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Person centered nursing
Concepts of nursing knowledge
Implement person centred approach in care settings
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Barbara Carper that her article entitled “Fundamental Patterns of Knowing in Nursing “identified four patterns of knowing including empirics, ethics, aesthetics and personal knowing and claimed that these form the basis of nursing knowledge (Carper, 2006). In this article the patterns of knowing have been identified as an appropriate way for nurses to organize and reflect upon their knowledge (Johns, 1995; Wainwright, 2000). There are others ways of knowing that have been identified including ‘experience’ and ‘intuition’ (Zander, 2007). I was talking care of an 80 years’ elderly lady, who had sudden onset of fever and wheeze. Nursing notes from night before stated that patient has small choking episode at meal time. Upon assessment, patient had temp of 39.2, resp 32, SPO2 @ 82%, BP 170/110, pulse 110. Due to cognitive impairment, patient was unable to report any pain or discomfort but she was frowning, resisted getting changed or dressed. I requested …show more content…
I believe that Nurses require a strong knowledge of person centered care to provide exceptional care to their patients along with knowledge of pathophysiology, medications, cognitive assessments, pain management, rehabilitative and behavior management strategies (Chang et al, 2009; Williams et al., 2005). “The Alzheimer Society believes that people with dementia have the right to enjoy the highest possible quality of life and quality of care by being engaged in meaningful relationships which are based on equality, understanding, sharing, participation, collaboration, dignity, trust and respect” (Alzheimer Society of Canada, 2011, p. 9). I informed the patient’s family of her current health status and explained that a medical intervention might be helpful to maintain comfort and bring the patient back to her previous stage of wellbeing. Family verbalize the wishes to “prevent the
The purpose of this paper is to define, describe, and explain the thoughts, feelings and beliefs of the author in regard to the philosophy of nursing practice. Philosophy is the study of ideas about knowledge, truth, nature, and meaning of a subject Merriam-Webster Online Dictionary, (n.d.). I will address the four concepts of the nursing metaparadigm and the relationships of each as they guide my practice as a nurse. This concept synthesis paper will address the personal nursing autobiography, two practice specific concepts, and a list of propositions and assumption statements that clearly connect the described concepts. Many factors influence the philosophy of nurses and their practice.
The story of Miss. Julianne took me to my childhood. When I was 13-14 years, my Nana was also suffering from dementia at that point. I was too young at that point to understand his situation, now in nursing I am learning about different diseases and how patients react to those particular situations, I can relate more to his pain and understand from what he was going through. As in the story Miss Julianne forgets things, as she said, “Where are my dentures?” (Lenar, K., 2016,), and she blames others, “and
Relational inquiry is a process that both supports and necessitates different ways of knowing and different types of knowledge (Hartrick Doane & Varcoe, 2015, p.227). Furthermore, nursing knowledge is constructed and contextualized within the activity of the nurse as a 'knower ' and is an integration of the different ways of knowing (Antrobus, 1997, p. 830). Reflecting on these aspects of relational inquiry and the ways of knowing can enhance a nurses ability as a 'knower '. The intent of this paper is to summarize and analyze myself as a 'knower ' while reflecting on the different levels of inquiry and ways of knowing.
There are different types of knowledge and different ways of knowing. Four fundamental concepts of knowing in nursing highlighted by Caper (1978) are empirical, personal, ethical and aesthetic. He divided knowledge into two forms which are tacit and explicit. Tacit is insights and based on experience and not easily visible and expressible, difficult to share and communicate with others which is highly personal. Empirical sources of knowledge depend upon an individual’s manner of observing and responding to events in the outside world (Higgs et al, 2004). Whereas explicit is formal and based on rationality and easily can be expressed, shared, communicate which are highly universal principles. Rationalism comes from within the individual and depends upon theoretical reasoning rather than on data from the real world (Higgs et al, 2004).
Carper’s (1978) pivotal work of identifying nursing’s ways of knowing was a seminal work that laid the foundation for further analysis. Her ways of knowing have identified methods that have allowed the nursing discipline to further its own knowledge as well as the profession. Two other ways of knowing have emerged, Munall’s (1993) “unknowing” pattern; and also sociopolitical knowing by Zander (2011, p. 9) or emancipatory pattern (Chinn & Kramer, 2011, p. 5). Here these patterns are discussed through experiences in my personal practice.
