...communication as the exchange of information between individuals through verbal, non-verbal and written techniques. This coincides with interpersonal skills which focus on the process of building and maintaining relationships and monitoring and responding to the effect of communication on those involved (Callara 2008). Communication and interpersonal skills are a vital element in all aspects of nursing care including prevention, treatment, education and health promotion (Fakhr-Movahedi et al. 2011). The Nursing and Midwifery Council (NMC) places these skills as one of the core competencies required in order to effectively carry out the role of a Registered Nurse and so it is vitally important that these skills are developed sufficiently so that they can be used in a safe and compassionate manner throughout practice (NMC competencies?). Within this assignment I will discuss my development of knowledge and skills in relation to the importance of communication and interpersonal skills during end of life care and how this contributes to my overall role as a nurse. Each year over half a million people die within the United Kingdom, with the majority of these deaths occurring within a hospital setting (Gomes and Higginson 2008). This statistic highlights how nurses have a significant role to carry out in the end stages of an individual’s life through continual clinical assessment, active listening and responding to expressions of loss, and recognition of ethical or spiritual concerns (Molloy...
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...Theory: Compare/contrast two theoriesIntroduction Theory has so far remained a strategic tool in advanced nursing practice. Firstly, nursing utilizes every feature of management science. Fortunately, the knowledge base of each and every management science takes theory into account. Theory includes methods, principles, and concepts. The principles are usually related, and can be observed and validated or verified when translated into the practice of management. Likewise, concepts are general notions, thoughts, and ideas that tend to form a basis of discussion or action. Therefore, theoretical principles guide clinical nurses to various fundamental nursing concepts and provide productive line of action in a given situation. As a result, nurses should note that taking a hermeneutic or phenomenological approach (strict natural science approach) to nursing is not only naive but also misleading in real-life-settings. Alligood and Tomey, on the other hand, argues that prescriptive theories are often used as fundamental practice guidelines, which play a pivotal role in providing a wide range of practice situations in the nursing and nursing sector (2002). Apart from that, nursing can only become a real profession when it has both a theoretical and a scientific base. This follows the fact that nurses deal mainly with human behavior, thus, nursing is indeed a practice profession. Briefly speaking, nurse managers can achieve effective management by combining the theory of nursing with...
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...Physicians are challenged to keep on the nature and values of the medicine’s commitment to patients, in the face of external forces such as changes in technology, changes in market forces and variations in medical delivery and practices (Project 2002). The Charter of Medical Profession is the best published general description of the profession related to aims, qualities and conduct (DeAngelis 2015). The charter lists the common global themes of the medical profession in the form of three fundamental commitments and ten professional responsibilities. The principles of patient welfare, patient autonomy and social justice are the fundamental of the Charter of Medical profession. Professionalism and quality improvement are strongly related and naturally embrace and support each other (Mueller 2015). The foundations of a proposed framework of professionalism by Arnold...
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...Advanced Practice Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century Advanced ORIGINAL 4 42 June © Blackwell 0031-5990 Publishing Perspectives in Psychiatric PPC 2006 Practice PMH2006 Malden, USAARTICLE Care Blackwell Publishing Inc Nursing: Finding Our Core Suzanne Perraud, RN, PhD, Kathleen R. Delaney, RN, DNSc, Linnea Carlson-Sabelli, PhD, APRN, BC, Mary E. Johnson, RN, PhD, Rebekah Shephard, MS, APRN, and Olimpia Paun, APRN, BC, PhD TOPIC. Increasingly, students from various professional backgrounds are enrolling in Psychiatric Mental Health (PMH) Nursing graduate programs, especially at the post-master’s level. Faculty must educate these students to provide increasingly complex care while socializing them as PMH advanced practitioners. PURPOSE. To present how one online program is addressing these issues by reasserting the centrality of the relationship and by assuring it has at least equal footing with the application of a burgeoning knowledge base of neurobiology of mental illness. SOURCES. Published literature from nursing and psychology. CONCLUSIONS. The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice. Search terms: Nurse–patient relations, psychiatric nursing, empathy, therapeutic relationship, education, nursing...
