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Self awareness competence in nursing bartbery essay
Self awareness competence in nursing bartbery essay
Importance of teamwork in health care
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As mentioned earlier a person is considered human when they have a sense of wholeness. The table above describes my plan to further improve my sense of wholeness and ultimately improve the care I can provide. I will adjust to the changing of my whole person by continually evaluating my strengths and opportunities and establishing revised goals and plans. Insight into one’s own areas of opportunities and developing a plan to address those opportunities can only work to improve the nurse’s sense of wholeness and ultimately positively impact the care provided. In addition, understanding wholeness and personal areas of growth can potentially decrease the incidence of compassion fatigue and improve the work/life balance.
Healing Environments In
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SkyRidge Medical Center and The Children’s Hospital Colorado have received recognition at the state, regional and national level for exemplary care and both employee and patient satisfaction. There are many aspects from these two facilities that can be adopted to improve my personal nursing care particularly emphasis on play and using wagons for wheelchairs especially with younger patients and focusing on utilizing staff therapies to promote wellness and wholeness including massage and pet therapy benefit. Hospitals can be stressful places for both staff and patients and anything that can be done to limit the stress associated with the environment can only promote better …show more content…
Throughout history the idea of what it means to be human has developed from simply a physical body to include the body, mind, emotion and spirit of a person. Each of these aspects of humanity as well as the environment in which healing takes place needs to be evaluated to promote optimal healing. In addition, emphasis cannot be exclusive to the patient but must also include the provider’s sense of wholeness. From the first day of nursing school, it is ingrained that to be an effective nurse one must evaluate one’s own opinions and beliefs as they relate to the patient situation before we enter the caregiver role. This idea of self-awareness can facilitate the care process and enhance the human
Nursing is the core of care. The essential is not communication via words or language, but care that is imparted by sincere interest is interdenominational and transcends culture, language, and treatments. Relational consciousness is a significant component of a compassionate nursing practice. Doane, & Varcoe, (2015) state that relational awareness encompasses recognition that individuals are situated and constituted through cultural, interpersonal, social, political and emotional processes. Operating from the center of which we are, with insight and awareness is essential to phenomenological nursing practice. I will be exploring my personal values and beliefs
These four concepts play a very important role throughout the care in every single patient we are in contact with. The concept of person is used to represent each individual patient, such as a man or a woman (Chitty & Black, 2014). In the nursing profession, we know that every person is different in their own way from many different factors such as, genetics and environment. As a nurse, we incorporate the different factors that make a person who they are today. According to Chitty & Black (2014), the concept of environment includes all the influences or factors that impact the individual. The environment plays an important role in either promoting or interfering with the patient’s health. The environment can consist of many different systems, such as family, cultural, social and community systems. All these different systems can play a role in the patient’s health. The third major concept of the metaparadigm is health. The concept of health varies from person to person and day-to-day with many different factors included (Chitty & Black, 2014). Health includes every part that makes a person whole, which includes being able to perform their everyday tasks in life effectively. The last concept of the metaparadigm is nursing. Nursing, being the final concept includes all the previous concepts of person, environment and health to create a holistic approach (Chitty & Black, 2014). The holistic approach promotes the well-being of the mind, body and spirit in our
During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
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).
Parse, R. R. (1998). Living the art of Human Becoming. In The Human Becoming school of thought: A perspective for nurses and other health professionals (pp. 68-73). Thousand Oaks: Sage Publications.
The concept of person refers to the recipient of nursing care, such that no person is the object of care and no aspect of wellbeing is left out (Arnold & Boggs, 2001; Thorne, Canam, Dahinten, Hall, Henderson, & Kirkham, 1998). This not only includes disease and illness states, but also psychological, social and spiritual dimensions. Therefore, factors such as gender, lifestyle, behaviors, beliefs, values, coping skills, habits, perceptions and lived experiences are considered (Arnold & Boggs, 2011). This holistic and multi-centered approach also extends to families, communities, and populations (Schim et al., 2007). The concept of person is central to nursing theory and research, and is fundamental to the, “Code of Ethics for Registered Nurses,” as outlined by the Canadian Nurses Association (2008). In practice, ‘person’ is used to guide client teaching and nursing interventions (Kozier, Berman, Snyder, Buck, Yiu, & Stamler, 2014).
Nursing is something that cannot be simplified to one word or phrase; it is more than treating the ill and more than just a profession, rather it is a standard of care and service to others, and it is constantly evolving. Nursing should revolve around commitment and a desire to help those in need. As I reflect on my nursing education, I have realized that I have inadvertently created a set of values and beliefs for myself, otherwise known as my personal nursing philosophy. A product of my knowledge obtained from classroom lectures, my interactions with an array of patients, family members, and healthcare professionals at my clinical sites and my job in a long-term care facility. I believe each patient should be treated as an individual and given the best quality of care, regardless of their gender, race, age, sexual orientation, religious preference, socioeconomic status, or choices they may have made. Every patient is worthy of respect, even when their views differ from my own. Each patient has the right to honesty, and to feel safe.
The act of self-awareness is built through emotional intelligence which is an important factor in building therapeutic relationship. Nurses should built an understanding of clients health situation considering social, cultural, emotional, physical spiritual and psychological conditi...
