Reflection on My Nursing Decision

This discussion question is based on a case study. As in all case studies, review the facts of the case and consider the various steps of the nursing process in order to address the critical thinking questions.

The framework for creating a therapeutic relationship is built on the nurse’s ability to show empathy towards the client. Empathy is being able to put oneself in the patient’s shoes, to feel the same things they feel

A day in the life as a CNA (Certified Nurse Aide) can have its ups and its downs. As a CNA you can work in a couple different areas of the nursing field, you have options of where you want to be and you are not finite to any certain place. Most CNA’s start out working in a nursing home then exude to other places such as hospitals. As a nurse aide you have many options of being in a certain field of nursing. That is what I love about nursing; it is versatile and you can work wherever you want in the country. You can travel and see places you haven’t seen while doing what you love to do as a career.

Effective nursing practice is in need of on an effective therapeutic relationship between the nurse and the client. This instruction addresses the qualities and capacities of an effective therapeutic relationship, the state of knowledge, and the information needed to be effective. To implement a therapeutic relationship effectively, hospitals characteristics must be supportive. The therapeutic relationship is also known as the helping alliance and it refers to the bond between a healthcare professional and a client. It is the means of professional hopes to involve with, so as to change the outcome result of the client. This relationship is significant to the client’s orientation

Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

Nurse and patient relationships are referred to therapeutic relationships, they are a person-centred approach to care (Berman Et al 2012). For a therapeutic relationship to be effective in meeting the client/patient goals the nurse needs to ‘earn the person’s trust and respect.’ Berman Et al (2012) suggests that the trust and respect of a patient can be earned through ‘sound nursing knowledge and use of effective communication.’ This is reflected in the Nursing and Midwifery Board of Australia’s competency standards. These national standards that are regulated and followed by all nurses, they are updated regularly to remain contemporary and

Historically, the nursing field is one that has consistent positive job outlooks, as there is typically a continued shortage. Healthcare is the backbone of most communities, not just for its services, but also for the jobs it provides and the economy stimulation. Jill Bernstein, author for “Changes in Health Care Financing and Organization” states, “The health care industry is a critical component of the national, and most regional and local economies of the United States” (4). The nursing field has suffered challenges due to the economic, social, and the political downturn of the U.S. Nevertheless, there is still some noticeable growth taking place and opportunities available. This shows encouraging signs for new nursing graduates.

What has surprised you? I think the most surprising thing about my nursing school journey has been how much I have grown and changed as a person in the past two years. I have become a much more assertive and direct person. I have a greater appreciation for the monotonous moments in my life and have learned how to not over think things and just to appreciate every moment and day for itself. Part of this group come about from clinical and part of it developed through my work experience as a nurse tech in the Emergency Department at Seattle Children’s Hospital. I personally have grown and learned a lot from the kids that I have worked with and its taught me the importance of slowing down and living in the moment. It’s also taught me that happiness is something that only you can determine. I feel that throughout all my clincials I have learned important life lessons from the people from every age and stage of life. All of these lessons have helped to shape me into a more compassionate, understanding, and better therapeutic communicator with my patients and have shaped my personal nursing practice.

This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and

The institution that I have decided to attend is the University of Central Florida. The main reason why I chose this school was because it will help me save money and I won’t need to travel anywhere to get my degree. Another big reason as to why I chose this school is because they have many great programs that will help me be better prepared when I begin my career such as their Modeling, Stimulation, and Training Epicenter which is used to prepare nursing students with different types of scenarios that they might face while working and also helps them work hands on rather than watching someone else do the job. UCF was also a good choice because their Medical Mission trips could help me and other nursing students travel to other places in the

Having a health scare can cause many people, such as Mrs. Johnson, to experience high levels of stress and anxiety. Stress and anxiety negatively affect patient physiological statuses, altering the way they normally handle and cope with situations. On the other hand, Allison is experienced in dealing with frightened and angry patients. When she was new to the unit, these patients used to frighten her, which could have negatively affected her interactions with her patients. Now, she is able to handle these situations without becoming afraid or offended. This will lead to more positive interactions with her patients rather than negative ones.

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

Clinical reasoning is “the process of applying knowledge and expertise to a clinical situation to develop a solution” (Carr, 2004 cited in Banning, 2008, p.177). Poor clinical reasoning skills can lead to a “failure to recue” (Aitken et al., 2003) the deteriorating patient. Additionally, studies by Hoffman et al. have compared the way in which the expert nurse and the novice nurse accurately collect cues from which they base their decisions. Effective clinical reasoning is therefore linked to “the ability to collect the right cues and take the right action for the right patient at the right time and for the right reason” (Levett-Jones et al., 2010). The ability to apply these “five rights of clinical reasoning” (Levett-Jones et al., 2010) will be discussed in more detail in Nursing Actions and Interventions: A Reflection.

Professor, Hildegard Peplau believed that the nurse-patient relationship must be understood before us nurses can work with our patients and provide the best care for them. Providing holistic nursing care to my patients and their families to me is a continuity of the care that I have dedicated to my patient within my shift and onward. I know that I am not prepared with any formal education but I know where and how to locate hospital personnel; chaplain, priest, rabbi at the request of my patient and being that I am providing bedside care entails caring for my patient, the whole person, their body, their mind and their spirit. When my patients are in pain, or experiencing suffering for example; just listening to them express any anxiety, anger,