Saturday, March 9, 2019
Nursing concepts: competence, compassion, professionalism, Essay
AbstractThere be various takes on the concepts of toy with. makes rouse micturate the same visits on nursing concepts as unhurrieds do with and slight difference. But overall the concepts of force, lordism, and compassion be viewed actually similarly between the curb and enduring interviewed for this account. competence plays a secernate role in the graphic symbol of uncomplaining cargon. kindness is a land of nursing that expresses empathy towards diligents, and professionalism can sometimes be based on sort or values. both(prenominal) get to got and the diligent recognizes the deprivation for these three concepts in the nursing subject area to better provide a better health treat environment for both individualists.Introduction nurse has four primary(prenominal) concepts upon which its based open client, health, environment, and nursing. Within these four elemental concepts are a variety of nursing concepts ranging from ethics, religion, i ssues role and some others. Though on that point is a long ongoing list, many of the concepts are viewed differently or similarly among bears and patients. Upon reviewing the experience of a patient and a bind, I suck up found both individuals had the common concepts of competence, professionalism, and compassion. The patient expresses the need for the nurse to be qualified, professional, and human. merely the nurses experience demonstrates her com fervid attitude, professionalism and susceptibility. Al unneurotic both individuals recognize the impressiveness of the three comp nonpareilnts in nursing consider, as entrust be discussed further in the paper. Brief synopsis of InterviewsE. J is currently an ER Nurse Educator who values macrocosm a competent nurse. Her typical work schedule involves making convinced(predicate) e rattling whizz in the ER is functioning at high competence takes. Competence in the viewpoint of E.J is having continuous association, and an d irection to be an effective nurse.patient role J.A besides views competence as an outstanding aspect of nursing. She felt competency is apparent in the interaction between the patient and nurse and creates a lack of confidence and discomfort. However, for the patient being competent non only constitutes medical k presentlyledge simply in like manner having experience both as a nurse and a patient as well. A competent nurse effectively creates a comfort fit environment for the patient duration caring for them physically is the approach taken by J.A. Moreover being culturally competent was also an important section from J.As unassailable point of view. While being competent is important, both the nurse and patient responses revealed professionalism as other important concept in nursing. However the nurse appeared to bring on more concerns ab place a nurses professionalism than the patient. Maintaining implement expertise for the nurse also coincides with professionalism is one aspect apprehendd by E.J. J.A identifies being friendly, appropriately addressing patients needs, and correctly performing tasks as characteristics of a professional. Both individuals recognized the need for professionalisms at the basic level but the nurse view point takes in consideration of ethical principles and ask standards that nurses should have.Nurse RelationAs both individuals describe what was rewarding or memorable round their experiences, a common concept noted was compassion. E.J exhi routineed compassion plot of ground J.A received compassion during her like. Through her responses, E.J views compassion as a willingness to go the extra-mile to help others and always have a willingness to help even when out of context. Similarly, J.A characterizes compassion as having empathy and truly caring about her well-being and outcome. It involves the nurse doing everything within her power to help the patient without being judgmental. For J.A, compassion is copeing th e patient in the same manner as the nurse would treat herself or her loved ones, if in the same role. Overall, being competent, professional, and compassionate can have similar meanings to the nurse and the patient, with slight differences. As mentioned above, R.N. E.J.s competency is in the beginning the reproduction and k promptlyledge obtained to successfully carry out nursing tasks. However in J.As point of view, competence is simply more than bonnie academic education. The nurse is aware of the professional boundaries that the patient themselves may not be fully awareof. For example the patient may perceive the friendliness as social occasion of being a professional, while it major power not full in line with the professional ethics of nursing. The importance of competence for the nurse is revealed when describing her daily tasks and role as a nurse educator. E.J states that daily tasks during his shift involves creating educational media, and assuring the staff in the ER department remains up to date on the many competencies inevitable of the nurses such as consciousness sedation. He ensures the staff has the certifications necessary for the department. qualification sure the nurse is knowledgeable and provides appropriate upkeep for each patient is a attain component. When describing the effects of being a nurse on her professional life, E.J recalls experiencing the death of a patient during her time as a pediatric nurse. E.J was caring for an infant 2 months old with a knocker defect from birth, which whom was scheduled for surgery.However, on her next shift the once express feelings fumble became lifeless as the parents held the baby in their arms. Despite resuscitation efforts, the baby did not survive. E.J (Personal Communication, November 4, 2012) notes that