...think of the role of being a nurse and the nursing process. My meaning of patient, nurse, environment and health is the concept or framework for the nursing profession. As nurses we must evaluate each aspect of the concept and implement them in our daily practice. Patient: The patient is a person or an individual with feeling and emotions. The patient, a person, is a holistic being. Person is viewed as holistic being with social, cultural, personal need. During the nursing process the nurse must understand that each patient/person seeking health care have unique needs, abilities and characteristics. Nurse: The nurse act as an advocate for patients and their families. The role of the nurse involves working, cooperatively, with the patient and families to achieve a sense well-being and healing. Nurses role are always base on the context of trustworthy relationship between the patients are identified as a provider of healthcare. Environment: The environment is all encompassing. The environments are conditions that are internal and external to the patient: spiritually, culturally, socially and ethically. Environmental factors are an integral part of nursing process and practice. I don’t think a nurse can adequately assess a patient without assessing the patient environmental factors. Health: Health is a subjectively and objectively concept. Health does not mean an absence of a disease or illness. Health is optimal triad process functions of body, mind, and spirit. ...
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...The nursing process is a system of investigation, evaluation and planning aimed at delivering individualized client care, whether that be for an individual, a family unit or a whole community. The goal is to identify the existing or potential health needs of the client and the best way of providing care to overcome health problems or promote wellness. Once information has been gathered and evaluated, a decision can be made on what the particular needs are, assessable goals for are set and an action plan is formulated and initiated in the hope that the goals can be met through nursing care. If the process were to finish at this point, whether the care had been effective would go unnoticed (a little like baking a cake and never tasting it to see if it was worth making again). The final phase of the process therefore is an essential element and to a degree, will be the basis for future care, in other words; were the goals met or does the process need to return to the planning stage for devise a different pathway to achieving a more appropriate outcome. (ANA, 2014). The research process; which is basically a series of steps which are used as a guideline may be addressed in different orders each time it is used, the process may go forwards and backwards to each step at any time. The research process differs from the nursing process in that it starts with a question, a statement of fact or a problem and is followed by a period of investigation. The research process includes...
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...Nursing Process The nursing process is a systematic and organized way nurses are required to give care to patients at a hospital setting. Nursing process follows a simple rule flexible rule by using the acronym ADPIE, it stands for accessing, diagnosing, planning, implementing, and evaluating. The purpose of the nursing process is to build on nurse’s critical thinking skill, allow for nurses to think outside the box and most importantly to provide excellent services to patients every time. Accessing in terms of nursing process refers to the gathering of information about a patient, objective information (directly from the patient) or subjective information (from family, friends and electronic health record). The next stage of the nursing process is the diagnosis, the nurse takes the information from the assessment, analyzes the information and through critical thinking process the nurse creates an intervention. The next phase is the planning, the nurse prioritize which diagnoses need to be focused on. A nursing diagnosis is different from a medical diagnosis because the nursing diagnosis focuses on the problem that results in the disease process and medical diagnosis focuses on the disease process alone. According to American Nurses Association the planning phase is based on the assessment and diagnosis, the nurse sets measurable and achievable short- and long-range goals for this patient that might include moving from bed to chair at least three times per day; maintaining...
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...Steps of the nursing process: 1. Assess 2. Diagnose 3. Plan 4. Implement 5. Evaluate What each step means to me: The first thing that you have to do is go in and introduce yourself to the patient. After you introduce yourself and get to know your patient a little, you can begin with the first stage. The assessment stage is when you have to do a head to toe assessment on your patient. In your head to toe assessment, you need to include the following: head, eyes, ears, nose, throat, mouth, level of consciousness and orientation, skin, heart and lungs, abdomen, and extremities. It is very important to include every part in your head to toe assessment; otherwise you will not fully know everything about your patient. The next step is diagnose, and this means to use a nursing diagnosis for your patient. The next step is to plan. As the nurse, you need to make a plan for your patient based on the diagnosis that you came up with. This is when nursing care plans are usually used. The fourth step is the implementing step. In this step, the nurse takes the care plan and everything from the diagnosis and plan and puts it to use with their patient. The nurse needs to make sure to use every part of their plan and puts it to use with their patient. If they forget one part, then their patient might not get all the care that they need. Each step in the nursing process is just as important as the...
