Introduction
This paper is aimed at addressing the 4 key terms glossary, selected, which are suitable in a mental health unit. The 4 key words have the following; empathy, informed consent, resilience and continuity of care. These 4 key words have reflected many times in my previous works as an assistant nurse, with ACT agents known as Rubies Nursing ACT. In this role, I have cared for both moderate and highly mentally ill patients at the ageing facilities and in the hospital facilities. However, as a nurse it was vital that I applied the central knowledge of the 4 key terms of being empathetic, obtaining Informed Consent, showing Resilience, and providing Continuity of care to all patients. There were many more …show more content…
challenges in my role that weren’t covered in my daily nursing role outside of the four key areas.
Subsequently, as a commencing student in such a role of caring for patients in the mental health sector, the need to be able to deal with the challenges of daily organisational change, such that it was important for me tend to all the requirements of the patients. I did this by using a thorough and wholehearted approach of initially evaluating, planning and assessing each and every patient’s physical and mental symptoms before seeing their physicians for further implementation. As a nursing student, it is vital to be able to recognise changes in a patient’s symptoms and take appropriate action whilst communicating this to all relevant medical staff for each individual patient. Furthermore, as an active nursing student in the mental health unit, it is critical that one should be able to display all the 4 key terms outlined in the Glossary. The eventual aim of the Mental Health Care Nurse is to use their abilities to their utmost with careful and methodical planning, so as to ensure that all 4 key Glossary terms are adhered …show more content…
to and enacted upon using informed ethics.
Empathy
It is genuinely defined as an awareness of an intellectual and emotional understanding of an individual’s thoughts, behaviours, feelings, and inter-connections with those that are disturbing and distressing at that moment (Kirk, 2007). In this instance, empathy can display a role to emphasize understanding, while that of a sympathy clearly displays an emphasis on sharing of an individual’s feelings with an experience. Importantly, the capacity to empathise may be described as an ability to supportively communicate with an identified sensitive affirmation awareness of another individual's feelings and the meanings of unique attached to them (Mearns et al., 2013). A fundamental quality in building a helpful relationship between the patient, their Nurse and other Medical staff is achieved by ensuring that empathy is facilitated by developing mutual trust and shared understandings.
A therapeutic relationship between nurses and patients has become widely seen in the nursing literature, such that providing empathy is essential in effective nursing care (Kirk, 2007). The medical literature validates this by recognising what is termed a ‘centrality of empathy approach’, such that developing a strong therapeutic relationship between the patient and nurse /physician is seen as an integral step in the healing process (Larson & Yao, 2005). Furthermore, various conceptualisations in the nursing context are not universally agreed upon due to different stances in the literature into empathy (Kirk, 2007). However, there are frequent appearances in the nursing literature from a patient’s perspective into empathy, suggesting that the patient's perceptions of the administration of empathy by nursing staff are often lacking (Mearns et al., 2013). Empathy is a contested and complex concept to understand, experience, practice and teach. In the therapeutic relationship, this is often referred to in the context of Rogers' core conditions (Kirk, 2007).
Informed Consent
Meanwhile, informed consent in medical practice is defined as the protection of patients’ rights (Duxbury et al., 2010). However, it argues that nurses have been conspicuously silent on this issue’ notwithstanding the obvious and serious professional as well as the moral implications of current consent to treatment practices’ (Mearns et al., 2013). This principle states that nursing has not done all that it could to support reform in this area. The literature, reminded us that as mental health nurses we have walked an ever increasing fine line as a caregiver and patient advocate in order that mentally ill persons might maintain their dignity as autonomous persons (Edvardsson et al., 2010). Nurses need to become more aware of this contentious issue and must become more pro-active in the protection of patient rights. Mental health nurses are required to be more active in working with both patients and their families within a therapeutic relationship to empower patients and their families to participate in decision making (Rise et al., 2014). In order for this to occur, nurses must be aware of the exact nature and function of an informed consent and why it is of a vital to mental health nurses. An informed consent, is an essential legal policy partially developed out of recognition of a patient’s right to self-determination and partially out of the doctor’s duty to give the patient sufficient information.
