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Patient centered approach in nursing
Chapter 2 the basics of ethics in nursing
Chapter 2 the basics of ethics in nursing
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Introduction My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy and respect are particularly important (CNO, 2006). Illness can be a traumatic experience for patients and their families, and it is important to be empathetic to the patient’s needs, while still trusting the patient to be an expert in their illness and care. Client Centered Care Client centered care is what creates the foundation for the therapeutic nurse-client relationships. The Registered Nursing Association of Ontario (RNAO) recommends that nurses embrace the values of respect, human dignity, client as expert, and clients as leaders, to foster patient centered care (RNAO, 2002). A study done at Coventry University found that there were serious implications to care that was not family-center. Effective communication plays a large role in how the care is perceived by families and patients. It is extremely important for clients to receive constant and continual information from their healthcare professionals (Beckwitt, 2014). Relaying critical, sensitive information is difficult, but when t... ... middle of paper ... ... Stories. Retrieved March 18, 2014 from http://stellabrunermethven.com/ Methven, M. (n.d.). Stella Joy. Thinking About Death. Retrieved March 18, 2014 from http://stellabrunermethven.com/ Miller, E. T. (2014). Why Passion Counts!. Rehabilitation Nursing, 39(2), 61. doi:10.1002/rnj.158 Registered Nurses Association of Ontario. (2002). Best Practice Guideline. Client Centered Cared. Retrieved March 18, 2014 from http://rnao.ca/bpg/guidelines/client-centred-care. Siviter, B. (2014). A culture where compassion is the expectation. Primary Health Care, 24(2), 16. Sullivan, P. (n.d.). Team Finn. Battles Are About How You Live. Retrieved March 18, 2014 from http://www.teamfinn.com/about-team-finn/battles-are-about-how-you-live/ Whitman, B., & Rose, W. (2003). Using art to express a personal philosophy of nursing. Nurse Educator, 28(4), 166-169.
According to Chitty & Black (2014) the philosophy of nursing is defined as beliefs and values that are the bases for how we think and act in our nursing careers. Similar to a nursing philosophy, a personal philosophy includes a person’s specific beliefs and values. The purpose of this paper is to start evolving my own personal nursing philosophy that contains my own beliefs and values that I will take with me throughout my career as a registered nurse.
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).
Throughout the history of nursing, many philosophies and theories have emerged in regards to how we as nurses should carry out our profession. I believe that nursing is a highly respected profession than I am honored to be a part of. My personal philosophy on nursing is to treat and care for each patient in the best way that I can. While my philosophy can be considered very broad, I believe that each patient deserves their own specific approach and not necessarily be generalized with one way of thinking.
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.
Nursing at its core is about dealing with the clients, from building a relationship to maintaining it. Relationships, whether professional or personal, are founded on core components. For a nurse-client relationship these core components are trust, respect, professional level of intimacy, empathy, and power. These core components even if they are present during the initial phase are of no use if the proper techniques of therapeutic communication are not used. It is also great to take note that even moments of silence when employed properly could have a great impact. Good judgment and awareness are also important for the nurse to discern which therapeutic strategy to use when communicating with the client to not only build relationships with clients but also to provide a support system with the care and medical knowledge necessary.
This study showed that nurses can communicate well when a patient-center approach is used. There is need within health care for nurses to recognize that patients are more than a task that needs to be completed. That the patient themselves are an important element in their own care. By educating and giving nurses the evidence-based research available they can fill this gap. Continued research needs to be conducted on patient’s experiences of how nurses communicate. Showing us the behaviors that patients place high values on. Thus enabling nurses to use a patient-centered
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.
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person.
What is the philosophy of nursing? Many of the nursing theorists have different answers to this question, but all of them share the main concept and idea of nursing: a philosophy, which focuses not on the treatment of a disease but on the wholeness of human being. Florence Nightingale concentrated on the surrounding environment of the patient and how it affected the patient’s health (Creasia & Friberg, 2011). Her findings had incredible impact on the philosophy of nursing today. Along the environment factors Betty Neuman believed that nursing should be primarily concerned with appropriate actions in stress-related situations to help patients, their families, and society achieve and sustain wellness (Creasia & Friberg, 2011). The ideas of Jean Watson focused first on the commitment to self to be able to commit to others. A philosophy of nursing addresses four different meta-paradigm concepts known as client, health, nurse, and environment (Creasia & Friberg, 2011). In the movie Wit, Emma Thompson’s character Vivian Bearing was treated like a test subject with no sense of human dignity, respect and decency. The movie started with Dr. Kelekian telling Vivian that she had stage four-metastic ovarian cancer and that the treatment involved a vigorous course of therapy. There was no explanation to what that meant. He simply told her diagnosis in medical terms. The human factor was not present at all, and the rapid decline in her health was thanks to the lack of empathy, kindness, and humanity. The only character that was on the human side in the hospital, the one that had the understanding of basic human decency and cared for Vivian’s condition was the nurse Susie. She was caring, companionate, provided comf...
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.
I started my Nursing career in India and then I came to the United States and became an RN. I entered Nursing with the thinking that Nursing is a profession that will always allow me to have a job and all my patients will get better. However, from my experiences I understood that Nursing is more than just giving medications, and it requires clinical competence, cultural sensitivity, ethics, caring for others, and life-long learning about others and the evolving field of medicine. Florence Nightingale once said:
Nursing is a profession that prides itself in integrity, honesty and trustworthiness. True nursing revolves around service and commitment to the wellbeing of others, prevention of illness, and promotion of good health. I believe this is the hallmark of nursing.
Nursing is a discipline of knowledge acquired through formal education and through life experiences. My philosophy of nursing is to always see the beauty in the art of being a nurse. I chose nursing as my profession as caring for people and the nursing profession is a true art form.
To me, being a nurse requires a great sense of selflessness and courage to devote your time and being to helping others. Nurses work long hours and experience straining situations for the satisfaction and fulfillment of helping others. More specifically, experiencing life and death, as well as applying your full self--emotions, knowledge, courage, and strength--takes a toil on the mind and body, but the innate satisfaction, human connections, and experiences I would be able to live through prevails over any thought of stress. The quote “A nurse is one who opens the eyes of a newborn and gently closes the eyes of a dying man. It is indeed a high blessing to be the first and last to witness the beginning and end of life” further reflects