Individual Nurse effect on Person-centered Care

Individual Nurse effect on Person-centered Care Provide a critical analysis of how the beliefs, values and attitudes of the nurse may impact upon the provision of person-centered care Introduction The person-centred care approach focuses holistically on the patient as an individual, rather than their diagnosis or symptoms, and ensures that their needs and choices are heard and respected. According to Draper Tetley (2013: n.p.), person-centred care is defined as an approach to nursing that focuses on the individuals personal needs, wants, desires and goals, so that they become central to their care and the nursing process. This can mean putting the persons needs, as they define them, above those identified as priorities by healthcare professionals. Theoretically, this is an achievable aim – nursesas a matter of principle should provide care that respects the diversity of the values, needs, choices and preferences of those in their care – but how can any incongruity between the values, beliefs and attitudes of the patient and those of the nurse be reconciled? Is it inevitable that this dissonance will have a negative impact on the quality of person-centred care be ing provided? This essay will examine the beliefs, values and attitudes of nurses planning and delivering person-centred care, and the impact these issues can have on the provision of that care. Nurses are expected to practice in a caring, knowledgeable, professional, courteous and non-judgemental manner, and the majority do this as a matter of principle, displaying unconditional positive regard for their patients at all times. However, values, beliefs and attitudes are, of course, subjective to each individual, and in the context of delivering person-centred nursing care, it is important to identify those that are holistic and therapeutic, rather than focussing only on those that are not. According to Brink Skott (2013), some diagnoses lead to preconceptions about the individuals receiving them, which subsequently negatively influence their care and treatment. This can be particularly evident in the case of mental illness, which is often mired in stigma, fear, ignorance and discrimination. Research undertaken by Chambers et al (2010: pp. 350) found that Stigma on the part of mental health professionals affects the quality of care provided for those with mental health problems, as well as their rates of recovery. Although nurses working within the field of mental health will obviously have more developed skills and knowledge in this subject than those in other specialities of nursing, it is not inconceivable that nurses may harbour some preconceptions about mental illnesses and those diagnosed with them, which may impact on how positively they deliver care to those patients. Those requiring treatment for alcohol abuse or substance misuse may also experience a less emp athetic experience in the care of nurses, who may feel that the condition is self-inflicted, or that resources may be better utilised elsewhere. This attitude may be even more prevalent in cases of liver transplant due to alcoholic cirrhosis of the liver, when there may be a misplaced belief that another recipient is more deserving of the organ. Other morbidities which can be perceived as having a self-inflicted element (e.g. obesity, smoking-related illnesses, type-II diabetes, addictions) also have the potential to be perceived negatively by nursing staff, who may lack an appropriate level of empathy and compassion, or make assumptions and pre-conceptions about these patients based on their diagnoses. In a similar manner, patients attempting suicide or deliberately self-harming, may experience stigma, a lack of sympathy and a lack of understanding from nursing staff, especially if the nurse managing their care is also involved in the care of patients suffering from serious illnesses or conditions. Caring for patients attending accident and emergency departments due to para-suicide or deliberate self-harm can evoke extremely negative emotions and attitudes amongst the nursing staff caring for them. Nurses working with such patients report experiencing high levels of ambivalence and frustration. Additionally, deliberately self-harming patients may evoke negative attitudes such as anxiety, anger, and lack of empathy (Ouzouni Nakakis 2013). A suicidal patient voicing their desire to end their life is expressing a wish. However, in the context of person-centred care, it would be difficult to agree that this wish should be considered as a person-centred need. This could be a source of conflict, difficulty and dissonance as balancing the needs and wishes of the patient in this situation, contradicts entirely the nurses duty of care. In such circumstances, it could be argued that the care provided cannot be person-centred, as it is not in line with the patients wishes. Obviously it would be neither legal nor ethical for the nurse to allow a suicidal patient to actively attempt to end their life whilst under their care, or to comply with the patients wishes not to receive treatment if suicide had been attempted. Similar ethical considerations may also influence the treatment of patients undergoing procedures to terminate pregnancy, and may negatively influence the extent to which the care received by the patient is truly person-centred. There have been well-documented cases of nurses refusing to assist with these procedures, or to treat patients who have undergone them post-operatively. Predominantly such cases arise due to a conflict with the religious beliefs, moral convictions and ethical stance of the nurses being asked to assist with these procedures. The Nursing Midwifery Council (2015) states that Nurses and midwives must at all times keep to the principles contained within The Code: Professional standards of practice and behaviour of nurses and midwives (2015: n.p.). This code states that nurses and midwives who have a conscientious objection must tell colleagues, their manager and the person receiving care that they have a conscientious objection to a particular procedure. They must arrange for a suitably qualified colleague to take over responsibility for that persons care. Nurses and midwives may lawfully have conscientious objections in two areas only. Firstly, Article 4(1) of the Abortion Act 1967 (Scotland, England and Wales). This provision allows nurses and midwives to refuse to participate in the process of treatment which results in the termination of a pregnancy because they have a conscientious objection, except where it is necessary to save the life or prevent grave permanent injury to the physical or mental health of a pregnant woman. Secondly, Article 38 of the Human and Fertilisation and Embryology Act (1990). This provision allows nurses and midwives the right to refuse to participate in technological procedures to achieve concep tion and pregnancy because they have a conscientious objection. This is a highly contentious and emotive issue, and one which attracts much ongoing debate and argument, and is significant as it can be asked at what point does a nurses own beliefs and values take precedence over their responsibility and duty to care for their patients needs, whatever they might be? Should nurses be permitted to refuse to participate in care procedures that contradict their values or beliefs, or to refuse to provide care to those they deem undeserving? Does this set a worrying precedent for other contentious procedures to be added to the list (gender reassignment surgery for example)? It could be argued that the nurses first responsibility should be their duty of care to their patient, and this surely requires them to take a holistic and person-centred view; a view that should not be clouded by the nurses own values system or moral standpoint. The aspects of person-centred care discussed so far in this essay have been those of a contentious and perhaps, more exceptional nature. However, the more routine, day-to-day aspects of nursing are also susceptible to the