The specific nature of nursing work differs significantly from other types of human activity and consists of constant, daily, hourly communication with the patient. Therefore, the approach must consist of high professionalism and the manifestation of decency, honesty, kindness, mercy, sensitivity, and responsiveness. Since ancient times, the moral and ethical qualities of the nursing staff have been the leading indicators that contribute to the quality of maintenance. Building quality and trusting relationships between nurse and patient are critical. Therefore, it is essential to consider the equality of the individual and give adequate support, regardless of any particular prejudices or idiosyncrasies.
The primary idea that significantly influences my philosophy is Watson’s theory. The nurse’s role is to provide the support and education required to help patients achieve their optimal goals and self-care abilities, which will lead to self-control, and awareness (Watson, 2007). Spiritual care focuses on hope, religion, and faith as distinctive parts of what defines human communities and provides the individual with the opportunity to evaluate their experience. Thus, it is necessary to create the proper working conditions and shift the emphasis from building manipulative skills to developing spirituality and humanitarian-altruistic value systems. Nursing is not merely a practice; it is an attempt to help patients and bring them to optimum health as individuals.
Ladder of Abstraction
My personal beliefs, based on theory, are primarily concerned with the humanistic facets of nursing, as they are entangled with scientific wisdom and nursing technique. The most abstract part of the ladder is the relationship of trust between nurse and patient. It is crucial to start with kindness as the core value that defines the relationship and a philanthropic approach. Moreover, it is necessary to comprehend that all people are equivalent and appreciate each patient’s life, dignity, and human liberties, regardless of ethnicity, race, ideology, color, age, gender, political opinions, or social class.
The nurse should maintain the highest level of nursing care possible in the particular situation. In carrying out her professional duties, one should preserve a high level of personal conduct. It is vital to construct a good standing for the profession regarding the individual, soundness, and the environment in the care process. Generally, the philosophical and abstract view of the individual is reduced to cognition of their nature as a fully functional integrated person, rather than the sum of the individual parts.
Empathy is the first concept in the ladder of abstraction, which involves the capacity to perceive and understand how other individuals are feeling. This kind of sensitivity enables the choice of an acceptable caring tactic, which requires the ability to match all diagnosis and prognosis parameters with the patient’s quality of life, personal, and other factors (Fawsett et al., 2021). The context of patient care conditions clinical thinking: the provision of necessary medical care and the interpersonal communication. The unity of content in medicine consists of displaying compassion as empathy and acting in response to suffering, the basis of which is unselfishness and altruism.
On a practical level, it is essential to stress the role of ethical knowledge in nursing practice because it helps to decide what is necessary and optional. Moreover, it is required to realize that trust and care are the primary conditions for building a quality relationship that promotes rapid healing (Fawsett et al., 2021). It is essential to emphasize the patient’s psycho-emotional state’s role and provide support and care. To gather more information about my beliefs, it is most reasonable to research the moral aspects of health and make ongoing observations. Moreover, exploring patients’ rights and equal access to health care is an integral part of the concept.
|Practice ||Research |
Implementing and Evaluating Theory for Practice
To implement these concepts in practice, nurses must enhance their knowledge continuously. The increasing role of education manifests itself in the two most general functions that contribute to the socialization of adults: professional and personal. The nurse deals with a very complex subject to study — a person whose bodily functions are impaired. Due to the psychophysical characteristics of patients and one’s condition, it is manageable to face a lack of identical restorative approaches (Smith, 2020). Nevertheless, it is vital to educate the individual and the patient’s emotional state and ensure that everyone is treated equally. The specific illness is the singular indicator that can create a difference in the treatment plan though not in the attitude towards the patient.