often, maintaining a level of professionalism is associated with not demonstrate emotion virtually patients, but in this scenario tears flowed down her cheeks and dowerd in the parents sorrow. For E.J (Personal Communication, November 4, 2012) expressing that bit of emotion was a way of providing emotional support, and care which are components of professional nursing. E.J served in the military as a nurse and being able to travel coincides with compassion and use of her professionalism. On her account, the proudest shes ever been about being a nurse was the ability to work with the humanity competitiveness ER trauma unit. She traveled to Haiti with a reserve unit to treat and advise the citizens residing in the countrys capital Port-au-Prince. Despite subtle she would have to sleep in tents surrounded by poverty and croak her paying job, she was willing to step out of her comfort zone, and lend a helping hand to others in need. She states every opportunity or recover she gets to take care of someone is a proud moment in her nursing career. E.Js response demonstrates how the concept of compassion can and should in most cases be the driving force behind nursing care. unhurrieds RelationSimilar to the Nurse, the patients experience with the concepts were by and largepositive. After being involved in an auto mobile accident, J.A (Personal Communication, November 4, 2012) was admitted to the hospital and doctors discovered I had a mitral-stenosis valve and needed a valve replacement. Therefore she had to be admitted for open heart surgery. During her stay at the hospital, which lasted almost twain weeks, J.A recalls the sawbones going over the procedures with her carefully. The surgeon and nurses made sure she was aware of her options, and knew what to waitress with each course of action she decides to take. Patients description and passionate voice as she talks denotes that she trusted the nursing staff and surgeons judgment and had confident in them, for they displayed a good level of competency. Furthermore J.A shares how every morning the surgeon would come to her room to share news on her progress. Professionalism is being e mphasized as the patient recalls that the nurses rightfully took priority in making sure she knew and understood what was going to take place. The health care team properly instilled veracity as part of what it means to be a professional nurse. Moreover, the nursing team was very friendly and valued her beliefs, as J.A is SDA (Seventh-Day Adventist) .She does not eat pork and one of the replacement valves offered was made with pig fat. The nurses that not withhold that information to her, but was made aware of it, so she was condition the option to choose another valve made out of plastic. in any case the nurses were more than willing to pray with her and append to her spiritual needs even though they themselves may not have been spiritual. Their openness to participate in my belief in God is one aspect that helped with my full recovery, states J.A(Personal Communication, November 4, 2012). Lastly, J. A recounts a stressful situation in which she encountered while being under the care of nurses. Each iniquity during her hospital stay the nurses would randomly awaken her to check her blood pressure. Also she noted that on one occasion the nurse was unable to steady down her veins while trying to draw blood. The nurse continuously tapped her arm and stated, You have very tiny veins. This response shows the patient view of the nurses lack of professionalism and competency. determination the interview, J.A describes what she believes characterize a good nurse. According to her, a good nurse listens to your ailments, and pays attention to what the patient says. When the nurse listens to the patient, it is important since it allows the patient to feel they are a factor in their recovery and feel more comfortable being inthe hospital environment. The nurse being able to hold in the patient base on what they need physically, emotionally and spiritually, overall supports the thinking of a nurses professionalism, competency and compassion from J.As view point.Co mpetence Nursing ArticleThe nursing article by brazil K. et al focuses on the concept of competence used in care provided in long-term care homes for the elderly. It is a study to test knowledge and sensed competency among the RNs and a few LPNs as well. Lack of competence in skills such as pain management, advance care planning, care and adequate care has increased the death rate among older adults in the LTC homes (Brazil et al 2012, 77). Often this lack in competency is due to education in training of staff, and absent communication problems among healthcare providers and family members. The latter has resulted in bad quality end-life care (Brazil et al 2012, 77). The nurses were competent with coping skills of dealings with death and dying but lack formal training in palliative care (Brazil et al 2012, 77). This coincides with the same ideas present finished the nurse educator E.J and patient J.A idea of competence. As here there is a need for continuous update of education to make sure that the nurses have current knowledge. Moreover the idea of needing cultural competence identified in the patients point of view is essential as well, for the nurses were not communicating successful with the relatives of the patient or the other healthcare providers. beingness competent in communication skills is as import as competence in clinical skills. Though other factors get laidd in the study, settle to contribute to difficulties in providing the necessary care, staff competence in that field served as the major determinant in assuring quality care (Brazil, Brink, Kaasalainen, Kelly, & McAiney, 2012, p. 79). Factors that affect or may influence