It’s about us being gentle and caring in the way we give care and also about us not only looking after their physical needs but looking after them holistically. Nurses should especially have this quality since they are dealing with patients and family so closely. Heijkenskjold et al (2010) and Lindwall et al (2012) agree that patients’ voices being listened to, heard, valued and understood is essential to ensure respect and dignity for patients. Furthermore Heijkenskjold et al (2010) had found that nurses that treated patients as human beings and interacted ‘preserved’ their
In Peplau’s theory (1952) focuses on the interpersonal relationship between nurse and the patient and the patient’s family. the patient is the one with the need while nursing is a therapeutic process and this relationship is affected by both nurse’s and the patient’s perception and his notion ( George,2011) this kind of collaboration builds relationship and trust, both the nurse and patient mutually define and understand the problems and find solution. this theory could be applied only when there is enough time for nurse to build that trust, with the gross understaffed nurses, it becomes even harder to establish such relationship. the communication between individual patient and the nurses on the floor is reduced when the nurses has so many patients to look after. interpersonal relationship is harder to build when the ration between nurse and patient is
These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
Peplau (1988, cited by Betts, 2002, in Kenworthy et al, 2002) argues nursing as an interpersonal process. Betts (2002) argues that effective communication is intricate and obscure. Both the nurse and the patient are distinctive individuals, and they both bring with them their perceptions, values, interpretations and experiences to the interpersonal process. To achieve trust, the nurse must use openness, honesty and effective communication
It is created through analysis of research and construction of concepts and theories (Busso, Poles, & Monteiro da Cruz, 2014). Concept analysis serve a purpose within theory development as it represents continuation of knowledge in nursing profession. When theories and concepts are developed, it must be practiced in a clinical setting to validate research. The caring concept applies to Jean Watson’s Theory of Human Caring as it creates an environment for healing, bonding, and improving patient outcomes. The concept of caring depicts the attitude of the nurse and the inclination given to meet the needs of the patient from emotional or physical standpoints (Emerson, 2017).
A patient and nurse interact and communicate and form an interpersonal system that is affected by situational factors in the environment (Alligood, 2013). Alligood (2013) also identifies the fundamental concepts of this theory as: perception, communication, interaction, transaction, self, role, growth and development, stress/stressors, coping, time, and personal space. These come from the personal and interpersonal system concepts. While the personal and social systems effect patient outcomes, the system that seems to have the biggest influence on this is the interpersonal system.
William’s play A Streetcar Named Desire presents a variety of perspectives on relationships, especially addressing the idea that bonds which aren’t bound by trust, loyalty and lust in an even balance will inevitably fail. Tennessee Williams uses the interaction between his characters, predominantly Blanche, Mitch, Stella and Stanley; to express a variety of ideas regarding relationships. These connections can be witnessed in scenes 2, 3, 6 and 11, through the use of stage directions, dialogue and expressionism to display different perspectives of character interaction. Trust acts as the foundation to any relationship, establishing a strong link between individuals and without it, the connection will eventually disintegrate.
Theoretical Framework on Violence in the Workplace Violence can be experienced by many different people in different situations in health care. In the healthcare world, nurses are one of the most exposed groups to workplace violence in the world. Circumstances that lead patients to the hospital can be very stressful which can lead to anxiety, agitation, depression. Through using the theoretical framework developed by Ida Jean Orlando, workplace violence can be viewed and applied to address or even prevent violence experienced by nurses possibly. Violence has been a long-standing issue in the workplace.
To allow anything to develop in a relationship, both parties must allow the variable to grow and prosper. To develop a variable such as trust, one must possess a number of personal and professional qualities. When a person trusts another person it means opening up for an action and expecting the other (trustor) to act in accordance with his/her (trustee’s) wishes, interests or will (Rortveit K. et al. 2015). The power issue between patients and nurses can cause some patients not to avail of health care services (Rortveit K. et al. 2015). Trust is an important aspect of nursing and has been the focus of nursing theory and research (Rortveit K. et al. 2015).
According to Bramhall (2014), Effective communication one of the basic skills of nursing staff, which enhances patient care. Add to this the communication plays an important role in showing empathy and thus it becomes easy for the patient to report positive experiences or even the bad ones. I think that the most important things are to communicate not only with the patient but also with healthcare team members. In addition, nurses need to be able to communicate successfully with all member of the health care providers and to provide and give the full information about the patient
The author highlights how vulnerable patients will give their trust to nurses, they should begin their relationship with a rapport (Price, 2017). “Patients often feel vulnerable and there can be an imbalance of power between the nurse and the patient; similarly, patients who are receiving treatment in hospital can find themselves in an unfamiliar environment” (Price, 2017). In this situation the client was degraded, there was an imbalance of power. The client had an unfamiliar caregiver, creating confusion and anxiety. To create a therapeutic relationship trust must be created, it requires effective communication, honesty, and respect.
The second key aspect related to expertise,the nurses must have technical skills in order to provide effective and safe care. The third aspect mentioned that nurses must have communicative capabilities. The nurses serve as spokespersons for patients who are often in vulnerable positions. The nurses are easily accessible and can act as a link between the patient and other professions.
• A caring relationship relates the 13 sub-concepts together. o The patient is willing to have good health, and so the nurse and the patient will cooperate towards a common goal of restoration of the patient’s health. o The nurse’s role is to prevent any interruptions that may occur during the patient’s restoration process.
The physiological needs are met when the nurses provide the patient with the necessary amount of food, water, oxygen (if needed), blankets for warmth and sleep by providing pain or sleeping pills (if needed). The safety need will be met by the security of the hospital to help the patient feel secure and safe in his/her environment. Love and belongingness can be created through intimacy (if possible), affection and friendship. This can also be given to the patient by his/her family members or friends. To ensure that the patient’s self-esteem needs are met, the Health Care worker has to help to improve the patient’s confidence and independence.
