Foundations of Nursing Practice
In the following piece of writing I will discuss how the Foundations of Nursing Practice module and my first placement experience have assisted in my development as a nurse. The unit where I spent my four weeks is a day surgery centre. Using experiences from the placement I will discuss the concept of individualised care and its relevance to nursing assessments and care delivery. I will also look at the professional and ethical issues that impact on nursing today, primarily focusing on the aspect of dignity and obtaining patient consent from the Nursing and Midwifery Council (NMC) Code of Conduct (NMC 2008). Another area I will cover is the development of the therapeutic relationship between myself and a patient, exploring various models of communication. I will reflect on the organisation and delivery of care I observed on my placement and the impact the care delivery may have had on a patient whom, for the purposes of confidentiality, I shall call Lily. All names used have been changed and consent gained as per NMC code of conduct (NMC 2008).
During my placement I met Lily. She is a 75 year old lady who attended the centre for cataract surgery. Following a consultation with an ophthalmologist, Lily attended a preoperative assessment with a nurse whom I shall call Rose. Kozier and Erb (2008) suggest that “the nursing process is a systematic, rational method of planning and providing individualised nursing care”. The process is a problem solving approach using the four stages of assessment, planning, implementation and evaluation (Yura and Walsh cited in Brooker and Waugh 2007). For Lily, the assessment involved baseline physiological observations being taken and then answering a series of questions. These questions included information such as name, date of birth and religion, and any current illnesses, including regular medications, complaints, disabilities and allergies? They also included previous medical history, family medical history and nutritional
During my placement I met Lily. She is a 75 year old lady who attended the centre for cataract surgery. Following a consultation with an ophthalmologist, Lily attended a preoperative assessment with a nurse whom I shall call Rose. Kozier and Erb (2008) suggest that “the nursing process is a systematic, rational method of planning and providing individualised nursing care”. The process is a problem solving approach using the four stages of assessment, planning, implementation and evaluation (Yura and Walsh cited in Brooker and Waugh 2007). For Lily, the assessment involved baseline physiological observations being taken and then answering a series of questions. These questions included information such as name, date of birth and religion, and any current illnesses, including regular medications, complaints, disabilities and allergies? They also included previous medical history, family medical history and nutritional
References: Bach, S and Grant, A. (2011) Communication and Interprofessional Skills in Nursing. 2nd Edn. Exeter: Learning Matters. Berman, A. Snyder,S. Kozier,B. & Erb,G. (2008) Clinical Handbook for Kozier & Erbs Fundamentals of Nursing. 8th Edn. New Jersey: Pearson Prentice Hall. Brooker, C, & Waugh, A Burnard, P. (1997) Effective Communication Skills for Health Professionals. 2nd Edn. Cheltenham: Nelson Thornes. Counselling Central. Gerard Egan and SOLER. Available at http://counsellingcentral.com/gerard-egan-and-soler/ (Accessed: 08 February 2012). Current Nursing. (2012) Dorothea Orem’s Self Care Theory. Available at http://currentnursing.com/nursing_theory/self_care_deficit_theory.html (Accessed: 08 February 2012). Day, J (2006) Interprofessional Working. Cheltenham: Nelson Thornes. Hinchcliffe, S, Norman, S & Schober, J. (2008) Nursing Practice and Health Care. 5th Edn. London: Hodder Arnold. Griffiths, R & Tengnah, C. (2008) Law and Professional issues in Nursing. Essex: Learning Matters. Koubel, G & Bungay, H. (2009) The Challenges of Person-Centred Care. An Interprofessional Perspective. Basingstoke: Palgrave Macmillan. NHS Choices. (2010) Consent to treatment. Available at http://www.nhs.uk/conditions/Consent-to-treatment/Pages/Introduction.aspx (Accessed: 08 February 2012) National Institute for Health and Clinical Excellence Nursing and Midwifery Council (2008) The Code- Standards of Conduct, Performance and Ethics for Nurses and Midwives. London: NMC McCabe, C & Timmins, F Naidoo, J & Wills, J. (2009) Foundations for Health Promotion. 3rd Edn. London: Baillière Tindall Elsevier. O’ Connor, M. (2002) “Using the Roper, Logan and Tiernay Model in a neonatal ICU.” Nursing Times.net (May) [Online] Available at http://www.nursingtimes.net/nursing-practice/199604.article (Accessed: 08 February 2012) Rogers, C Spouse, J, Cook, M & Cox, C. (2008) Common Foundation Studies in Nursing. 4th Edn. Philadelphia: Churchill Livingstone Elsevier. Stein-Parbury, J. (2005) Patient and Person. Interprofessional Skills in Nursing. 3rd Edn. Marrickville: Churchill Livingstone Elsevier. Watson, N & Wilkinson, C. (2001) Nursing in Primary Care. Hampshire: Palgrave Macmillan.