Theoretical Nursing Practice
Theoretical Framework for Nursing Practice – Module 8
A. Reflect on a case or situation from your personal practice or experience. Apply one of the theories to the situation. How does the perspective from the theory alter how you view the situation? Are the nursing interventions the same? Why or why not?
In a typical emergency department setup, caregivers deal with patients having acute cases, mostly involving pain or distress of some sort. In addition, patients undergoing treatment in this unit fall in a category known as “transient” – early in, early out. Because of these conditions, I have observed that the nurses in my area of responsibility have developed this notion that “nursing care” should be focused on the accomplishment …show more content…
Having been rotated in a general nursing unit as well as in an intensive care unit before finally being assigned in ER, the new-found the conditions of the emergency setup has proven to be a convenient excuse not to perform the same level care expected of me compared with the expectations of care from my previous units. My belief was that, as long as I executed the doctor’s orders such as the initiation of an intravenous line and the administration of medication, I have already taken care of my patient. Every once in a while I try to go back to the patient’s room to evaluate the effectiveness of the treatment I gave (e.g. pain has been relieved, temperature of a febrile patient has gone down) but that’s the extent of the care that I try to give. I began seeing patients as customers I have to dispatch as fast as I could – by nature of discharge or transfer to other units for admitted patients. Effectiveness of nursing work is now gauged by how fast I could carry out the doctor’s orders, how quick I could relive a patient’s symptoms and/or how rapid I could stabilize a patient’s condition and how prompt I could finish my documentation. It is important to note that I used the term “work” as opposed to “care” because the humanity in the actual care-giving has been lost in replacement of …show more content…
As got more and more efficient in performing my tasks, I got more and more free time on my hands. The more free time I earned, the more I got to interact with my patients. For the first time in a long while, I again started to see the patients as human beings in need of care and support, rather than objects that need to be sent home or transferred/deployed to its corresponding wards/private
A. Reflect on a case or situation from your personal practice or experience. Apply one of the theories to the situation. How does the perspective from the theory alter how you view the situation? Are the nursing interventions the same? Why or why not?
In a typical emergency department setup, caregivers deal with patients having acute cases, mostly involving pain or distress of some sort. In addition, patients undergoing treatment in this unit fall in a category known as “transient” – early in, early out. Because of these conditions, I have observed that the nurses in my area of responsibility have developed this notion that “nursing care” should be focused on the accomplishment …show more content…
Having been rotated in a general nursing unit as well as in an intensive care unit before finally being assigned in ER, the new-found the conditions of the emergency setup has proven to be a convenient excuse not to perform the same level care expected of me compared with the expectations of care from my previous units. My belief was that, as long as I executed the doctor’s orders such as the initiation of an intravenous line and the administration of medication, I have already taken care of my patient. Every once in a while I try to go back to the patient’s room to evaluate the effectiveness of the treatment I gave (e.g. pain has been relieved, temperature of a febrile patient has gone down) but that’s the extent of the care that I try to give. I began seeing patients as customers I have to dispatch as fast as I could – by nature of discharge or transfer to other units for admitted patients. Effectiveness of nursing work is now gauged by how fast I could carry out the doctor’s orders, how quick I could relive a patient’s symptoms and/or how rapid I could stabilize a patient’s condition and how prompt I could finish my documentation. It is important to note that I used the term “work” as opposed to “care” because the humanity in the actual care-giving has been lost in replacement of …show more content…
As got more and more efficient in performing my tasks, I got more and more free time on my hands. The more free time I earned, the more I got to interact with my patients. For the first time in a long while, I again started to see the patients as human beings in need of care and support, rather than objects that need to be sent home or transferred/deployed to its corresponding wards/private