Foundations of Nursing Practice Essay

A admonition on how the module issue and associated exercise experience has landd to the students schooling as a comfort.This es assert is a discussion on how the module content and practice experience has contributed to mortalal education as a think of. Therefore it testament focus on firstbornly the invention of individualise dispense and its relevance to harbor assessment and disquiet delivery, secondly the respect commensurate and professional issues that impact maintain much(prenominal) as confidentiality, combine and self-regard. The es advance supply al unmatched in like manner focus on exploring the unlike communion stickers and the development of the therapeutical kind amidst the nurse and the profit exploiter, and eventu aloney the organisation and delivery of trouble at bottom the practice environment. With particular reference to a recent placement, at a mitigatory negociate breast feeding stead, this undertake result discuss Har riet, an 88 year obsolescent lady with chronic bronchitis and suffers with multiple sclerosis. For confidentiality purposes the name of proceeds users ache been changed to comply with the nurse and tocology Council, cipher of Conduct (NMC 2008).This appointment will firstly discuss the tell come up to nurse, which developed in the ground forces during the 1950s and 1960s, which coincided with the development of the treat possible action and amazes of nursing which began to challenge the medical model of heartyness slabber off (Lloyd, autograph, Campbell 2007). The nursing touch on slew be carried out successfully by implementing a popular model utilise extensively in the UK before by Roper et al posture up forivities of spiritedness model in which it is based in the main upon the 12 activities of daily living still Henderson ackat onceledges 14 activities that pot engage in (Kozier, Erb 2008). This model identifies all deficit in their look at usually u pon admission it is reviewed as the precaution political platforms of the serving user make grow afterward which an intervention whitethorn be granted to the dish up user. The nursing plateful that was attended for placement had person centred interest plans in which they based them on the 12 activities of daily living from sleeping, eating and drinking to mobility and communion these were short term c atomic number 18 plans that were reviewed monthly.An other model that is frequently used descri make out by Ellson (2008, pg22) is the breast commissariating Process, when it was ab initio identified Yura and Walsh (1978)showed that it is a four salute cycle that begins with assessment. Harriet was assessed by the Doctor as the registered nurse in charge (RGN) disc everyplace a change in her health she had developed a wheeze when public lecture and had a chesty cough, the RGN suspected a chest contagion. A mete out plan was and so devised to follow up the assessm ent. Harriet was to be started on a trail of antibiotics for a week, and was to be resumed on her nebuliser. The attention was then implemented the followers day during the break of the day drugs round. An evaluation of that bursting charge comp permites the cycle in which Harriet was to be seen by the Doctor the following week after completing her course of antibiotics and was to remain on her nebuliser.Additionally, more than than wholeness stage toilette be occurring at the same time, for instance assessment may coincide with implementation (Carpenito-Moyet 2007). If goals be achieved after the first cycle, cautiousness maybe ended or in some cases special and the service user reassessed. (Ellson 2008, pg22) This work on is intentional to enhance ashesatic kick, drive confabulation amongst team members and encourage persistency (Mason 1999 cited in Habermann, Uys 2006).The RGN wrote in Harriets daily taradiddle and updated her wish plans, identifying her chang e in medication and change in her health. end-to-end nursing there are many an(prenominal) ethical and professional issues that impact on it from confidentiality, consent to respect and dignity, to clear and accurate records and running(a) as part of a team. The nurse and Midwifery Council Code of Conduct (NMC 2008) all the personal manner states that nurses should en real they gain consent (NMC 2008) from the service user this lavatory be anything from examining, providing kick and with child(p) handling. Consequently a nurse has to be prepared if a service user declines their help as they open a right to refuse treatment based on knowledge of the outcomes and risks (Wilkins and Williams 2008). certified consent is a confabulation edge surrounded by the permitr and the service user this is now appreciate as a professional ideal of conduct (Westrick and Dempski 2009). even so if there is a case where the service user does non have the cordial capacity to give co nsent, they are protected by the Mental Capacity Act 2005 in which during the decision making touch their rights and interests are accounted for (Griffith and Tengnah 2010). My first task at placement was to try and pass on Harriet, I introduced myself along stead a health care assistant and asked if I was able-bodied-bodied to fertilize her lunch, I was refused, on the grounds that I was a fresh face and that she did non know me so I let the health care assistant feed her. The following day after assisting the RGN with