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As professional nurses we come across complex situations which questions our standards of practice, biases, and competencies. There are several issues in the nursing profession and practice which indirectly affects the delivery of care. One such issue is bias which can either be implicit(unintentional) or explicit(intentional). In today’s current complex healthcare settings, bias can be seen in the workplace. Ronald Wheeler (2015) notes, “Bias come in many forms and can influence all our interactions including those occurring in the workplace” (p. 237). Bias may be shown or experienced in different ways and this can impede treatment or create disparities.
Discussion of Bias
I am enrolled in the Education specialty track and at the end of this
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Self-awareness enhances a therapeutic environment in the nursing practice (Rasheed, 2015). Nurses have taken an oath of treating all patients equally and with respect. In an article by Guadalupe R. Palos (2014) the writer emphasizes, “The most competent nurses are those who can appreciate the value…between the science and the art of nursing” (p. 248). Nurses must appreciate and find balance between the two phenomenon’s which drive the practice. As nursing professionals serving patients with respect and looking pass explicit or implicit biases will indeed create and environment for better health …show more content…
(2014). Problems and Challenges of Nursing Students’ Clinical Evaluation: A Qualitative Study. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3917184/
Rasheed, S. P. (2015). Self-awareness as a therapeutic tool for nurse/client relationship. International Journal of Caring Sciences, 8(1), 211-216
Schultz, P.L., & Baker, J. (2017). Teaching Strategies to Increase Nursing Student Acceptance and management of Unconscious Bias. Journal of Nursing Education, 56(11), 692-696. doi:10.3928/01484834-20171020-11
Ziaei, T., Gorzin, M., Aval, M. R., & Behnampour, N. (2018). Effectiveness of Self-awareness based Individual counseling on self-awareness of women in reproductive age. Middle East Journal of Family Medicine, 16(1), 35-40. doi:10.5742/MEWFM.2018.93194
Wheeler, R. (2015). We All Do It: Unconscious Behavior, Bias, and Diversity. Law Library Journal, 107(2),
In-class discussions focused in on these various images of nursing and their damaging consequences. I have observed that I am not as assertive as I should be to dispute these negative images of nursing. I need to recognize when individuals make comments insinuating a negative portrayal of nurses. I will then proceed to educate these individuals on their uninformed views by demonstrating an understanding of my role as a nurse. This step will require knowledge and confidence; which I hope to acquire by the following strategies outlined in my knowledge confidence
... Through the demonstration of these values on a daily basis, the nurse is able to not only take better care of his or her patients, but is also able to take care of his or herself. Through self-care, the nurse is able to better understand the phenomena of the client, and is able to provide better client-centered care.
Angelou once said, “The people may forget the nurses name, but they will never forget how that nurse made them feel.” Nursing is a profession. Unfortunately, nursing does not always get the credit it deserves because of these stereotypes. Nursing is not a gay profession for males. Due to the shortage of nurses, our society needs more nurses now than never. Nurses make a difference in almost every person’s lives just not in hospital rooms but also in schools and clinics. Nursing in not easy job but somebody has to do it. There has to those individuals who must take on this challenge and be the difference in someone’s life. People could not care if someone considers them a failure for being a nurse and not a doctor. Most doctors could not do their job effectively without the help and assistance of nurses. The money is there for those who think nurses does not get paid that much. Healthcare is one of the biggest factors in our world, and for our world to progress further, an increase in employment for nursing is necessary. These stereotypes should not and will not stop the field of nursing from
Conflict often arises between new graduate nurses and experienced staff over the ideal patient care. The realities of practice often turn out to be contrary to what graduates were taught in university (Phillips, Kenny, Esterman, & Smith, 2014). These discrepancies in practices have been shown to create distress and reality shock for new RNs (Gardiner & Sheen, 2016). Reality shock is experienced when the considerate effort is put into preparing for a specific employment and new employee finds the candidate not prepared at all (Harwood, 2011). This often stems as a result of the gap between a theoretical and practical component of an education (Whitehead, 2011). Ortiz discussed that university education does not prepare graduate nurses to deal with the irritated physicians and family members (2016). All these experiences presented together to the newly qualified nurse 's results in reality
Poor care does not only result in bad press and public perception but also break the trust between the patient and nurse. Utilising the theoretical framework developed by Todres et all (2009) which explores eight central aspects of what it is to be human. Todres et al (2009). This model can be used to improve nursing care. Referring to the term ‘being treated as human beings’ not being treated as a number or object.