An informed choice by the patient, is usually considered to be the process whereby explicit communication of information is provided relevant to the decision of whether or not to have a particular treatment (Duxbury et al., 2010). For this reason, an informed consent implies that the patient himself or herself has the right to confirm or deny consent based on an exploration of the procedure or treatment and suspected risks (Edvardsson et al., 2010). This has implied that, an informed consent is based on the moral and legal premise of patient autonomy. In this connection, to the medical, mental health policies, patient has the right to make decisions about his or her own health and medical conditions (Chan, 2008). The medical, mental health, legal term for failing to obtain an informed consent before performing a procedure or test on a patient is as known, a form of assault and is legally called a battery (Chan, 2008).
RESILIENCE
Conversely, resilience is a vital attribute for nurses in their everyday work and particularly within the ongoing nursing shortage. It signifies a combination of abilities and characteristics that interact dynamically to allow an individual to bounce back, cope positively, and function above the norm in spite of significant stress (Chen, 2011). Although researchers agree on multiple domains to the concept of resilience, it can be viewed as a qualitative categorical construct. Qualities of resilience, such as social competence, problem-solving, resistance to failure, and sense of purpose in nursing students are helpful when nurses deal with people facing vulnerability (Benard, 2011). Social competence includes response to positive feedback, empathy, ability to move between different cultures, flexibility, clear communication and sense of humour (Chen, 2011). Problem-solving ability includes planning skills, resourcefulness, and willingness to seek help, creativity and critical consciousness. Resistance to failure includes refusal to accept negative messages about oneself, detachment, and persistence. Purpose of a resilience nurse includes having an ability to establish goals, culture of spiritual, positive approach and be achievement oriented (Benard, 2011). Resilient students have the capacity and empowerment for a more positive response. Nurses may contribute their attributes of social competence, problem-solving and persistence in achieving the goal of caring. Nurses also have the inner resource to overcome the adversity and have more verbal skills, self-confidence, and sense of humour. Nurses fulfil what is required to maintain relationships and are confident of succeeding now and in the future, persevering towards achieving goals, as well as maintaining a strong will to succeed in providing positive health outcomes whilst sustaining, bouncing back and maintaining resiliency to attain success.
Continuity of Care
Continuity of care contains information such as patient demographics, insurance and health care provider information, medication lists, allergies and recent medical procedures (Jones et al., 2009).
However, because a continuity of care can be created and read by any electronic medical record software system. The continuity of care, is a standard for the creation of electronic summaries of patient health. Its aim is to improve the quality of health care and to reduce medical errors by making information readily available to physicians. Continuity of care is regarded as an essential attribute of good health care, which leads to better health outcomes, especially in the context of primary health care. A major weakness of this measure is that the content of care is neglected. Continuity of care has become an important aim of health policy and service delivery as well as a key criterion for service evaluation. Nevertheless, policy solutions are likely to remain elusive without clear definitions, due to it being generally agreed that the concept has lacked systematic definition as emphasise (Crawford et al.,
2004).
In a broader term, a continuity of care tended to equate it with continuous care of the same person in early conceptualisations (Crawford et al., 2004). Over time this gave way to a view of continuity as involving the coordination of the patient’s progress through the system. Continuity of care in recent research over the years has proliferated in a variety of mental health care sites. Researchers have highlighted differences in continuity at discharge between primary and secondary care, emergency services, psychiatric, inpatient and community sites (Jones et al., 2009). The concept of operationalising has proven difficult in relation to mental health services of late as evidenced in the literature (Jones et al., 2009). This study examined continuity of care from the perspective of service users and carers using participant accounts of illness careers as a way of identifying moments where continuity might be threatened (Crawford et al., 2004). An important finding is the importance of providing continuity of care over a period of time as well as its relationship to levels of patient’s satisfaction and health outcomes, whilst gauging and adjusting accordingly (Jones et al., 2009).