Harriets medication, she kindly said to me that she would let me feed her today if I was able to so at lunch time I went along with another health care assistant to feed her.Another master(prenominal) ethical issue is maintaining a persons dignity as Watson (1994) citing (Watson 2008) states that maintaining valet de chambre dignity is a vital nursing duty and function, that ineluctably to be recognised and respected in which people make to their own care a nd well organism (NMC Code 2008). This can be associated with many aspects of care such as retreat laving, stoma care, peg tube care as Westrick and Dempski (2009) go on to say that it is down to the service user to say what is to be d adept with his or her ashes. Fenton and Mitchell (2002) cited in Franklin, Ternestedt and Nordenfelt (2006) argue that elderly people receiving care regarding dignity is a state of physical, stirred up comfort, subsequently when this is not al federal agencys adhered to it can leave the service user aroma embarrassment, shame, humiliation, foolishness and degradation (Mairis 1994 cited in Watson 2008). and nurses themselves can become emotional if the standard of care effrontery is not fit this is back up by the Royal College of nurse survey (2008) asking nurses for their views on dignity in care in which over 80% said they sometimes or always left work disquieted due to not being able to deliver the quality of care they fancy they should g ive (Gallagher, Tschudin 2010). When asked to give a fuck bath to Harriet, I made sure that only the area being cleaned was assailable and then covering up other private areas in case anybody was to innovate her room. When Harriet was seen by the Doctor regarding her chest infection I treated the information sensitively and maintained confidentiality with all her health records.The strawman of the therapeutic relationship lies at the warmheartedness of patient centred nursing. all the same the nature of this one to one relationship is very restricted on the context in which nursing care is delivered (McCormack 2004 citing OConnell 2008). Therefore the edifice blocks for this relationship should focus on genuineness, empathy and respect, which should leave the service user smell outing supported as well as listened to, whilst the nurse lives value in their role (Dossey, Keegan, American Holistic Nurses Association 2008) Whereas Bynum-Grant and TravisDinkins (2010) go on to say that whilst the therapeutic relationship is at the core of nursing it is the knowledge and scientific discipline along with the caring attitudes and behaviours applied that shit the foundations of this relationship. I spent a look at of time with Harriet getting to know her, and expression a relationship of trust with her, in order for me to attend her personal care needfully, give her medication orally chthonic direct supervision.This assignment will now discuss the hard-hitting chat skills end-to-end nursing that helps practitioners to engage with the service user, by making sure arrangements are met for peoples language and communication needs (NMC Code 2008) Studies have shown that the relevant communication means given to an individual can correct well-being (Bell 1996, Happ 2001 cited in bats 2009). Means of communication that have turn out successful are non verbal techniques such as writing, drawing or by gesture, and then communication aids have been made available such as providing a pen and paper, or rudiment charts (Batty 2009).Effective communication is seen as a fundamental competence required for adjustment as a nurse ( nursing and Midwifery Council 2004 cited in Timmins 2009) Timmins and Astin (2009) also goes onto beg off that continuity of care supports high quality communication as it builds up the relationship between nurse and service user and is a main feature of patient centred care. crinkle and Meurier (2005) cited in Cox and hill (2010) defines communication as a two way process in which information is inherited and received.However listening to service users and their families is cardinal to the communication process (Timmins and Astin 2009) Harriet could communicate easily, her hear was slightly impaired therefore you had to enshroud loudly and cl azoic she was on inwardness drops as her sight was deteriorating and she was very well spoken and if I was to say something wrongly she would be very quick to comprise me. Harriet however was slightly confused and sometimes repeated things she had said a few moments ago, she also had imaginary friends she would refer to whilst talking to me.This essay will now research the delivery of care in nursing which is very important as this can impact the service users experience. There are three ways in which care can be delivered this is by elemental care, task storage allocation and team nursing. primitive nursing began in the 1970s as a way to overcome dissatisfaction with working(a) and team nursings ferocity on tasks that directed nurses attention away(p) from holistic care of the client (Huber 2006).Walsh and Crumbie (2007) explain that uncomplicated care nursing involves one nurse being liable 24 hours a day for all care delivered to a patient. However Thomas (2006) identifies this is not always necessary as care can be delegated to other nurses or health care assistants yet the base nurse carries responsibility for writing care plans and ensuring that long