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...stroke’; scenario-based videos. In particular, my focus is to relate the techniques utilized in the video for therapeutically communicating with the client with construction and enhancement of my personal skills of therapeutic communication, through analyzation and reflection. The video initiated as the paramedic staff informed the client, Sally that he was going to handover the related information to the nurse. It progressed with inter-professional communication between the professionals starting with their introduction, description of the event involved, a brief clinical background of the client and related observations. Following the handover, the paramedic staff reassured the client before he left. Finally, towards the end of the video, the nurse involved in a remarkable therapeutic communication with the client. I observed that this interaction incorporated therapeutic communication skills which can be substantial in a therapeutic relationship. Therapeutic communication takes place when the nurse utilizes effective techniques to construct a therapeutic relationship and also to cultivate an understanding with the client. Such communication might not necessarily be verbal, it includes the understanding of the client’s facial expressions, body language and cues which requires skills such as empathy, informing, instructing, using open/closed questions, use of appropriate touch and providing reassurance (Berman et al., 2014). This form of communication is client-centred and goal-directed...
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...(1) * Maternity Nursing (2) * Med-Sur Nursing (46) * Cardio, GI & Respi (18) * Communicable (3) * Critical Care (2) * Emergency (2) * Metabolic & Endocrine (8) * Renal, Genito, Repro (5) * Sensory & Neuro (7) * Pediatric Nursing (2) * Psychiatric (1) * Nursing-Biomedic Subjets (30) * Anatomy and Physiology (4) * Biochemsitry (15) * Biology (7) * General Chemistry (3) * Micro and Parasitology (1) * Nutrition and Diet (4) * Patophysiology (1) * Pharmacology and Drugs (1) * Nursing-Core Subjects (46) * Basic Nursing Skills (16) * Ethics and Law (2) * Fundamental Nursing (26) * Psychology in Nursing (9) * Nursing-Professional Sub (40) * Biostatistik (2) * Critical Thinking (7) * Education and Promotion (2) * English for Nurse (1) * Manajemen Leadershp (4) * Nurse Entrepreneurship (1) * Occupational Health (1) * Professional Nursing (12) * Research...
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...Today’s registered nurses are expected to have many different skills to provide the best possible care to their patients. Effective management and leadership skills are an absolute necessity in the role of a nurse to ensure that they can carry out a high standard of nursing care to their patients. Therefor it is fundamental that newly graduated nurses are equipped with the necessary knowledge in leadership and management to aid in best patient outcomes. This essay will discuss the importance of graduate nurses developing their leadership skills at an early starting point in their career as it will lead to them becoming a professional healthcare leader. How leadership and management vary from each other and their important and functions in the...
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...MENTORING AND FACILIATING YOUR OWN AND OTHER PROFESSIONS The aim of this assignment is to critically evaluate the role of a mentor with personal reflection of the mentoring process, looking at four key requirements for mentoring practice. According to the Nursing Midwifery Council NMC (2006) the term mentor is used to describe the role of a registered nurse who assesses students’ needs, to help facilitate the learning process in a practical setting. Chambers and Wall (2000) suggest that a good mentor should include qualities of honesty, enthusiasm, trust, patience, knowledge, experience and empathy. They should also be able to have a non-judgmental attitude and good interpersonal skills. For this mentorship course I have been allocated a second year child branch student. She has had little to no experience working with neonates, but has worked on a children’s ward. Her placement will last 10 weeks and she has been allocated 2 mentors. For the first week of her placement she worked with me solidly. Kenworthy and Nicklin (2000) suggest that the more comfortable and secure a student feels within the placement environment, they are more likely to have a positive experience. Honey and Mumford (1992) express that if you teach according to a specific learning style, preferred by the student this creates a tailored learning experience. They suggest that it’s important to tailor your teaching to the style your student prefers for them to have the best learning experience possible...
