuses on the interpersonal process between people and is directed toward facilitating identification of “the nature of the patient’s distress and his need for help” (Orlando, 1987). The theory is based on the metaparadigm concepts person and nursing. Orlando focused on a particular nursing process that leads to improvement in the patient’s behavior (Fawcett, 1993). She stated “what a nurse says or does in the exclusive mode through which she serves the patient” (Orlando, 1987). Orlando’s theory remains one of the most effective practice the...
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
The Scope of Nursing Practice describes the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice. Each of these questions must be answered to provide a complete picture of the dynamic and complex practice of nursing and its evolving boundaries and membership. (ANA, 2010). Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering
This theory analysis paper focuses on the work of Ida Jean Orlando and her Deliberative Nursing Process Theory. Ida Jean Orlando was one of the first nursing theorist that developed a nursing process theory based on her own research and analysis. She established the Deliberative Nursing Process Theory which focuses on the interaction between the nurse and patient. The nurse’s goal is aimed at improving the patient’s immediate situation by relieving stress or discomfort and with effective communication, create a positive nurse-patient relationship. Her theory was developed from observations she recorded on actual nurse-patient interactions in the 1950’s. Orlando looked for “good” versus “bad” outcomes in nursing to determine effective
The Treaty of Waitangi is a very important document to New Zealand. It is an agreement that was drawn up by representatives of the British Crown and Maori Hapu and Iwi. It was first signed at the Bay of Islands on February 6th, 1840. There has been a lot of debate over the years about the translation of words between the English and Te Reo Maori versions of the text and the differences in the word meaning over the who languages. In this assignment I am going to cover the rights and responsibilities that the treaty contains and an explanation of the differences in wordings and I am also going to contextualise my understanding of the differences of wording against the Maori Worldview and the Declaration of Independence.