influence of nurses values, beliefs and attitudes negatively impacting on the quality of person-centred care provision. Giving patients a greater degree of autonomy over their care can lead to some discord as nurses may feel that their professional expertise is being disregarded, and may be concerned that patients informed opinions and decisions about their care may be detrimental to recovery or good health. This could lead to nurses adopting a didactic attitude in the belief that they know best, when the patient is equally certain that their decision is the right one for them. Nurses must always ensure that they are viewing the patient as a whole person, and not merely an illness or condition to be treated or managed, as this can lead to ambivalence as nurses attem pt to reconcile their desire to deliver effective, evidenced-based care, knowing that patients stated wishes or preferences are contrary to this aim. However, if the patient is deemed to have capacity to make informed decisions about their care and treatment, with all the facts at their disposal, nurses must accept this if good, person-centred care is to be delivered (NHS Choices 2014). In the event that the patient does not have the capacity to make informed decisions (e.g. patients suffering from more advanced forms of dementia), then any known pre-morbid preferences and choices should be documented and adhered to where this is practicable. There is always a danger that individuals with dementia receive care that is task-orientated rather than person-centred. Again, nurses may make assumptions regarding what is best for the patient, rather than respecting their choices and preferences. One of the easiest ways to ensure that care is person-centred is to gather collateral about each patient prior to care or treatment commencing, so a more rounded picture can be formed. This is particularly important when dealing with people from diverse cultural backgrounds, as lack of cultural understanding and tolerance can lead to damaging misconceptions, misunderstandings and unintentional offence, which will not engender good person-centred care. Having some knowledge of patients history and background prior to treatment can be a useful tool in terms of developing appropriate care. The flip-side to this however is that unhelpful stereotypes or prejudices may be formed by nursing staff, based on the current or historical background of the patient. Gender (including gender identify), race, age, religious affiliation, employment status, marital status, and educational and socio-economic background can lead to assumptions (both positive and negative) being formed by nursing staff. W hilst the majority of nurses will treat their patients with unconditional positive regard and courtesy, regardless of issues that may be at odds with their own beliefs, values and attitudes, there will always be a minority who will be affected by such issues, and who will allow it to influence the care they provide. The scale of this issue is difficult to quantify, due to a lack of available evidence-based research, but it could be said that one nurse whose attitude negatively impacts on person-centred care is one nurse too many. Conclusion We have explored some of the more contentious issues that can and do arise when nurses beliefs, values and attitudes do not correspond with those of their patients, and have examined the potential impact this can have on the quality of person-centred care provided. As little research has been carried out into this subject, it is not possible to quantify the scale of the problem, nor to accurately identify where it is most prevalent. However, it is safe to say that the dichotomy between delivering truly person-centred care, whilst reconciling challenges to the nurses own core beliefs and values is not one easily solved. Modern nurses are extensively trained and highly skilled professionals, with a wider remit and range of responsibilities than their predecessors. They are however fundamentally human, with the same character flaws and failings as anyone else. It is a completely human trait to be influenced by the information we perceive or receive about others, and everyone has innate beliefs and value systems and, whether we like it or not, innate prejudices. Although it would seem logical that professional nurses have a well-developed sense of understanding and equality, they also deal with a magnitude of very diverse people on a daily basis, generally having very limited time with each. Despite this, the majority of nurses deliver excellent, patient-focussed and person-centred care as a matter of course. Unfortunately there will always be a minority who do not. Nurse education programmes are constantly evolving to meet the shifting demands of health care, so it can only be hoped that recognising, challenging and improving unhelpful attitudes becomes an accepted part of nurse education, and becomes core to person-centred care provision. References/Bibliography: Baker J., Richards A. Campbell M. (2005). Nursing attitudes towards acute mental health care: development of a measurement tool. Journal of Advances Nursing. (49) (5) pp. 522-529. Brink E. Skott C. (2013). Caring about symptoms in person-centred care. Open Journal of Nursing (3) pp. 563-567. Chambers M., Guise V., Và ¤limà ¤ki M., Botelho M., Scott A., Staniulienà © V. Zanotti R. (2010). Nurses attitudes to mental illness: A comparison of a sample of nurses from five European countries. International Journal of Nursing Studies. (47) (3) pp. 350-362. Dorsen C. (2012). An integrative review of nurse attitudes towards lesbian, gay, bisexual, and transgender patients. The Canadian Journal of Nursing Research. (44) (3) pp. 8-43. Draper J. Tetley J. (2013). The importance of person-centred approaches to nursing care. The Open University. (Online). Available:  http://www.open.edu/openlearn/body-mind/health/nursing/the-Importance-person-centred-approaches-nursing-care. Last accessed 4 April 2015. Flagg A. (2015). The Role of Patient-Centered Care in Nursing. Nursing Clinics of North America. (50) (1) pp. 75-86. Hunter P., Hadjistavropoulos T., Smythe W., Malloy D., Kaasalainen S. Williams J. (2013). The Personhood in Dementia Questionnaire (PDQ): Establishing an association between beliefs about personhood and health providers approaches to person-centred care. Journal of Aging Studies. (27) (3) pp. 276-287. N.H.S. U.K. (2014). Consent to Treatment. N.H.S. Choices (Online). Available:  http://www.nhs.uk/conditions/consent-to-treatment/pages/introduction.aspx. Last accessed 5 Apr 2015 N.H.S. U.K. (2014). Assessing Capacity. N.H.S. Choices (Online). Available:  http://www.nhs.uk/conditions/consent-to-treatment/pages/capacity.aspx. Last accessed 5 Apr 2015. N.M.C. (2015). Conscientious objection by nurses and midwives. Nursing Midwifery Council (Online). Available:  http://www.nmc-uk.org/The-Code/Conscientious-objection-by-nurses-and-midwives-/. Last accessed 5 Apr 2015. Ouzouni C. Nakakis K. (2013). Nurses attitudes towards attempted suicide. Health Science Journal. (7) (1) pp. 120. Roberts G., Morley C., Walters W., Malta S. Doyle C. (2015). Caring for people with dementia in residential aged care: Successes with a composite person-centered care model featuring Montessori-based activities. Geriatric Nursing. (36) (2) pp.106-110. UK Government. (1967). Abortion Act 1967 (Scotland, England and Wales). The National Archives. (Online). Available:  http://www.legislation.gov.uk/ukpga/1967/87. Last accessed 5 Apr 2015. UK Government. (1990). Human Fertilisation and Embryology Act 1990. The National Archives. (Online). Available:  http://www.legislation.gov.uk/ukpga/1990/37/section/38. Last accessed 5 Apr 2015. Wood L., Birtel M., Alsawy S., Pyle M. Morrison A. (2014). Public perceptions of stigma towards people with schizophrenia, depression, and anxiety. Psychiatry Research. (220) (1-2), pp. 604-608. Yun-e L., Norman I. While A. (2012). Nurses attitudes towards older people: A systematic review. International Journal of Nursing Studies. (50) (9) pp.1271–1282.

