...2014 Theory is the core of nursing and nursing process. It describes, explains and predicts the uniqueness of a phenomenon. Theory is analysis and examine to determine the viability in the world of professional nursing. Concepts is the framework and foundation of the theory which consist of concrete and abstracts. The purpose of this paper is to select a core concept that is common to two nursing theories. Compare and Analysis the core concepts definition of client- nurse and the theorists Peplau’s Interpersonal model and Travelbee’s human-to human model .Peplau’s Interpersonal Model will be further discuss and identify where and how it can be best applied to nursing practice and elements of concepts statement, metaparadigms,philosophies and conceptual model. In 1952, Hildegard E.Peplau who was a pioneer in nursing published the book” Interpersonal Relations in Nursing”. The book explains the steps and phases of the interpersonal process, the nursing roles , methodology of the interpersonal,process in nursing. Peplau's believed ”Nursing is Therapeutic“ ( George 2011 ). She describes nursing as a healing art for the sick or a individual who is in need of care and there is an interpersonal process in nursing due to the interaction with two or more people that has a similar goal. The common goal is the level of respect with the interaction between the nurse and patient which would lead to learning and growing together in a collaboration to achieve the optimal healthcare...
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...Topic: The Art and Science of Nursing Name: Course: Instructor’s Name: Date: This paper seeks to explore Nursing practice in an attempt to demonstrate the change in perspective of the practice over the years from a traditional view to a more contemporary and realistic view. It will seek to achieve this by performing a literature review of two articles that not only talk but also define and distinguish nursing as both an art and a science and explore a nurses’ experience of being in patient/nurse interactions. Data used in the literature review was gathered through a random sampling of twenty-eight sophomore students, who were at the first year of learning nursing clinical experience with patients. The literature reviewed will help the reader in not only exploring the concepts of nursing but also assist them in exploring the perception of nursing, communication and also interaction. Nurses are continuously seen as the glue that holds the system of health care together. This is because unlike doctors or patients they are always available every time, every day. Nurses expend a lot of energies to ensure that patients get excellent health care, but their duties and roles are at times not clearly defined or undervalued. The concept of nursing is based on people, health and the environment. Nursing can best be defined as specialized care that is well-cut to satisfy the needs of individuals. Nursing is not only an art but also a science, as a science, it is based...
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...Let’s Work Together: Collaboration is the key Lucia Lombardo American Sentinel University Abstract Maximizing nurse-physician collaboration holds promise for improving patient care and creating satisfying work roles. Among the several factors that influence collaboration, such as power and gender, it is the lack of communication skills that the nurse manager of the progressive unit that is taken into consideration by the author, recognizes as the one most affecting the collaboration nurses-physicians. How can the nursing and medical staff collaborate more effectively to improve patient outcomes and at the same time increase nursing job satisfaction? The author highlights the steps required to initiate a change toward a collaborative workplace through the use of an attentive communication style. Once background research is done, the decision about the need of the change has been reached, informal leaders support gained, and plan of action drawn, the model developed by Kurt Lewin in implementing the changes are adopted. In developing the change process through the unfreezing, moving and refreezing stages, the author analyzes the rationale for the change, the benefits that the organizations, staff members, and patients will gain from the change, the role of the change agents, the proposed timelines, and the measures of success of the change through the plan for evaluation. Let’s Work Together: Collaboration is the key The Progressive ICU unit in consideration is part...
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...Personal and Professional Health Care Communication Paper HCS/350 August 8, 2011 Personal and Professional Health Care Communication Paper Health communication is defined as any form of human communication that employs the process of assessment, delivery, or evaluation of health care and optimizes individual decision-making processes that affect health (Northouse & Northouse, 1998). It links the fields of health and communication applying concepts and theories that promote personal and public health. In the community, health communication improves the public health information infrastructure and facilitates clinical decision-making while building health skills and knowledge. As an essential component to improve patient understanding, health care communication further establishes a line of communication between health care professionals and patients that influence the outcome of care and health wellbeing (Nelson, 2011). Effective Personal Health Care Communication Effective communication between patients and health professionals is challenged by personal experiences, attitudes, and values, which influence patient comprehension and ability to absorb health-related issues. Whereas ethnic and cultural backgrounds influence personal understanding and expectations, they also generate the increased risk of low health literacy. Poor health knowledge increases the likelihood of noncompliance with medications and treatments furthering the patient’s disadvantage of comprehending...
