Foundations of Nursing Practice Essay Essays

Foundations of Nursing Practice Essay Essays Foundations of Nursing Practice Essay Essay Foundations of Nursing Practice Essay Essay A contemplation on how the faculty content and associated pattern experience has contributed to the student’s development as a nurse. This essay is a treatment on how the faculty content and pattern experience has contributed to personal development as a nurse. Therefore it will concentrate on foremost the construct of individualised attention and its relevancy to nursing appraisal and attention bringing. secondly the ethical and professional issues that impact nursing such as confidentiality. consent and self-respect. The essay will besides concentrate on researching the assorted communicating theoretical accounts and the development of the curative relationship between the nurse and the service user. and eventually the administration and bringing of attention within the pattern environment. With peculiar mention to a recent arrangement. at a alleviative attention nursing place. this essay will discourse Harriet. an 88 twelvemonth old lady with chronic bronchitis and suffers with multiple induration. For confidentiality purposes the names of service users have been changed to follow with the Nursing and Midwifery Council. Code of Conduct ( NMC 2008 ) . : This assignment will foremost discourse the individualized attack to nursing. which developed in the USA during the 1950’s and 1960’s. which coincided with the development of the nursing theory and theoretical accounts of nursing which began to dispute the medical theoretical account of wellness attention ( Lloyd. Hancock. Campbell 2007 ) . The nursing procedure can be carried out successfully by implementing a popular theoretical account used extensively in the UK originally by Roper et Al Activities of Populating theoretical account in which it is based slackly upon the 12 activities of day-to-day life ; nevertheless Henderson acknowledges 14 activities that people engage in ( Kozier. Erb 2008 ) . This theoretical account identifies any shortage in their attention normally upon admittance ; it is reviewed as the attention programs of the service user evolve ; after which an intercession may be given to the service user. The nursing place that was attended for arrangem ent had individual centred attention programs in which they based them on the 12 activities of day-to-day life from kiping. feeding and imbibing to mobility and communicating ; these were short term attention programs that were reviewed monthly. Another theoretical account that is often used described by Ellson ( 2008. pg22 ) is the Nursing Process. when it was ab initio identified ; Yura and Walsh ( 1978 )showed that it is a four phase rhythm that begins with appraisal. Harriet was assessed by the Doctor as the registered nurse in charge ( RGN ) noticed a alteration in her wellness ; she had developed a wheeze when speaking and had a big-chested cough. the RGN suspected a chest infection. A attention program was so devised to follow up the appraisal. Harriet was to be started on a class of antibiotics for a hebdomad. and was to be resumed on her atomizer. The attention was so implemented the undermentioned twenty-four hours during the forenoon drugs unit of ammunition. An rating of that attention completes the rhythm ; in which Harriet was to be seen by the Doctor the following hebdomad after finishing her class of antibiotics and was to stay on her atomizer. Additionally. more than one phase can be happening at the same clip. for case appraisal may co-occur with execution ( Carpenito-Moyet 2007 ) . If ends are achieved after the first rhythm. attention possibly terminated or in some instances modified and the service user reassessed. ( Ellson 2008. pg22 ) This procedure is designed to heighten systematic attention. drive communicating amongst squad members and promote continuity ( Mason 1999 cited in Habermann. Uys 2006 ) . The RGN wrote in Harriet’s day-to-day study and updated her attention programs. placing her alteration in medicine and alteration in her wellness. Throughout nursing there are many ethical and professional issues that impact on it from confidentiality. consent to esteem and self-respect. to clear and accurate records and working as portion of a squad. The Nursing and Midwifery Council Code of Conduct ( NMC 2008 ) clearly states that nurses should guarantee they gain consent ( NMC 2008 ) from the service user this can be anything from analyzing. supplying attention and giving intervention. Consequently a nurse has to be prepared if a service user declines their aid as they have a right to decline intervention based on cognition of the results and hazards ( Wilkins and Williams 2008 ) . Informed consent is a communicating procedure between the supplier and the service user ; this is now recognised as a professional criterion of behavior ( Westrick and Dempski 2009 ) . However if there is a instance where the service user does non hold the mental capacity to give consent. they are protected by the Mental Capacity Act 2005 in which during the determination doing process their rights and involvements are accounted for ( Griffith and Tengnah 2010 ) . My first undertaking at arrangement was to seek and feed Harriet. I introduced myself alongside a wellness attention helper and asked if I was able to feed her tiffin. I was refused. on the evidences that I was a fresh face and that she did non cognize me so I let the wellness attention helper feed her. The undermentioned twenty-four hours after helping the RGN with