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...Assessment Tool Analysis Paper Assessment is the first and most important element of the nursing process. Assessment tools are not merely designed to measure the physical nature of the illness. They can also measure the psychosocial, spiritual, and emotional well-being of the patient. Watson felt that addressing the patient's mind, body and spirit can promote health and individual or family growth. She felt that nursing was distinctive through the science of caring and medicine involved curing (Suliman, Welmann, Omer & Thomas, 2009). In this paper I will be discussing three assessment tools that can be used by nurses to verify better, organize, and interpret a patient's emotional and spiritual well-being. I will describe the purpose of each tool and the population it might be useful. I will give data such as; cost, length of time to complete, ease of using and intended population. I will also describe how this tool enhances the assessment phase of the nursing process and the quality of care delivered by the nurse. Lastly, I will apply these tools to the vulnerable older population chosen from my Self Awareness paper. The three assessment tools that I selected were: The Spiritual Well-Being Scale, Derogatis Stress Profile, and the Perceived Stress Scale. The Spiritual Well-Being Scale This Spiritual Well-Being Scale (SWBS) is an easy assessment tool, designed for adults to self-assess their perceived spiritual well-being. There are twenty questions answered by paper and pencil...
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...Theory and the Nursing Process Kenneth L. Harris University of Phoenix Community and Family Nursing NSG 420 June 22, 2015 Kimberly Lewis RN, MSN-Ed Theory and the Nursing Process The theoretical basis for public and community nurses began in the nineteenth century with Florence Nightingale. Nightingale believed in the prevention and surveillance of diseases. She further believed that a disease was more prevalent in poor environments. She proved that good health was more prevalent with a good environment for instance providing adequate ventilation, clean water, warmth, light, and cleanliness during the Crimean War (Allender, Rector, & Warner, 2014). The public and community health nurse can affect change in behavior by providing education of the basic principles of the Nightingale theory. The theory brings to light the relationship between good health and a good environment ("Community Health Nursing," 2013). The educating migrant farm workers about the need for adequate ventilation in farm labor camps to help prevention of pulmonary tuberculosis. The community and public health nurse must develop a teaching strategy for the population in need of education. The educational theorist Malcolm Knowles proposed andragogy or the art of teaching adults. One of Knowles beliefs was that adults accumulate a reservoir of experiences to draw from and another is the adult must know why they need to learn something new (Roebuck, Morgan, MacDonald, Shumer, & McCune, 2015)...
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...NM1704: Applying a model of nursing roper, logan and tierney model This essay explores the preoperative care provided to one patient in a London hospital during one shift. This care was influenced by the holistic perspective to health. Arsing from the Greek for ‘whole’ this acknowledges physiological, psychological and social factors impacting the patient’s condition. (McFerran & Martin, 2008) It seeks to offer treatment inclusive of these factors rather than treating physical symptoms of a diagnosed disease in isolation. This essay will examine this within a Model of Nursing used in my clinical placement area - the Roper, Logan and Tierney model. The identities of both hospital and patient have been altered to maintain confidentiality and comply with the NMC Code of Conduct. (Council, 2008) During my placement I worked on a coronary care unit where I cared for a patient herein called Peter, a 60 year old White British male. Peter was single, lived alone and unemployed. He had a history of low mood and was admitted to a neighbouring hospital suffering symptoms of acute alcohol withdrawal syndrome (acute confusion, delusions and tremors). This arises when an individual reduces or stops alcohol consumption after prolonged periods of excessive alcohol intake. This can lead to tolerance, physical dependence and physical disturbances upon withdrawal due to the central nervous system reacting in a hyper-excitable state. (About.com, 2010) He was transferred to my area...
