Summary and Application of Locsin's Theory of Technological Competency as Caring in Nursing

Working in the field as health care professionals, we are faced with ethical dilemmas almost always. Although each individual posses different values, there are specific codes of conduct to abide by, despite personal beliefs. Without the use of a structural code, individuals in the health care field would make decisions based on their own personal beliefs in accordance to their culture and religion. In the case of Marion and the pacemaker, we witness the desires of the patient at hand, Marion, and her family, be interrogated by the floor nurses. Although the intent behind the actions of the floor nurses can be described as morally just, thinking they are helping preserve the life of Marion, based on medical ethics, their behavior is of some degree to be questioned. This paper will focus on the boundaries we witness crossed by floor nurses and how they go against the medical ethics approved, and what effects they have on patients and their care givers.

This course focuses on transition from technical nursing to professional nursing. The course addresses the scope and standards of nursing practice, ethical and legal components of practice, information management and application of patient technology, and inter- and intra-professional communication and collaboration for improving patient health outcomes.

Nursing informatics and technology are quickly becoming the hot buzz words for nursing in the twenty-first century. While performing research for this specific paper, the observations of how far technology has come from its inception is mind boggling. When looking back to the mid 1990’s every patient had paper charting. Nurses manually charted vital signs, nursing notes, treatments and all orders were manually written in the chart. The patient’s name, insurance information, and billing items were stored electronically. Fast forward twenty plus years and everything nurses do with, for or to a patient is filed electronically. This file today is known as the electronic health record (EHR) (Lavin, Harper, & Barr, 2015). This paper will be delving into the history of nursing informatics and technology, the pros and cons for nurses and what will be the big picture for informatics and technology in nursing today and in the future. Nursing informatics and the technology that has evolved over time are changing and quickly affecting how nurses treat, communicate, plan and document everything that they do for their patients.

demand for care of individuals, sick or well increases. This essay will discuss how nurses

Many believe that using a ventilator as a form of life support is unethical and causes more harm than good; for, example the level of discomfort and the risk of infections. With this experience I was exposed to the ethical aspect of nursing, and I know that I can be professional when the situation presents itself again. To add on, this clinical experience reminded me of the reason why I wanted to be a nurse and it is to care for those that cannot care for

Nursing has come a long way in the recent centuries. Nursing is now one of the most demanded professions and is continually growing. Nurses have evolved into being the primary care takers of hospitalized patients. New contemporary advances have paved the way to allow nurses to expand their capabilities by having additional roles in patient care. The purpose of this paper is to demonstrate the new advances that have been created to help assist modern day nurses such as, technology, patient centered care, current roles and responsibilities, and expanded career paths.

Over the years there have been vast changes in healthcare that require nurses to go above and beyond in their level of expertise in technology and scientific knowledge (Palos, 2014). Nurses have to evolve with those changes, therefore they must utilize educational tools and develop skills to stay current with the advancements that hospitals require for practice (Palos, 2014). Palos (2014) also found that nurses have a responsibility to use their critical thinking skills, make sound clinical judgments, and apply evidence-based nursing

This exercise has affected my knowledge because it has made me realize the little things we learn in nursing school, such as knocking on someone’s door and introducing ourselves are really big things that make big differences in patients’ lives. This exercise made me realize that this is their home for now and we should treat their home with respect. It has affected my skills because it made me more conscious when it comes to disclosing patients’ health information. Informatics is described by QSEN as the “use of information and technology to communicate, manage knowledge, mitigate error, and support decision making” (QSEN, 2014). The patient’s electronic health records allows health care professional easy access to patient information. This exercise has changed my attitude because although this is a great system we still have to protect patient information that means when we leave the computer unattended we should log out of the patient record so that their information is not shared with

Besides, the gadgets allow an easy accessibility of information such as latest guidelines. However, the practice may be disruptive and therefore hinders the performance of the nurses. Besides, the privacy of the patients may be compromised and therefore promoting unethical performance. One of the ethical principles guiding the practice is upholding privacy and confidentiality of the patients.  The relationship between the nurse and the patients may be compromised if the patients learn later how the nurse breached the confidentiality principles (Norman et al.

Peplau’s theory on interpersonal relationships defines four phases on how to gain a quality nurse-patient relationship. These four phases include orientation, identification, exploitation, and resolution (Peplau, 1952). If this study is conducted and shows a need for an increase in education and training in electronic charting to fulfill adequate care for patients, Peplau’s nursing theory will reiterate the importance of gaining an interpersonal relationship with patients. Peplau’s theory will change by implementing the first phase, orientation in EHR use. The orientation phase is coming to know your patient and being their major information source. The role of being a major information source will be done personally by the nurse giving proper time to gain a relationship . The

The RN Residency program at North Valley Nursing Center is a program that provides RN’s opportunities to learn and apply current, evidence-based practice and nursing knowledge. In a combination of clinical experience and didactic teaching, the program aims both to strengthen the nursing work force by increasing knowledge, skills, and competencies in the specialties of geriatrics and palliative care and to improve the quality of nursing care to older patients and their families (Lee, S. M., Coakley, E. E., Dahlin, C., & Carleton, P. F., 2009). Holtz and Krein used the unified theory of acceptance and use of technology (UTAUT) model to understand nurses ' perceptions of a newly

Nursing has always been synonymous with caring. Dr. Jean Watson describes caring as the center of all nursing practices and that it is “a moral ideal rather than a task-oriented behavior” (Tomey & Alligood, 2006, p. 94). At this time in history, there is a nursing shortage that will only get worse unless changes are made to retain old nurses and entice new nurses into the profession. This paper addresses the nursing shortage and how technology can help or hinder the care we give.

Zerwekh (2015) quotes Madeleine Leininger, a nursing theorist who believes: “there can be no curing without caring.” If a nurse cares, the nurse will see the patients as family members and care for them as if they were family; thus, the nurse would do anything possible to prevent any unnecessary harm from happening. According to Medsurg Nursing (2015, January -February), nurses are to identify patients that are at

Technology and innovation have transformed the way people function personally and professionally. In the past, writing and mailing a letter was standard but now most people send electronic messages and text messages to phones. Healthcare has been changing tremendously as well, not only are paper charts and records becoming obsolete, but now many facilities are sharing test results, visit information details, and prescribed drug lists. This move into the digital age has helped improve healthcare by cutting costs in the long-term, increasing efficiency with decreased wait times, and reducing medical errors. This evolving technology expansion, commonly referred to as nursing informatics has created many

Telenursing has allowed for nurse to continue cares of their patient even after they are discharged from hospital. “The ICN defines telenursing as follows. Telenursing refers to the use of telecommunications technology in nursing to enhance patient care”. (Kamei, 2013). There are many ways to communicate and gather information about the patient via landline phones, cell phones, videophones, personal computers, patient-specific information input terminals, tablet computers, and smart phone. These devices are essential for providing health care professional and nursing consult and mentor patients. (Kamei, 2013). Telenurses monitor patient continuously paying attention to their non-verbal cues, and tone of voice, breathing rate to determine if there are any issues of concern. “The key to effectively forming and maintaining the nurse-patient relationship lies in the nurse’s ability to interact and communicate with the patient.” (Jones, Hendricks, & Cope, 2012). According to Kamei, there are five principles to follow with telenursing. The first principle is of “building a therapeutic nurse-client relationships”. The second principle is of “providing and documenting care”. The third principle is of “roles and responsibilities”. The fourth principle is “consent, privacy and confidentiality”. And last, the fifth principle is “ethical and legal considerations”. The nurse should be able to establish rapport with patient; be knowledgeable to provide proper education in