Carper identifies four fundamental patterns of knowing that contribute to the structure of nursing knowledge and the promotion of safe, quality patient care, including empirics, esthetics, personal knowledge, and ethics (1978). According to Carper, empirical knowledge is knowledge of the science behind nursing practice (1978). With empirical knowledge, a nurse relies on the scientific facts she has collected throughout her years of education and experience and applies them to patient care in order to provide the best care possible. Knowledge of esthetics, according to Carper, is knowledge of the art of nursing (1978). Esthetic knowledge allows the nurse to rely on her perceptions and intuitions about what a patient really needs to creatively design and implement the types of care that will be the most effective and satisfying for her patient (Carper, 1978). The third way of knowing, personal knowledge, involves knowing, recognizing, and utilizing the role the individual self plays in nursing practice (Carper, 1978). Carper introduces the idea of therapeutic use of self, in which the nurse sees the patient as more than just an object that needs tending to and instead as another human being to form a relationship with (1978). Personal knowledge drives the nurse to think of how she would want to be treated if the roles were reversed, and motivates the nurse to engage the patient in every aspect of their care so they receive quality care that is tailored to their specific needs. The last way of knowing, ethical knowledge, is defined by Carper as encompassing a nurse’s sense of the right versus the wrong thing to do in a given patient situation (1978). A nurse has to rely on her moral intuition to make sure that every judgment call being made on a patient’s care are all ethical and in the best interest of the
I believe people are connected beings with fundamental pride and values. To appropriately care for a person, the patient must be considered as a whole package. In order to do this, the person’s physical, social, psychological, cultural, spiritual, and aspects of their life must be considered when creating a plan of care. Environment can be defined as “the aggregate of surrounding things, conditions, or influences; surrounding and the social and cultural forces that shape the life of a person or a population,” (n.d.). A person’s environment is such a large part of their life and such an influencing factor on their day-to-day decisions. Their environment includes their socio-economic status (can they afford their prescriptions? Is the test that’s being run really necessary or an undue burden on them financially?), demographics (what is their understanding of health? What are their religious beliefs? what are their race/are they more susceptible to certain conditions?), access of to health care (do they drive/have transportation? Do they have health insurance?), and social support (are they alone? Do they have too much support with too many opinions?). As a nurse, one must always know a person is in continuous contact with their environment and the stress that come along with it. An appropriate and relaxing environment can impact a patient’s adherence to their medications and treatments and reduce their recovery time. The third concept on which I based my philosophy is health, which is the absence of illness. As a nurse and/or practitioner, it is important to focus on the patient’s main health complaint as well as any associated symptoms, needs, and overall wellness of the patient. Nursing is the promotion, deterrence of sickness and harm, protection, optimization of wellbeing and abilities; and advocacy in the care of individuals, populations, communities,
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
The concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Person refers to the person undergoing nursing care which includes individuals, families, groups, and communities (MacIntyre & McDonald, 2014, p.63). It is evident that each person may be unique with different biological, psychological, social, and spiritual depth (Thorne, 2010, p.66). Therefore, it is necessary for nurses to realize that each person at the centre of any nursing care will experience different feelings in regards to their body as a whole. The theorist, Parse, defines the concept of person as being “linked to an unfolding process, the relating of value priorities, meaning, and quality of life” (Wu, 2008, p.6). Also those human beings are free and choose in situations that arise from personal experience and becoming with the universe (Thorne, 2010, p.71). The nurses’ role in regards to this theory is to act encourage individuals in their human becoming process. Wu (2008) looks at the p...
Self awareness in nursing refers to how glowing nurses comprehend themselves, their strengths, weaknesses, attitude and ethics in order to better transact with their patients. Self- awareness includes review of self, together with self confidence. Self -regulation express beyond one`s emotion and being trustworthy. For nurses to be able to empathize with their patients and treat them with compassion, they have to be self aware. When nurses are self aware, they are capable to adapt to, or certainly change their attitudes and deed in order to understand how unusual people take care of them hence improving the nurse- patient relationship. Nurses must reflect carefully on whether they can sustain in dependence in caring for a client and whether the relationship interferes with gathering the client’s needs. It is also essential to be sure that providing care to family and friends does not interfere with the care of other clients or with the dynamics of the health care group. Before making the conclusion, the nurse may possibly wish to discuss the situation with colleagues and the employer.
In order to do that the nurse has to be able to incorporate all aspects of nursing into the care. Whether it is caring for physical, cognitive, mental, social, or cultural problems the nursing science and philosophy should always be implemented in the same manor or basis. It is important to understand that these factors can theoretically continue to impact the development of science, including nursing science (Daiski, 2016). It is essential to incorporate all the central concerns of nursing into the nursing practice to be able to provide the necessary care. Daiski stated that it is demonstrated by the four-metaparadigm concepts, which are human being, health, environment, and nursing. It then contains a philosophy based on social justice, so that we are able to comprehend the complications of the narratives our patients tell us so that we are more prone to holistically understand their journeys (Daiski,
The human becoming theory posits quality of life from each person's own perspective as the goal of nursing practice. It is a human science theory that views individuals as an open, unitary and free-willed beings that co-creates their health and interact with their environments. The human becoming theory views nursing as a basic science with a unique knowledge base. Parse defined unitary as the indivisible, unpredictable and ever-changing part of human that makes choices while living a paradoxical pattern of becoming in mutual process with the universe (Parse, 2004). Health is living one’s own chosen values; it is the quality of life experienced and described by the person and it cannot be given, guarded, manipulated, judged or diagnosed. It is a process of becoming that is unfolding and cannot be prescribed or described by societal norms but by the individual living t...