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...and Theoretical Model for Nursing Administration Practice Philosophical and Theoretical Model for Nursing Administration Practice In an era of chaotic and unpredictable health care, I believe it is vital for nursing to employ a nursing leadership theory or philosophy that is specifically applicable to nurses and will holistically address and support both the science and art of this honored profession. According to Parker (2006) “A philosophy comprises statements of enduring values and beliefs held by the members of the discipline”(p.6). As nurses we use philosophical statements to explore compatibility among personal, professional, organizational and societal beliefs and values. I have learned that values are deeply held beliefs about what is good, right, and appropriate. Values are deep seated and remain constant over time. We accumulate our values from childhood based on teaching and observation of our parents, teachers, religious leaders, and other influential and powerful people. Our values and beliefs guide our actions and control our behavior. Values and beliefs are a key component to an individual as one's value system guides one through life personally and professionally. As a nurse leader, I consider it is extremely important to have a nursing philosophy that guides the thinking about, being, and doing of nursing (Parker, 2006). As a leader I believe it is important to have a foundation that addresses the phenomena of interest to nursing. It is vital to have the...
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...care are health promotion consequently affected by collaborations. Involvements of various of health promotion is a critical piece in optimizing health outcomes. IPC influences patient, populace, and wellbeing framework and professionalswith prior experience and backgrounds impact IPC . Staff attitudes towards collaboration plays a major role in the desire to annex. The desire to learn within the joint effort is an invaluable element to patient care because with partnerships appropriate recommendations are readily validated. Reinforcement of the proof base on synergistic practice, wellbeing and framework results, advance a willingness on more grounded organizations to learn and share knowledge among experts, researchers, and care providers. Encompassing staff perspectives to Interprofessional working and Interprofessional training is integral to effectively work together to carry out obligations associated with patient care. The confirmation for shared obligation impacts joint effort, drives strategic correspondence and effect behavioral standards that achieve mutual desire to learn one from another. It is imperative that applicable patient care briefing be imparted to the oncoming medical providers and important for the authorized care providers and...
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...The objective of this study was to systematically review the literature to better understand the conceptualization of satisfaction with end-of-life care and the effectiveness of palliative care interventions on this outcome. Data sources included Medline and the Database of Reviews of Effects. The review included relevant qualitative studies and intervention studies using satisfaction as an outcome from 1990 to 2005. Reviewing 24,423 citations yielded 21 relevant qualitative studies, four systematic reviews, and eight additional intervention studies. The qualitative literature described the domains of accessibility and coordination; competence, including symptom management; communication and education; emotional support and personalization of care; and support of patients’ decision-making. For collaboration and consultation interventions, eight of 13 studies showed a significant effect on satisfaction. A metaanalysis found that palliative care and hospice teams improved satisfaction, although most studies did not include satisfaction as an outcome. For other types of interventions, only two of six showed a significant effect. For heart failure coordination of care, only seven of 32 studies addressed this as an outcome; two of the three that compared satisfaction between groups showed a significant difference. Evaluations used many different measures, only one of which was designed for the end of life. In conclusion, researchers have conceptualized satisfaction in palliative care,...