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...settings, such as community hospitals and long-term care facilities. The Associate degree nurse is prepared .to function at the intermediate level, not in leadership and management position. The professional behaviors, communication, assessment, clinical decision making, caring interventions, teaching and learning, collaboration, and managing care are the eight center competencies of ADN. By using clinical and thinking skills ADN graduate is responsible for caring for others while keeping the values of nursing profession for better outcomes. The inclusion of public health nursing as a part of curriculum is main difference between nursing in baccalaureate and diploma programs. BSN Program The Baccalaureate graduates are prepared in order think reasonably, evaluate critically, and communicate effectively with clients and other health care professionals. Baccalaureate programs are four academic years in length, and the nursing major is typically concentrated at the upper division level. There are vital components to prepare the baccalaureate graduate as generalist to practice nursing in beginning leadership position in a variety of settings. These components are liberal education, quality and patient safety, evidence-based practice, The following competencies are the nurse who prepared for BSN -.Direct care to the patient by using nursing process with applicable nursing diagnosis. - Independent nursing decision has to be used while practicing...
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...Vision 2020: Outlining One Recent Key Policy Documentation and How it Influences a Practice The need to address public health need emanate from government of the day in respond to public out cry, it formulate polices, to address current health issues. Over the years’ policies such as stop smoking, how to survive cancer, saving lives, and so on have not only created awareness amongst the population but also improve the health of certain sections of different communities. One of such policies is the ‘Vision 2020- focusing on the future of district nurses.’ This essay will focus on one aspect of this policy, (Compassion in relation to End of Life Care) and analyse how it influences current and future practice. It will critically analyse the economic, political and philosophical underpinnings of the policy, and appraise the ethical and moral implication for practice whilst drawing on appropriate principles, theories and frameworks. A conclusion will be drawn which will justify the formation of the policy. Vision 2020 emerged as consequence of health care establishments frugal activities. In certain cases patient were routinely neglected by Trust pre-occupied with cutting cost, that they lost sight of the fundamental responsibility to provide compassionate care. The policy published in January 2013 has 6 main aspects of fundamental care, which are, compassion, care, competence, courage, commitments, and communication. Compassion within the end of life care involves the use of the Liverpool...
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...medium without express written consent from the authors and advance notification of White Hat Communications Abstract Increasing numbers of clinical social workers use cognitive-behavioral therapy (CBT) in their practice. This article analyzes how CBT fits with social work values and in particular with social justice. We propose that CBT is a good fit with the values of the profession and make suggestions for areas of improvement. Keywords: cognitive-behavioral therapy, social work values, social justice, social work practice 1. Introduction In a day when evidence-based practice has become so important to the social work profession, cognitive-behavioral therapy (CBT) has become one of the most frequently used forms of psychotherapeutic intervention. Extensive research supports the effectiveness of CBT approaches for a wide range of psychosocial issues (Dobson & Dobson, 2009; Granvold, 2011). It is one of the most widely researched and published models of therapy, with more than 325 published outcome studies that validate its efficacy (Butler, Chapman, Forman, & A. Beck, 2006). This empirical validation has made CBT a popular choice for social work practitioners seeking evidence-based treatments. For the purpose of this paper we use CBT as a generic term that encompasses theoretical and practice approaches that emphasize that a person’s thinking is the prime determinant of emotional and behavioral responses to life events (A. Beck,...
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...Nurse Education in Practice (2008) 8, 103–111 Nurse Education in Practice www.elsevierhealth.com/journals/nepr Belongingness: A prerequisite for nursing students’ clinical learning Tracy Levett-Jones a a,* , Judith Lathlean b,1 School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW 2308, Australia School of Nursing and Midwifery, The University of Southampton, Nightingale Building (67), University Road, Highfield, Southampton SO17 1BJ, United Kingdom b Accepted 4 April 2007 KEYWORDS Belongingness; Nursing student; Learning; Clinical placement Introduction Summary The concept of belongingness has intuitive appeal. Human beings are social creatures; the need to belong and be accepted is fundamental, and social exclusion can be devastating. This paper reports on the selected findings from the qualitative phase of mixed-methods study that explored nursing students’ experience of belongingness while on clinical placements. The 18 interview participants in this study were from Australia and the United Kingdom. They provided a range of perspectives on belongingness and how it influenced their placement experience. Central to this discussion was their strong belief that belonging is a prerequisite for clinical learning. This theme dominated all of the interviews. Given that the primary purpose of clinical placements is for students to learn to nurse, there needs to be a clear understanding of the relationship between belongingness...
