Johanne Fasbender

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

Standing (2011), defines clinical decision-making as a complex process that involves observation, gathering information, critical thinking, evaluating evidence, applying necessary knowledge, reflection and problem-solving skills. Every day nurses make important clinical decisions and these decisions have important implications for patient outcomes and deserve serious consideration. Therefore, it is important for nurses to have a better insight of the decision-making process, be able to deliver holistic care and meet essential and complex physical and mental health needs of the patient.

I was able to gather a lot of information on my patient when I was taking his health history, giving his shift assessment, and reviewing his charts. I used this step to offer effective nursing care to determine the priorities of what is the most important issue for which the patient should be treated.

For as long as I can remember my mother has been a remarkable leader. When I was young she worked as a manager for an apparel manufacturer. I often saw her in action when she took me to work with her on days I was sick. My siblings and I learned at a very young age, that hard work means something, and being passion about

An important aspect of nurse practice is communication as it is the process of transferring information, feelings and ideas (RCN, 2015). It also provides knowledge based on identifying behaviour patterns, establish a relationship between nurse and patient and it is also

So it is extremely important that the RN and other team member have a two-way open dialog to ensure that the necessary information is obtained. When team members come together in such a collaborative way, it promotes an atmosphere that allows discussions that can solve complex client health care problems, prevent errors, and allows the RN to act as an advocate for the client. In the plan of care when the RN is continuously reviewing the chart and client status, this collaboration is critical. It allows the RN to ensure that all disciplines involved in the clients care are up to date and doing their part to contribute to the expected goals. In most situations it is the responsibility of the RN to organize these collaborations when they believe a client could benefit from

My aunt whom just so happened to be one of my role models passed away. I was devastated. Not only was I confused, but I was lost as well. A woman I looked up to was gone forever. I missed a few days of school and starting falling behind on work. It took me awhile to process my aunt's’ death. I finally realized that I have to move on. I knew that she would not approve of me being sad. I started remembering all of the positive memories my aunt left behind. I gained a tremendous amount of knowledge from her. Until this day, I carry what she taught me everywhere I go. I strive harder to make her

Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice. According to Jasper (2007, p117) theories of decision making in medicine tend to favour logical, precise analytical models which are held to be testable, unambiguous and repeatable, therefore satisfying scientific principles. These represent important ideas of certainty and rationality that are intended to provide a sense of security and reliability. When used correctly a nursing model should give direction to nurses working in a particular area, as it should help them understand more fully the logic behind their actions. It should also act as a guide in decision-making and so reduce conflict within the team of nurses as a whole. This in turn should lead to continuity and consistency of the nursing care received by patients according to Pearson et al (1999,p ).

The healthcare industry has intensely advanced throughout the world, in turn changing the principles that incorporate the practice and culture of nursing practice. Altering the model of care to a patient-centered mode signifies an organizational culture shift and requires the participation of executives at the senior level (Cliff, 2012). To practice this care to provide the best care possible, it goes beyond the nurse to all healthcare professionals and senior leadership. The days of patients and nurses following a physician’s order without favor to care has now loaned themselves to more of an interdisciplinary approach to practice. Though, it is encouraged that the patient makes decisions for themselves, after receiving the proper education and information on their condition. Part of the patient-centered care is to be the patients’ advocate, by letting them know you are there for them when they are unable to speak and advocate for themselves and what is in their best interest. That goes in hand with educating them on “self-management of care, health literacy, patient, and family education through nurse-patient communication and interaction (Finkelman & Kenner, 2016, p. 271).”

Shared decision making should involve both health professionals and patients in discussions about their care. “While health professionals hold the expert clinical and technical knowledge, patients are experts about their own lives and treatment objectives, and also what is important to them when making decisions. (Lally, Macphail, Palmer, Blair and Thomsom, 2011).

Most people have impacted my life, but one person particularly has impacted my life greatly. My granddad was the person that has impacted my life ever since I was born. Even though my grandpa has been dead for 10 years going on 11 he still impacts my life daily. Since we had a close relationship I always knew when he is around even though he is gone. He would have inspired me in ways that most people never didn’t. I miss him plenty, but luckily his spirit is still with us no matter what happens.

The development of the nurse’s ability to clinically reason and take appropriate and timely action can, in time, become an instinctive and automatic process. Reflective practice by the nursing professional will highlight the areas in which further improvement is needed. Essentially, it is the responsibility of the individual nurse to identify the need to develop this ability, and the skill to effectively communicate the patient’s condition to the other members of the healthcare team to produce positive patient outcomes.

Nursing goes beyond caring for a patient during their illness and managing their disease process. Nursing includes adapting to a patient’s and their family’s physical, social, spiritual, environmental and psychological needs. I believe in treating the whole patient and being supportive of the family’s needs as well. Shelly & Miller (2006) asserts “while critical thinking, decision-making, and leadership skills are extremely important, the characteristics nurses need most are compassion, competence, faith, integrity and responsibility” (p. 291).

For example, my grandfather Jerry was a doctor and my Great Aunt Margaret and Pat were nurses. Anytime I was sick, my mom would always call her dad up and talk to him rather than rushing me to a doctor. When I was in the 7th grade, it was one of the hardest times of my life, Jerry was suffering from heart attacks and fluid in his lungs. I had never been exposed to the feeling of loss until he passed away. Losing one of my role models and someone that I cared deeply about made me a stronger person. Since his passing, I have seen more and more of my aunts and uncles than I had before, and growing strong relationships with all of them.

There is always that special person in your life that changes it forever. They teach you how to read or write, how to ride your first bicycle, or even how to cook. They are there through the ups and downs, and always ready to greet you with open arms.And, when their time is up we are left to live and share their legacy. That special person in my life was my grandpa( also known as papa).