Harriet’s medicine. she kindly said to me that she would allow me feed her today if I was able to ; so at tiffin clip I went along with another wellness attention helper to feed her. Another of import ethical issue is keeping a person’s self-respect as Watson ( 1994 ) mentioning ( Watson 2008 ) states that keeping human self-respect is a critical nursing responsibility and map. that needs to be recognised and respected in which people make to their ain attention and good being ( NMC Code 2008 ) . This can be associated with many facets of attention such as bed bathing. pore attention. nog tubing attention as Westrick and Dempski ( 2009 ) travel on to state that it is down to the service user to state what is to be done with his or her organic structure. Fenton and Mitchell ( 2002 ) cited in Franklin. Ternestedt and Nordenfelt ( 2006 ) argue that aged people having attention sing self-respect is a province of physical. emotional comfort. later when this is non ever adhered to it can go forth the service user feeling embarrassment. shame. humiliation. folly and debasement ( Mairis 1994 cited in Watson 2008 ) . However nurses themselves can go emotional if the criterion of attention given is non sufficient this is supported by the Royal College of Nursing study ( 2008 ) inquiring nurses for their positions on self-respect in attention in which over 80 % said they sometimes or ever left work distressed due to non being able to present the quality of attention they thought they should give ( Gallagher. Tschudin 2010 ) . When asked to give a bed bath to Harriet. I made sure that merely the country being cleaned was exposed therefore covering up other private countries in instance anybody was to come in her room. When Harriet was seen by the Doctor sing her chest infection I treated the information sensitively and maintained confidentiality with all her wellness records. The presence of the curative relationship lies at the bosom of patient centred nursing. However the nature of this one to one relationship is really dependent on the context in which nursing attention is delivered ( McCormack 2004 mentioning O’Connell 2008 ) . Therefore the edifice blocks for this relationship should concentrate on genuineness. empathy and regard. which should go forth the service user feeling supported every bit good as listened to. whilst the nurse feels value in their function ( Dossey. Keegan. American Holistic Nurses Association 2008 ) Whereas Bynum-Grant and Travis–Dinkins ( 2010 ) travel on to state that whilst the curative relationship is at the nucleus of nursing it is the cognition and skill along with the caring attitudes and behaviors applied that construct the foundations of this relationship. I spent a batch of clip with Harriet acquiring to cognize her. and constructing a relationship of trust with her. in order for me to go to her person al attention demands. give her medicine orally under direct supervising. This assignment will now discourse the effectual communicating accomplishments throughout nursing that helps practicians to prosecute with the service user. by doing certain agreements are met for people’s linguistic communication and communicating demands ( NMC Code 2008 ) Studies have shown that the relevant communicating means given to an person can better wellbeing ( Bell 1996. Happ 2001 cited in Batty 2009 ) . Means of communicating that have proved successful are non verbal techniques such as authorship. pulling or by gesture. therefore communicating AIDSs have been made available such as supplying a pen and paper. or alphabet charts ( Batty 2009 ) . Effective communicating is seen as a cardinal competency required for enrollment as a nurse ( Nursing and Midwifery Council 2004 cited in Timmins 2009 ) Timmins and Astin ( 2009 ) besides goes onto explain that continuity of attention supports high quality communicating as it builds up the relationship between nurse and service user and is a chief characteristic of patient centred attention. Crouch and Meurier ( 2005 ) cited in Cox and Hill ( 2010 ) defines communicating as a two manner procedure in which information is transmitted and received. However listening to service users and their households is cardinal to the communicating procedure ( Timmins and Astin 2009 ) Harriet could pass on easy. her hearing was somewhat impaired hence you had to talk aloud and clearly ; she was on oculus beads as her sight was deteriorating and she was really good spoken and if I was to state something falsely she would be really speedy to rectify me. Harriet nevertheless was somewhat confused and sometimes perennial things she had said a few minutes ago. she besides had fanciful friends she would mention to whilst speaking to me. This essay will now research the bringing of attention in nursing which is really of import as this can impact the service users’ experience. There are three ways in which attention can be delivered ; this is by primary attention. undertaking allotment and squad nursing. Primary nursing began in the 1970’s as a manner to get the better of dissatisfaction with functional and squad nursing’s accent on undertakings that directed nurses’ attending off from holistic attention of the client ( Huber 2006 ) . Walsh and Crumbie ( 2007 ) explain that primary attention nursing involves one nurse being apt 24 hours a twenty-four hours for all attention delivered to a patient. However Thomas ( 2006 ) identifies this is non ever necessary as attention can be delegated to other nurses or wellness attention helpers †¦ yet the primary nurse carries duty for composing attention programs