Knowledge for Nursing Essay Example for Free

Knowledge for Nursing Essay This essay will explore Peplau’s concept of a nurse-patient relationship and how it narrates to the experience I had whilst on placement practice. My aim is to demonstrate my gained understanding of the nursing process, the domains of nursing, the nature of nursing models and their relationship to practice and Peplau’s model of nursing. The reason why the student has chosen this concept is because nursing is an interpersonal process which involves interaction between two or more people with a mutual goal, (George 2003). The essay will start by defining the word concept then describe the incident that I observed in placement practice. The essay will analyze how theories can be used to justify nursing interventions in practice. The conclusion summarises the main points of the essay and reflect on my learning experience. (Meleis 1991) defined concept as â€Å"a label used to describe a phenomenon or a group of phenomena† (McKenna 1997). (McKenna 1997) concludes that concepts are identified when a name is put to a phenomenon. â€Å"Therefore, a concept is a tool and not a real entity – it merely facilitates observation of a real phenomenon,† (McKenna 1997 p8). Chinn and Kramer (2008); Hage (1972); Reynolds (1971) were cited that concepts can be theoretical or tangible. Theoretical concepts are created mentally independent of a particular or interval location, whereas tangible concepts are experienced directly and relate to a specific interval or location (Alligood and Tomey, 2010). â€Å"Nursing is a significant, therapeutic, interpersonal process. It functions co-operatively with other human processes that make health possible for individuals in communities. In specific situations in which a professional health team offers health services, nurses participate in the organisation of conditions that facilitate natural on going tendencies in human organisations. Nursing is an educative instrument, a maturing force that aims to promote forward movement of personality in the direction of creative, constructive, productive, personal, and community living. † (Peplau 1988, p16) Peplau (1952) defined phases in the nurse-patient relationships that overlap and transpire during the relationship interval. George (2002) cited the three phases defined by Peplau are as follows; orientation, identification, working, and termination. Whilst on Placement I had the prospect to put theory into practice with the supervision of my mentor when Mrs. Ahmed aged 85 was admitted into the ward after having had a fall (false name and age due to confidentiality, Nursing and Midwifery Council 2003). During handover it was reported that Mrs. Ahmed was at times unresponsive and seemed uninterested when addressed to by the nurse on duty upon admission, leaving the nurse to rely on the information obtained from the ambulance crew as she was unaccompanied. Upon arrival Mrs. Ahmed had not been able to get up from the stretcher as she was not weight bearing after the fall and appeared to be confused with the new environment. It was hoped that more information would be obtained in the morning when she awoke. Orientation stage My mentor gave me an opportunity to work with Mrs. Ahmed whilst under her supervision and it was obvious that the information we had was not complete. To get further information we went to her bedside which was in a mixed ward were we were introduced to the new patient. The orientation phase is initiated when a health problem occurs thus resulting in a felt â€Å"felt need, and professional assistance is sought. † Peplau (1952, p. 8) Peplau (1952) further states that the nurse and patient meet as two strangers, by clarifying and defining the problem in the orienting stage the patient can direct the accumulated energy from her anxiety about unmet needs and begin working with the presenting problem. The nurse patient rapport is established and continues to be strengthened while concerns are being identified. The nurse assumes a roles as described by Peplau in the overlapping phases of the nurse client relationship. Lebby and Pepper (1998) sees the nurse in the role of a stranger therefore acceptance of the patient as an emotionally able person is required. It is at this early stage I noticed that Mrs. Ahmed was unresponsive and seemed distant when my mentor asked for her consent to be assisted by a trainee nurse under her supervision (Nursing and Midwifery Council Code 2008). After asking her more than once she eventually responded and accepted the request. xxxxx When my mentor spoke to Mrs. Ahmed was clear and slow, and asked closed questions. Ashworth et al (1981) suggest that the quality and quantity of nurse-patient communication in geriatrics is affected by the nurse as well s the patient although some of the traditional attitudes by nurses toward elderly patients posed barriers to communication. Orem (1991) viewed the relationship between a nurse and patient as being complementary and therefore a nurse has to understand the basis of her own behavior. I noticed that the patient had some hearing aids on her bedside and I then considered that she might be having