The change in practice proposed above will require ongoing evaluation to determine whether the approach remains focused on theoretical concepts. The primary challenge ahead is to improve the patient as wholesome personality. A framework developed by Smith can be applied to test the theory. The content framework concentrates on the patient’s life, condition, their previous experiences and innate characteristics (Smith, 2020). Structural integrity is supported by concepts of a theoretical step in the abstraction ladder, linked to mid-range theory. The functional adequacy lies in its applicability to all patients of all backgrounds, regardless of their beliefs and characteristics. The model can be tested through research to determine how proposed changes affect qualitative assessment outcomes in particular circumstances and settings.
I will do a QI to examine nurses’ possession of a full set of qualities of internal and external medical culture. Their criteria are reflected in the ethical standards of nurses’ behavior in the oaths and the Code of Ethics of the International Council of Nurses (Smith, 2020). Moreover, the QI study will assess the compliance of nurses’ professional qualities with national ethical and moral codes. The specific target population includes nurses of both specialized and general profile, aged 22±60 years with work experience from 1 year to 10 years or more (Smith, 2020). Medical workers included in the target population may be employees of different medical institutions: state hospitals and private clinics. Moreover, the target population includes managers and chief physicians interested in improving the professional qualifications of middle-level medical staff.
The project is focused on the area of improving the professional skills of nurses. In particular, continuous education leading to continuous improvement of business qualifications of medical workers is affected. This are is an important problem topic that interests nurses of different profiles. Improvements will be completed on 07/01/2022. This is due to the fact that the survey itself will take a period of 10 to 14 days, depending on the number of respondents (Smith, 2020). The number of specialists involved will also affect the completion rate of the survey. Next, about two weeks will be allocated for processing the received data and developing an action plan. The rest of the time will be devoted directly to the implementation of changes and their evaluation.
This will be carried out with the introduction of different QI methods and principles (Fawsett et al., 2021). Among them is a focus on the needs of the patient and a systematic approach. Healthcare professionals need to know and understand the care system and its main processes in order to improve them. In addition, it is necessary to organize everything in such a way as to meet the needs and expectations of patients and the community. In addition, some of the elements of the Bright Futures toolkit will be introduced, such as the individual selection of techniques for working with each specific person (Fawsett et al., 2021).
Our measurable goals are to increase patient satisfaction with the quality of medical care. To do this, a comparison of two previously measured indicators will be used — the patient satisfaction index and the patient loyalty index. There are some processes and short-term outcome goals that will help me know that I have achieved my overall project aim. They include increased care and attention from nurses, and the level of their emotional involvement. Related to these criteria will be also such goals as increasing the availability of explanations of the nurse about treatment and clarification of recommendations at discharge.
The first assumption from the grand empathy theory is the positive impact of this quality of a medical professional on receiving, processing and verifying the accuracy of information from a patient (Fawsett et al., 2021). I believe that relationships based on empathy will motivate the patient to receive some information to strengthen their own involvement in the communication process. Empathy will also act as feedback on the information already collected. The second assumption is based on the mid-range theory of ethical knowledge (Fawsett et al., 2021). It consists in the fact that the ethics of nursing plays an important role in making competent and responsible decisions by a nurse.
The philosophy of care is a content-specific interpersonal process characterized by the nurses’ professional knowledge, skills, maturity, and interpersonal sensitivity. Every patient has a mind, a soul, and a body, and these three factors must be considered by every nurse when communicating and intervening. As nurses, we must comprehend that trust promotes a special bond between individuals and a quality relationship. Therefore, it is necessary to focus not only on illness and diagnosis but also on human care, spirituality, and healing.
Fawcett, J., Watson, J., Neuman, B., Walker, P. H., & Fitzpatrick, J. J. (2021). On nursing evidence. Journal of nursing scholarship, 33(2), 115-119.
Smith, M. C. (2019). Nursing theories and nursing practice. FA Davis.
Watson, J. (2007). Watson s theory of human caring and subjective living experiences: carative factors/caritas processes as a disciplinary guide to the professional nursing practice. Texto & Contexto-Enfermagem, 16(1), 129-135.