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Reflection on holistic care delivery in nursing
Your definition of nursing
Definition of nursing
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Nursing Definition, Need Theory, and Care Deficit Theory Henderson's defines nursing as "the nurse does for others what they would do for themselves if they had the strength, the will, and the knowledge…that the nurse makes the patient independent of him or her as soon as possible. The nurse is expected to carry out a physician's therapeutic plan, but individualized care is result of the nurse's creativity in planning for care. The nurse should be an independent practitioner able to make independent judgments as long as he or she is not diagnosing, prescribing treatment, or making a prognosis, since those activities are the function of the physician” (Petering, Need Theory, 2016). According to Henderson’s theory, “individuals have basic needs …show more content…
The first is universal self-care requisites, which are needs that all people have. These include things like air, water, food, activity and rest, and hazard prevention. The second is developmental self-care requisites, which has two sub-categories: maturational, which progress the patient to a higher level of maturation, or situational, which prevent against harmful effects in development. The third category is health deviation requisites, which are needs that come up based on the patient's condition. If a patient is unable to meet their self-care requisites, a ‘self-care deficit’ occurs. In this case, the patient's nurse steps in with a support modality which can be total compensation, partial compensation, or education and support” (Petiprin, Dorothea Orem- Nursing Theorist, 2016). Both theories are very similar. They both use a holistic approach of nursing, meaning they both focus on all aspects of the patient’s health. Both theories also focus on letting the patient do as much as they can in the hospital to stay independent and get stronger in the hospital. But if the patient is unable to do something that is required for …show more content…
He created a triangle of needs, with your basic needs as the foundation, followed by psychological needs, and self-fulfillment at the top of the triangle. According to Maslow, “people are motivated to achieve certain needs and that some needs take precedence over others. Our most basic need is for physical survival, and this will be the first thing that motivates our behavior” (McLeod, 2007). This basically means that if a patient has breathing problems and self-esteem issues, that you will take care of the breathing first then work on the self-esteem issues. The patient cannot live if he/she cannot breathe, but he/she can live with self-esteem issues. The nurse must help the lower level needs before going up levels. Nurses use this idea every day. Nurses must take into consideration all of the patient’s needs, physiological, safety, love, esteem, and self-actualization, and decide what order to put everything in which would benefit the patient the most. If a patient has a blocked airway and a wound on their forehead that has minimal blood, the nurse must decide what is more important. In this situation it would be to take care of the airway first then assess the wound. Maslow’s Hierarchy of Needs help nurses make this
Nursing is defined as providing autonomy and care for individuals of different cultures, ages, health status and more in health promotion, prevention and caring of all people (Nursing, n.d). One area of nursing that is really important to me is the promotion of independence in
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).
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
The theory being presented is Dorothea Orem’s self-care deficit nursing theory. Theory utilization in nursing is extremely important, theory helps to guide nursing research and nursing practice. There is a close and concrete circular relationship between theory, research, and practice that has been in existence since the beginning stages of nursing practice as a profession (Im & Chang, 2012). Theory utilization continues and will continue in the future to help guide nursing practice and research. Im and Chang (2012) state, “with evolutions and changes in nursing environments, theoretical thoughts in nursing have been developed, refined, and evolved in nursing history” (p. 156). Nursing theories and borrowed theories have been a foundation in nursing since the nursing discipline began to identify as a profession (Im & Chang, 2012). Over the years amazing
Each individual gets to a point in life whereby they assess their internal qualities, people reflect their profession aspirations and attempt to see which careers will make them happy in their lives. It is also important for a person to consider whether they have the qualities needed for a particular profession and also consider the available resources that will help him or her reach their set goals (Chafey, Rhea, Shannon, & Spencer, (1998). Every human being has weaknesses and strengths in their personal or professional aspirations. Having strength means that someone has the physical and mental power to perform things in a successful manner. On the other hand, weaknesses are the drawbacks, the inadequate lack of strength or power to accomplish important goals in life, and every human has some potential of being a leader in some way (American Association of Critical Care Nurses (2006). This paper will discuss the outcome results inventory on the nurse as a manager, it illustrates personal strength and weaknesses in relation to personal life and professional aspirations. The paper will also discuss planning for career, disciplines in personal expedition, practice
The Self-Care Deficit Theory answers the question, why people need nursing, which is related to factors dealing with the limitations of the individual that leads to the individual inability to perform self-care properly. According to Parker & Smith (2010), “nursing is legitimate or needed when the individual’s self-care capabilities and care demands are equal to, less than, or more than at a point of time. With an existence of this inequality, a self-care deficit exists and nursing is needed” (p.126). As a Med-Surg nurse, on the daily basis, I am faced with patients that have a variety of limitations. By incorporating the Orem’s Self-Care Deficit Theory into my practice, it guides and enhances my practice through thoroughly assessing the patient’s needs and identifying their
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
Solutions for the nursing shortage beyond implementing safe nurse staffing ratios include: ongoing long-term workforce planning; institution of an education and practice system to promote more equitable compensation in the health care community based on a better understanding of the educational preparation required for different health care roles; implementation of specific strategies to retain experienced nurses in the provision of direct patient care, investigating the potential for using technological advances to enhance the capacity of a reduced nursing workforce; and advocate for increased nursing education funding under Title VIII of the Public Health Service Act and other publicly funded initiatives to improve
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
One of the theories of nursing is Dorothea Orem’s self-care theory, also called the self-care deficit theory. Nursing theories are important for several reasons. The profession is strengthened when knowledge is built on sound theory (Black, 2014). Theory is important for reasoning, thinking, decision-making, and supporting excellence in practice (Black, 2014). Dorothea Orem’s theory is a conceptual model that provides a structure for critical thinking in the nursing process (Black, 2014). A conceptual model provides a comprehensive and holistic perspective of nursing (Black, 2014). Orem published her theory in 1959 and continued to develop her model, eventually formalizing three interrelated theories: theory of self-care, theory of self-care deficit, and theory of nursing system (Black, 2014). The focus of Orem’s model is the patient’s self-care capacity. The process helps to design a nursing process specific to each patient that will provide for the self-care deficit of the patient (Black, 2014). Self-care deficits exist when the patient has limitations and the self-care requirement is greater than he patient’s capacity (Manzini & Simonetti, 2009).
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.
Nursing theories and conceptual models are the sole element for professional nursing practice. A nursing theory is a framework, or basic structure, in which theories are developed (Dossey & Keegan, 2013, p. 117). They are based on an existing theory or theories and allows them to be understood. Concept models are a combination of interdependent notions or ideas that described or suggest certain relationships among theories (Dossey & Keegan, 2013, p. 117). They both play a significant role in the development and advancement of our profession. Although both are related and collaborate with one another they are distinctively different in their own way.