Dementia is the loss of a person’s mental skills from their daily routines. The symptoms of dementia could easily be over looked, they include forgetting things, daily routines are hard to complete, misplacing things, depression, aggravation and aggression, emotion are high, even feeling like someone is a threat to their life (Web MD,2012). Caring for someone with dementia can be difficult if with resources like healthcare, living facilities, nursing homes and medicine is involved, but sometimes healthcare and facilities do not provide the proper care. This disease is very common in the elderly community past the age of sixty-five. Finding out that a loved
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
The fundamental patterns of knowledge were first identified by Barbara Carper (1978), and included empirical, personal, ethical, and aesthetic knowing. According to Zander (2007), Carper sought to develop a holistic, individualistic, therapeutic model of practice which could be utilized to structure nursing education, and evaluate nursing practice. The addition of emancipatory knowing by Chinn and Kramer followed in 2008. These patterns of knowledge have shown to be very beneficial, if not crucial to the nursing profession. The purpose of this paper is to provide an in depth explanation of aesthetics, and its importance in nursing. A detailed scenario of esthetic nursing will be included. This
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
A Review of the Fundamental Patterns of Knowing in Nursing Nursing takes on a different form of learning that reflects several different aspects and abilities that encompass a wide range of skills and forms the ways of knowing in nursing. The article, “The Fundamental Patterns of Knowing in Nursing,” incorporates multiple theories associated with the learning patterns in nursing. It is a review of literature that helps identify and understand the knowledge practiced by nurses and to better understand the nursing profession. The purpose of the paper was to evaluate the expectations of learning within the nursing realm based on the four areas of nursing that include, empirics, esthetics, personal knowledge and ethics. Empirics: The first step in learning is to understand the objective data.
Nursing is considered one of the most trusted professions in the world. It is an essential part in the caregiving of sick, injured, and even healthy individuals. Developing a philosophy with any profession is the beginning basis of any practice. The nursing philosophy is usually incorporated from the science of nursing. That is because the field of health care is constantly changing, which causes the need of better competence in the health field of providing caring (Flagg, 2015). With nursing it starts by the science behind it. Then along with knowledge and experiences, that is when the nursing philosophy is developed. Researching differences between new ideas and cultural differences can then expand the viewpoint into a bigger picture.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
Nursing knowledge guides nursing practice. Nursing knowledge advanced the health and well-being of individual clients, families, and communities. The rapidly increasing resources available for nursing research have opened numerous opportunities for studying essential issues in promoting health, ameliorating the side effects of illness and the consequences of treatments while increasing the health outcomes of our patients and their loved one. (Sue, 2000).There so many challenges that are facing the future of nursing practice, one of them is the presence of the wide gap between the theory and practice .one of the primary problem or concern is the difficulty of transferring available knowledge into clinical practice. According Sue (2000).No challenge
Knowing Persons in Nursing. In M. Parker, & M. C. Smith, Nursing Theories & Nursing
The specific issue in questions is whether a nurse should keep the truth from their patient about their illness by respecting the wishes of the patient family or abiding by The Code of Ethics for Nurses and revealing the truth to the patient. The Code of Ethics for Nurses expresses the values and ethics of the nursing profession by stating that: Patients have the moral and legal right to determine what will be done with their own person; to be given accurate, complete, and understandable information in a manner that facilitates an informed judgment; to be assisted with weighing the benefits, burdens, and available options in their treatment, including the choice of no treatment; to accept, refuse, or terminate treatment without deceit, undue influence, pressure, intimidation, or penalty; and to be given necessary support throughout the decision-making and treatment process (The American Nurses Association, 2011). Unfortunately, truth telling to any type of patient is a common ethical dilemma: to tell the truth or to not tell the truth is the main question. Nurses have the closet relationship with patients and therefore are the ones put in a difficulty situation between their patient and the patient’s family. Who should they satisfy? Should they leave their patient in the