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.
Nursing is something that cannot be simplified to one word or phrase; it is more than treating the ill and more than just a profession, rather it is a standard of care and service to others, and it is constantly evolving. Nursing should revolve around commitment and a desire to help those in need. As I reflect on my nursing education, I have realized that I have inadvertently created a set of values and beliefs for myself, otherwise known as my personal nursing philosophy. A product of my knowledge obtained from classroom lectures, my interactions with an array of patients, family members, and healthcare professionals at my clinical sites and my job in a long-term care facility. I believe each patient should be treated as an individual and given the best quality of care, regardless of their gender, race, age, sexual orientation, religious preference, socioeconomic status, or choices they may have made. Every patient is worthy of respect, even when their views differ from my own. Each patient has the right to honesty, and to feel safe.
The act of self-awareness is built through emotional intelligence which is an important factor in building therapeutic relationship. Nurses should built an understanding of clients health situation considering social, cultural, emotional, physical spiritual and psychological conditi...
Some of these barriers can include discrimination and stereotyping between coworkers and also between patients and the healthcare staff. According to Andrews and Boyle (2016), gender can become a barrier for female nurses with males being paid a higher wage and receiving promotions quicker than females. Affirmative action is a policy that provides equal opportunities without being discriminated against (Adrews & Boyle, 2016). However, discrimination can happen when an employer is required to hire a certain percentage of minorities within their company instead of being able to actually hire the best candidate for the job based on experience, work ethic, or education. Role stereotyping can also hinder the workforce. Many see the traditional role of a nurse as being a female and a male being a physician. Many patients will assume that a male entering their room is a physician and therefore have more respect for them and their knowledge as opposed to a nurse. Hatred toward coworkers due to prejudice and discrimination can also play a barrier to diversity. Many employees can show negatively toward specific groups such as, homosexuals or Muslims due to feelings related to previous interactions or behaviors with certain cultures (VanLaer, & Janssens, 2011). Although there are many more barriers in diversity, it is obvious that we need to continue to work on awareness toward other
Recently a new field of interest and analysis has begun taking shape around the study of the masculinities and the particularity of men's social, physical, psychological and labouring lives in differing historical contexts.
It takes a while to get to know yourself before you are able to care for another person. Studying oneself is challenging because it allows reflection of one’s inner self, exposing your strengths, weaknesses, vulnerabilities, interests, habits, defenses, and values. On the same note, it allows a person to be more familiar with the challenges he or she faces, how they might respond to certain situations, and offers an opportunity for learning and growth. Throughout this paper, I will discuss the various pieces of myself. I will consider my personal and professional life as a nurse, what I might employ as my mental model, which may limit my frame of thinking, how it has shaped me so far in my education, and how I relate to others.
a. Describe and discuss two common biases that may be observed or experienced in a healthcare setting and (Minimum 100 words original words only. Check your work for spelling, grammar, and punctuation prior to posting).
A job in health care requires nurses to have a broad knowledge base. Not only on health care in general, but diversity as well. We live in a world that is very diverse, where no two people are the same. As a nurse, it is important to understand what diversity, assumptions and ethnocentrism all mean. By having a good understanding of these three things, a nurse will be better able to provide culturally competent care to his or her patients, which is a huge part of nursing.
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).
‘Nurses’ self-concept can be defined as information and belief that nurses have about their roles, values and behaviours’ (Takase et al. 2002, p. 197; Hoeve et al.