...found in nursing and health-related literature used to assess and evaluate patient spirituality as more than religiosity. Background. Holistic healthcare practitioners recognize important distinctions exist about what constitutes spiritual care needs and preferences and what constitutes religious care needs and preferences in patient care practice. Data sources. Databases searched, limited to the years 1982 and 2009, included AMED, Alt Health Watch, CINAHL Plus with Full Text, EBSCO Host, EBSCO Host Religion and Philosophy, ERIC, Google Scholar, HAPI, HUBNET, IngentaConnect, Mental Measurements Yearbook Online, Ovid MEDLINE, Social Work Abstracts and Hill and Hood's Measures of Religiosity text. Review methods. A methodological review was carried out. Measures assessing spirituality as more than religiosity were critically reviewed including quality appraisal, relevant data extraction and a narrative synthesis of findings. Results. Ten measures fitting inclusion criteria were included in the review. Despite agreement among nursing and health-related disciplines that spirituality and religiosity are distinct and diverse concepts, the concept of spirituality was often used interchangeably with the concept religion to assess and evaluate patient spirituality. The term spiritual or spirituality was used in a preponderance of items to assess or evaluate spirituality. Conclusions. Measures differentiating spirituality from religiosity are grossly lacking in nursing and health-related...
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...NUR1099 Professional Nursing for the Older Person Assessment Two Template Marks out of 100 Weighting: 70% Due: Week 9 Thursday 13th September 2012 & Upload via Ease There are five main categories for this assessment. Please use this template for categories 1,3, 4 & 5, while category 2 is the concept map and will require the mind map software to complete. The mind map is to be uploaded as a separate document into ease with this completed Assessment Two template. 1. KWL Chart (20 marks) 2. Concept Map (25 marks) 3. Written prose – justification (35 marks) 4. Nursing Process of Care – Care Plan (20 marks 5. Academic writing and referencing. (Deductions up to and including 5 marks) The following information on pages two - six of this document details each category. 1. 1. KWL - Using the ‘KWL’ template provided, fill in the four column template. Theme Headings – Identify ten major themes for approaching holistic patient care K – What do I already know about the older person and caring for the older person? W – What do I want/need to know about the older person and caring for the older person? L – What have I learnt about the older person and caring for the older person? Theme Headings(Identify the ten major themes) | K | W | L | 1. | | | | 2. | | | | 3. | | | | 4. | | | | 5. | | | | 6. | | | | 7. | | | | 8. | | | | 9. | | | | 10 | | | | (20marks) 2. Concept Map – (Please...
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...The Holistic Assessment: Psychological, Physiological, Cultural, Spiritual and Psychosocial Wilfredo Mamaril Sternberg College The holistic assessment is an essential component of quality care that allows a psychiatric nurse to identify, diagnose and treat their patients based on every individual’s specific needs. A comprehensive assessment of a client’s health across multiple dimensions, such as their physiological, psychological, spiritual, cultural and psychosocial domains, are important “prerequisites for formulating an appropriate nursing diagnosis and plan of care” (Carniaux-Moran) particular to each patient. This assessment is achieved through interviews and assessments between the nurse and the client that “[varies] according to the state of the participants and the context in which the interview takes place” (Carniaux-Moran). It assists a nurse towards a more proficient and thorough diagnoses. For one, it is vital to consider a client’s past and present physical condition in order to determine if any of these medical disorders have an impact on their mental health. For example, patients who present symptoms for some common psychiatric illness such as nervousness, irritability and insomnia, can actually be suffering from underlying medical condition such as hypothyroidism or low lithium levels. In order to overcome the shortcomings of the visual observation of symptoms, nurses often perform a medical workup to rule out organic illnesses and ensure that the client...
