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Personal Practice Framework Essay

510 Words3 Pages

My personal practice framework (PPF) has been heavily influenced by Jean Watson and her theory of caring. Alligood (2014), lists a carative factor in Watson’s theory that is a foundation to my practice as a family nurse practitioner (FNP); “Development of a helping-trusting, human caring relation” (p. 79). I believe the role of the nurse practitioner is to go beyond the physical assessment of the patient and establish a connection that builds over time to develop a trusted relationship. Our ability to effectively communicate and maintain connections with patients leads to a relationship where we can be influential to our patients. Clinical decision making on health promotion, health protection, disease prevention, and health management concerns are a key focus for advanced practice nurses (APN) (Blaire & Jansen, 2015). The definition of a FNP can be witnessed in our …show more content…

This leads to the process of clinical decision making through dialogue and interaction between the provider and the patient (Blaire and Jansen, 2015). The series of steps in the nursing process can be viewed through skilled communication. Assessing (inquiries); diagnosing (clinician decision making); planning (clarifying perspectives); implementing (providing guidance); and evaluating (patient’s response to treatment) are the steps of the nursing process that show how skilled communication and clinical decision making can be developed together. Openness, sensitivity and skilled interactions are strengths that have developed in the course of our careers. These characteristics have sustained the relationship between the nursing process and my personal practice

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Apply Watson’s Theory of Human Caring to Advanced Practice Nursing. Watson’s Theory of Human of Caring can be applied to advanced nursing practice in many ways one great way would be to apply the ten Carative Factors as an action plan and a guide in opening a practice to foster a holistic caring nurse practitioner – patient relationship. To begin with the practitioner could use the first carative factor I helping to formulate a mission statement that included a humanistic-altruistic system of values. Before selecting the practice the practitioner could use the third factor of cultivation of their own self and looking at what their feelings of empathy is for other to help decide what practice specialty they should open.

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421 Words | 2 Pages

Conclusion In conclusion, APNs are equipped to deliver the same safe, efficient, and high- quality care as physicians. The clinical and professional background of nurses gives them an extraordinary opportunity to change the healthcare landscape and promote cost-effective, compassionate, and patient-centered care for people. In a study performed by Dill, Pankow, Erikson, & Shipman (2013), the patient preferred the APN to physicians due to greater accessibility, more personalized and compassionate care, increased comfort with communication, and past positive

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They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age

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918 Words | 4 Pages

From these realizations I have concluded that the professional nursing theories which most align with my own philosophy is a combination of Jean Watson’s theory of human caring and Rosemarie Parse’s theory of human becoming. Watson’s theory of human caring outlines the science behind caring as a driving force and framework for practice in nursing. It explores the concept that “humanities address themselves to deeper values of the quality of living and dying, which involve philosophical, ethical, psychosocial and moral issues” (Watson, 2005, p. 2). Within her original text, Watson outlined 10 “carative factors” which help integrate the science of healthcare field with the more holistic nuances of nursing and the phenomena that is the human

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1092 Words | 5 Pages

In the past decade or so, increasing numbers of hospitals and academic programs in the United States and other parts of the world, have begun to use Watson’s Theory of Human Caring in very specific ways. Watson’s theory can serve as a guide to changing nursing practice. It can change the culture of hospital nursing and academic nursing (Watson, 2009). Watson’s caring theory can be incorporated into many current nursing interventions. Some of them would include active listening, preventing falls, preventing illness, controlling pain, promoting self-care, and restoring health.

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Tanner (2006) defined clinical judgment is “an interpretation or conclusion about a patient’s needs, concerns or health problem and the decision to take action or not, use or modify standard approaches, or improvise new ones as deemed appropriate by the patient’s response”. And he also suggested that there are various factors that impact on this process such as nurses’ experience and perspective, knowledge of the patients, their preferences and culture of the care environment. This model, clinical judgment viewed as a problem-solving activity and consists of four phases noticing, interpreting, responding and reflection. It begins with assessment of the patient followed by the planning and implementation of nursing interventions and finish with evaluation or reflection of the effectiveness of those nursing actions. Noticing refers to observing, which is very similar to the assessment, gathering information and data.

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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).