Teaching Philosophy Statement :: Education Educational Educating Essays

Teaching Philosophy Statement When I came to State College, I debated on a major, trying to find a career that would be satisfying for the rest of my life, or at least until retirement. I often wondered if I would ever find a career in which I could direct all of my energy. After much pondering, I decided that education is the right path for me. I now find that not only do I want to apply all of my energy, but also my passion toward helping and teaching children. Education is a very important part of today's society. Teaching is a way of making society a better place for today's generation and our children. Teaching may not seem like a very important career to some people, but when I think back to some of my own teachers, I realize what an important role that they played in my life. Even today, in college, many of these Professors will never know the impact they have made on my life. Many people have the desire to be a teacher from the time that they are children. They play school with siblings and role playing leads them to a career. My career choice was quite different. I had never considered a career in education because of all the bad things that you hear that they have to go through, and how little they got paid for it. Now I believe that knowing that you have impacted one child's life; that makes you more wealthy that all of the money in the world. This was my viewpoint until my sophomore year of high school. I had English Honors with Coach McCall, a true inspiration. Suddenly, I found myself in great anticipation of class and craving more knowledge. It wasn't until I had Coach McCall again my senior year that I decided that I wanted to motivate people the way that he did. I wanted to see their eyes light up when they have reached a certain level of comprehension. More than anything, I wanted to inspire kids to learn. It was that year that I realized that the reward for teaching is much greater than money.

