Nurses' Special

NURSING PROCESS

There is a growing awareness that nursing care is a key factor in patient survival and in the maintenance, rehabilitation and preventive aspects of health care.

Nursing process is central to nursing actions in any setting because it is an efficient method of organizing thought processes for clinical decision making and problem solving.

The term nursing process was introduced in the 1950s, but it has taken many years to develop national acceptance as an integral part of nursing care. It is now included in the conceptual framework of most nursing curricula, and is accepted in the legal definition of nursing in many nurse practice acts.

Nursing process is adapted from the scientific approach to the problem solving and requires the skills of

  1. Assessment (systematic collection of data relating to the patients and their problems)

  2. Problem identification (interpretation of data)

  3. Planning (choice of solutions)

  4. Implementation (putting the plan into action) and

  5. Evaluation (assessing the effectiveness of the plan and changing the plan as indicated by the current needs)

The use of process, the nurse must demonstrate fundamental abilities of knowledge, creativity, adaptability, commitment, trust and leadership. In addition intelligence, interpersonal and technical skills are important, because decision making is crucial to each step of the process. A few assumptions important for the nurse to consider are the following;

  • The patient is a human being who has worth and dignity.

  • There are basic human needs that must be met and when they are not, problems arise requiring interventions by another person until the individual can resume responsibility for self.

  • Patients have a right to quality health and nursing care delivered with interest, compassion, competence and with a focus on wellness and prevention.

  • The therapeutic nurse-patient relationship is important in this process.

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 NURSING DIAGNOSIS

Nurses have struggled for years to define what nursing is by identifying the parameters of nursing with a goal of attaining professional status. The American nurses association (ANA) social policy statement along with the ANA standards of practice has provided impetus and support for the use of nursing diagnosis in the practice setting.

Nursing diagnosis is a clinical judgment about individual, family or community responses to actual and potential health problems/life processes. Nursing diagnosis provides the basis for selection of nursing interventions to achieve for selection of nursing interventions to achieve outcomes for which nurse is accountable.

Nurses and medicine are interrelated and have implication for each other. This relationship includes the exchange of data, the sharing of ideas/thinking, and development of care plans that include all data pertinent to the individual patient /family/significant other(s).

At times, what appears easy to do in the theory becomes difficult in practice. Nurses have visionary ideas for delivery of quality care to all patients.

Because of their hectic schedule many nurses believe that time spent in writing care plans is time taken away from patient care. Care plans have been viewed as a ''busy work'' to satisfy accreditation requirements or the whims of supervisors. However in reality in order to deliver quality care it must be planned and coordinated.

I believe there are four steps to accomplishment, plan purposefully, prepare pray fully, proceed positively and pursue persistently. Every accomplishment, great or small, starts with the Right decision. The best way to accomplish these is through quality and innovation.

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 BEAT THE STRESS, REFRESH YOUR MIND, BODY, AND SPIRIT

A nurse’s job is very stressful and they you have very little time for the things that are important to you. Like your patients, you have needs, too.  To provide the best patient care you possibly can, you need to first take care of yourself and nurture your mind, body and spirit. By feeling refreshed, invigorated and in control of your life, you will be better equipped to provide the support and compassion that your patients need.

Reclaiming Self-: Making Time for You

It often seems that our days are engulfed in a myriad of tasks. Today we have many responsibilities and many roles—spouse, parent, sibling, child, friend and career worker. Do you find you lose yourself in your relationships, in your nurturing roles and in the busyness of life? We often get so caught up in the doing that we forget to be.

Stress Management

Have you ever said the words, "This job/my life is so stressful!" Most people believe that stress is something that happens in their lives. They believe it is the result of outside circumstances beyond their control. It is not.

Improve Your Relationships with Humor

Humor has long been considered one of the most effective tools to judge the quality of any relationship. If there is laughter present, you can be sure the relationship is a healthy one. When the laughter ceases, the relationship is on the downslide. If you want to have more fulfilling relationships, you might want to consider sharpening your sense of humor.

Embrace Mistakes as Life’s Lessons

There are no mistakes in life; only lessons. What this means is that whenever something happens, there is a gem for you to learn from. If you can learn to accept mistakes, shortcomings and unwanted events as opportunities for learning and personal growth, you will feel less stressed and fearful.

A Vision for Success

Knowing what you want and holding that vision in your mind helps you to pull forward toward it. Without vision or a destination in mind, you float. A vision is like having a spot on the horizon that keeps your focus so while you are sailing your boat you have a direction for where you want to go.
Contributed by:Ms. Nazia Javaid

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