Table of Contents
Week 1 Discussion: Our Care Culture
Instructions: this is a 2-part assignment:
Part one: discussion board post which has instructions listed below.
Part two: reply to 2 discussions. Those need 1 scholarly reference each.
Required reading:
Access to book:
https://www.vitalsource.com/ OR. https://bookshelf.vitalsource.com/#/
book name: Nursing: Scope and standards of practice
Username: ***
Password: ***
Citation: American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed). Silver Spring, MD: Author.
Required reading:
American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed). Silver Spring, MD: Author.
- 1-19 and p. 24
For those who may have purchased an eBook through the ANA or another outside source, please be aware that the listed text page numbers often do not match electronic versions, based on the device you are using. Therefore, the ANA Required Reading assignments are listed by topic in order to correspond to this week’s readings for electronic users.
- Scope of Nursing Practice (Definition of Nursing thru When Nursing Occurs); (The five Healthy Nurse Constructs)
Required Article
Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2), https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=90012507&site=eds-live&scope=site
Weekly lesson attached separately. Cite this as “weekly lesson” and I will fix it when I turn it in.
Initial Post Instructions
Part two: discussion post replies, will require 1 scholarly source each, please reply to both, if the initial post takes away from the two pages I pay for, shorten it.
Care expressed and practiced in professional nursing models provides a way of looking at the nursing role from the aspect of care. It may seem excessive to consider aspects of caring and compassion in nursing. However, precisely because it IS nursing makes it crucial to our continual progress of defining and upholding one of our central professional principles.
Address each of these items:
- Reflect on a caring and compassionate experience with a patient or family encountered in your practice. How was your compassion demonstrated? What other ways do you wish you would have expressed caring?
- How does your thinking about compassion expand to include self and colleagues?
Please complete the iCARE Self-Assessment (Links to an external site.) and download for your own use and information. The self-assessment is not a graded item.
Follow-Up Posts
Compare your analysis with your peers. Examine how yours are similar and/or different. Build on their posts by providing additional information about the acts that you have not already noted in your own post.
Respond to two peers or one peer and the instructor. Further the dialogue by providing more information and clarification. PLEASE REPLY TO BOTH!
Follow up #1: Andrew
The past six years I have been the patient. Being too impaired to work is a humbling experience. Especially if it’s too neurologically impaired to work. Out of control partial and complex partial seizures, Lyme disease with neurologic symptomology, a new diagnosis of obstructive sleep apnea secondary to trauma, and an immune disorder of unknown etiology. I retained my education, which my introduction touches on, but with specific memories, I am not so fortunate. I can remember almost all the places I worked and even describe some of the surroundings, but coworkers and patients I have worked with are gone. Not even a haze, the memories are just gone. What I do have is the perspective of a nurse, living with multiple, at times debilitating, chronic illnesses.
Nursing has long been identified as a science and an art. A large part of that art is the recognition and treatment of the spiritual domain, compassionate care for the physical and emotional domain, and empathy for the moment, to just be present and listening (Nursing: Scope and standard of practice (3rd ed.), 2019). Patient-centered care and empathy are now associated with improved patient outcomes. Increased self-awareness and the ability to actively listen have been found to be instrumental attributes for empathy (Haley et al., 2017). Empathy has been found to play a significant role in both patient-centered care and self-awareness (Haley, et al., 2017). Four years ago, when I was deteriorating before the implant, I would have periods of status epilepticus. I was in neuro-ICU and regularly one of the nurses would come in and hold my hand for a while. It was the most comforting and grounding action anyone could have done for me. I have learned as much about how to be a nurse from being chronically ill as I have from my education. There is much to cover to be a good nurse. Technical know-how, vast knowledge of illness and the human body, the use of the medical, pharmacologic, physiologic, and psychologic intervention. I could go on for pages. However, it is those little nuances of care that make a great nurse. Coming out to hold a patient’s hand for a few minutes when it’s obvious they can’t stand five more minutes of what’s happening, just a minute or two of conversation, double-checking the pain’s not back. There is a plethora of just little things that I believe aren’t trained into any of us. A better awareness made, yes, but put there, no. Compassion is the defining characteristic that drew us all to this work in the first place. Maintaining its focus on the patient and each other is the challenge we face due to healthcare’s evolving presentation and the huge stressors it places on us as we try to meet these changes.
Follow up #2: Noemi
Compassion in the nursing setting is something that we do daily and without even thinking about it because that’s what we feel is right. According to American Nurses Association (2015), one of the five Healthy Nurse constructs include calling to care. When we show that we care, are compassionate and offer ourselves we can build a relationship with the patient and their families. I recently took care of a patient who had been in the hospital for over a month. His wife was by his side the whole time and I saw that she wouldn’t leave because she was so used to taking care of him before he was admitted. I made sure to ask her if she needed anything before exiting the room. She initially responded with no thanks, but I said are you sure because I haven’t seen you leave the room in a while. I want to make sure you are keeping yourself hydrated and fed. How about I bring you a drink and a snack just in case. I noticed later that she indeed ate and drank what I had brought to her. Now thinking back about the situation, I could’ve asked her if she wanted a hospitality room because I’m not sure if anyone had offered it to her. Maybe everyone just assumed she was ok with staying in the room with him.
To expand this to include my colleagues, I want to share a story about an amazing nurse that I work with. This nurse gave so much compassion for not only the patient but for the family that they gave her a gift that has been unheard of by those who work in our facility. The patient unfortunately passed away, but the family was so grateful to the nurse that they gave her the rosary that the patient was holding onto since he was admitted. This is a huge deal when it comes to those who practice the Catholic faith. “Compassion has been described as essential to human health and healing” (Smith & Smith, 2019). For this family, giving the gift to the nurse is one way for them to heal. The nurse expressed to me that her being recognized by the family for her compassion made her week.
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