hearing impairment and was either not keen on using her hearing aids or needed assistance putting them on. I asked her if she was happy putting the hearing aids on her own. She attempted to put them on but seemed unsteady with her hands. I gestured that I could help and she extended them to me. I then helped her to put them on. George (2002) sees the working phase as a time when the patient starts to respond selectively to individuals who can meet their needs. Peplau (1952/1988) identified three types of responses from patients; the patient may participate and be interdependent, or be autonomous and independent from the nurse or be passive and dependent on the nurse (George 2002). Peplau (1952/1988) states the patient utilises the relationship fully by making full use of the nurse (Leddy and Pepper 1998). Peplau (1952) describes six nursing roles within the phases of the nurse patient relationship which are; stranger, resource person, teacher, leader, surrogate and counseling. She further described four psychobiological experiences, in her book which are; needs, frustration, conflict and anxiety. Peplau (1952) saw these experiences as energy providers transforming into action and provides a basis for goal formation and nursing interventions. Mrs. Ahmed showed she was becoming more relaxed and became more trusting and cooperative. Arnold and Underman Boggs (1999) suggested that the dynamic nursing approach Peplau advocated is not that of passive observer but participant observers, nurses actively engaging with their clients. I initiated further verbal dialogue and realised that although she could hear me she was struggling to understand what I was saying to her. Her replies where brief and at times not relevant to the questions posed. It became obvious that since English was not her first language she was struggling to understand me and her conversational English skills were basic. I then slowed my rate of speech and emphasised with gestures where appropriate. That way she seemed to comprehend what I was saying better. Forchuk (1993) mentions two types of communication, verbal and non-verbal communication, verbal communication conveyed by words and non-verbal communication conveyed through empathic links, postures, gestures, and patterns (Forchuck 1993). Peplau (1952/1988) considers the use of verbal communication to be an essential component of the nurse-client relationship (Forchuk 1993). The general principle is that anything clients act out with nurses will most probably not be talked about, and that which is not discussed cannot be understood. † Peplau (1989a p. 197). Forchuk (1993) suggest that discussing issues and concerns presents the patient an option to work them out. Thus nursing knowledge enables nurses to justify actions or stop unsafe or poor practices (Nursing and Midwifery 2003, The Code). Mrs. Ahmed was reluctant to have me assist her with personal hygiene although it was obvious that she needed it and it was also documented in her notes that she was not independent in this respect. She said something about being used to doing things for herself and how it was expected in her culture to clean one’s own body, she then suggested to wash herself and would ask for help when in difficulty. After washing herself, I took the opportunity of getting more information about Mrs. Ahmed, her family and health Data collection is constant throughout Peplau’s phases. George (2002) state that in the nursing process, primary collection of data is the nursing assessment, and further collection of data becomes an integral part of reassessment. The need for Mrs. Ahmed ‘s relations to be present compliments George (2002) statement that the nurse, patient and relatives need to work together in order to simplify and explain the problem at hand. Peplau (1995) discusses the need for the nurse to not only support but health educate the patient’s relations thus decreasing the tension and anxiety connected with the felt need and fear of the unknown thus the avoidance of future problems arising from unresolved significant events(George 2002). Peplau (1952/1988) states the importance of clarity on both parties in the relationship as their past experiences will influence their expectations in this progression. I also made her aware of her condition and situation whilst being conscious not to give advice, but rather asking her questions which we needed answers for, to help resolve her care needs. Peplau (1988) stated that the exploitation phase is where the nurse assists the patient to seek out other health care services and personal strengths in resolving the issues for which the client initially sought treatment. She thanked me for having explained everything she needed to know and for my patience during my interaction with her on that day. Peplau (1952/1988) saw the termination phase as a liberating process wherein the client’s wishes for psychological dependency and maintaining relationships have been worked through to support the ability to mutually end the relationship with the nurse (Leddy and Pepper 1998). Peplau views this phase as problematic for nurses as the progression of letting go is focused upon (Simpson1991).