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...The Case of the Disgruntled Nurses Introduction: At the board of directors’ meeting, board president received a letter from staff council of Oneida Home Health Agency (OHHA), highlighting various staff concerns and suggestions. Rachel Nelson, who had been hired as the executive director of OHHA, was shocked and angered to see the letter, since this was a clear violation of organizational hierarchy and brought her management skills into question. Rachel had replaced Chuck about two years ago, who left the agency in a bad financial position. Soon after her induction, she was joined by Annemarie as nursing director, replacing the previous director Dorothy who had resigned. Rachel and Annemarie had been trying hard to deal with the financial deficit and introduced systems to improve accountability, productivity, quality and efficiency of staff and their documentation. These systems and the intended changes were not viewed positively by some of the staff and started a conflict with the management. The differences grew and resulted in the above mentioned letter being sent directly to the board. Rachel recalled the events that had led to the current state of affairs. Problems and their causes: With a broad scope of problems at their hands, Rachel and Annemarie felt the need for changes in organization structure. They discussed the new organization with the staff and found a positive response. This demonstrates an important trait of an effective manager, who shares the information with...
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...of Health Improvement (IHI), “patient-centered family care is care through a patient’s experience that is coordinated, informed and grounded in respectful interactions with providers that are consistent with the patient’s values, expectations and care decisions” (Balik, 2011). Evidence-based practice has drastically increased this past decade with one of its cornerstones being “patient-centered care and nursing being at the frontline to lead this change. Professional nurses are prepared to effectively lead the healthcare team to achieve patient and organizational goals. Patients are unique in every facet of their needs and therefor multiple disciplines are critical to best deliver patient-centered outcome (Cama, 2009). Nursing executives must develop an effective patient-centered care delivery model with the highest quality, cost effective and patient satisfaction. Patient care model must be line with the mission and vision of the organization in order to meet quality and financial goals. The care model will be developed using a multidisciplinary team approach lead by nursing while developing an...
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...Philosophy The philosophy of the nursing faculty at the College of Nursing is congruent with the missions of the College of Nursing and the University of Missouri—St. Louis. Faculty and staff are dedicated to providing nursing education that prepares graduates as professionals to practice in generalist nursing roles, advanced nursing roles, and as nurse scientists in all health care systems. All academic programs reflect the faculty’s beliefs about nursing, clients, health, environment, and nursing education. The faculty believes that nursing is a profession and an academic discipline possessing a scientific body of knowledge that requires critical thinking, problem solving, and informatics. The primary function of nursing is to educate and assist the client to promote, protect, maintain, restore, and support health, or, to provide for a peaceful death. As a profession, nursing encompasses moral, ethical, legal, and scientific dimensions. Nurses are accountable to society for their practice and responsible for functioning within economic, legal, and moral/ethical parameters. Nursing practice is both theory and evidence based, using theories from nursing and other related disciplines. Nurses synthesize and apply knowledge from the arts, sciences, and humanities in nursing practice utilizing interpersonal communication to meet the complex and multidimensional needs of the client in a variety of health care settings throughout the metropolitan area and beyond. Through leadership...
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...Governors University Missions and Visions of Nursing I have a mission and vision that I strive for in my nursing profession that I strive to maintain on a daily basis. This mission and vision includes compassion, teamwork, continuing education on every level, and communication. I strive to follow the Code of Ethics from fellow nursing leaders and be true to the oath of my profession. On a daily basis I strive to maintain a relationship-based nursing practice. A. Functional Differences A regulatory agency and a professional organization play a role in my nursing profession. I belong to the Mississippi Board of Nursing which is a regulatory agency that requires rules and regulations to be followed in the state and national level. In order to safeguard life and health, any person practicing or offering to practice as a registered nurse or a licensed practical nurse in Mississippi for compensation shall hereafter be required to submit evidence of qualifications to practice and shall be licensed or hold the privilege to practice as hereinafter provided. It shall be unlawful for any person not licensed or holding the privilege to practice under the provisions of this chapter: (a) To practice or offer to practice as a registered nurse or a licensed practical nurse; (b) To use a sign, card or device to indicate that such person is a registered nurse or a licensed practical nurse. Any person offering to practice nursing in Mississippi must be licensed or otherwise authorized...
