Caring-Care Environment

As a nurse, an important part of the job is to be caring and helpful for the physical and mental aspects of the patient. The ideas of Jean Watson 's Caritas Processes help define how a nurse can show caring in themselves to their patients. Watson names the eight processes; then define they mean which is key to understanding how a nurse should act to their patients. The book as We Are Now by May Sarton helps show some examples of how these processes work in action and helps to form ideas of how one can improve as a nurse in the future.

Human caring is what sets nursing apart from other professions. As Watson (1998) stated, “care and love are the most universal, the most tremendous and the most mysterious of cosmic forces: they comprise the primal universal psychic energy. Caring is the essence of nursing and the most central and unifying focus for nursing practice” (p. 32-33). It is important to establish a good nurse-patient relationship in order to create a healing environment that would meet patient’s needs on all levels including physical, mental/emotional and spiritual, promote recovery, maintain health, and create positive outcomes. Jean Watson emphasized the importance of human

A03: practitioner and organisational policies and practices designed to create a positive care environment, application of relevant policies and procedures adopted and implemented by the organisation which promote positive access for their particular service user group.

This essay will explain how person centred care benefits the service user (SU). It will explain the different SU involved in the therapeutic relationship and the importance of confidentiality and the development of trust in the therapeutic relationship. It will describe effective communication and the barriers to maintaining effective communication. It will give a reflective account of an experience on clinical placement using Gibbs reflective cycle model of reflection see (appendix 2).

Nursing is as much science as it is a study in the human condition. Combining caring and the notion of human flourishing allows the nurse sharpen her understanding of patients’ needs by observing and understanding herself (Husted & Husted, 2008). A nurse is able to better anticipate the needs of her patients by noting similarities and differences between the two of them. With caring in the nursing corner, even under less-than-ideal conditions, one can still create havens of hope, nourishment, and the possibility for flourishing (MacCulloh, 2011).

houses, petty management, noise, variety of taking food, bed and bedding, light, cleanliness of rooms and walls, personal cleanliness, chattering hopes and advices, and observation of the sick. The nurse’s role is essential in manipulating these components accordingly such as to stimulate patient healing, and or maintain the health of an already healthy individual. Essentially it is the environment or nature that helps maintain health and any deviation from what is considered clean or pure contributes to

As we approach the new session in 2017, nursing will address unifying one health system, preferably Care Everywhere. Currently, Care Everywhere provides health care workers access to patient electronic records between hospitals that are participants within the start-up of the system. I would like your help to expand this opportunity to all pharmacies, physician offices, urgent cares, and hospitals in Collin County and then the state to reduce health care cost. At this time, patients seek health care for the same medical problems at multiple facilities within 36 hours and this action unfortunately bogs down emergency rooms, raises the cost of healthcare for duplicate testing and raises questions of the validity of healthcare diagnosis and

Nursing involves forming relationships with patients on many different levels, which will depend on unique sets of circumstances and individual personalities. Illnesses which are considered life-threatening in particular can really require treatment that is complex and physical nevertheless, more tellingly, can awaken compound emotional, mental and spiritual issues for both patient, family and nurse. Experiencing such situations helps nurses to cope with these matters in upcoming, however there is also danger that experience by itself can lead to customary exercise. Reflective exercise is one particular way to use experience to promote personal and professional growth. Observing and evaluating events that have an influence on them can aid nurses in gaining a better accepting of their feelings and actions, which can in order guide them to question practices and theories. Incorporating new awareness with bigger self- consciousness can help to monitor their preparation in forthcoming to endorse actual, modified care. A model of reflection, which is being based on Murphy's and Aitkin's (1993) evaluation of the literature on insightful exercise, comprises the four phases of description, self-awareness, critical analysis and evaluation. This easiness lends itself to any nursing situation, and this paper talks about the utilization of the model with position to one specific event that had a thoughtful result on my method to

The five fundamental patterns of knowing are empirical, aesthetical, personal, ethical and sociopolitical. The patterns or ways of knowing help with the development and application of nursing knowledge. Empirical knowing embodies “factual and publicly verifiable descriptions, empiricism and theoretical explanations or predictions” (Carper, 2012 p.25). In my Oncology setting the science of nursing is very relevant to practice. I use science daily in calculating body surface area for chemotherapy drugs, chemotherapy protocols and febrile-neutropenia protocols with the initiation of specific antibiotics are some examples. Empirical knowing provides facts from empirical research for nursing care and interventions. Aesthetical knowing is known as the “art and act” of nursing, it highlights empathy. This pattern of knowing recognizes the nurse’s perception of what is significant in an individual patient’s behaviour (Carper, 2012). I utilize the art of nursing by acknowledging the patient’s feelings and being present for them during a difficult time and the ability to establish a meaningful connection with the patient.

The movie “Wit” is a great educational tool for healthcare professionals in terms of dealing with terminally ill patients. It teaches that nurses and medical professionals should always remember that their patients are not a case nor illness nor experiment but rather human beings with souls and pains. Palliative care is one of the most disputed issues of worldwide importance. While bureaucrats in different countries are making laws on the use of palliative drugs, patients with excruciating pains learn how to “take deep breaths and be strong” (Nichols & Brokaw, 2001). That is what nurse Susie Monahan from “Wit” advises her dying patient Vivian Bearing suffering from unbearable pains due to stage IV ovarian cancer after eight painful rounds

Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The

I believe environment in nursing is having an atmosphere where everyone can function appropriately. When I say that, I am referring to being in a place where co-workers are able to ask questions and we are able to lean on one another. An environment where patients feel comfortable asking the doctors’ questions or even asking the nurses questions without feeling inadequate. The environment of the hospital helps play a huge role in patient care because if we work in a stressed place we then in turn display that in our care.

Nursing has made much advancement since Nightingale Environmental Theory but the focus on a healthy environment has remained the same. Pulliam (1997) noted in her article that Nightingales’ theory formed a solid foundation for nursing: fresh air, cleanliness, clean water, warmth, proper drainage, plenty of light, and stress free environment provided an optimum environment for healing.

The Environmental Theory by Florence Nightingale defined Nursing as “the act of utilizing the environment of the patient to assist him in his recovery” (Alice Petiprin, 2014). It involves the nurse’s initiative to make environmental settings appropriate to aid in the recovery of the patient’s health. According to Nightingale all external factors are somehow associated with the patient and affects their life physically, mentally, and socially (Alice Petiprin, 2014).

Currently I don’t think I will like to work in this clinical area because it is too much critical thinking, stressful environment and too much responsibility for me based on my education and experience. In addition, I am not good working with pediatrics/child because it is very difficult to understand their problems and needs. However, I really enjoy the work area because the nurses help each other, doctors where always around to answer questions whenever nurses have a questions, the unit was also very quiet which is very nice because having quiet environment is important to think critically for the patients’ health conditions. In the future I might work in Emergency department with adults once I get more experience and