Humorous Wedding Speech for a Sister of the Groom -- Wedding Toasts Ro

Humorous Wedding Speech for a Sister of the Groom Ladies and Gentlemen you'll be pleased to know I am only going to speak for a couple of minutes because of my throat..... if I go on too long Angie has threatened to cut it. However, before I begin, on behalf of John and Angie I would like to thank everyone who has helped to make this the special day that it is - and I think we can all agree it has been splendid so far. Well, I knew it would be difficult to follow a speech made by John and I was right .... I couldn't follow a bloomin word of it. When John asked me to be his Best woman I felt very privileged at first, but then as the big day approached I thought why did he ask me? what had I done that was so wrong? I then remembered a good definition of being asked to be the Bestman, is like being asked to make love to the Queen Mother - its a great honour, but nobody wants to do it. But even so, I still agreed to be John's Best woman and here I am today. So, before I commence to slander John's character as is traditional, I'd just like to thank him for lending me a book entitled "The Bestman's Checklist". I must confess I was mystified by some of the things I was expected to do. (1) Get the Groom to the Church sober and on time - well ladies and gentlemen I think you could all agree I have completed by first duty splendidly. (2) Bring a Chequebook for payments the groom may have forgotten - well kn... ... Example : To John and Angie, If you need some wedding tips, call 0800 and ask for hot lips... From Anonymous. Finally, on behalf of the bride and groom I would like to thank everyone for sharing their special day, it is a true millstone - sorry milestone in their lives. On behalf of myself I wish you'd all stayed at home - as things would have been a lot easier on me. I started planning this speech about 5 months ago and I expect you all feel like I've been delivering it equally as long. But now it gives me immense pleasure (not to mention relief) to invite you to all stand and raise your glasses in a toast to John and Angie. To love, laughter and happily ever after. To John and Angie CONGRATULATIONS Humorous Wedding Speech for a Sister of the Groom -- Wedding Toasts Ro Humorous Wedding Speech for a Sister of the Groom Ladies and Gentlemen you'll be pleased to know I am only going to speak for a couple of minutes because of my throat..... if I go on too long Angie has threatened to cut it. However, before I begin, on behalf of John and Angie I would like to thank everyone who has helped to make this the special day that it is - and I think we can all agree it has been splendid so far. Well, I knew it would be difficult to follow a speech made by John and I was right .... I couldn't follow a bloomin word of it. When John asked me to be his Best woman I felt very privileged at first, but then as the big day approached I thought why did he ask me? what had I done that was so wrong? I then remembered a good definition of being asked to be the Bestman, is like being asked to make love to the Queen Mother - its a great honour, but nobody wants to do it. But even so, I still agreed to be John's Best woman and here I am today. So, before I commence to slander John's character as is traditional, I'd just like to thank him for lending me a book entitled "The Bestman's Checklist". I must confess I was mystified by some of the things I was expected to do. (1) Get the Groom to the Church sober and on time - well ladies and gentlemen I think you could all agree I have completed by first duty splendidly. (2) Bring a Chequebook for payments the groom may have forgotten - well kn... ... Example : To John and Angie, If you need some wedding tips, call 0800 and ask for hot lips... From Anonymous. Finally, on behalf of the bride and groom I would like to thank everyone for sharing their special day, it is a true millstone - sorry milestone in their lives. On behalf of myself I wish you'd all stayed at home - as things would have been a lot easier on me. I started planning this speech about 5 months ago and I expect you all feel like I've been delivering it equally as long. But now it gives me immense pleasure (not to mention relief) to invite you to all stand and raise your glasses in a toast to John and Angie. To love, laughter and happily ever after. To John and Angie CONGRATULATIONS