and guaranting that long term ends are met. Skelton ( 2001 ) cited in Timmins and Astin ( 2009 ) suggest that this attack fosters autonomy and gets them involved with their attention instead than wellness professionals ordering their attention to them. Within the nursing place the primary nursing attack to care was non suited as there were excessively many service users for one nurse to concentrate all their attending to at one clip. Many wellness attention scenes would deny utilizing undertaking orientated attention nevertheless in world it still goes on and tends to bring on apathy and cut down squad morale. Task allotment on the other manus may be the most suited manner of apportioning the work load ( Thomas 2006 ) particularly during staff deficits or certain wellness attention scenes. Despite the nursing place holding individual centred attention programs and doing individualizing the attention needs. the nursing place still took on the undertaking allocated attack as all the occupants had breakfast by 8am and were washed and dressed by 9am. However as Harriet was unable to feed and dress herself due to holding multiple induration she was frequently left until last to hold these demands addressed as two wellness attention assistant’s were required. Team nursing was developed in the early 1950’s it was designed so that staff strengths can be used to the upper limit and AIDSs group productiveness and growing of squad members. By utilizing this system nurses should still be able to supply individualized nursing attention ( Lloyd. Hancock and Campbell 2007 ) therefore nurses take on certain functions such as temperature. medicine or a nurse for the right side of the ward ( Kalisch and Kalisch 1978 ; Reverby 1987 cited in Huber 2006 ) . Communication is hence cardinal for this theoretical account to be effectual as the squad leader continuously evaluates and communicates alterations of the patient to the squad members ( Zerwekh. Claborn 2006 ) . It besides allows the nurse to depute patients to the strengths of the staff with what their attention focuses on ( Tiedeman and Lookinland 2004 cited in Zerwekh. Claborn 2006 ) . Unfortunately the attention given can go disconnected and therefore uneffective and productiveness decreased among team members if there are staff deficits. Harriet’s attention followed this attack. as she was bed bound the arjo hoist was the lone manner of reassigning her from bed to chair ; this needed two people. as did log turn overing Harriet for her bed bath so she was cleaned efficaciously and suitably. I feel the faculty content has contributed to my development as a nurse as it taught all the relevant information needed for my first arrangement. I was able to see how the theory coincided with the pattern which besides contributed to my development as a nurse. For illustration I was able to see how the individualized attention attack was introduced into the individual centred attention programs used within the nursing place. I was besides able to see how the curative relationship was built amongst the nurses in charge. the wellness attention helpers and other members of the multidisciplinary squad. they each had their ain manner of nearing the service user in respects to their attitudes. organic structure linguistic communication and behavior. this I was able to pick up and utilize myself which made me handle state of affairss better. The faculty content went into great deepness and was given in a assortment of larning manners which suited my acquisition form holding come directly from school ; I feel the type of larning given has strengthened my ability to larn and the relevant theory made me experience more confident when go toing arrangement. Having learnt the theory I was able to set some of this knowing experience into pattern. as holding had no old experience within wellness and societal attention I felt uneasy at first but as more religion and assurance was put into me via my wise man and other staff members. this helped me experience more involved and more comfy with working within this environment giving me the assurance encouragement I needed. Throughout the arrangement I was guided throughout every undertaking that I had to transport out. I was learning it foremost by wise man and so throughout the hebdomads I had to better on what I had learnt. the registered nurses I shadowed were really supportive an d accessible which helped me greatly. In decision this essay has discussed the construct of individualised attention by integrating the nursing procedure and theoretical accounts that evaluate the service user’s wellness and identifies the attention needed and any shortages in their attention. Nurses uphold a repute in which the ethical and professional issues are the foundations of this. As explored throughout this essay it shows that confidentiality. consent and self-respect are cardinal throughout nursing and demand to be incorporated into the attention provided by the nurses. Assorted theoretical accounts of communicating have been identified throughout this essay its relevancy shows how the nurse must interact with service user. this is really of import as the service user needs to be able to show their concerns of their wellness either verbally or not verbally. The curative relationship is at the epicenter of nursing as this can impact a service users experience within a wellness and societal attention puting. The essay has besides explored the administration and bringing of attention needed to be most effectual throughout nursing. 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