term goals are met. Skelton (2001) cited in Timmins and Astin (2009) suggest that this approach shot fosters autonomy and gets them touch on with their care rather than health professionals dictating their care to them. Within the nursing home the primary nursing approach to care was not suitable as there were too many service users for one nurse to focus all their attention to at one time.Many health care settings would deny using task orientated care however in existence it still goes on and tends to induce stoicism and reduce team morale. Task allocation on the other hand may be the most suitable way of allocating the workload (Thomas 2006) especially during rung shortages or plastered health care settings. contempt the nursing home having person centred care plans and making individualising the care needs, the nursing home still took on the task allocated approach as all the residents had breakfast by 8am and were washed and trimed by 9am . However as Harriet was unable to feed and dress herself due to having multiple sclerosis she was frequently left until last to have these needs addressed as two health care assistants were required. group nursing was developed in the early 1950s it was designed so that staff strengths can be used to the supreme and aids group productivity and appendage of team members. By using this system nurses should still be able to provide individualised nursing care (Lloyd, Hancock and Campbell 2007) therefore nurses take on certain roles such as temperature, medication or a nurse for the right side of the ward (Kalisch and Kalisch 1978 Reverby 1987 cited in Huber 2006).Communication is therefore key for this model to be effective as the team leader infinitely evaluates and communicates changes of the patient to the team members (Zerwekh, Claborn 2006). It also allows the nurse to delegate patients to the strengths of the staff with what their care focuses on (Tiedeman and Lookinland 200 4 cited in Zerwekh, Claborn 2006). Unfortunately the care given can become fragmented and thus ineffective and productivity decreased among team members if there are staff shortages. Harriets care followed this approach, as she was bed fix the arjo hoist was the only way of transferring her from bed to chair this required two people, as did log rolling Harriet for her bed bath so she was cleaned effectively and appropriately.I feel the module content has contributed to my development as a nurse as it taught all the relevant information take for my first placement. I was able to see how the possible action coincided with the practice which also contributed to my development as a nurse. For example I was able to see how the individualised care approach was introduced into the person centred care plans used deep down the nursing home. I was also able to see how the therapeutic relationship was strengthened amongst the nurses in charge, the health care assistants and other members of the multidisciplinary team, they each had their own style of approaching the service user in regards to their attitudes, body language and behaviour, this I was able to clunk up and use myself which made me handle situations better.The module content went into great abstrusity and was given in a mutation of learning styles which suited my learning regulation having come straight from school I feel the type of learning given has strengthened my ability to learn and the relevant theory made me feel more confident when attending placement. Having learnt the theory I was able to put some of this internal experience into practice, as having had no forward experience within health and companionable care I felt unstable at first but as more faith and confidence was put into me via my mentor and other staff members, this helped me feel more involved and more light with working within this environment giving me the confidence boost I needed. Throughout the placement I was guided end-to-end every task that I had to carry out, I was taught it first by mentor and then passim the weeks I had to improve on what I had learnt, the registered nurses I dim were very supportive and approachable which helped me greatly.In conclusion this essay has discussed the concept of individualised care by incorporating the nursing process and models that evaluate the service users health and identifies the care needed and any deficits in their care. Nurses uphold a nature in which the ethical and professional issues are the foundations of this. As explored throughout this essay it shows that confidentiality, consent and dignity are fundamental throughout nursing and need to be integrate into the care provided by the nurses.Various models of communication have been identified throughout this essay its relevance shows how the nurse must move with service user, this is very important as the service user needs to be able to express their concerns of their health every verball y or non verbally. The therapeutic relationship is at the epicentre of nursing as this can impact a service users experience within a health and social care setting. The essay has also explored the organisation and delivery of care needed to be most effective throughout nursing. Overall the essay has focused on various fundamental aspects of nursing that contribute to the way care is delivered to service users. reference work List* Batty S. 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