Title: Quality caring in Nursing
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Quality Caring in Nursing & Health Systems
Health care system is rapidly evolving nowadays and this evolution stimulates the nursing profession to look into the quality of its services with a systematic approach. Studies have shown that a very strong bond exist between professional nursing and outcomes of quality health. Nursing services are provided across many settings and are accountable for majority of health related activities seen in hospitals, clinics, and nursing homes as well as in private homes and schools.
The role of the nurse in this model is to maintain caring relationships which include caring for self, caring for patients and caregivers, and caring for community. It is true that we need to love, respect, care for ourselves and treat ourselves with dignity before we can respect, love and care for others and treat them with dignity, therefore Quality caring model emphasizes caring for self as being a necessary component. The target of this model is to be more aware of mindfulness techniques and teaches how to cope up reflectively with the daily basis situations of patients and their families. Also this
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And for this each caring factor of the model independently explains the concept of caring. Mutual problem solving factor is on the top of the list and it describes nursing behavior that help patients and caregivers understand how to face, learn and think about their health and illness. Second one is an Attentive reassurance in which the patient feels that they can rely on nurse. In other words they feel a sense of security. Encouraging manner is another factor which includes positive thoughts and messages of support. Other factors include Appreciation of Unique meanings, Human respect, Healing environment, Basic Human needs and Affiliation. (Duffy & Hoskins,
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
Caring is the biggest aspect in the nursing field. Aspiring nurses choose to become nurses because they want to care for people in ways that most professions cannot do. Without caring nursing would not be the field it is today. The culture of caring involves intervening programs that help to build caring behaviors among nurses. As nurses become stressed and become down on their life it has shown that caring for oneself before others is key in caring for patients. Lastly, throughout the years many theorists have proven that caring has come from many concepts and ideas that relate directly to ICU nursing.
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
In conclusion, Jean Watson’s theory of caring, a middle-range theory, provides essential framework and guidelines in nursing shortage problem. Nurses who exposed to caring theory have moral and ethical obligations to care for others during challenging situations. Patients, families and other professionals depend on nursing profession, their expertise and knowledge for best patient
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
Jean Watson’s Theory of Caring. Since its establishment as a profession more than a century ago, nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore, it is in a constant process of being redefined.
Today, the discipline of nursing is expressed through a metaparadigm of four interacting components—person, environment, health, and nursing—with caring as the focus of practice (Fawcett, 1984). The environment component focuses on the internal and external surroundings that affect the person, including physical and social factors. Finally, the nursing component nurtures optimum health for people through mutual relationships in a caring environment. The caring relationship between the nurse and the person in need of nursing care has been described as a key concept in nursing and could facilitate health and healing by involving the person's genuine needs. A trusting relationship between the nurse and the person in need of healthcare is a prerequisite for good home-based nursing care whether it is based on face-to-face encounters or remote encounters through distance-spanning technology. A trusting relationship could reduce the asymmetry of the caring relationship which could strengthen the person's position. The relationship requires conscious efforts from the nurse and a choice of level of the relationship. The trusting relationship was reciprocal and meant that the nurse had recognize the patient or designee as the source of control and full partner in providing compassionate
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
Nursing excellence is defined in various ways. I believe that nursing excellence is demonstrated when nurses are involved in promoting holistic patient centered care, quality and innovation, education, evidence-based practice, and nursing research. Nursing organizations plays a pivotal role in promoting nursing excellence. For this discussion post, I will be discussing the role of two organizations; the National League of Nursing (NLN) and the Quality and Safety Education for Nurses (QSEN), in promoting nursing excellence and nursing practice.
Written policies and procedures and Evidence-based practice are extremely important initiatives in nursing and this writer recommends nursing groups and educators with help of organization to create evidence based changes in nursing profession and that will extend the growth of high quality care. By delivering high quality care nurses support patient and so as the community she/he stands on.
Maintenance and promotion of quality improvement initiatives are essential for the successful growth and development of the health care industry. Nurses are key to all quality improvement initiatives as they are in the frontlines and have the most contact with the healthcare consumers. Therefore, nursing professionals are good at putting in their valuable inputs for quality improvement efforts. On a daily basis nursing professionals strive to deliver safe, efficient, effective, patient-centered care in a timely manner. With the growth and development in the health care industry, there is an increased need to provide competent and high quality services. Nurses are equipped with distinctive proficiency required for delivery of patient care
This theory “Focuses on the human component of caring and the moment-to-moment encounters between the one who is caring and the one who is being cared for, especially the caring activities by nurses as they interact with others” (Kearney-Nunnery, 2016, p. 49). Healthcare systems have been focusing more on curing than caring. The costs of non-caring are quality, safety and medical errors. Inadequate staffing further distances the relationship between nursing and patients. When the patient feels like an object, they become dissatisfied (Pajnkihar et al., 2017). If management can apply a caring approach to administration, they will see the benefits of nurses spending more time with patients. This restores nursing to promote wholeness and healing. Focusing on a caring approach promotes adequate staffing to facilitate the nurse patient
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.
Nursing and Qualities That I Possess to become a Good Nurse Nursing is the act of safely caring, protecting and improving our clients’/patients’ health and ability without causing any further harm or disability to them. Our primary goal is to restore and maintain good health physically, spiritually and psychologically. It is a science, such that one has to apply the nursing knowledge and technical aspects of practice. However, it is important to incorporate the act of patient-centered care, which is defined according to QSEN/NOF, as holistic care that recognizes the patient as the source of control and full-partner in providing compassionate and coordinated care with respect for the patient’s desire, values, needs and preferences. It has to incorporate with the nurse’s personality, i.e., certain qualities that the individual possess.
I always treat each person as a unique individual with unique life experiences. I treat my patients with respect and address their cultural beliefs and values. I pride myself with having a caring attitude and want to help and heal people from their illness physically and psychologically. I think nursing can be both science and art. I think to be a successful nurse; the nurse needs to master the art of caring and continually learn and apply knowledge of nursing science throughout their career. Without caring or nurturing the nurse cannot connect with the patient and trust will not develop, without a trusting relationship, therapeutic nursing will not be able to occur. Therefore, I feel caring is at the forefront of all successful nursing interactions. This is not to negate the value that science brings to nursing. A competent nurse must be able to have a variety of knowledge and skill. The next part of the paper will discuss the metaparadigm of