How Does Media Affect My Life

How Does Media Affect My Life? The developing industry of media and technology has flourished into a revolution. A revolution in which has embarked on plenty of opportunities for media companies to expand and give people the ability to experience a new wave of media products and communications. The affects in which the author of the novel ‘The Shallows’, Nicholas Carr, discusses throughout his own personal experiences of how media has negatively affected his life and his mentality.From reading his novel and his insight on what the Internet is really doing to our brains, I was able to contrast what Carr had said to my own perspective and connect it to experience’s I have had similar to his. Through decades, the evolution of technology has cultivated media into something so easily accessible. Thus, creating those using this technology, to be unfocused in our generation and future generations, changing ones behaviour and creating habits due to neuroplasticity, and fi nally the crave for more technology to meet our generations enthusiastic needs.In this generation, the media has provided its audiences and purchasers with the opportunities and experiences to broaden their personal horizons. Companies and industries have provided societies and people globally with many chances to explore the World Wide Web. Carr explains his insights of the Internet thoroughly throughout his first chapter ‘Hal and Me’. He explains his involvement with his first ever purchased computer and how he fell in love with the capabilities the machine provided. Carr became so involved with the computer he invested into more computers when they were first released.Carr quickly realized what his machine and Internet was actually doing to his brain years later, making him completely unfocused. He noticed specifically when trying to read through a book, and he was not the only one. I think that the media and the Internet have taken away from the generation today, an d future generations to come. The Internet has made it impossible for people like myself, to stay focused for a long period of time while reading. There are easier ways to get a hold of readings from the Internet, with websites such as SparkNotes.Students like myself have used have used the significant source of Sparknotes to gather information about books and articles. The Internet provides a variety of sources and web blogs that help people gather information, and at the same time preventing them from reading an entire book, destroying their focus. It has become a norm today to hop on the Internet and type in a weblog, not providing one with full detail, and skimming through to gain their knowledge. The human brain allows you to discover new experiences and changes in your behaviour. Neuroplacity is responsible for providing us with neural pathways that lead to constant changes.It is neuroplacity that shapes the way we think on a daily basis. We are sucked into the media in the si mplest ways, and we do not realize the major effects that it causes to our mind. The more we involve ourselves with the media technology and Internet, we become more infatuated, as it locks our brains into a certain routine. Carr describes neuroplacity as the â€Å"ability in our brain that allows us to adapt to new situations, learn new stuff, and expand our horizons† (Carr, 34) but it is the constant desire to continue the repetition that makes neuroplacity negative aspect in the media spectrum .When our brain practices certain behaviors continuously, our circuits begin to crave it more. Habits develop such as entering a topic in a search engine on Google or Yahoo. We use search engines to view articles, and access social networks, as we depend on the Internets search engine for our daily dose of communication and media. Therefore, neuroplacity is creating habits that make one crave the Internet and media technology throughout the day in a way that destroys our brain. Enthu siasts celebrate new technology, and the thought of new media being released.They are people who believe that the Internet is only making our culture better in a positive way, indicating it is â€Å"a ‘democratization’ of culture† (Carr, 2). Globally our culture today has become full of enthusiasts, who crave the thought of new media and technology. It is common for people to be excited about the latest phones being released and new updates on websites. Our technology has changed drastically over decades, creating a more convenient way to communicate, share and receive information.Carr describes the extreme change in the way we now look at time. Clocks have become more accurate than ever before, as they were only put into places such as town halls, churches, and palaces (Carr, 43). Today, they are available for every home, hand held, and accessible through electronic devices. Carr describes the mechanical clock transformation as changing the way we see ourselves (Carr, 43). Today’s technology has helped people globally communicate with one another, shop online, search and share their own information.The media phenomenon has become so easily accessible that people now crave for more information, and want the latest technology. Skeptics predicted that this phenomenon would dumb down our culture globally. With the evidence supported by Carr, I do not believe that our culture is ‘dumb downed’ by the media, but it has provided us with more varieties of sources and technology to explore other possibilities. I do agree that the media has created a negative effect on how individuals perceive things now that media has taken over.Clocks went from only being in town halls, churches, and palaces. They are now easily accessible on a smart phone, because of the demand of new, and better technology. More technology and media are being produced today, to live up to our global expectations. The evolution of media has constructed humanâ⠂¬â„¢s thoughts in such a way that adapts to the current society of media. Current civilization has developed into such a technological state in which our society is dependent on. Human behaviors have taken a negative effect from the media in the sense that we are processing so much information.Carr allows us to observe the effects that the Internet and current media have on neuroplacity in the human mind. Media and technology industries are achieving success in the demands of new media products and sources. Global societies have depended on the Internet, and other convenient technologies to get by on a daily basis. Carr provides information that proves the Internet has stolen individual’s ability to focus. Our generation’s ability to concentrate will only worsen with the newly released sources and media products, because of the hunger for new information.

Media Is A Dumping Ground For Horrible Information

BREAKING NEWS! Today’s media is a dumping ground for terrible information. We live in a society where news is available everywhere and anything can become news in the matter of an instant. Whether it is the latest shark attack on the coast of North Carolina, a celebration of equality, or the following of presidential candidates, all of the information is available at the push of a button. This rapid sharing of information can easily become very unreliable. In addition, the vast number of news and/or media outlets can share the exact same story without ever disclosing the same information. The ease of gathering information is immediately tarnished with the knowledge that what is being revealed is typically only a small piece of what the actual story is. Unfortunately, gathering information on the latest headlines is usually cut short well before one can fully understand the true story. Although great in theory, the validity of mass media is cut short with the abundance of probl ems that arise when presenting the latest stories. As a result of highly differentiated media outlets, a strong bias may be formed within a source. Bias is one of the biggest problems in the delivery of information to the general public. Although not necessarily bad, this cannot only question the reliability of the article, but the source as a whole. According to Tim Groseclose and Jeffrey Milyo, who conducted research on media bias, â€Å"the definition [of bias] has nothing to do with honesty or accuracyShow MoreRelatedBetter Living Essay1591 Words   |  7 Pagesof this is the power plant that is within a very short area of our homes that we live in here in the school environment. 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