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Summary and importance of goal setting
Summary and importance of goal setting
Summary and importance of goal setting
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Imogene King’s theory of goal attainment describes the dynamic patient–nurse interaction and the development of goals from this relationship. According Wayne (2014) this theory attempts to provide guidance and direction for nurses in forming strong relationships with patients so that attainable goals can be created to help persons remain functional in their roles and gain better overall health. These goals require effective communication between both the nurse and the patient, and a consideration for the different interacting systems. Personal, interpersonal, and social factors all converge to determine the necessary goals a person may need in their life, and whether or not these goals are actually achievable. These factors are something that …show more content…
Without a relationship centered around communication and the understanding of contributing factors effective goals would fail to be created. In my own interactions with my client at Good Samaritan nursing home it will be important that I keep this theory in mind. King’s theory makes it obvious to me that if I truly want to my time with my client to have an impact on her overall health, I will need to work on developing a strong relationship with her that goes past superficial conversation. I also need to be especially conscious that an effective goal, or a valuable care-plan, is not achieved without consideration for the entire situation. This goes past the physical ailments that may hinder her, and requires consideration for the personal, interpersonal, and social factors contributing to her life. Understanding my client’s situation is of some difficulty for me because of a multitude of factors, but by being conscious of everything contributing to her life and being present in the moment with her I should have better luck at creating effective goals. This is something I look forward to attempting to implement into my next interaction with her, and into all future interactions I have with different patients. Past nursing, this theory can be implemented by all members of the health care team. Effective care plans require multiple disciplines to contribute to their creation. If health care professionals truly want to have an impact on a client’s overall health they need to truly have human interactions that involve action, reaction, and
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
Erikson’s theory is a psychoanalytic theory, which identifies eight stages through which a healthy developed person should pass through from infancy to late adulthood. Each stage requires that a person confront and master new challenges. The nursing process demands that an interactive and trusting relationship exist between the nurse and the client. The Modeling and Remodeling Theory states that a pathway should be followed when caring for the patient. First a nurse must build a positive and trusting relationship with the patient. Secondly the nurse should allow the patient 's to control and to promote the strengths that the patient feels they are most comfortable with. Finally, when all of these steps have been met the patient and nurse can set mutual goals that direct the patient’s health in a positive direction (Frisch
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.
Literature Critique This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing). She has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
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”.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
This paper explores the personal philosophy I have as a nursing student and what I intend to convey throughout my nursing career. A philosophy is “an analysis of the grounds and concepts expressing fundamental beliefs (Merriam-Webster’s online dictionary, n.d.). Before entering into any profession it is important to evaluate your personal philosophy about the profession, as it pertains to values and principles in which believe in to guide your practice. The field of nursing is more than treating a physiological ailment, but it involves providing quality care for the individualized needs of each patient, hence being client centered. My philosophy of nursing integrates the importance of knowledge base practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care (Scottish Intercollegiate Guidelines Network, 2010). Additionally, a vital aspect of nursing is effective interpersonal relationships with other healthcare professionals to promote quality patient care. Moreover, my philosophy includes the importance the client-nurse relationship to aid in health promotion to prevent illness and increase the level of health of clients.
The greatest aspect about nursing is that it is never going to be just a job and is even more than a merely profession. Instead, it is a belief system or way of life and not a discipline that can simply be practiced then abandoned to the dictates of a time clock. To simply say that “I love people” or want to “help people get better” does not demonstrate the drive behind this feeling. Articulating my philosophy is not an easy task, to better explain my philosophy of nursing, I am going to use some values that I have learned. These tools truly explain how I feel and what has motivated me to pursue nursing as a career.
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
These tools are helpful in framing my practice into interventions that are evidenced based and effective. However, I’ve found that allowing patients and their families to be the guide for the treatment plan gives then much needed control over their lives as a uncertainty and lack of control have become the norm for them. It also keeps me honestly engaged in intentional and active listening to the patient. I am always looking to them for cues on ways to join them on their journey. Listening to my patient from a person-centered perspective cures my need to solve everything for the patient. Many of them have the solutions and we are partners in discovering the road to those solutions. Even when a patient may be full of despair and feeling low, they continually express that they are more than a diagnosis. They are a person who has many influences that may greatly impact their illness experience. As their therapist, my role is to respect their desires and goals, and help them maintain optimal functioning in this
After completing registered nursing school in 2006, a few years later, I obtained a bachelor’s of Science in Nursing in 2016. Over the last 10 years, I have tried to look for inefficient procedures, finds ways to streamline them, and consistently have striven to boost the productivity of everyone around me. Working as a nursing supervisor an area hospital for the last 3 years, I have tried to promote healthy patient outcomes. I understand the need for procedures but I also try to maximized the time spent educating the patients and family. By allowing time for good explanations to both the patient and family development of an understanding their disease process can occur. This empowers them to make informed decisions and promote health improvements. Throughout my career in nursing, I have tried to successfully communicate and partner with other members in
By using these concepts appropriate care can be given to our patients. I believe that understanding these basic needs has guided me to provide the best quality care to my patients and enabling them to perform their functions independently. Henderson stresses the significance of health promotion and disease prevention, which will be my main focus while functioning as a nurse practitioner. She also described the role of a nurse as one of the following: substitutive, where nurse does almost everything for the patient; supplementary, where nurse is assisting patient in meeting the needs; or complementary, where nurse and patient work together to meet the needs. All of these roles are to help the patient be in charge of their health (Current Nursing.com, 2012). My values and beliefs are similar that of Henderson in that we both believe in the concepts of health promotion, illness prevention, providing better care to patients by meeting their basic needs and making them as independent as
King developed the theory of Goal Attainment based on her conceptual system for nursing practice in 1971 (MOSBY). She focused primarily on the ability to function in social roles and the assumption that the “focus of nursing is human beings interacting with their environment, leading to a state of health” (Alligood & Tomey, 2010, p. 292). She questioned the nature of nursing and concluded that “the way in which nurses, in their role, do with and for individuals... differentiates … [the nurse] from other health professionals” (Alligood & Tomey, 2010, p. 291). Using this principle, King observed nurse and patient interactions to design a model depicting theoretical principles which are ...
She was able to identify individual’s needs, which carried forth in to her theory. She wanted to set standards and values that would meet the broad range of human needs, yet be able to recognize individual differences among patients (Anderson, 1999). Because Henderson was primarily a nurse educator, her theory focuses on the education of nurses. Her theory was created from both her education and practice, making her work appealing to both ends of the spectrum (McEwen & Wills, 2011). Her theory is focused on the needs of a patient but in Henderson also emphasizes the importance to continue education and research. She stresses the significance of constantly searching for the best solutions and practices for optimal patient care (Anderson,
“Enabling” is the nurse 's’ responsibility to help the make a transition into the unknown. For