RESUMEN
La evaluación de la carga de trabajo del personal de enfermería ha sido siempre un tema de habitual polémica, matizada por elementos subjetivos y objetivos. Han existido numerosos intentos de estratificar de forma cuantificable -sobre todo en las Unidades de Cuidados Intensivos (UCI)- dicho problema, pero pocos de forma cualitativa y en las Unidades de Urgencias Hospitalarias. En este Trabajo Fin de Máster se ha diseñado un estudio dividido en cinco fases. En esta investigación hemos desarrollado la primera fase siguiendo una metodología cualitativa de tipo etnográfico. El objetivo principal, en dicha fase, será explorar la percepción de sobrecarga laboral que sufren los profesionales de enfermería de Urgencias Hospitalarias. Será unicéntrico y se ajustará a un diseño cualitativo con perspectiva etnográfica. La población diana estará formada por enfermera/os de urgencias hospitalarias de un hospital del Servicio Murciano de Salud. No se determina la muestra ya que se prevé utilizar un muestreo de conveniencia hasta la saturación de los datos. La técnica de recogida de datos será la observación-participante (participación-observación), realización de entrevistas semi-estructuradas en profundidad y, posteriormente, en el desarrollo de las fases restantes se ampliará a otros hospitales y también se crearán grupos de discusión con las enfermera/os de urgencias incluidos en este estudio. La mayoría de los estudios realizados hasta el momento son casi exclusivamente de
The five conceptual framework pillars of South University are caring, communication, critical thinking, professionalism and holism (South University, West Palm Beach [SUWPB], 2016). In order to provide optimal care, this framework must work as an interconnected system where each one plays a crucial role. The five major components must be integrated in every facet. For example, caring is one of the fundamental cores of nursing, which must be used along with communication, professionalism, the ability to use good critical thinking skills, and holism. Holism is what Rogers’ unitary model emphasizes upon. Rogers’ science of unitary human beings allows the pillars to be interdependent on each other. In a holistic model, holism encompasses the other pillars in that
Belief is the reflection of values that guides one to plan and set goals in their personal and professional Life. With this in mind, and that caring is the essence of nursing practice, my career path goals were outlined and focused on concept of education , health and care. My perspectives and beliefs about nursing as a profession have been gradually developed throughout the years by the influence of many, mentorship, education and by long years of clinical experience.
The learner must achieve a sense of identity in occupation, politics, and values. Professional identity involves the internalization of core values which becomes evident as the student learns, gains experience, and grows as a professional (Benner et al., 2010). Professional identity is foundational to the assumption of various nursing roles. In the age of collaborative practice, it may be especially challenging for the novice to distinguish nursing practice from that of other health care providers. Experience has taught this learner what to expect and how to respond in a given situation. The proficient learner begins to view the whole situation. This holistic understanding makes decision less difficult (Benner et al., 2010).
As a nurse, an important part of the job is to be caring and helpful for the physical and mental aspects of the patient. The ideas of Jean Watson 's Caritas Processes help define how a nurse can show caring in themselves to their patients. Watson names the eight processes; then define they mean which is key to understanding how a nurse should act to their patients. The book as We Are Now by May Sarton helps show some examples of how these processes work in action and helps to form ideas of how one can improve as a nurse in the future.
“Autonomous nursing practice as defined as full command of expert knowledge and allowing for accountability and authority in decision making” (Creasia & Friberg, 2011, pg. 47). A doctor will more likely see a nurse as a professional once they show competence and autonomy, which in turn, will provide a positive nurse-physician relationship due to the trust built between professionals. A physician must be able to trust a nurse’s judgment and assessment skills to be able to provide a collaborative care for the patient. The wheel of professionalism is designed to compare nurses' professional behavior with other professions, which places university-based education as central to professionalism, which then leads to a strong code of ethics, professional recognition and continuing education to maintain nursing competence (Yam, 2004). As a nurse achieves a status of professionalism, a nurse will view oneself as an equal partner in the health care team, which in turn will boost confidence and support for a more proactive and confident nurse.
In this assignment, the author has chose to critically analyse a situation where a second year nursing student Catherine, who is on a 7 week clinical placement is having an issue when communicating with patients at times.
