The application of this theory in the field of nursing practice has grown in recent years with advancements in the field of medical technology. The prediction of chronic diseases on the basis of pattern recognition is helpful in terms of the disease prevention and also in disease intervention in later stages. One application is the utilization of this nursing theory in the provision of nursing services to the patients with life-threatening conditions like cancer through the development of a higher conscious level in them and providing them with a vision and meaning of life even in a state of hopelessness (Endo, 2017). Such a framework provides an active support to the patients in finding new meaning in life and renew their desire to utilize …show more content…
In most cases, the nurses study each situation before making the decision with regards to the actions that would best suit the patient. The knowledge about Johnson's Behavior System Model is vital for making informed nursing decisions (Fawcett, 2016). For example, elderly people of above 65 years are more likely to exhibit aggressive behavior caused by similar external environmental factors. It should be noted that most of the individuals at this age have retired and are attempting to find a new direction in life away from the formal employment. These people are viewed as a burden to society as they need personalized assistance from the close relatives and friends. Therefore, they need more care than the young population. According to Fawcett, (2016)this population often needs the nursing care away from home where they can get professional care. As such, they admitted to nursing homes for the individualized nursing care. Since they undergo a serious change in their social life, they often experience stress, which may result in aggressive behavior. Additionally, some may developmental problems due to the abrupt change in lifestyle and their value in society. It is against this backdrop that those nursing homes become the most appropriate destination for such patients. Depending on the individual needs of the patients, some patients can be admitted to mentally challenged nursing homes where the nurses …show more content…
For instance, it will prudent to identify the specific reasons that promote the behavior of the patient and help to restore the behavior back to norm as a way of mitigating the pains that the patient experience. For the purpose of helping patients that show aggressive behavior due to the feeling of negligence and loss of value in society, the nurse may use counseling and show love to the patients to assure them that society still values them. This way the patient will feel relieved and open up to discuss other internal environmental factors that may be influencing their behaviors. After identifying the subsystem that causes the behavior, the nurse takes the initiative to provide the conducive environment to assist the patient in recovery. At times, the patients’ exhibition of aggressive and violent behaviors are the signs that they have internal factors that are bothering them, therefore, the nurse must stimulate the internal environment to create that peaceful feeling through the external
James T. Johnson was a young man who had a good job working as a construction worker. Although, he had a job and worked every day he still lived at home with his mother. Furthermore, he was the type of young man who went to work on time and after work he would come home. Unfortunately, there were occasions where he would go out with a few of his co-workers on a Friday he still came home afterwards. Nevertheless, he was hiding a secret from his mother that later led to him being arrested. Now, rather than James uses his money he had earned from working, he burglarized homes and garages in the communities in his area. After burglarizing these homes he would then sell the items he had stolen via the internet or a pawn shop in two different counties.
In this essay, we have been asked to evaluate two psychological perspectives’ in relation to “typical behaviour”. The perspectives I have chosen is the behaviourist and biological approach, to be able analyse these approaches, I have decide to use the case study of the death of the two year old ‘James Bulger’ and with this, the relevant therapy’s used by each perspective.
Aging is a natural part of human life. With modern technologies and medical innovations, the society has been able to prolong life and thus increase the number of older adults in the society. Normal part of aging are inevitable physiological and psychological changes, which need to be understood and addressed by nurses in order to provide appropriate care for older adults. Presenting patient’s description with appropriate data, I will utilize Watson’s Caring theory (2008) to assess the lower order need of activity-inactivity relative to this older adult patient cared for in the hospitalized environment. The integration of theory, research and best practice guidelines will be used to plan nursing interventions and strategies to meet the health needs of older adults in health care. Watson’s (2008) fourth caritas process of developing and sustaining a helping-trusting caring relationship will be used to describe the nursing implementations which were utilized in providing safe and competent care for older adult.
Johnson’s Behavioral System Model is a model of nursing care that supports the development of efficient and effective behavioral functioning in the patient to prevent illness. The patient is recognized as a behavioral system composed of seven behavioral subsystems including affiliative, dependency, ingestive, eliminative, sexual, aggressive, and achievement. The purposeful requirements for these subsystems include protection from noxious influences, provision for a nurturing environment, and stimulation for growth. When any subsystem is imbalanced, it is the nurse’s role to help the patient return to a state of equilibrium.
Neglected and abused elderly patients within nursing facilities do not show complete well-being. They may not be affected by diseases or infections, but they are physically and mentally harmed by those who work as their caregiver. Caregivers may have negative attitudes towards those who have disabilities. Similar to Gregor’s family members, Grete and Mr. Samsa, they show extreme negative feelings and actions towards Gregor. According to American Psychological Association, caregivers can prevent abuse by education, shortened amount of time of care, social support, and counseling. These factors can prevent “violent, abuse, humiliating [and] neglectful behavior” towards these adults. When nursing staff are under a high-stress situation, they increase the risk of neglect and abuse due to frustration and anger. This will ultimately traumatize and disrupt the social well-being and health of elders.