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...delivery for most of her career. Growing up I would often say “I wanted to be just like her”. At that age I was very clueless as to what a nurse entailed but my desire for nursing grew with the experiences I have encountered during the years. I attended a Technical High School, and chose Health Occupations as my Vocational Major. Throughout my 4 years at Whittier I experienced the fundamentals of the health care industry, participated in the Nurse’s Aide Training Program, obtained my credentials as a Certified Nursing Assistant.. I graduated in 2007 among the top 20 in my class of 350 students, with a 3.54 GPA. I thoroughly enjoyed my time and feel it provided me with a concrete foundation for which I could build upon. Out of high school I continued working as a CNA in a nursing home / rehabilitation facility, where I worked with the Registered Nurses on staff to monitor, treat and care for patients. I enjoyed working closely with the patients and took an immense amount of pride in the job I did. Currently I work in Boston. I float to various floors in the hospital expanding upon my knowledge and skill level. Working here I’ve surrounded myself competent and powerful nurses that exceed in providing the best possible care. Determination and drive go hand in hand and are always pushing me to learn more, be better, and strive for my goals. At Tufts I’ve worked in the ICU’s, participated in codes and engage in what it’s like to work in the ER during a trauma. My diverse characteristics...
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...is used to denote the role of a registered nurse who facilitates learning and supervises and assesses students in the practice place. They furthermore identify the eight mandatory standards that must be achieved to become a mentor, and within the assignment I shall be referring to the Standards to Support Learning and Assessment in Practice; NMC standards for mentors, practice teachers and teachers, and identifying the standards for mentors required (SM). This assignment will first look at the personal and professional reasons why I wanted to undertake the mentorship module. It will also discuss the importance of a supportive learning environment in the workplace, and how essential it is. My role as a mentor to a nursing student will be evaluated, looking at the way in which I supported her on the ward and how I facilitated this. In conclusion, I will identify my own personal development in undertaking and completing this module. As a registered nurse on a busy Paediatric ward I always enjoy supporting student nurses whilst they are on placement with us. There is an apparent shortage of qualified mentors on the ward, and within my last personal development review with my line manager I identified a need to attain the mentorship qualification. The Nursing and Midwifery Council (NMC) (2004) states, that as a registered nurse, you must keep your knowledge and skills up-to-date throughout your working life. You also have a duty to facilitate nursing students and others to develop their...
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...Promoting Leadership This assessment requires that you consider and provide evidence of your learning and personal development as well as the application of this in practice. The following document provides you with a clear structure by which to achieve this. 1. Outline the implementation of your personal action plan for improving your leadership capabilities I currently work as the Clinical Team Lead in a Psychiatric Intensive Care Unit for an NHS Foundation Trust. Working in restrictive, structured, secure environment can be daunting and frustrating for patients who are admitted, due to a combination of the intensity of their mental illness, behaviours derived from this level of intensity and the constraints caused by the environment. This frustration can at times be displayed in a violent manner and directed towards nursing staff and their peers. It was identified through various discussions with the patients, staff and the Manager that both patients and staff were frustrated and both parties had different views towards reasons of violent and aggressive behaviour (appendix 1 and 2). Staff believed it was the patient’s internal views and presentation that led to an aggressive outburst, while the patient reported environmental and poor communication to be the contributing factor. Whittington and Duxbury (2005, p 469) identified environmental conditions and poor communication to be at the forefront of patient aggression and violence incidents and that there is a need...
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