Professional Concept Paper

Only available on StudyMode
  • Download(s): 15
  • Published: November 28, 2011
Read full document
Text Preview
“As a nurse, we have the opportunity to heal, the heart, mind, soul, and body of our patients, their families and ourselves. They may forget your name, but they will never forget how you made them feel.”, spoken by Maya Angelou. Nursing is a profession that requires one to work closely with people from all walks of life. Being exposed to this diversity, allows one to encounter and practice various concepts within nursing.

My clinical experience, so far, as given me the privilege to practice some of the nursing concepts on patients. One of the nursing concepts I got to practice was communication. The patient that I got to practice this on was an eighty-four year old black female diagnose with severe peripheral artery disease and hypertension. She had just gotten out of surgery the day before clinical day, and she was very sedated and confused. Communication, verbal and nonverbal, is very important, and I ran into some communication barriers while working with this patient. Verbal communication includes all speech and is the most obvious part of communication. Nonverbal communication includes grooming, clothing, gestures, posture, facial expressions, eye contact, tone, volume of voice, and actions. Nonverbal communication makes up sixty-five percent of a message, and is considered the more reliable expression of feelings. When working with patient X, I was interpreting her nonverbal communication a lot because her sedation did not allow her to actually talk too much. When she did talk, she would always talk very softly and confused. Interpreting patient X’s nonverbal communication led me to realize that the patient’s communication was incongruent. Congruent communication occurs when the verbal and nonverbal parts match and reinforce each other, and incongruent communication occurs when the verbal and nonverbal communication does not match. I would ask patient X if she wanted me to put a cover over her since it was cold, and she would say no but make a face as if she was cold and then shiver. To help solve this communication problem, I used empathy and open-ended questions when talking to the patient so that I could get better feedback from her. Empathy is the awareness of, sensitivity to, and identification with the feelings of another person, and feedback occurs when a receiver relays to a sender the effect of the sender’s message. I said to patient X, “You seem to be cold, can you tell me where you feel cold at?” Then the patient made a gesture to her whole body, so I put a cover over her and she gave me a smile.

Working with patient X also gave me the opportunity to practice another nursing concept, one that I personally enjoy. This concept was culture. I got to practice being a culturally competent nurse. Cultural competence is defined as services that are respectful of and responsive to the health beliefs and practices and cultural and linguistic needs of diverse patient populations. Being a culturally competent nurse encompasses no stereotyping, communication, personal space, values, and cultural assessment. Stereotyping can lead to cultural conditioning. This is a term used when people are unconscious of their own values and beliefs and assume that all people are basically alike and other people share their values and beliefs. As mention before, patient X is a black american, and although I am too, I did not treat her as if she would have the same values and beliefs that I do. Performing a cultural assessment is a very helpful part in being a culturally competent nurse. Cultural assessments identify beliefs, values, and health practices that may help or hinder nursing interventions. When I did my physical assessment on patient X, I also asked her different questions pertaining to culture. The cultural assessment allowed me to find out that patient X was a Jahova Witness, she likes her family near her, and that she doesn’t want any blood transfusions or blood drawn during her hospital stay...
tracking img