effectiveness of continuing education to increase competency can also be important as discussed in the article (Brazil et al 2012, 79). Overall competency involves more than erect one skill, and is often a major concept needed in all nurse weather Pediatric, emergency room, or home health care. However one must not o verlook the fact that competency develops over time as more experience is gained. Competency also implies or portrays the importance of the concept of evidence-based nursing research, so that we can compound the competency ofnurses with new and better applications. Demonstrating competency or excellence is also a function of professionalism.Professionalism Nursing ArticleAccording to this article there are two aspects of professionalism in, value-based and behavioural-based, needed to support values and ideals (Castell 2008, p.13). Professionalism in Nursing Practice by Francesca Costell (2008) compares and contrast the different views based on the said(prenominal) aspects. The value basis is principles that underlie what it means to be nurses while the conductal basis are the behaviors one must exhibit to act professionally (Castell 2008, p.17). She further divides value based into the categories of clinical competency (excellence), humanism, and altruism. Behavior-based was also dissever into Service and ethical conduct. From behavioral stand point, castell believes that humanism is a component of professionalism because the interaction is vital for guiding the medical profession (2008, p.13). As E.J mentioned above, wake your human side shoes respect for the patient and signals the worth of the individual human being and his or her belief and value system (2008, p.13). Castell view on professionalism coincides with E. J point of view as both acknowledge the need to sometime show emotion to connect with patients. Castells incorporates a key aspect of professionalism, ethical conduct. An unethical clinical example mentioned is of a student nurses preparing to care for an elderly patient and the experienced nurses warned of his obnoxious behavior and rudeness. This was an unprofessional as Castell believes this could have compromised the care the students gave, as it form pre-conceived ideas into their minds and would now care for him based on those ideals (Castell 2008, p.15). J.A as well identified this key ethical component of professionalism for she believed the nurse should carry out the appropriate care that is mandated of her. In general the core idea of being professional is acting without being prejudice and carrying out your duties as a nurse which can sometimes include displaying the humanistic side to provide efficient care.Compassion Nursing ArticleExploring Compassion accredits Christianity with incorporating compassion into nursing care. Compassion in early nursing was from a Christian point ofview and so became part of coetaneous nursing. According to Straughair (2012), A nurses strain to alleviate the suffering of the sick is through the use of compassion (161). weakness to provide compassionate nursing care is failing to meet the required professional standards. Evidence shows that lack of compassion results in poor quality care on the part of the patient, and indicates a disregard for their dignity (Straughair, 2012 p.162). A lack of compassion affects the quality of healthcare as a total whether the nurse is clinically competent.ConclusionThough all three concepts are interdependent of each other they function together as a whole along with many other concepts make nursing or nurses a success. Being competence itself consists of many sub categories as it is important to be competent in many skills or aspects as a nurse and not simply one. Competency as discussed in the paper is more than knowledge or cognitive skills and encompasses culture, communication, and many others of the like. Likewise professionalism has two facades as it can be mediated by values or behavior in the nursing feel. Even though the nurse and patient may have had slightly different views for each concept, it all came together to form a basis idea. Furthermore being compassion is the basic framework of nursing as it is having the genuine care for someone and showing patients empathy. It is treating others as you wou ld treat yourself. Caring for patients with compassion can have a lasting impact on patients in help in a speedy recovery.ImplicationIt is important for me as I progress through my nursing practice to remember that my competency level has to reach beyond simply checking off assessment on a checklist, or a test. As I will come across patients or situations of different nature, culture and need to be able to use skills that will allow to the specific situation or need at any given time. Competency in one area neglects to fulfill the needs of the patient overall and decreases quality of care. The same principle can be employ to professionalism, as I have to know what action is appropriate for nursing professional at any given time. But also arbitrator whether my professionalism should be based on value or behavioral. This choice will be made base on whats best for the patient, me, as well as others involves safety and well-being at the time.ReferencesBrazil, K., Brink, P., Kaasalain en, S., Kelly, M., & McAiney, C. (2012). Knowledge and perceived competence among nurses caring for the dying in long-term care homes. supranational Journal Of Palliative Nursing, 18(2), 77-83.Castell, F. (2008). Professionalism in nursing practice. Nursing Journal, 1213-17.Catalano, J. T. (2012). Nursing now todays issues, tomorrows trends (6th ed.). Philadelphia, PA F.A. Davis Co.Straughair, C. (2012). Exploring compassion implications for contemporary nursing. Part 1. British Journal Of Nursing, 21(3), 160-164.