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Improving Communication with Theory Application
Nursing theory plays a vital and essential role within the nursing profession. Having a structured theory or idealism of what constitutes how nursing should be provided allows for guidance to current and future nurses in their approach and foundation to caring for their patients. Nursing has evolved from what use to focus on task orientation to a more thorough credentialed profession through the implementation of nursing theory tested evidenced based practices. The role nursing theory plays within the profession guides benchmarks to which nurses conduct these evidence based practices in order to implement best practices for better patient outcomes. Implementing nursing theory has proven beneficial
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Peplau believed the nurse was most resourceful if a connection was developed through understanding the patient on a deeper personal level where better outcomes are championed through the process of active and enriched communication (Senn, 2013). When nurses incorporate the concept of communicative interpersonal relationship in their process of practice, they bestow a humanistic approach to patient centered care.
The text will provide an analysis of Peplau’s interpersonal relationships theory and its impact on patient care. In this analysis, a discussion of an advanced clinical practice concern will be provided. Application of Peplau’s theory will be presented as a resolution to the identified concern. Lastly, a summary of the nursing theory and concern will be given followed by a self-reflection of acquired knowledge in respect to theory application.
Description of Issue or
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With the rise of adverse effects on patient care due to poor communication, it is important that the issue be exposed to the health care population so that awareness can bring productive means for change. Martin and Ciurzynski (2015) reports ineffective communication between health care providers is to blame for more than one hundred and fifty thousands deaths each year in the United States due to medical errors. The breakdown of communication between provider and patient produces misinterpretation of patient needs and inaccurate use of the nursing process. The confusion subsequently produces a trickle down effect into the communication between the multidisciplinary team leading to potential inappropriate treatments and medical errors. In addition to the gross amount of sentinel events each year, patient satisfaction is also impaired by ineffective communication between providers and patients. The breakdown of communication and the errors produced in response can occur between multidisciplinary providers or between providers and their
Communication is cited as a contributing factor in 70% of healthcare mistakes, leading to many initiatives across the healthcare settings to improve the way healthcare professionals communicate. (Kohn, 2000.)
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).
Communication encompasses a wide range of processes such as the exchange of information, listening, posing of questions (Fleischer et al., 2009) or use of body language. In a healthcare environment where there are constant interactions among nurses, doctors, patients and other health professionals, professional and effective communication is important in ensuring high quality healthcare standards and meeting the individual needs of patients.
The nursing profession is considered both an art and a science. An example of the science of nursing is the theory and evidence based practice guidelines (EBP), which influence a nurses practice. The art of nursing is fluid of bringing science and patient care into nursing practice. Nurses in all levels of nursing educational programs should study nursing theory. According to Eun-Ok (2015) theory evaluation has declined and it is essential to developing nursing knowledge; which, leads to the development of nursing discipline. Nursing theory should be continually evolving as current health care trends evolve. The best way to accomplish this is through incorporating theory in academia and nursing
Theory’s responsibility is to provide nurses with standards that reinforce practice, as well as, for future nursing understanding and delivery. Basically, it provides nursing professionals with a tested way of thought on how to handle certain situations with proven results. The importance of nursing theories to nursing research is the knowledge offered gives nurses the foundation for communicating with others and best practice. Middle range theory according to McEwen & Wills (2011, p 35) are theories that have concrete concepts, that are specific, incorporate a measured number of concepts and characteristics of the real world and are tested for accuracy.
Since the institution of nursing was first established, care has remained the primary component. Being able to provide care to patients on an emotional level is another example of the distinctive power that nurses uphold. Generally, the nurse is the predominant choice of the patient when he/she must determine who best to confer with or share personal thoughts or concerns with, as well as who the patient trusts most with management of their own well-being. This form of day-to-day, intimate patient-nurse relationship is a powerful component of
Nursing in this theory is described as an art that helps individuals who are in need of health care, and goals are attained threw following a series of steps in a pattern. The nurse and the patient have to work together threw this process to achieve said goals. The Theory of Interpersonal Relations is a process that starts with the roles of the nurse, and those roles began with the nurse as a stranger, teacher, resource person, counselor, surrogate and leader (Nursing Theories, 2012). The theory begins with the role of the stranger, which is defined as the introductory phase and is an environment where about the patient is meeting the nurse and developing a trusting relationship. The nurse as a teacher allows the nurse to provide knowledge and information on a particular interest while the resource person provides specific information to a problem or situation. As counselors the nurses help to make life decisions and provides guidance. The surrogate role acts as an advocate on the patients’ behalf, while the role of the leader has the nurse assuming most of the responsibility to help patients meet treatment
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
70). I believe that the patient’s needs always take priority. A good nurse-patient relationship is important when taking care of patients. If a patient can trust the nurse taking care of him or her and they have a good rapport, the patient’s experience will be positive. Peplau’s theory is considered to be an interaction theory, an interaction theory, “revolve[s] around the relationships nurses form with patients” (Colley, 2003, p. 34). I believe that if a nurse does not have a good rapport with the patient, he or she will not be able to heal adequality. The patient might focus more on him or her not getting along with the nurse and thinking that the nurse does not care, then taking the time to make sure that he or she is healing properly. The patient may not ask for pain medication when they are in pain because he or she does not want to deal with the nurse. The environment also has a lot to do with the patient feeling better and healing
Nursing theory can be applied to resolve nursing problems or issues, irrespective of the field of practice. A nursing theory benefits nurses and the patients that are in his or her charge. . Depending on the issue or problem that is needed to be solved determines what theory needs to be used. Nursing theory started with Florence Nightingale. She believed that a clean environment would promote better health. Virginia Henderson’s need theory emphasizes the need to ensure that the patient’s independence is being increased while in a health care facility. Ensuring that a patient can increase his or her independence allows for them to experience better outcomes upon discharge home. This is just two examples of nursing theories that were used
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...
Many persons go into the healthcare ground because they want to work with people. For these nurses, it is the nurse-patient relationship that is one of the most significant things. By understanding the nurse-patient relationship, nurses can be better furnished to work with their patients and, eventually, deliver superior care for them. Hildegard Peplau's model of nursing emphases on that nurse-patient relationship and recognizes the diverse roles nurses take on when working with patients.
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).
The focus of Peplau’s theory is to achieve goals through the practice of an interpersonal relationship with the patient. This midrange, goal oriented theory states that this relationship is established once a nurse is able to interiorize and understand self-behaviors in order to help others