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...Nursing Science INTRODUCTION Short Overview of History of Nursing Education Nurse education expands to empirical and theoretical frameworks introduced to future nurses and aimed at preparing them for completing tasks in a nursing care unit. The education is also introduced to nursing students by professional nurses and other medical experts who have been taught to accomplish a range of educational tasks. Previously, prior to the development of the theoretical foundations proposed by Florence Nightingale, nursing was considered purely from a medical viewpoint, which involved medical intervention and treatment. Further investigations and development of nursing education has been largely influenced by other disciplines, including ethics, morale, and philosophy which teaches future nurse to perceive persons not only as patients with certain disorders, but as holistic beings whose concerns also depend on their social, cultural, and political backgrounds. Contemporary arrangements also focus on the development of the balance between practical implications and theoretical foundation to shape a new patient-centered vision on nursing and health care. Purpose Statement The main purpose of this paper is to trace the shifts in nursing education, starting from the development of Nightingale’s model and focusing on the present underpinnings and alterations in nurses’ training. Florence Nightingale Concepts and Frameworks With the advent of Nightingale’s concepts in nursing, a rigid...
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...Education Preparation Eunsook Kim Grand Canyon University: NRS 430V June 14. 2015 Education Preparation Nursing still lies in the middle of evolution. When we look back from the foundation of nursing, this powerful waves move continuously from a small nursing skills class several decades ago up to the philosophy’s degree in nursing practice today. Since nursing is the holistic care of a human being, as caregivers, we must continue to invest time and effort into providing more advanced nursing to our holistic beings for their better health. According to the Institute of Medicine (IOM), nurses must be 80 % baccalaureate prepared RN workforce by 2020 (AACN Face Sheet, 2015). Therefore, nurses must endeavor to achieve the Bachelor of Science in nursing (BSN) for more competencies in their lifetime working field. Needless to say, patients will receive highly qualified care based upon enhanced education. Thus, BSN education preparation should be differentiate in order to meet these expectations. Different Competencies between the Associate-Degree Versus the Baccalaureate Degree Level The enlightened preceding nurses through many experimental years have developed many characteristics for a professional nursing. Currently educated nurses utilize their competencies that acquired from school in many different clinical setting environments. Compare to Associated degree level (ADN) focused on learning basic clinical skills within two...
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...Historical Development of Nursing Timeline Nursing as a profession has evolved dramatically over the last 150 years. From Florence Nightingale to current theorists, nursing has entered a new era. Theories are a collaboration of philosophies, other healthcare disciplines or fields, religious beliefs, and most importantly documented personal or professional experiences. The advancement of practice, pharmaceuticals, and technology have transformed nursing into a more complicated science. Nurses are expected to do more with fewer resources and the patient-centered care vanishes in the mix, but patient advocacy is imperative to nursing. As stated by Selanders and Crane (2012) “modern nursing is complex, ever changing, and multi-focused. Since the time of Florence Nightingale, however, the goal of nursing has remained unchanged, namely to provide a safe and caring environment that promotes patient health and well-being. Effective use of an interpersonal tool, such as advocacy, enhance the care-giving environment.” This paper will focus on the nursing theorists that have continued to emphasize advocacy through effective communication and interpersonal relationships. Florence Nightingale-Environment Theory Known as the founder of modern nursing, Nightingale is the theorist that most nurses can readily recall. Her desire to treat patients with a holistic approach has been influential to nursing advancing from an art to a science. Her theories have been studied and...
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...Nightingale’s Legacy Nursing has changed significantly over the course of history. Many have led the way, however, Florence Nightingale is considered to be one of the most famous and exemplary nursing figures. Known as a true pioneer and visionary to professors and novice nursing students alike, Florence Nightingale made countless contributions in nearly every area of nursing, from sanitation to basic human rights. The writings and teachings of Florence Nightingale continue to make a significant impression not only on students but nurses in every area from the everyday care of the community to high stress of emergency care. A vast array of subspecialties exist in nursing but regardless of the type of field, many of the recommendations of Florence Nightingale can be applied regarding present day nursing practice....