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...Theory and the Nursing Process Theory and the Nursing Process Theory and the nursing process ensures excellence patient care. There are “six steps in assessment, nursing diagnoses, outcome identification, planning, implementation, and evaluation” (Petiprin, 2015 para.3). The nursing process guides the nurse to perform specific duties and make a decision regarding patient care. A variety of nursing theories are combined into the nursing process. Nursing theories have a strong impact on education, training and development of professional nurses. Nursing and Educational Theories Nursing and educational theories are important in the nursing profession. Nursing and educational methods are used to improve patient outcomes, and to educate the community and individual families. Heath promotion is a nursing theory designed to prevent illness and the maintain disease. Nursing Theory ”Health promotion emphasis on behavior in the direction of social and environmental Interventions” (WHO, 2015, P. 1). Health promotion makes families and communities aware of preventive methods of diseases. Health promotion emphases on maintaining a healthy lifestyle for families and communities. Health promotion also focuses on educational theories, behaviorism is one of three educational theories. Educational Theory Behaviorism holds an influential part in the study of psychology. In the 20th century behavior theorist thought learning was a noticeable change in behavior, which occurs...
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...Evaluation Evaluation is the last phase of the nursing process. It follows implementation of the plan of care. It’s the judgment of the effectiveness of nursing care to meet patient goals based on the patient’s behavioral responses. Evaluating is a planned, ongoing, purposeful activity in which patients and health care professionals determine the patient’s progress toward achievement of goals/outcomes and the effectiveness of the nursing care plan. (Anukrishnan 2012). * Evaluation is continuous. * Done immediately after implementation to make on the spot modifications in an intervention. * Evaluation is performed at specific intervals. * Evaluation continues until the patient achieves the health goals or discharged from nursing care. * Evaluation includes goal achievement and self- care abilities. * Through evaluation nurses demonstrate responsibility and accountability for their actions and indicate interest in the results of the nursing activities. Process of Evaluating Patient Responses 1. Collecting data related to the desired outcomes. 2. Comparing the data with outcomes. 3. Relating nursing activities to outcomes. 4. Drawing conclusions about problem status. 5. Continuing, modifying, or terminating the nursing care plan. When determining whether a goal has been achieved, the nurse can draw one of the three possible conclusions: * The goal was met. The patient response is the same as the desired outcome. * The...
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...Nursing Process Paper Nursing involves following certain procedures, regulations, and guidelines. Nurses follow the nursing process, which is a reasoned and organized method of planning in order to provide care using critical thinking skills. The nursing process is a set of steps in which are designed to provide excellent and professional care (American Nurses Association, 2017). Critical thinking skills are used to identify, treat, and avoid health issues while also promoting wellness. Within the nursing process there are five phases, which may include; assessment, diagnosis, planning, implementation, and evaluation (American Nurses Association, 2017). The first phase of the nursing process is assessment. Nurses use assessment for analyzing...
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...Socialisation process in Nursing The process by which we acquire the culture of the society into which we are born- the process by which we acquire our social characteristics and learn the ways of thought and behaviour considered appropriate in our society is called socialisation. (Bilton, 1987) Socialization is a lifelong process that begins with learning the norms and roles of the family and subculture, and making self-concept. Norm – specific guideline for actions – a rule that says how people should behave in certain circumstances (Duffy, 2013) As individuals grow older and join new groups and assume new roles, they learn new norms and redefine their self-concept (Brinkerhoff et al, 2007) From the psychological and sociological perspective, the concept of socialization has been defined as a state in which an individual is accommodated within a particular cultural group (Ryynänen, 2001). According to Davis (1968), professional socialization of student nurses was introduced in the literature as early as 1958 (Tradewell, 1996). Professional socialization is a critical aspect of nursing students' development, which begins with entry into the nursing program and continues with entry into the workforce (Chitty, 2005) There is many definitions of the socialisation process in nursing however they all mainly say that it is the development of a professional identity through the acquisition of knowledge, skills, attitudes, beliefs, values, norms, and ethical standards in order to...