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...Article #2 Enhancing Nurse and Physician Collaboration in Clinical Decision Making Through High-fidelity Interdisciplinary Simulation Training By: Pamela M. Maxson, PhD, RN; Eric J. Dozois, MD; Stefan D. Holubar, MD; Diane M. Wrobleski, PhD, RN, and etc. According to McConaughey and Marshall and Manus, the Joint Commission identified communication problems as the root cause of 65% of sentinel events with 74% resulting in deaths. The communication between nurses and physicians is a very vital thing to make sure things run smoothly in a hospital. Effective collaboration between nurses and physicians has been shown to reduce morbidity and mortality rates, cost of care, and medical errors and to improve job satisfaction and retention of nursing staff (Mayo Clinic, 2011). Collaboration between nurses and physicians is a big deal for retention purposes. Patients are at risk of serious effects when exchanged information is misunderstood or misinterpreted. The need for improvement in the ability of nurses and physicians to exchange information is well known. Team-training exercises for health care professionals are considered to be highly effective tool to improve communication and team performance, especially in crisis situations (Mayo Clinic, 2011). One way to do this is high fidelity simulation training which offers a realistic and experiential environment in which learners practice response to clinical scenarios, debrief, and evaluate team performance in the absence of patient...
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...Understanding the nature and meaning of nursing competency is the initial step in having an unambiguous definition of its practice. All healthcare professionals, including nurses, may only prove to be proficient in their capabilities if they are able to perform comprehensive assessments related to the provision and maintenance of safe and efficient care, the protection of all members of the general public, and the undertaking of all necessary actions in order to preserve the nursing profession. Any and all standards that are established, based on such a perspective, must be adhered to in practice and for the purpose of nursing evaluation. This paper will evaluate and explore the concept of competency and the ways in which the nursing profession integrates the many aspects of competency. Keywords: competence, competency, concept analysis Competency: Analysis of the Concept The concept of competency in nursing is a professional regulation and is extremely important to patient safety and outcomes. In the past, competency in nursing focused on evaluating clinical skills, and not the actual ability(ies) or comprehension of the science behind them (Allen et al., 2008). Nurse competency is a requirement in the clinical setting, and outlines the dimensions of integrating the application of skill, knowledge, and decision-making. The lack of a uniform meaning of nursing competence, as well as the lack of validity...
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...Communication and emotional intelligence are ability needed in order to succeed in leadership and management. As the field of healthcare changes, Timmins (2011)explains that communication has become a fundamental element of care at every level of nursing practice. Studies have shown that managers spent 70 to 90 percent of their time in communicating with their teams and others at the workplace. According to Mike Myatt (2012), Effective communication is an essential component of professional success, “whether it is at the interpersonal, intergroup, intragroup, organizational, or external level”. Examination of great leaders shows that It is simply impossible to become a great leader without being a great communication. The literature on effective...
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...Centered Care Monet J. Scott Chamberlain College of Nursing NR: 501 Theoretical Basis Advance Nursing May 2015 Concept Analysis of Patient Centered Care A concept analysis seeks to outline, distinguish, and enhance the clarity of the nursing profession as well as stimulate future research endeavors. Within the development of a concept analysis, notions and thoughts are outlined and examined through the fundamental features of that particular concept. According to Walker & Avant (2011), the seven steps to accomplishing a concept analysis includes the selection of a concept, determining the purpose of analysis, identifying all uses of the concept, defining attributes, identifying a model case of the concept, identifying antecedents and consequences, and identifying empirical references. Patient centered care is an imperative task performed by not only nurses, but the absolute interdisciplinary staff involved. It is essential to the establishment of quality care with the ultimate goal of positive patient outcomes. Several responsibilities of the nurse for patient centered care may include pain relief, listening, advocating for the patient, disease prevention, health promotion, respect for patient values and preferences, and maintaining patient dignity and identity (Lusk & Fater, 2013). Jean Watson’s theory of caring closes correlates with the concept of patient centered care in respect to the practice of nursing. This concept analysis of patient centered care includes...
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