Discussion Questions Essay

1. Who is someone that you feel you have a positive relationship with? What role do you think openness and truthfulness have in making this relationship positive? Me and my friend Jeff have a very positive friendship. Openness and truthfulness play a big role because were always open and tell each other everything. Also we always tell each other the truth so we never have any arguing and have a positive friendship. 2. What effects do you think the various types of media (TV, Internet, newspapers, Facebook, etc.†¦) have on your own life and your family? Do you think the overall effect is negative or positive? How can parents reduce the negative effects? I think social media effects everyone in a bad way. I feel that pages like Twitter and Facebook make people feel like they aren’t good enough cause of what other people might say or post. People can be getting bullied and no one knows. Social media gives people low self-esteem. I think the overall effect is negative. Parents can reduce the negative effect by restricting the child from using social media pages until they are older.

Same Sex Parents essays

Same Sex Parents essays Whatever the final equation of factors influencing sexual orientation and identity, there's an immediate implication for the increasing number of gays and lesbians forming families. Today, many gays and lesbians are out of the closet and they are not afraid of facing society with what many people consider abnormal sexual orientations. We must now ask ourselves the question: is homosexuality really an abnormal lifestyle? Is it still against the norm? Homosexuals are just like everyone else in every way aside from their sexual preferences. Why should adoption be an area where gays and lesbians are discriminated against? Without the constraints and pressures of demographic norms, the idea and practice of homosexual adoption has no known harmful implications upon the children involved. Therefore, I find it unnecessary to restrict their rights and desires to adopt and raise children in families just as you or I would. An adoption agency looks for good qualities in a foster home. Qualities such as financial security, emotional stability, and proper role models. Judge Judith S. Kaye wrote that ...adoption is a means of securing the best possible home for a child. Some might argue that the child would be lacking the father in a lesbian couple and a mother in a gay couple. Sure, little Joey might not have a male role model around the house, but all the kids raised by single mothers seem to be okay. Children who lose a parent and are raised in single parent households are not harmed. Or are they? If they are, they are affected in just the same way as children raised by gay and lesbian couples -that is, couples that are lacking a male or female role model. Children raised with parents of the same sex develop positive tolerances. They tend to have more positive outlooks, and have a degree of passiveness that makes them to better adapt to today's changing society. A child raised by gay paren...

Heroic Figures of the 21st Century Steve Jobs and Julian Assange essay part 2Essay Writing Service

