help..

Nurses General Nursing

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as a nurse, how will you illustrate your nursing practice in relation to the "Helping Art of Clinical Nursing"?...

On the bases of the ten carative factors developed by Jean Watson, cite at least three of these factors that you usually utilize in showing your caring attitude towards your patients. Explain by giving examples or illustrations.

According to Lydia Hall, the patients should be cared for only professional registered nurses who can take total responsibility for the care and teaching of their patients. What is your stand on this? Defend your answer.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

In a nutshell, this is unrealistic.

Healthcare is interdisciplinary, meaning that an array of people from different disciplines care for the patient. It is dubious and unrealistic to expect the professional registered nurse to provide rehab sessions (PT/OT's job), conduct swallow studies (ST's job), plan the diets (dietary's job), give the baths (usually delegated to CNAs), come up with medical diagnoses (the physician's job) and so forth.

Patient care has become a complicated, intricate web in America. Therefore, the various disciplines must come together to care for the patient as a whole.

Specializes in CRNA.
According to Lydia Hall, the patients should be cared for only professional registered nurses who can take total responsibility for the care and teaching of their patients. What is your stand on this? Defend your answer.

Have you seen a picture of this lady? Definetly a lot better than I was expecting, given that a large majority of the "theorists" should have done some research into weight loss and nursing. Seriously though, nursing theory really attempts to make nursing more difficult than it is. My guess is that they were insecure with their chosen profession and wanted to make nursing into a more respectable job title. Look at Medicine, Law, Theology, and Prostitution. These are some of the oldest professions in the world and none of them have theories. Here is my theory, (stolen from a dude who is a lot wiser than me)..... that is your patient in 203, try not to kill them during your 12 hour shift. Might sound different from Old lady Neuman and her energy orbs, but it always seemed pretty practical to me.

No offense to Hall, but nursing has changed dramatically since the 40's, 50's and 60's. Nurses are no longer handmaidens to physicians. The days of grabbing the dude a coffee or giving up my chair that I was busy gaining weight in are over. Registered nurses and LPNs are busy dudes, overworked with dangerous patient loads. Delegation is necessary to provide optimal care to the downtrodden and forgotten we call patients. The education of an LPN going to school today when compared to that of an RN who went to school in the 1950's is far superior. Lots more drugs, lots more toys, and usually many more high acuity patients. It is the responsibility of the team (LPN, RN, CNA, whatever) to provide ADL care to patients that in the end, often only prolongs misery.

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Specializes in NICU,ICU,ER,MS,CHG.SUP,PSYCH,GERI.

I don't know what the "ten carative factors developed by Jean Watson" are, but I look my patient in the eyes, do no do anything else, or interrupt, while I am listening to them, and answer all their questions to the best of my ability.I also fluff their pillows, make sure they are in a comfortable position and not in pain,make sure their water and call light is within reach, turn the lights off or on,depending on how they want them, and make sure they know who I am and what my name is.I also tell the I will be checking on them throughout the night.

Specializes in Acute Care Cardiac, Education, Prof Practice.

Why do I get the sudden urge to ask why you aren't doing your own homework?

Specializes in med-surg 5 years geriatrics 12 years.

You mean someone besides me was taught Jean Watson's carative factors ? Used to be able to recite them all; now I can't remember one altho I use them in my thought processes.

Specializes in NICU.
Why do I get the sudden urge to ask why you aren't doing your own homework?

:yeahthat:

According to Lydia Hall, the patients should be cared for only professional registered nurses who can take total responsibility for the care and teaching of their patients. What is your stand on this? Defend your answer.
I've always thought that patients should care for themselves. They should be responsible for researching for answers to problems and applying what they learn to their particular situation.

Now, don't call me lazy yet.

Think about it: when patients are active in their own learning process rather than passively receiving spoon-fed answers from others, they are much more likely to actually learn and retain that knowledge.

Don't you agree charli?

:)

Specializes in being a Credible Source.
I've always thought that patients should care for themselves. They should be responsible for researching for answers to problems and applying what they learn to their particular situation.

Now, don't call me lazy yet.

Think about it: when patients are active in their own learning process rather than passively receiving spoon-fed answers from others, they are much more likely to actually learn and retain that knowledge.

Don't you agree charli?

:)

:yelclap: :yelclap: :yelclap: :yelclap: :yeah: :yeah: :yeah: :yeah:

Specializes in Community Health, Med-Surg, Home Health.

Speaking from the perspective of an LPN, I say, no. I definitely believe that the RN is trained to have the ability to assess, manage, delegate and do the skills needed for acute care patients with unpredictable outcomes. But, then, where does that leave me? I think that there is room for all of us to eat at the table, therefore, I say that while the RN is doing the above mentioned things (and a great deal more than that), we should be able to do the routine tasks/skills within our scope of practice to allow the RN to do her thing (with the trust that we will let her know if there is a change in the patient's condition). Also, the CNAs are needed because again, with the demands made on nurses at this time, routine tasks in bathing, positioning, vital signs, etc can be done by a person who is not distracted by other demands.

In this day and time, there is no way that one RN should be bogged down with all of this alone. It takes team work and trust.

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