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Nursing care of the critically ill patient
Nursing interpersonal theories
Nursing interpersonal theories
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Recommended: Nursing care of the critically ill patient
To gather data for the following analysis, I spent fifteen minutes observing relationality as it occurred in the nursing station in the critical care unit at the Moncton Hospital. The purpose of this paper will be to outline my interpretation of this environment, in addition to the interplay of behaviors, relationships, and conversations of those present during this time. From intrapersonal, interpersonal, and contextual lenses, I will strive to provide a multifaceted view of my experience. Interpersonal Analysis From an intrapersonal viewpoint, I noted a very prominent fluctuation among individual behaviors. I noted nurses and other healthcare professionals who radiated a consistent sense of urgency and stress in response to the critical …show more content…
The medical secretary, registered nurses, licensed practical nurses, and physicians communicated consistently and appropriately so that all staff could effectively complete the actions required of their respective roles. I noted the strong relationship between the nurses and the physicians. The nurses held a heavy influence on the physician’s decisions regarding a situation, because the nurses were the ones conveying pertinent information related to the patient’s status. Based on the information provided, the physician would make recommendations and provide guidance to the nurses. The physician’s directions were then carried out by the nurse, influencing the nurse’s plan of care for his/her …show more content…
For example, I noted a nurse who was required to monitor a patient with several intravenous lines, a machine inducing hypothermia, a heart monitor and intubation equipment. This nurse was very fixated on the equipment and monitors to ensure that everything was functioning appropriately and that the patient was remaining stable. This nurse indicated that she was very preoccupied and declined to have a student with her; however, this was completely understandable given the situation but speaks to the contextual influence of this acute environment on the nurse. All the equipment to maintain and monitor these ill patients lead to an environment that required a heightened level of attentiveness and responsibility to ensure that the patients remain healthy and safe. Therefore, interactions among healthcare staff were very focused and relevant to the care being
Nurses help patients with their physical needs with details, explain the complex steps of medical treatment, communicate with doctors to share patients’ health conditions and proper treatments, and give emotional support to patients in stressful situations. There are certain limitations that nurses have in decision makings because doctors obtain the most power in patients’ medical clinics. However, nurses are more friendly, helpful, and suffering for patients. Lastly, experienced nurses can make a better choice for the patients over young and un-experience
Nurses should foster collaborative planning to provide safe, high-quality, patient-centered health care. As nurses, we probably know the patients the best since we spend much more time with them than any other members of the care team. We are the liaison between the patient and the rest of the care team. We need to identify a potential problem or issue, and bring it to the attention of the whole care team. We should facilitate mutual trust, respect, shared decision-making, and open communication among all relevant persons in the care of the patients. With the collaborative support of the whole care team, the patients are in a much better position and are more likely to make an informed and deliberate decision. Besides, the collaboration among the care team can facilitate communication among the care providers, and provide a channel for the care providers to vent their stress caused by the ethical dilemmas that they encounter in work. The support from peers is very important for care providers to maintain their emotional and psychological
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
In-class discussions focused in on these various images of nursing and their damaging consequences. I have observed that I am not as assertive as I should be to dispute these negative images of nursing. I need to recognize when individuals make comments insinuating a negative portrayal of nurses. I will then proceed to educate these individuals on their uninformed views by demonstrating an understanding of my role as a nurse. This step will require knowledge and confidence; which I hope to acquire by the following strategies outlined in my knowledge confidence
This brings to light. This dynamic process that permitted a broader understanding of the phenomenon: dimensions of care existent in an ICU. The time experienced and shared with the study participants were moments of collaboration, cooperation, interest and comradery. They provided the viewpoint of different attitudes and new directions in terms of care and people, that is, to provide caring with sensitivity, empathy and satisfaction. The goal to promote nurses to exercise transpersonal caring and complexity in the daily routine of nursing care, in all different venues and diverse interactions. We also expect they reflect on the care being provided in ICUs, they believe in human caring composed of the multiple layers presented here, based on the relationships with one another, on empathy, sensitivity, affection, dynamic and understanding appreciating each person in their totality as human being. Behind all the technology, lights, equipment and alarms, there are people caring for and people being cared for, hoping they have quality of life and positive healing care while here on
nurse becomes the patient advocate letting the physician know the effect of the medication the
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 less stressful environment, nurses able to incorporate caring relationship, improve interactions between patient and a nurse, and develop understanding of the other person’s perspective (Nicely, K, Sloane, D., Aiden, L., 2012).
Although most nurses do not get enough recognition in medical environments, nurses often do the same tasks as physicians. Even though becoming a doctor requires more education, nurses are the staple of American medicine. From Florence Nightingale to present day, nurses continue to build relationships and provide care for a wide variety of patients. There are differing views regarding the importance of nurses, but I believe they are just as important as physicians and can make just as much of an impact as any other medical provider.
Robinson, F. P., Gorman, G., Slimmer, L., & Yudkowsky, R. (2010). Perceptions of effective and ineffective nurse–physician communication in hospitals.Nursing Forum, 45(3), 206-216.
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
Firstly, Nurses must develop the right communication tools when dealing with their patients. For example most nurses do bedside reporting, before they change their shift in the morning, therefore they would be relaying information to the other nurse about the patient they dealt with during the night. The nurse that is going off shift would give a report to the incoming nurse in the presence of the patient. He or she has to discuss the condition of the patient, medications and the procedures so the next nurse would be on the same level. Most nurses in the General Hospital do their reporting by the bedside of their patients.
There are many members of the inter-professional team, all of which are contributing to the healthcare of acute and critically ill patients. Every member of the team has had education and obtained a license of practice compatible to their level of knowledge (Prater, Fundamentals of Nursing, 2013). As a practical nurse you need to be mindful of your scope of practice in relation to registered nurses, certified nurses’ assistants and other healthcare professionals. With so many different people involved in the immediate care of a patient, there is always the possibility of a mix up. The purpose of this paper is to help differentiate between the roles of the healthcare staff, which will in turn help develop a knowledge base for prioritizing care;
A therapeutic nurse-patient relationship is outlined as a helping relationship grounded on shared respect, trust, the encouragement of having faith and hope in oneself and others, and emotional support (Pullen et al., 2010). In doing so, the nurse can establish complete satisfaction of the patients needs, whether it be physical, emotional or spiritual. This relationship produces when the patient and the nurse come together in harmony and peace (Pullen et al., 2010). Efficient verbal and nonverbal communication is an essential aspect of interaction between nurse and patient – in doing this, the patient feels on par with the nurse, as an equal, rather than having no indication of what procedures are taking place (Pullen et al., 2010).
Nursing is a field that requires constant review and transformation of its original scope of practice as the world also evolves into a more technological and interconnected society. Along history there had been astonishing breakthroughs and discoveries that have changed the course of action in the health care field. However, among all these changes the unique values that make up the essence of nursing continue to thrive. Some of these characteristics are empathy, establishment a holistic view of the patient, critical thinking and care through a trust relationship. This last aspect plays a crucial role in a successfully executed nursing process. Therefore, the present work aims to describe and explain the principles of Hildegard Peplau’s Interpersonal Theory and its implications in the nurse-client relationship through different nursing roles.