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Critical reflection on nursing standards
Critical reflection on nursing standards
Importance of spirituality in health care
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Introduction
The PICOT statement: (Population) In critical care patients, (Intervention) does a standard spirituality assessment (Comparison), compared to standard care without including a standard spirituality assessment, (Outcome) impact choices of treatment plan and outlook on condition, (Time) throughout their hospital stay. Within critical care this is a lot happening to the patient for the nurse to pay attention to. The nurse needs to assess the patient very carefully to make sure no changes have occurred and if they did, did the condition worsen or get better. The patient is enduring some of the most intense care they may have ever experienced. It is important to talk to the patient and understand if they know what they are going through.
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They used Walker and Avant’s eight-step concept analysis approach to support the effect of spirituality in the care of the patient. When using this eight-step concept they found spiritual care has a positive effect on the patients healing and the spiritual awareness for the nurse (Ramezani, Ahmadi, Mohammadi, & Kazemnejad, 2014). This is vital to my PICOT because it talks about numerous attributes such as healing presence, intuitive sense, patient-centeredness, exploration of the spiritual perspective, and creation of a spiritually nurturing environment which are necessary formulate a healing component to the treatment plan. Then another article by Savel and Munro, titled The Importance of Spirituality in Patient-Centered Care, which focus on how in critical care the pay close attention to the body itself, but do not include holistic care for the patient. They explain how the nurse needs to identify if the patient already has some form of spiritual background or if they would like some form of spiritual guidance during this difficult time in their life. According to Savel and Munro, “culture and spirituality plays an important part how the decision the patient makes for their treatment plan” (2014). This article is essential to my PICOT statement because it focuses on the fact the patient needs to be focused on as a whole person and not just an illness. One …show more content…
Smyth uses a two-phase research study with questionnaires to assess how nurses effectively use spirituality on their acute care units. He found that nurses do not have a clear definition of spirituality or concept of it, but understand it is vital to patient care (Smyth, 2011). This is vital to my PICOT statement because it shows nurses want to implement a spiritual assessment, but they need a clearer understanding of what spirituality includes to better help the patient. Another article is Spirituality Self-care Effects on Quality of Life for Patients Diagnosed with Chronic Illness by White. This article expands on the Orem’s self-care deficit including spiritual self-care practices, using a study looking at the impact integrating spirituality has on the health of the patient. They found, “the use of spirituality self-care practices can promote quality of life through participation in interpersonal and intrapersonal activities that give meaning to life” (White, 2013). This is important to my PICOT because it shows the positive effects of spirituality on the quality of life the patient can have with it included versus the outcome without it. The final article is Spiritual care at the end of life, written by Wynne. Wynne looks at how health care professionals should include spirituality especially in palliative care because it
Puchalski, C. M., Dorff, D. E., Hebbar, B. N., & Hendi, Y. (2012). Religion, spirituality, and end of life care. RELIGION, SPRITUALITY, AND END OF LIFE CARE. Retrieved from http://www.uptodate.com/contents/religion-spirituality-and-end-of-life-care?source=search_result&search=Religion%2C+spirituality%2C+and+end+of+life+care&selectedTitle=1%7E146#
Weaver, Andrew J. and Kevin J. Flannelly. “The Role of Religion/Spirituality for Cancer Patients and Their Caregivers.” Southern Medical Journal 97 (December 2004): pp. 97-98. 1210-1214. Spiegel, David. The 'Standard'.
Cunningham, M. (2012). Integrating Spirituality in Clinical Social Work Practice: Walking the Labyrinth (1 ed.). Upper Saddle River: Pearson Education Inc.
A study by Norman, Rutledge, Keefer-Lynch and Albeg (2008b) shows that among nurses in the clinical setting, the fourth caritas process was used almost a majority of the time despite what the circumstance may be. One of the ideas they use to incorporate this process in their nursing care is emphasizing the importance of following through on actions and to report to the patient as quick as possible. This is crucial to sustaining the trust of the patient and keeping that relationship strong. Some other examples of implementing this caritas process include not appearing that you are too busy or mentally occupied when caring for the patient and to steer away from confronting too harshly patient ideas or behaviors (Norman et al., 2008, p. 327). These examples tie in with focusing on the present with the patient and assuring them they aren 't bothersome. A focus should be placed on talking through situations and never discouraging the patient through harsh
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).
Watson first published her theory of caring in 1979 in a book titled, Nursing: Human Science and Caring. Watson and other researchers have built upon this theory and caring theory should continually be evolving as the delivery of patient care evolves. This theory focuses on care between the nurse and the patient. This interaction is defined as setting mutual tasks, how a spiritual force may help the interaction and when caring in the moment of true healing may occur. When the nurse and patient are on the same level spiritually self-awareness and self-discovery occur. There are ten themes identified in this article essential to caring in
Williams, M. (1998). In C.M. Hudak, B.M. Gallo, and P. Gonce Morton. (Eds.) (1998). Critical Care Nursing. A Holistic Approach. 7th Edition. Philadelphia: Lippincott-Raven Publishers.
... joy Mrs. L got from seeing her cat. Health in this scenario is shown mostly notably when Mrs. L got relief from Morphine and stated she knew she was going to die but felt “ok for now”. Health in this case was measured by an improvement in pain and not an absence of illness. Finally, nursing in this scenario is exemplified in many ways. In the paragraph above I begin by ensuring the patient’s confidentiality. Mrs. L was placed at the center of care. I collaborated with other nurses and all those in the environment to assure the best care possible. Through direct care, teaching and advocacy I delivered the exact type of care I would wish for myself, or someone I loved, if I were in Mrs. L’s place.
I am grateful to be at an institution of higher learning that understands and respects faith. My philosophy of nursing cannot be explained without God and Jesus. They are a part of each one of us. The reason that someone goes into a healthcare professional is usually to favorably treat a patient’s health. Spirituality of mind and body cannot be separated completely in my nursing philosophy. In this vein, nursing cannot be wholly separated from faith.
There is evidence suggesting that attention to one’s spirituality influences the ability to cope with illness, help in the prevention of illn...
Pipe, T. B., Kelly, A., LeBrun, G., Schmidt, D., Atherton, P., & Robinson, C. (2008). A prospective descriptive study exploring hope, spiritual well-being, and quality of life in hospitalized patients. MEDSURG Nursing, 17(4), 247-253.
Religion is a significant aspect of culture that must be understood and respected. Through understanding the differences in peoples cultures, a nurse who is tending to a patient who’s beliefs differ from his or her own can appropriately adjust care to respect the patient’s beliefs and
...locking out the idea. Spirituality also assists in fostering a healthy patient. Many individuals believe in a higher power and therefore we as nurses should encourage that connection when we see it being made. Spiritual connections are a way to give the patient an outlet. They are able to express themselves and rely on something other than physical care and diagnoses. They are about to look to this higher being for encouragement, peace, and healing.
Her lecture was given to medical students, nurses, social workers, and chaplains about the idea of holistic hospice care. She included photos of terminally ill cancer patients and their families, showing the dramatic differences before and
This paper will include a self-assessment of my own spirituality and how I view spirituality. Peer-reviewed scholarly articles will be included in the essay pertaining to spirituality and my belief. In the following paragraphs will also include the integration of spirituality within social work practice. I believe spirituality does various things for me in my life: it heals me, helps in a time of need, and guides me towards positive aspects of life, which many people believe the spirit does the same for them.