Having a therapeutic environment for the patients that are boarding in the emergency room is a crucial topic in nursing that needs to be researched and changed. The article written by Donald, Duff, Lee, Kroschel, and Kulkarni discuss the importance of the environment that the patient is in on the way he or she perceives his or her care to be. The theory that is related to this article and the topic of a therapeutic environment for the psychiatric patients that are boarding in the emergency room is comfort theory. This theory discusses the importance of the patient’s comfort in an environment on his or her healing process, this is vital in the pscyharitic patients environment because sometimes these patients are staying multiple days in the …show more content…
The article discusses the importance of the environment for pscyharitic patients (Donald, Duff, Lee, Kroschel, and Kulkarni, 2015, p. 63). Nurses and health care workers should be providing the patient with a “safe, caring, and comfortable environment” was flagged as important to the patients and staff (Donald et al., 2015, p. 65). Having an environment for these patients that is therapeutic for the patient’s healing process is This article shows the importance of comfort theory when working with psychiatric patients whether in the emergency room or inpatient …show more content…
Having a therapeutic and healing environment is vital for any patient; however, it is increase importance in-patient with psychiatric diagnosis. Having a long stay in the emergency department can lead to an increase risk of the patient leaving which in turn increase the risk of self-harm or suicide (Nicks & Manthey, 2012, p. 2). This is the nurse’s responsibility, to have a therapeutic environment for these patients. Working in the emergency room this nurse takes care of multiple patients that are boarding in the emergency room waiting for an inpatient bed to become available. This author sees first-hand what having a non-therapeutic environment can harm a patient. This makes it so this author offers the patient a therapeutic environment as best as this author can. This writer is now an advocate for these patients, this writer has educated staff at the hospital how having a therapeutic environment for these patients will improve the quality of the patient’s staff in the emergency room. This writer tries to get information from this nurse’s assessment to provide the patient with the environment that he or she needs to start healing. After completing reading the article and about comfort theory, this author believes her nursing care for this specific population of patients has
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
The second concept, the environment, is the setting that can be controlled by the nurse or an individual to augment comfort. (Masters, 2017). In a hospital setting this could include dimming the lights, providing a low stimulation environment, or limiting visitors. Another example may be removing an individual from a situation that is not conducive to healing. Health is the third concept and refers to the orchestration and collaboration of those involved in assisting the patient to a state of well-being. Lastly, the concept of nursing describes the utilization of the nursing process of assessment, planning, intervention to meet the comfort needs of the individual and evaluating the effectiveness of those
“Comfort is an immediate desirable outcome of nursing care. ” (Kolcaba, Introduction, 2010) Comfort in healthcare is something that many would think would be understood without a theory, but comfort has never been well defined in the past. Katharine Kolcaba is a middle-range theorist who has been developing the Comfort Theory since the 1990s (Comfort Theory: Katharine Kolcaba, 2011) in order to help define what comfort means in the healthcare setting. According to Kolcaba, comfort exists in three forms: relief, ease, and transcendence. (Comfort Theory: Katharine Kolcaba, 2011) The Comfort Theory is a modern, universal, and very applicable theory for the field of nursing as it is today.
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).
The focus of this model is for leadership to empower staff members with opportunities, information, support, and resources to facilitate engaged relationships that, in the long run, will facilitate staff in empowering patients by providing opportunities, support, information, and resources to reflect on their well-being. Opportunities being referred to in this model are training opportunities; training trauma-informed care. The model also requires that information be provided to increase understanding that behaviours such as self-harm in patients, can be as a result of a neurobiological response to trauma. In this way, the model follows patient centred care since it looks at the patients’ needs for effective treatment. Information about patient preferences is utilized to come up with a comprehensive list of physical, emotional, and cognitive responses to stress. The list focuses on triggers that can cause stress, calming activities and past experiences with restraint and seclusion. This follows quality improvement competency since patient data analysis enables the staff to come up with a better way to treat them. The model also emphasizes on teamwork by enhancing support. The theme of support refers to a collaboration between the staff and the leadership. Collaboration is achieved in schedule meeting and during shifts. There’s also the need for availability of patient’s
This article was written by several well educated professionals in the nursing field. The article appears in a peer reviewed nursing journal that covers topics in psychiatric and mental health nursing that has a 37-year history. The sources history, along with the use of various references from other professional sources establish the journal entries
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,
Conclusion…..”You don’t have to be a psych nurse to encounter patients experiencing psychiatric emergencies”. (Marlene Nadler-Moodie, 2010)
Early nursing interventions have shown to drive down the rates of suicide. As I brainstormed ideas of how to improve the clinical practice I noticed that any care, regardless of the situation, begins with the nurse and her or his attitude towards the patient. It is crucial because the nurse is usually the first person that encounters the patient and if he nurse can establish a relationship with the patient, I believe patients will have the opportunity to open up.
The nursing theories that are currently being implemented in the psychiatric area of the emergency room should continue to be implemented along with other nursing theories. With the nursing theories that are currently being implemented it is not solving the problem of a non-therapeutic environment for the pscyharitic patients that are boarding in the emergency room waiting for an inpatient bed to become available, there needs to be other nursing theories implemented in order to solve this problem. The policies and procedures that are put into place in this part of the department should be evidence based and should allow the patient to have a therapeutic environment so the patient is able to start the healing and recovery process while the patient is boarding in the emergency
The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes from the therapeutic relationship. The health care provider should ensure that they communicate effectively to the patient/client. The skills explained in the above essay are the relevant skills that nurses in the contemporary hospital environment should adhere to and respect.
Since, seclusion is a matter conflicting between patient's rights and safety, this issue becomes one of great concern for mental health professionals. If seclusion becomes necessary, then it is important that throughout the seclusion the patient receives a high level of nursing care in a way which maintains their
The provision of patient/family-centered care, which assure safety and quality in the service, would have a team work approach as a foundation and underpinning. In a healing process or in the preservation of health intervene several factors, some of them are closely related with the environment. Healthcare providers constitute an important part of that environment, and definitely, communication with patients, families, and among themselves, have a significant impact on it. The environment would influence the patient’s perception of care, and the staff’s level of
Two concepts at the heart of nursing are comfort and caring. The Meriam Webster dictionary defines comfort as easing grief or trouble, as well as giving hope or strength. The definition of caring is showing or feeling concern for others. Theorists Jean Watson and Katharine Kolcaba seek to enhance nurses understanding of caring and comforting patients through their respective theories. This paper will discuss their theories using a stepwise approach.
Nurses are an equally important part of each client’s life. Nurses provide stable care to each client, answers their questions, gives medications and treatments, and assists with medical procedures. They also have the responsibility to explain to clients and family members what they should and should not do as they go through treatment and recovery. Nurses must quickly respond to patients needs. Every individual nurse has his or her own unique way of caring. There are so many ways to show caring that the possibilities are never ending. Nurse’s support, comfort, and help allow the patients to recover to the best of their ability. Their experiences in dealing with different patients that have unique situations on a daily basis helps the nurses become better caregivers. Therefore, every nurse is capable of demonstrating care in their respective environments.