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Comprehensive essay on clinical experience
Comprehensive essay on clinical experience
The nurse has developed a relationship with a client
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Throughout this program as a student nurse, I have witnessed and experienced of a variety of nurse and client interactions. These experiences have more often than not, been positive and motivating moments. I have seen nurses put their whole self into their care, engaging in the processes of building genuine relationships with their clients. With that being said, these positive relationships have resulted in better health outcomes, and personal satisfaction of the client and nurse. On the other hand, I have witnessed nurse’s shut down, take short cuts, and ignore the personal aspects of caring for another individual. Most notably these incidences have been instigated by tedious time restraints, care facility policies, and the burnout experienced
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
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...
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
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.
Nurses want to give complete and quality care, but are unable to, due to the constant needs of their workload and inadequate staffing. They have to prioritize their patients needs based on the most critical treatments first. Then whatever time is left, they fill in what treatments they can. Some reasons that nursing treatments are missed include: too few staff, time required for the nursing intervention, poor use of existing staff resources and ineffective delegation.” (Kalisch, 2006) Many nurses become emotionally stressed and unsatisfied with their jobs. (Halm et al., 2005; Kalisch,
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Nursing care is delivered to all clients recognizing that each individual as having different things working together as one unit. Nursing clients can be individuals, family, friends or a community of people. A person is a whole, a biophysical being who is clear and sensible, social, emotional, sexual, and deep down healthy. A person possesses possible ability to discover and give knowledge and skills to others, and to learn, grow, and change. As a clear and sensible being, a person uses their brain to seek out knowledge and truth. In a social setting, a person communicates with others and establishes various roles within society. Emotionally a person is able to offer empathy and compassion in certain situations that bring forth those feelings. Spiritually, a person is always pondering why we are here
...ow the health care team is interested in them as individuals and they are not just a body being patched up to be sent home. They need to know that their concerns and what they are going through matters to the health care team. Showing compassion and caring to the patient will build a positive, trusting relationship that will ultimately benefit both the patient and the team. The nurse needs to know that she has support form her colleagues as well, and that she is not alone. If she feels burnout with no moral support, it will begin to affect her job. This attitude will have a negative impact on her client as well as the other staff members. Just one negative non-caring act will affect everyone around her. However, if just one nurse shows a caring moment, big or small, to a colleague, it can change the atmosphere into a caring one which will radiate all the way to the patient. Caring is the gel that keeps the health care team working together. Everyone from the doctor to housekeeping needs each other. Without the caring element they would all be doing their own thing and the team would fall apart. Therefore caring for each other is an essential step towards a positive nursing career.
While certain codes may vary from country to country, the central principles are created in the relationship between the nurse and the patient. It is essential for the nurse to have emotional strength and willingness to perform the needs of patient advocacy. The foundation is the relationship between the client and the nurse. Factors such as integrity and collegiality are examples of what are used in addition to other criteria in client advocacy selection (Vaartio, 2008). It is also important to recognize that nursing advocacy is also a professional strategy that may need to fall outside of the nurse-client relationship sometimes in order to do what is best for the clients’ well-being.
The majority of our society holds the notion that nurses are no more than trained professionals, working for a doctor, who simply provide medical care for the sick and informed. However, what nursing means to me goes deeper than that belief. Nursing is a profession in which individuals are responsible for not only the care of the sick and infirmed but are also responsible for being a support system and an educator, as well as an advocate for the promotion of optimal care. In today’s society, nurses are an important part of any medical facility’s investment. This paper will address the many different aspects of nursing in which nurse’s act as not only caregivers but also act as, counselors and educators.
Nursing as a profession is” helping individuals, families, and communities to overcome a disease and maintain optimal health” (Nursing). For this to be beneficial to nursing staff members and other health care professionals we need to excel in peer relationships. In all facilities where health is the main concern, relationships among co-workers have to be efficient to help those who are in need. There can be advantages for nurses to have professional peer relationships, however sometimes there can be a disadvantage if relationships are not handled professionally and arguments or concerns are not resolved.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.
It was one of the hottest days in the summer last year. That's why I was not worried about being so thirsty early in the morning. On the other hand,my mother felt that there was something wrong with me going to the restroom back-and-forth constantly . My face was distracted and lifeless once my mother pointed out the issue with my bladder; I got scared for a second , and I felt something is not normal in my body. Remembering my body was so sluggish that day, I thought it could have been from the extra weight that I have recently gained. At the same time , my mom kept saying to play it safe, go to the doctor and get it checked out. There was no way that I thought I would be diabetic, though every single symptom I was having lead directly to diabetes itself. As a precautionary procedure , I called my Doctor and made an appointment for the next day
According to (Hagan, et al 2013) that the ---- of communication between nurses and clients has important influence on the client's
This week’s clinical is full of mentally conflicts. First of all, I am excited to have one day of clinical for this week, so I can have more time to study for the exam that is coming up next week. On the other hand, I don’t want to lose the opportunity to learn new skills from my clinical day. Finally, I have been thinking about my patient from last week every day, I don’t know whether I get to see them again this week. Like I have stated before, every time I feel excited when it comes to clinical because I don’t know what I will be encounter or what I will be doing for that day. This is one of the reason I like nursing because there is no set tasks for me to do on my clinical day; every clinical day has new tasks or new challenge for me to