1. Nurses less concern on humanisers care of patient feeling and emotion.
Example: A nurses treating patient too strict and focus on doctor’s order until they forgot about patient emotional and spiritual.
2. The patient often labels as bed number or diagnosis rather than treated as individuals.
Example: Patient Mr. X admit with the history of the psychological problem for three years. When the nurses passing report called the Mr. X as PSY patient.
3. Nurses loss of human care and depending focus on high technologic.
Example: nurses often forget about patient emotional with the current high technologic . When the nurse does the vital sign with the automated
sphygmomanometer, they will leave the patient with a machine and does others things then will come back when the reading is available.
4. Decision making in the hand of doctor therefore forgotten about patient got right for some degree of choice in treatment and health.
Example: Doctor controlled everything about patient information and decision making about treatment.
5. Nurses follow doctors instruction, nurses task become routinization and effect on slow development in nursing.
Example : Nurse focus on treating and managing health order by doctor act as robot nurse without own opinion or suggestion about patient condition.
6. Nurses follow doctor medical diagnosis forget about planning for nursing diagnosis according to patient condition.
Example: Patient Mr. W diagnoses as 3 vessel disease plan for CABG-coronary artery bypass grafting, but overlook about patient emotion as anxiety due to pre-operation procedure and disease process.
7. There is growing evidence that nurturing holistic care is healing in its own right and can have a very positive impact on health outcomes (cf. Griffiths and Evans,1995), leading to a need to review the structures and priorities of the current health care system.
Example: healing is the mixing of a totality of people in body, mind, emotion , and spirit. The person is treated, rather than just their symptoms.
Reference :
Capra. F. The turning point. The Biomedical Model. Chp. 5. (pp1-24).
Pearson. A, Vaughan. B, and FitzGerald. M, (2005). Nursing model for practice. (3rd Ed.). Butterworth- Heinemann: China. Chp. 5. (pp41- 55).