Part A As part of my studies of the Perspectives on nursing module I have been assigned to examine dignity as a value which underpins nursing practice. Dignity is a multi-faceted concept and can be defined as ‘’ The state or quality of being worthy of honour or respect’ (https://www.oxforddictionaries.com/definition/english/dignity, 2015)’. Respect for the dignity of the person is the number one principle of the Code of Professional Conduct and Ethics for Registered Nurses and Midwives (NMBI, 2014). Also, this principle notably finds its origins in the Universal Declaration of human rights (United Nations, 1948) (Nursing and Midwifery Board of Ireland, 2014). Throughout this piece I will emphasize how this principle interacts with nursing …show more content…
Orem’s Self-Care Deficit theory includes 3 constituent theories, namely; the theory of self-care, the self-care deficit theory and theory of nursing systems. The theory states that an individual as an obligation to tend to their own needs. The person has a right and responsibility to engage in continuous self-maintenance, the capability to do so is termed an ‘’agency’’ ( Denyes, Orem and Bekel , 2001). In a nursing environment promoting independence is integral to practice, as with the thinking behind Orem’s theory , ‘’Implementing interventions to maintain a sense of control over their own experience of health maintenance promotes better outcome’s ‘’ (O’Shaughnessy ,2014). In practice ,using the self-care theory , the individual efficiently attends to their own need and also maintains their …show more content…
As assessment is integral to the nursing process it is also incorporated into nursing models. Assessment is necessary during all nursing activities e.g. assisting an individual with their hygiene needs, taking observations or during repositioning/manual handling techniques. Orem’s model is a particularly effective tool in carrying out assessment as it has a practical approach in identifying patients’ needs by encompassing their universal, developmental and health deviation self-care deficits. ‘’Having a conceptual nursing model to practice may enable nurses to gather a detailed database that identifies actual and potential healthcare problems’’ (Capers, 1986). The grid, checklist format is a simple, fast and straightforward assessment guide and can be very useful in practice. Any given ward or healthcare environment may choose to implement a nursing model to guide its practice and philosophy. The theoretical framework of Orem’s model can aid knowledge based practice (Anonymous, 2010). As the model encompasses all aspects of the nursing process and acknowledges deficits that are not only a problem at ward level , but for the person post discharges , it is helpful in delivery quality, holistic, care from admission to discharge, allowing for discharge planning. Due to this approach we can derive that the model is beneficial to delivering care at all
Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.
Veterans Affairs Nurse What a blessing it is to have the United States Department of Veterans Affairs (VA), Veterans Health Administration (VHA) providing multiple healthcare services to our heroes, our veterans! To be afforded the opportunity for our heroes to attend and be treated, at little to no cost, for a wide range of ailments from the common cold, to a mental health disability, or for the possibility of a healing surgery is a well-deserved and a wonderful privilege. One of the major demographics of care providers within the VHA is the registered nurse. There are over 51,000 registered nurses nationwide, with 60.7% of the total population of providers of healthcare, within the VA hospitals, VA outpatient clinics and VA Patient Care Medical Homes (VHA, Office of Nursing Services, 2012).
Theory Evaluation of Orem’s Self-Care Deficit Nursing Theory Self-Care Deficit Nursing Theory, Part III Theory Evaluation Dorothea Orem’s Self-Care Deficit Nursing Theory (SCDNT) has been a part of nursing theory since publication in 1971 (Fawcett & Desanto-Madeya, 2012). During this time, it has been used as a framework for many research projects and nursing school curriculum and as a guide to nursing practice (Fawcett & Desanto-Madeya, 2012). Is the theory congruent with current nursing standards?
Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse.
With the continued change and increased complexity of the identity of the nurse it has led to the confusion as to what role nurses play – are they caregivers or clinicians? With the continued evolution of nurses professional identity nurses have moved away from the feminine role of just merely caring and have moved towards taking on more masculine role which have traditionally been associated with power. As traditionally power is mainly associated with masculinity and caring, which is the core value of nursing, as associated with femininity. From this it can be said that nurses have evolved from being the overshadowed caregivers to now taking on roles that traditionally would not be associated with nursing however still keeping the care element. In order to establish exactly how the identity of nurses has evolved over the years and to understand what it is today, we will look at the history of nursing as well as looking at how professional identity is formed and what factors
Philosophy of Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
The final patient related concept, self-care deficit, relates to the inability to provide self-care (Taylor & Renpenning, 2011). The two concepts related to nursing are described as nursing systems, which becomes necessary when the patients’ needs exceed that which can be managed by self–care making nursing required (McEwen & Wills, 2014).Nursing agency is comparable to
Introduction In this assignment I will explore a clinical experience where dignity was maintained and reflect on my practice. It is important to reflect in both personal and professional development. Reflection will allow me to recognise both good and bad practice and how I can improve as a person as well as professionally. For this assignment I will be writing in first person, as it is appropriate for a reflective essay.
Introduction: This assignment will explore the Roper, Logan and Tierney model used in first clinical placement and will explain how it helped to guide nurses to focus on the fundamentals of patient care. Patient dignity is upheld by using this model following the principles outlined in the Code of Professional Conduct and Ethics for Registered Nurses and Midwives as will be discussed. An outline of the philosophical claims of the nursing model that guides practice on the unit for first clinical placement.
Professional practice reflects autonomy when the nurse respects patient’s rights to make decisions about their health care” (Taylor, 1997). At the nursing home, I witnessed many of the nurses discuss with the residents what they wanted to do about certain situations. Autonomy honors the fact that it is the patient and the families right to make certain decisions about health care. Nurses also are constantly making sure that they can provide their patients with the best information to help them make a more successful choice about their health care (Taylor
Utilitarianism and Deontology are two major ethical theories that influence nursing practice. Utilitarian principles of promoting the greatest good for the greatest amount of people parallels the nursing tenet of beneficence. Deontological principles of treating individuals with dignity, and promoting the well-being of the individual parallels the nursing tenet of non-maleficence. Utilitarian and Deontological principles can be utilized to resolve ethical dilemmas that arise in the nursing profession. The purpose of this paper is to define utilitarianism and deontology, discuss the similarities and differences between the two, and to address an ethical dilemma utilizing utilitarian and deontological principles.
Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.
Dealing with elimination care, their balance between activities and rest, how they balance solitude and social interactions, the prevention of hazards and the promotion of functioning. (Self-Care Deficit, 2016) The idea of this nursing theory can be applied to solve problems and issues within nursing practice due to nursing theories being the framework and the building blocks of nursing. For the specific theory of Orem’s Self-Care Deficit, the idea of the theory is to be able to assess the patient’s condition, identify the needs and be able to demonstrate communication and interaction with others.
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.
This will be the assignment of individual research reports in the literature on the subject of respect and dignity. Since the subject of respect and dignity is so wide, I will pay more concentration on respect and dignity in end of life. My main reason for choosing this area of research is because I wanted to acquire more knowledge and develop my understanding as it will be aid while on practise as a student nurse and also later in the future when a become a qualify nurse. According to the NMC (Nursing and Midwifery Council) code of conduct, all nurses and midwives must follow the code which sets standards of conduct and ethics including making the care of patients their first concern by treating them as individuals and their dignity must