The relevant course outcome when describing and reflecting about a therapeutic nursing intervention is the following: “Evaluate outcomes of therapeutic nursing interventions and plan further interventions accordingly.” This outcome is significant, not only because it dictates that therapeutic nursing interventions need to be assessed, but also that nurses need to be continuously searching for ways of improving them and in that way improving quality of care and patient health outcomes. Through my studies and my professional experiences, I have been able to work on weaknesses and have become a more committed and proficient nurse as a result. Perhaps the most significant aspect of the course learnings and experiences is the fact that I am now more confident to rely solely on my judgement when making decisions about what is best for the patient and making treatment/intervention recommendations without fear or doubt. Reflection …show more content…
This is the case because their health conditions are complex, and this translates into a complex intervention. To further complicate matters, it is often the case that patients are either unable or unwilling to collaborate and assertively participate in their own care. When talking about complex interventions, there are multiple (intrinsic and extrinsic) factors that need to be considered. These factors or components not only include “the behaviors and their parameters and methods of organizing and delivering them of the care providers, but also variations in the client group or population that receive the interventions… as well as the number and variability of potential health outcomes” (Thompson & Clark, 2012, p. 277). This means that there will be case-specific elements beyond the nurse’s control, so it will be critical for establishing trust and collaboration with patients and their
Introduction The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experience in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goals for each.
Nurses are able to reflect upon their past experiences of work and build and improve this ensuring their level of competence and skills is in line with NMC guidelines. Improving the quality of care provided to patients is an ongoing process and requires practitioners to contently reflect and improve their practice. (Howatson-Jones, 2013) One way in which reflection can improve the quality of care is through the use of professional supervision, as stated by (Daly, Speedy and Jackson, 2014) a focus for supervision should be enhancing a nurse’s skills and ability to reflect on practice. It should reflect on the standard of care provided and highlight areas for improvement such as further training. This, in turn, leads to a greater self-awareness of practitioners’ own abilities. The process is not about finding faults, but to improve and learn to ensure the quality of care is high and professional for all patients. Being self-aware is a skill important to reflection and the provision of quality of
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
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
In conclusion it can be said that therapeutic relationship is very important and which is the first care in nursing care. If a nurse is able to carry out the therapeutic relationship well then the nurse and the client will not face any problem during the course. Emotional intelligence is also very important in nursing care that is everyone should be able to control their emotions so that when taking care of the patient it is not a problem, this is most common with the first year nurse because that is the first time when they sees such cases and they are not able to control their emotions. Reflective tool plays a very important role in nursing care.
In an interview with a staff nurse (S.N), the main problem within patient communication included lack of patient’s (and family) involvement/willingness in planning cares. The staff nurse emphasized how “Patients often feel overwhelmed and do not want to participate. But, it is important for patients to be involved in their care for better outcomes” (S.N., personal communication, February 5, 2014). The staff nurse’s statement is supported by Evans (2013) whom remarked “better-informed patients avoid unnecessary care and frustration”.
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.
The health care system of today will be invaluable without the help of well-trained registered professional nurses. According to Wilkinson, Treas, Barnett, Smith (2016) registered nurses in today’s health care have the training required to develop a care plan with other health care workers that is specific for each patient in their care, instead of the same general approach for every patient. This is known as patient centered care because each patient is different from the other and the registered nurse role includes developing a good plan for every patient they care for. In performing such duties, registered nurses tend to create a strong bond with their patients by caring for their patients by all means possible. By caring for their patients, they tend to gain their patients and their families trust. According to Wilkinson et al. (2016) There are many support systems for patients in our communities that have good intentions of assisting sick people and those in need. Most of them are not known by the patient or their families. The registered nurse is the one who is in the position to inform the patient or family about such resources that may be very helpful for them if they are interested. By doing so, the patient knows that the nurse really cares about him/her and that feels very comforting and may help the patient get well
Nursing theories and models are like the life line for the nursing profession; without theory, nursing will continue to depend on borrowed theories and principles that fail to capture the real meaning of the nursing profession. Theories guide practice making it more efficient and more effective, and the ultimate benefit of theory application in nursing is the improvement of patient care (McEwen & Wills, 2014). Nursing contributes ex...
Crisp, J., & Taylor, C. (2009). Potter & Perry’s Fundamentals of Nursing. 3rd Ed.; Mosby Elsevier Australia; (a Division of Reed International Books Aust. Pty Ltd) ; Tower 1, 475 Victoria Avenue, Chatswood, Australia.
In order to facilitate patient empowerment, we must first be in position of self-empowerment. This requires us to self-reflect on our own values, beliefs, and ideas of power. “Nurses must also surrender their need for control, developing instead attitudes of collaboration and mutual participation in decision making.” (Burkhardt & Nathaniel, 2014, p. 517) We must understand that patients have the right to make their own decisions even if they differ from our own. Mutual respect for their thoughts, feelings, and decisions creates a trusting relationship. We must be able to openly listen to our patients needs and communicate effectively in order to empower our patients. They need to know that we are listening, that we understand, and that we are going to provide them with the knowledge and information needed to make their own choices. We must first be...
The best way to look at nursing theories is like the foundational block. Nursing theories are important set the tone of how a nurse will practice. A nurse will use intuition, practice, past expertise and events, and couple with learned theories to work every day in order to give the best patient care. it is all the more important to appreciate what first advanced nursing beyond mechanisms of practice to becoming a knowledge-based force in healthcare: That force is nursing theory and the theoretical thinking and research that generate theory. The complexity and depth of nursing are reflected in its structure of knowledge, which includes discipline-specific components such as philosophies, theories, and research and practice methodologies”( Reed, 2006). Patient care is a wide topic, but a key role in a patient’s care is the patient themselves, an educated patient is vital to their well being and higher level of care.
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...
Compared with medical professionals, nurses appear to be reluctant to rely on professional rationales for their actions, preferring to use managerial justifications and implementing ‘top down’ approach to care. (Adamson, 2013). When a gap in nursing care is perceived, theory is often used to improve these outcomes. Theory provides an overall vision and understanding of the profession of nursing by offering guidance. Not only in nursing, but theory can be applied to any profession as it serves as a tool for guidance of practice. The legitimacy of a profession is based on its ability to generate and apply theory (McCrae, 2012). Without nursing theory, nursing would be a profession guided by by medicine and physicians. Theory guides nurses by shaping its professional boundaries and helps nurses make decisions on current and potential patient needs.
The role of nurses is constantly evolving. As a result, nurses need to develop resilience in their professional lives to respond to the competing demands of the service environment, quality and standard improvement of the client’s care, service update and demographic changes. Nurses be expected to continue their professional development to keep up and prove their decision-making competence to practice (NMC, 2004). Nurses are to keep up their commitment to learning for the purpose of nurturing their professional value and interpersonal skills, improving their leadership, management skills and team working to prove competence in decision-making, promoting the highest standard and best quality safe standard of care. With the commitment to fulfil