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...Katharine Kolcaba's Theory of Comfort Kelly Ferreira Summer, 2004. In the early part of the 20th century, comfort was the central goal of nursing and medicine. Comfort was the nurse's first consideration. A "good nurse" made patients comfortable. In the early 1900's, textbooks emphasized the role of a health care provider in assuring emotional and physical comfort and in adjusting the patient's environment. For example, in 1926, Harmer advocated that nursing care be concerned with providing an atmosphere of comfort. In the 1980's, a modern inquiry of comfort began. Comfort activities were observed. Meanings of comfort were explored. Comfort was conceptualized as multidimensional (emotional, physical, spiritual). Nurses provided comfort through environmental interventions. It was in this decade that Kolcaba began to develop a theory of comfort when she was a graduate student at Case Western Reserve in Cleveland, Ohio. She is currently a nursing professor at the University of Akron in Ohio. Kolcaba's (1992) theory was based on the work of earlier nurse theorists, including Orlando (1961), Benner, Henderson, Nightingale, Watson (1979), and Henderson and Paterson. Other non-nursing influences on Kolcaba's work included Murray (1938). The theory was developed using induction (from practice and experience), deduction (through logic), and from retroaction concepts (concepts from other theories). The basis of Kolcaba's theory is a taxonomic...
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...Spirituality: The Effect on Holistic Patient Care in Nursing Emily Engel, Kristy Ensley, Danielle Freeman, Sarah Gomez, Danica Graafstra, Nataliya James Skagit Valley College The United States is diversified in many ways including freedom of religion and spiritual practices. Spirituality does not only apply to practices held sacred within the religion but also how many people survive and cope with health and illness. Holistic nursing care embraces all that encompasses a person, including spirituality. With this diversified population, nurses face the dilemma of how to provide holistic care in a system that focuses on disease and not holism. Often times, patients feel the need to leave spirituality at the door when seeking care in a hospital, and in turn, a piece of who the patient is gets left behind as well. This may be due to feelings of awkwardness about showing faith or feeling judged for having any degree of spirituality. Either way,...
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...Candace Cane Jean Watson: A Review of the Theory of Caring Caring is heart of nursing, it is what nursing is about, the motivation behind interventions. Past, present, and future nurses use caring interventions and Watson’s theory of caring to provide a holistic approach complimenting medical care and aiding in patient healing often without realizing it. Patients are admitted to facilities for nursing care. Analysis of the major components of the theory of caring give some background on the theory, as well as practical applications of the theory to professional experience. Ever since the days of Florence Nightingale nurses have used their ability to possess a holistic approach to improve the care of those served; Jean Watson was no different. According to Erci, Sayan, Tortumluoglu, Kilic, Sahin, & Gungorumus (2003), Watson’s theory is considered the framework that combines the art and science of caring and is the foundation of nursing practice that is composed of ten carative factors that can provide a guide to effective interventions. Watson’s theory is the essence of nursing. In today’s healthcare environment where minimization of resources are occurring it is more imperative than ever that we do not lose that healing and caring touch. Theories such as Watson’s can help guide us as we determine the interventions that are appropriate for our patients and help us maintain a holistic approach that embraces the mind, body, and spirit. Watson’s theory serves as a guide...
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...The history of Nursing Science Theresa Nwaoha-Ezekwo NUR/13 October 25, 2012 Pam Monroe Florence Nightingale’s Environmental Theory While the history of nursing can be traced back to the early first and second centuries, or even earlier, the study of nursing research and theories is a 20th and 21st century phenomena. The act of nursing is rooted in the Greco-Roman tradition of humanista, which core values are respect for the dignity of person, and the right to be free of pain and suffering; and the Judaic – Christian tradition of Caritas, with core values of solidarity with the sick, hungry, homeless, and hopeless (Evers, 2003). Coming from this line of thought it is not surprising that Florence Nightingale as a professed Christian chose to care and advocate for the sick and poor. The study and history of professional nursing science, research, and theories although a late 20th and 21st century phenomena, is said to begin with Florence Nightingale. Her use of mathematical and statistical data to show the relevance of her findings; that environmental factors can, and do influence patient’s rate of recovery was the beginning of nursing research and science as it is known today. One could almost imply that Nightingale knew that outcome measures needed to be “relevant, and address both the constant and variable components in order to determine effectiveness of an outcome” (Blackwood, 2006). Over the past centuries, Nursing as an independent science has emerged...
