NR 500 Week 2: Caring Concepts in Nursing

NR 500 Week 2: Caring Concepts in Nursing

NR 500 Week 2: Caring Concepts in Nursing

Caring is a human way of interacting with patients that demonstrates sincere care and concern for patients simply because they are human beings (Paulson DS 2004). Caring can be to make somebody entrusted to you feel happy. This is different from taking care of patient which is emphasizes objective, professional care, such as the medical and psychological aspects of nursing. According to Adams, caring reflects a high regard for them as a human being one worthy of utmost respect and dignity. Caring is perceived as a necessity in how nurses assist patients on the continuum of illness to wellness, it become woven together theme and even same with nursing itself (Adams 2016)

I will like to define holistic nursing as i have defined caring in nursing above before i continue.  Holistic nursing is caring for the person as a whole not just the patient sickness. I will apply the principles of caring and holistic nursing in my future professional practice as FNP by dealing with my patients as human, without bias in cultural, race, social status, and gender.

I will like to address and apply physical pain and exhaustion of the condition and its treatment of my patient. does the patient have family member/friend who can provide emotional support and day-to-day help such as performing important task as cooking, shopping, bathing. Do they have transportation to medical appointments, pharmacies or other health services. Financial problems, from health insurance to payments for medications, or paying household bills, do they have a place to live when discharged. How are the loved ones and family are coping with the situation. Behavioural change to minimize the progression on the disease like exercise, proper diet, and smoking (Carolyn 2014).

Caring is a human way of interacting with patients that demonstrates sincere care and concern for patients simply because they are human beings. As an FNP, I will care for my patients by seeing them as human without bias. Approach my patients treating the whole body and not just the diagnosis.

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Adams, L. Y. (2016). The conundrum of caring in nursing. International Journal of Caring Sciences, 9(1), 1-8.

Carolyn Thomas. (2014). Caring for the Whole Patient. http://www.cfah.org/blog/ 2014/caring-for-the-whole-patient.

Paulson DS. (2004). Taking care of patients and caring for patients are not the same. AORN J ;79(2):359-62, 365-6. PMID: 15002832.

The act of sincere caring in health care is unbias and takes into consideration the patient’s cultural and spiritualty needs.  As a FNP when assessing a patient; it is important not to treat individuals differently or base an assessment on stereotypes. Discrimination may occur in the form of race, ethnic background, gender, sex, sexual orientation, and/or age.  I a society where everyone looks to stand out and be different, being nonjudgmental and open to cultural diversity will allow your assessment to depict the patient’s true reason for seeking medical care and allow for patient teaching and outcomes to be effective. As a health care provider, it is also important to recognize your own bias views and work towards self-improvement.

Patients can sense when health care delivery is done in an uncaring manner. Human and eye contact is not made; and the true sense of compassion, commitment to excellence, and achieving that “caring moment” is miss. In our reading Drahosova and Jarosova (2016) identified caring behaviors as attentiveness to patients, communicating openly and honestly, providing dignity, respect, and comfort; and connecting with patient and families. Chamberlain’s also recognizes the need to establish caring into practice by using the Person -Centred Care Nursing Framework. This framework places the person-centred outcomes in the center; and for the deliver of care to be effective, one must work from the outer to the core: work with patient’s beliefs and values, engagement, share decision making, having sympathetic presence, providing holistic care. Therefore, to effective provide care for a patient the patient’s holistic being most first be address.

I enjoyed reading your discussion on the concept of caring in nursing. Holistic care is the epitome of whole care of an individual’s mind, body, and soul. Nurses who deliver the best holistic care are the ones who are grounded in their own well-being and those who can find it within themselves to deliver authentic care that is in the present moment. Creating a trusting relationship with a patient upon initial encounter can be acquired through genuine interactions. As a pediatric OR nurse, establishing the trust of the patient and their parents at the start will lessen the fear that the child will inevitably feel upon transport into the OR suite and away from mom or dad. A few comments I like to make during these times are, “I will treat your child like my own” or “you are the star of our show tonight, everyone here wants to help you feel better.” Taking the time to explain what is happening on the level of understanding for the patient and family is also very important.  It is through a calm, gentle demeanor and purposeful words and actions that often times sets an individual at ease, thus reflecting the beginnings of a therapeutic, caring relationship between nurse and patient.

            I too am following the nurse educator track. An important component to the caring, healing environment is the ability for leadership to support the patient care goals and the time needed for the nursing staff to invest in them (Norman, V., Rossillo. K., & Skelton, K. 2016). As educators, we will be able to advance caring models through education, role modeling, and reinforcement of the art and science of caring in nursing to other nurses around us. Helping nurses grow and understand how important personalized, authentic care is to the whole healing of their patients will create a positive experience for the patient, nurse, and healthcare institution. As nurses are subjected to multiple stimuli, many times all at once, priority of care can sometimes lessen their ability to provide the quality of caring they desire (Norman, V., Rossillo. K., & Skelton, K. 2016). A nurse educator can be instrumental in teaching ways for the nurse to center his or herself, improve time management and multi-tasking, and be present in the moment for each and every individual patient.