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...hospitalized patients in the United States heightens concerns about professional competency. Nurses and other healthcare professionals are under increased pressure to provide safe, effective patient care. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. This paper will compare the differences between an Associate degree prepared nurse (ADN) and a Baccalaureate degree prepared nurse (BSN). Education Differences An ADN or associate degree nurse is as a nurse with two to three years training, usually at a community college or technical school. The curriculum usually consists of fundamentals, the basics of nursing and clinicals. A BSN or baccalaureate prepared nurse is a nurse with four or five years of training usually at a University. With the BSN, a nurse will have to think outside the box, use credible research, theory, leadership skills, all of which will make the nurse a better critical thinker, and in turn her patients will be safer. Both ADN and BSN will be qualified to take the NCLEX exam upon graduation from either community college or a university and become RNs. ADNs get primarily fundamental education in school consisting of formulating care plans and a basic understanding of concepts such as maternal child, psychology and pediatrics. They seem very prepared to do direct patient care right out of school since they have an equal...
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...Strategic Planning and Nursing Process Every decision-making process requires the basic steps of problem identification, intervention and evaluation. In healthcare, both the nursing process and strategic planning involve proper identification of a problem, gathering of data, formulating a plan, and deciding which intervention is the best to implement. After the intervention, evaluation is necessary. Strategic planning and the nursing process both are essential when developing medical informatics. The goal of this paper to identify the nurse’s role in both strategic planning and the nursing process, describe the differences between them, and how nurses can become more involved in strategic planning in informatics. Differences Between Strategic Planning Process and the Nursing Process Strategic planning is a process that focuses on the organization’s vision for the future. It is a management tool that aligns the organization’s vision with its mission, values, long-term goals, services, people served and resources. It also includes setting policy guidelines. It is a long-term process, where reassessments are made based on the internal and external changes occurring with the organization. (Hebda and Czar, 2013). Successful strategic planning is vital to the survival of a healthcare organization, given the competitive market and changing health care reforms. Strategic planning is led by the organization’s chief executive officer (CEO) and board of directors and work with a diverse...
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...Strategic Planning and the Nursing Process Paper Brandon A Hazlett, RN HCS/482 June 1, 2015 Billy Kesserwani Strategic Planning and the Nursing Process Paper Strategic planning and the nursing process are both essential when one is developing medical informatics. The use of the nursing process is an exceptional demonstration of how the elements utilized within the process can be applied to strategic planning. The reason for this is the basis that both processes use the same elements to construct or utilize the system in which they are being applied. With the use of strategic planning and the nursing process, it is imperative to ensure that health care professionals understand and can properly utilize the language within the information technology world. The nursing process includes five steps to ensure care of patients. The five steps are assessment, diagnosis, planning, implementation, and evaluation. Strategic planning is similar to the nursing process in the way in which we assess and ascertain information from our patients and their support system. Strategic planning assesses one's understanding and comprehension that changes are required in a specific situation and that no situation is always that same. When using strategic planning, the project implementation team consists of representatives from departments within a facility. The departments typically include managers and employees on the front lines that are most accustomed to the activities or workings...
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...Nurses need an understanding of Nursing Informatics. “As nurses access data and process into information and knowledge, they build the wisdom necessary to positively affect the lives of their patients” (Mcgonigle, Hunter, Sipes, & Hebda, 2014, p. 324). Nursing informatics allows the nurse to track real-time patient outcomes, find data trends and access workload and interventions through the use of analytics. Because of the mandated healthcare reform, health systems will be transitioning to incorporate health information technology into the organization. “Organizations will be engaged in the implementation of the electronic health records, barcode medication administration, clinical documentation systems, data structures to participate in regional health information exchanges, and in the development of customer portals, patient health records, and other customer directed initiatives” (Hebda et al, 2013, Ch 7). It’s important for nurses to become more involved in Nursing Informatics. Evolving advances occur in nursing practice and technology. Being part of an education committee that introduces new technology resources and provides the education of use and purpose to the organization’s mission is a great way for a nurse to become more involved in Nursing Informatics. Chart auditing is another excellent way to spear-head nursing’s involvement. “In Nursing Informatics, more emphasis is given on documentation because quality of care depends on effective communication among healthcare...
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