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... Since the pediatric population is not legally allowed to make medical decisions, guardians must make these decisions for them. Postoperative pain in the pediatric patient may be hard to assess and therefore healthcare professionals have begun to involve family members and caregivers in the pain management process. Pain can stem from many sources and thus must be holistic, involve multiple disciplines, provide education and apply to each individual patient. In practice, advocacy for these young children is important in helping them and their families understand about the situation and make education decisions on how to proceed with care. The concept of postoperative pediatric pain management must be analyzed to help resolve these misconceptions and not ignore the population who at times cannot speak for themselves. Review of Literature After a surgical procedure, the pediatric patient will come into contact with many healthcare professionals including nurses, doctors, and psychologists. Each of these disciplines plays a key role in aiding the pediatric patient in the management of their pain. Nursing Discipline Sutters et al. (2007) examined pediatric patients following a tonsillectomy procedure in order to assess their perceptions and expectations of...
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...Nursing has changed significantly over the course of history. Many have led the way, however, Florence Nightingale is considered to be one of the most famous and leading nursing figures. Known as a true pioneer and visionary to professors and novice nursing students alike, Florence Nightingale made countless contributions in nearly every area of nursing, from sanitation to basic human rights. The writings and teachings of Florence nightingale continue to make a significant impression not only on students but nurses as well. Many of the recommendations of Florence Nightingale can be applied regarding present day nursing practice. One approach by Florence Nightingale that has made a significant impact on a current recommendation of nursing practice is the attention to the health and wellbeing of every aspect of an individual. For one to function in an optimal way all aspects of an individual must be cared for instead of just the...
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...Importance of Nursing Theory We can define nursing theory as a group of concepts that describe and present current knowledge in nursing. Nursing theory looks to provide an overall vision and understanding of the profession of nursing. It helps to organize knowledge obtained and advances the way a discipline is practiced (Shea & Cavan, 2014). Before this course I had little exposure to nursing theory and its application in the clinical realm. I knew things were done a certain way but truly did not know the origin of the ideas that influenced current nursing care. During the completion of my BSN degree, I grasped a basic concept of nursing theory and studied the major theorist involved. It has been very enlightening to view nursing theory in another dimension and study the clinical implication of its integration in practice during this course. In the following analysis I will seek to establish the importance of nursing theory and its application. I will discuss Virginia Henderson’s theory of need nursing and the application of its key concepts into practice. I will also establish important aspects of her theory and how they apply to the nursing metaparadigm. The analysis will also address the relationship between Henderson’s views and nursing informatics. Overall the influence of theory and its application in nursing will be thoroughly discussed. The Value of Nursing Theory Throughout time, the nursing profession has been influenced by nursing theory. Nursing theory has contributed...
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...Services (CMS), along with the Agency for Healthcare Research & Quality (AHRQ) developed a standard set of survey questions which are publically reported designed to measure patient’s perceptions of their “hospital experience.” The survey instrument is called the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) which allows hospitals and consumers the ability to compare hospitals to one another on topics important to patients. The survey also serves as a tool to enhance accountability through transparency and creates incentives for hospitals to improve the quality of the care they provide (Centers for Medicare & Medicaid Services, 2014). Nursing plays a vital role in the hospital’s HCAHPS comparison measures. The patient’s perception of the hospital “experience” includes several nursing-specific areas: communication, responsiveness, pain control, education, comfort level, and discharge planning. Utilization of Kolcaba’s Theory of Comfort places focus on the individual basic needs important to patients that contribute to their overall...
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