Norman, V., Rossillo, K., & Skelton, K. (2016). Creating healing environments    

     through the theory of caring. AORN Journal. (104) 5, 401-409. doi:

     10.1016/j.aorn.2016.09.006

Caring is a big aspect of nursing practice. If I had to define caring in my own words, I would say that caring is a quality that people show to each other by having genuine concern for one another’s well-being. This is an important quality to have as an advanced practice nurse or as any medical professional. Caring does not only involve the patient in healthcare, but can also involve caring for the family as well. This could mean being there mentally, physically, or emotionally. The advanced practice nurse is there to help care for the patient when they are sick, whether it be providing means of comfort, medications, education, or being there through the end of life care process. The advanced practice nurse is also there for the family to get them whatever they may during this time, whether it be support through grieving or educating the family on the situation related to the patient’s care.

According to The American Journal of Nursing Science (2013), “the holistic approach takes into consideration an individual’s psychological, sociological and mental views and needs.” This approach can relate to patient centered care. Patient centered care is important. It can help create better quality care and outcomes for the patient. This type of care can be applied by getting to know the patient’s background and beliefs, educating the patient and letting them make decisions regarding their care, and giving the patient support throughout the process.

In relation to this, seven themes of caring were reported in a qualitative study performed by Enzman Hines (2017); these included: normalizing the environment, creating sacred space, being rooted in compassion, the art of being present, establishing trust-caring, coaching the family as caregiver, and inspiration for the future. “Through caring, holistic nurses promote health and wellness, while facilitating a patient’s growth and healing.” (Enzman Hines, 2017)

My chosen specialty track is the Family Nurse Practitioner program. As mentioned before, caring is an important part of nursing. I plan to apply the principles of caring and holistic nursing to my practice by making patient centered care a priority. If it is a priority, then I believe patient satisfaction would be higher and quality care resulting in better health outcomes will be produced.

Enzman Hines, M. (2017). A View of Caring Within Holistic Nursing. Beginnings, 37(5), 6-24.

Ioanna Papathanasiou, Melachrini Sklavou, Lambrini Kourkouta. (2013). Holistic Nursing Care Theories and Perspectives. American Journal of Nursing Science. 2(1), 1-5. doi:10.11648/j.ajns.20130201.11

Participation for MSN

Threaded Discussion Guiding Principles

The ideas and beliefs underpinning the threaded discussions (TDs) guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of TDs provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The TD’s ebb and flow is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the TDs generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. TDs foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.

Participation Guidelines

Each weekly threaded discussion is worth up to 25 points. Students must post a minimum of two times in each graded thread. The two posts in each individual thread must be on separate days. The student must provide an answer to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week. If the student does not provide an answer to each graded thread topic (not a response to a student peer) before the Wednesday deadline, 5 points are deducted for each discussion thread in which late entry occurs (up to a 10-point deduction for that week). Subsequent posts, including essential responses to peers, must occur by the Sunday deadline, 11:59 p.m. MT of each week.

Direct Quotes

Good writing calls for the limited use of direct quotes. Direct quotes in Threaded Discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the Grammar, Syntax, APA category.

Grading Rubric Guidelines

Performance Category	10	9	8	4	0
ScholarlinessDemonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisionsEvaluates literature resources to develop a comprehensive analysis or synthesis.Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.Evaluates information from source(s) to develop a coherent analysis or synthesis.Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.Information is taken from source(s) without any interpretation/evaluation.The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge -Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.Applies concepts to personal experience in their professional setting and or relevant application to real lifeInteractions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real lifeDoes not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.Posts are superficial and do not reflect an understanding of the lesson contentDoes not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignoredNo discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive DialogueReplies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.(5 points possible per graded thread)	Exceeds minimum post requirementsReplies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.Replies to a post posed by faculty and to a peerSummarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate daysReplies to a question posed by a peerSummarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days.The main post is not made by the Wednesday deadlineDoes not reply to a question posed by a peer or faculty	Has only one post for the weekDiscussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the threadNo connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APANote: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.Points deducted for improper grammar, syntax and APA style of writing.The source of information is the APA Manual 6th Edition	2-3 errors in APA format.Written responses have 2-3 grammatical, spelling, and punctuation errors.Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format.Writing responses have 4-5 grammatical, spelling and punctuation errors.Writing style is somewhat focused.	6-7 errors in APA format.Writing responses have 6-7 grammatical, spelling and punctuation errors.Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format.Writing responses have 8-10 grammatical, spelling and punctuation errors.Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format.Written responses have more than 10 grammatical, spelling and punctuation errors.Writing style does not facilitate communication.The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirementsper discussion thread	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirementper discussion thread	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 p.m. MT Wednesday of the eighth week.