Nurses develop professional skills through a process called “Professionalization.” Ghadirian uses four factors to describe this; cognitive dimension, attitudinal dimension and psychomotor dimension. They then further describe the cognitive dimension as the “professional knowledge” a nurse must have (2014). Without knowledge of illness or the human body, a nurse can not practice professionally. Ghadirian then suggests that even with extensive professional knowledge, a nurse can not be professional without the ideals and ethics of a nurse, or the ability to provide care (2014). A nurse can not be professional without all the dimensions. A nurse must have the values of a nurse, knowledge of a nurse and the ability to provide care.
In her theory of deliberative nursing process, she describes the interaction between nurse and patient. Communication between nurse and patient is described in three concepts: the ‘Patient Behavior’, the ‘Nurse’s Reaction,’ and the ‘Nurse’s Activity’ (Sheldon & Ellington, 2008). The patient sends a cue in the form of behavior (Patient Behavior) and the nurse responds to the behavior (Nurse’s Reaction). ‘Nurse’s Activity’ is categorized into two stages: non-observable and observable. The nurse’s thoughts, perceptions, or feelings related to behavior are non-observable and the final action or response to the ‘Patient Behavior’ is observable (Sheldon & Ellington, 2008). Orlando labels ‘Nurse Activity’ as automatic or deliberative, allowing the nurse to identify the patient’s needs and then help the patient (Sheldon & Ellington, 2008). In patient care, this theory asks nurses to identify their perceptions, feelings, and thoughts as a basis for nursing actions. Orlando then takes it a step further by advocating that the nurse explore their assumptions with the patient to identify
As I observed Nurse Olga’s daily routine, she practices all the components of the community based care. She taught her patients on self care, preventive care, continuity of care, and collaborative care. Her role as a teacher was that she told her patients on how to care for their wounds and how to take their medications. She told them what they can do to prevent from getting hurt in the playground. Couple students were daily visitors because they had chronic conditions like asthma and they needed their regular Albuterol inhalers.
The main purpose of this research project is to build and develop auxiliary knowledge and confidence for enrolled nurses and hence convey better care for the patients and for better nursing practice.
LoBiondo-Wood and Haber describes phenomena as those things which are perceived by our senses. In this article phenomena is the nurse’s attitude and their practical use of restrains is the base of study. Mohler & Meyer (2014) used the systemic review of qualitative and quantitative research method because they had to discover information about their phenomenon from nurse’s experiences in geriatric setting.
When looking at Nursing as a profession, it is important to identify the body of knowledge which pertains to its profession. According to Carper (1978) the body of knowledge that serves as a rationale for nursing practice has patterns, forms and structure. Understanding these patterns is essential for the teaching and learning of nursing as a profession. Carper (1978) identifies four fundamental patterns of knowing and are known to be empirics, ethical, aesthetics and personal knowledge. Chinn & Kramer (2008) added the fifth pattern to knowing called Emancipatory knowing to address the issues of equality and justice. This essay will explain the five ways of knowing and show how it relates to my nursing practice.
The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will discuss my thoughts and feelings surrounding the situation and analyse the coping strategies I used in managing the situation, linking to relevant theory throughout in order to provide evidence for practice. The essay will also consider person-centred care and whether this was delivered to the patient. To conclude, the essay will discuss what I have learnt from the experience and how this experience will improve my future
Any nurse would admit that preparation to becoming a nurse is a difficult task. Mostly because the practice of nursing consists of many things to follow in order be a great nurse for the patient. To make the preparation less difficult for nurses or nurse to be, Ida Jean Orlando contributed to the Discipline of the Nursing Process to further prepare those in nursing. The Discipline of Nursing Process is a theoretical approach to nursing that follows a nurse-to-patient relationship that would improve the patient’s behavior to seek beneficence and autonomy of the patient (Orlando, 1972). This provides nurses or upcoming nurse the strategies to deal with real life circumstances in nursing and improves the skills of the nurse to improve a patient care. This piece will focus on the theorist, Ida Jean Orlando, the meaning of the nursing process and the reason for the nursing process, any discrepancies that may be associated with nursing such as medical procedures and professional nurses, studies associated with the use of the nursing process and how the nursing process influence personally.
This section presents an analysis of Orlando’s theory. The central thesis of the Theory of the Deliberative Nursing Process is finding out and meeting the patient’s immediate need for help. The concepts and propositions of the theory are written at a concrete level of discussion (Fawcett, & Desanto-Madeya, 2013). The theory is classified as a middle-range predicative theory. The theory identifies the effects of a specific interpersonal nursing process on identification of the patient’s immediate need for help.