The focus of this model is for leadership to empower staff members with opportunities, information, support, and resources to facilitate engaged relationships that, in the long run, will facilitate staff in empowering patients by providing opportunities, support, information, and resources to reflect on their well-being. Opportunities being referred to in this model are training opportunities; training trauma-informed care. The model also requires that information be provided to increase understanding that behaviours such as self-harm in patients, can be as a result of a neurobiological response to trauma. In this way, the model follows patient centred care since it looks at the patients’ needs for effective treatment. Information about patient preferences is utilized to come up with a comprehensive list of physical, emotional, and cognitive responses to stress. The list focuses on triggers that can cause stress, calming activities and past experiences with restraint and seclusion. This follows quality improvement competency since patient data analysis enables the staff to come up with a better way to treat them. The model also emphasizes on teamwork by enhancing support. The theme of support refers to a collaboration between the staff and the leadership. Collaboration is achieved in schedule meeting and during shifts. There’s also the need for availability of patient’s
In this article, he cites these studies, as well as the experiences of his co-researchers in interactions with nurses. While discussing different modes, he gives examples of when a nurse may have activated that mode. The biocidic mode (life-destroying) involves transference of negative energy, destruction of the joy of life and depersonalizing a person (Halldorsdottir, 1991). It results in a feeling of harm despair, hurt and pain. It is demonstrated by behaviors such as depersonalization of the other, abuse, aggression, dominance hatred, threatening, manipulation, humiliation, and cold-heartedness. Due to their vulnerability, the biocidic mode can be very destructive to the health of patients (Halldorsdottir, 1991). It leads to despair and helplessness. Patients unanimously concur that encounters with uncaring nurses have a long-lasting effect more than encounters with a caring nurse. Patients in hospital settings can be sensitive and therefore easily affected by mistreatment which leads to further distress and decline in their health, slowing down their healing process. A onetime experience of the biocidic mode should however not destroy the perception and reputation of the entire healthcare system. The extent of the uncaring feeling can also increase by the fact that the patient is physical and emotionally sensitive and vulnerable as a result of
Horizontal violence behaviors are not conducive to a culture of safety, which is what healthcare should be all about. Nursing Manages, Hospitals and different organizations must have a “zero tolerance” policy for this behaviors and a protection policy for the nurses reporting the situations. Only we as nurses and other health care personnel have the capacity to eliminate horizontal violence and fulfill our commitment to our patients, families and communities in a safe environment.
As a whole, environment is beyond the person’s control. This can be classified as external environment. On the other hand, within the external environment there is an internal one. This internal environment is what the person makes of it. These internal environments can also be further divided into spiritual and emotional. The external environments also comprises the social and cultural. Based on these classification, the nurse’s role varies. In terms of the social and cultural environment, the nurse has to conform to the social and cultural ideals and way of life. Then by comparing her ideals to the environments and to the nursing process, he/she can have an effective plan that will benefit the given
Certainly, some of these causes cannot be eliminated by nurses or even hospital administrators. For instance, one should mention the characteristics of patients who may be profoundly affected by physical pain. Similarly, their relatives inevitably struggle with intense emotional suffering. Nevertheless, in many cases, it is possible to reduce the risk of violence. Much attention should be paid to the efficiency of policies adopted in the hospital. There are several interventions that healthcare organizations should consider. In particular, it is necessary to reduce the waiting time in hospitals. This improvement is critical to alleviating the stress that patients and their relatives may experience. One should concentrate on emergency departments because physical violence is more widespread in these areas. Hospital administrators need to take several steps to achieve this goal. In particular, they should simplify registration procedures. For instance, patients can be registered directly at their bedsides. This step can remove bureaucratic barriers that often make patients very irritable. Furthermore, it is vital to ensure that the hospital is adequately staffed because the shortage of personnel can lead to the conflicts between patients and medical
Nursing theories are actions care that a nurse provides to a patient to prevent a sickness, maintain and promote health. Many of the theorists contribute to a frame work or a blueprint of how nurses should provide care to patients. Many these theories are part of nursing care and most of them they go hand in hand. Nursing theory aims to describe, predict and explain the phenomenon of nursing (Chinn and Jacobs1978).Nursing is apprehensive with laws and principles governing the life processes and functioning of sick or well human beings. Nursing theories are beneficial in understanding the knowledge of nursing and its application (Smith and Liehr, 2008).
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
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.
Having a therapeutic and healing environment is vital for any patient; however, it is increase importance in-patient with psychiatric diagnosis. Having a long stay in the emergency department can lead to an increase risk of the patient leaving which in turn increase the risk of self-harm or suicide (Nicks & Manthey, 2012, p. 2). This is the nurse’s responsibility, to have a therapeutic environment for these patients. Working in the emergency room this nurse takes care of multiple patients that are boarding in the emergency room waiting for an inpatient bed to become available. This author sees first-hand what having a non-therapeutic environment can harm a patient.
Nursing theory can be used to empower nurses by giving autonomy and improve skills. With the rise of healthcare, administrative decisions involving nurses could have a negative effect on patient care. There are four concepts that make up the nursing metaparadigm, person, environment, health and nursing and act as the model for nursing care. All theories in the nursing practice proves valuable within the profession but may vary between different theorists depending on what their beliefs are. Some theorists can view the same situation entirely different. Both Rogers and Neuman were theorist that developed theories for viewing and caring for patients but in two different ways. Professionalization, coherence, and enhanced communication are three arguments when determining the importance of theory in nursing. Multi-disciplinary nursing becomes necessary to achieve positive patient