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837 Words | 4 Pages

Figure 2 presents the PCN framework, with these 12 core statements mapped onto the relevant constructs. All the core statements (items from the CDI) fall within either prerequisites or care processes and are bulleted under specific components within each of these two constructs. Mapping the core statements onto the PCN framework reaffirms the strong correlation between caring and PCN as perceived by nurses. It is interesting to note that in relation to personcentred processes, the statements that remained consistent over time spanned across the five components presented in the PCN framework, with none emerging stronger than any others. This would appear to reinforce the validity of the range of person-centred processes presented within the PCN framework.

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Authentic relationships cultivating caring relationships with their patients support them in their physical, mental and spiritual needs related to health. In order to strengthen the profession and the quality of care that patients receive, nurses must correspond to this type of relationship between them. And as professionals, involved in the art and science of care and by its very nature, of nurses, nurses thrive when they have to deal with his colleagues. Principles for authentic relationships give nurses a guide for the development of these types of interactions with others and cultivate the sense of the nurse to be supported to promote your ability to do the same for patients.

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1572 Words | 7 Pages

The Joint Commission in 2011 also described a clear and safe communication as timely, accurate, and usable (Arnold, et al., p.23). This positive quality of communication is evident in the interaction of Shona and the nurse, as the nurse asked Shona “Can you explain that further?” in regards to the situation that Shona is feeling — from this, the nurse is trying to understand Shona’s condition as she assesses the situation. In a nursing process, communication standards and skills are an integral component of knowledge (Arnold, et al., p.29) that allows nurses to understand a patient’s condition, thus, provide compassion and respect for their patients. This is evident in the nurse’s intervention to Shona’s struggles as she encouraged Shona to not to think about her conflicts and focus on happy things like her children— which shows empathy and

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1486 Words | 6 Pages

However, other opinions argue that experienced clinicians leverage a range of strategies, including some that are more intuitive. Although founded on assimilated and amassed clinical practice wisdom, including an intuitive approach is difficult to locate within prudent, traditional models (Jasper, Mooney, & Rosser, 2013). Nursing judgment is defined as deciding on which data to collected, constructing an interpretation of the data, arriving at a diagnosis, and identifying the right actions to take which involves problem solving, decision making, and critical thinking. Since this is an informatics project, data was a driving force throughout the project. Taking the data identified, looking at patterns and gaps, developing the rationale for why the patterns and gaps exist and how to address each of them, followed up by executing solutions by weighing past experiences, current literature and evidenced based practice, and nursing standards of practice supported the achievements of this group.

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573 Words | 3 Pages

Deep clinical knowledge and having more than one way of thinking helps provides nurses with a background to make appropriate decisions. With experience a nurse’s skill strengthen and their judgment becomes more intuitive. Overtime a nurse is able to look at the big picture and use their intuition based on their experiences to make judgments. Looking at the whole picture, a nurse is able to recognize that clinical judgment has many concepts that play a role in its development. Patient safety, education, professionalism, and high-quality patient care are just a few concepts that help form the big picture, which is clinical

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347 Words | 2 Pages

Throughout this semester I got the chance to explore Watson theory of human caring. This theory is important to me because I believe as future nurse practitioners, it’s very important to show compassion to your patients whenever we are providing care to them. I selected this theory because I believe in treating people with respect, compassion, and dignity. I chose to become a nurse because I believe in helping others. Caring is a fundamental of the nursing process in which the nurse has to seek harmony between the patient's soul and body (Han et al. 2014).

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1111 Words | 5 Pages

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.

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980 Words | 4 Pages

Decision making skills Nurses have to use good judgement & make quick decisions about the patient’s care. They decide when to administer treatment or medications that are prescribed “as needed” and they respond to unexpected patient needs throughout the day. Nurses have to use their judgment & balance what they know about the individual patient, that patient’s need & the lithely consequences of their decisions. Decision making process is 1st defer the problem, establish the criteria, consider all the alternates, identify the best alternate, develop & implement a plan of action, finally evaluate & monitor the solution & feedback when necessary • Health care decision making is associated with uncertainty & health care professionals have to deal with this uncertainty in their decision making • Key policy drives have led to the development of an evidence based culture in health care with a focus on the equality of decisions than care professionals. • Judgements & decision making are intricately linked & one cannot be examined without an understanding of the one.

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