Heroic Figures of the 21st Century Steve Jobs and Julian Assange essay part 2Essay Writing Service Heroic Figures of the 21st Century: Steve Jobs and Julian Assange essay part 2 Heroic Figures of the 21st Century: Steve Jobs and Julian Assange essay part 2Heroic Figures of the 21st Century: Steve Jobs and Julian Assange essay part  1Another prominent figure, who is perceived by many people as a hero, is Julian Assange. Even though he is quite a controversial figure in light of his legal prosecution, his contribution to the freedom of press can hardly be underestimated because he is the founder of WikiLeaks, the whistleblower website, which published wires of many government agencies, including the US government agencies uncovering the secret information.The controversy of Julian Assange relates to the legal aspect of his work as editor-in-chief of WikiLeaks. His goal was to publish the information which he presented as the true wires and which probably were but which were obtained in the illegal or, at least, questionable way, because some of the wires were top secret. In such a way, Assange’s actions were questionable from the legal point of view. His critics (Domscheit-Berg Klopp 174) argue that his actions were inappropriate and they may threaten to the national security of many states because they uncover the secret communication that involved statesmen and professionals working in government agencies. Moreover, critics (Brooke 185) also argue that one can never be certain that the information published by Assange via WikiLeaks is always true and is properly understood.On the other hand, his WikiLeaks and his attempt to make the government policy and actions as transparent as possible became an important issue in the world since many people throughout the world supported his attempt. In fact, the average people perceive his actions as the attempt to make the truth available to the public. The main achievement that made Julian Assange the heroic figure of the 21st century is the fact that he was the person, who is now well-known worldwide, who has questioned the authority of the state over sovereignty of people through the manipulation with information and public opinion. To put it more precisely, Assange and his followers question whether the government should have the authority to keep some information in secret and hide it from the public eye or probably, as Assange believes, the public has the right to have access to all the information about the government and policies it conducts. Such a position is very strong, especially, when many governments attempt to manipulate with the public opinion and just play tricks on the public.At the same time, the government of the US as well as many other government agencies of other countries of the world viewed Assange as a criminal, who violates legal norms concerning top secret information and information protection. Formally, the position of governments and government agencies is, to a significant extent, just, but from the ethical standpoint, his actions are justifiable because often government agencies, intelligence and other government bodies attempt to manipulate with the public opinion and use means and tools that are questionable from the ethical point of view. At this point, it is possible to refer to the case of the war on Iraq launched by the US on the intelligence’s assumption that Iraq owned the weapon of mass destruction and could use it against the US or its allies, while, in actuality, Iraq had no such weapon at all (Mohrman 195). The US policy makers could have been aware of this fact but they used the intelligence report as the pretext to launch the war on Iraq to reach certain economic and geopolitical goals of the US in the Gulf region. This case reveals the full extent to which activities of WikiLeaks and Julian Assange are important in the revelation of true actions of the government.In fact, many supporters of Assange view him as a person, who attempted to re-establish the sovereignty of people and the people’s control over the government and government agencies through the freedom of press. The ult imate transparency of the government agencies, if applied worldwide, could have changed the world politics and international relations. However, at the moment, Assange faces the risk of prosecution, which his supporters (Brooke 152) view as an attempt to repress him for his activities against schemes and manipulations of governments of many countries, especially the US. Therefore, in spite of the controversy of Assange as a heroic figure, he is still a person that has had a considerable impact on the global community and public in many countries of the world.At the same time, Assange is similar in a way to Jobs since he also contributed to the wider involvement of the public into the communication process through sharing important information online. However, if Assange provided the information worth sharing with the public, than Jobs did his best to provide the public with means and media to receive and share this information fast, effectively and without boundaries.Thus, Steve Job s and Julian Assange are two different but apparently heroic figures of the 20th century. On the one hand, there is a successful leader, manager and innovator Jobs, who raised information technologies and communication systems available to the public to the unparalleled level. On the other hand, there is Julian Assange, a journalist and publisher, who has attempted to make information available to all, including the information which the authorities rank as secret or even top secret. In such a way, the former provided the universal means of communication, whereas the latter offered the world the free access to the information which many governments try to hide doing their best. However, what makes them both truly heroic is that they have changed the world, to a significant extent. Jobs revolutionized the IT and communication market with Apple’s iPhone, whereas Assange has questioned the power and authority of the state to hide certain information from people questioning wheth er the state can suppress the sovereignty of people through hiding and manipulating with information.

Energy Consumption & Modernization Essay Example | Topics and Well Written Essays - 2000 words

Energy Consumption & Modernization - Essay Example From this paper it is clear that  peak load is the highest amount of power or electric value recorded at a particular period. Peak load values will be obtained when there is more demand on the electricity due to use of appliances. In this case peak load values in the student halls will be recorded during the early morning when the students will be preparing to go to class or any other activities they are involved in. The use of the instant heating showers, blow dryers, iron box coupled with the demand to ensure that the room is warm enough due to the morning cold, the amount of electricity in use instantaneously shoots up. Peak load can also be noticed in the evenings just when the students are coming back from their classes and other activities they have been engaging in during the day.  This research declares that  base load is the lowest average in energy consumption at a particular period when the consumption is steady.  Base load values will be obtained when there is les s demand on the electricity. In the students halls Base load values will be recorded during the day while most of the students will be away, because this brings down the overall consumption of energy although the values during the day might not be very reliab lebecause of the students left in the halls since the will still be consuming the electricity this may take out the steady aspect in the calculation of base load values.

Trends in Adventure Lodging For Housekeeping Department in Chateau Research Paper

Trends in Adventure Lodging For Housekeeping Department in Chateau Hotel - Research Paper Example To begin with, it is essential to note that Chateau hotel occurs in an exquisite ecological territory. The New Orleans area receives the aesthetics and ecological benefits of the Mississippi river. In addition, the hotel can exploit the historical narrative of Louisiana and New Orleans to its advantage. To begin with, a major trend in adventure lodging concerns with music. New Orleans is credited with its birth of Jazz. Jazz is a soulful and sensuous music that still attracts individuals with keen sensibilities. In this sense, Jazz can be incorporated as part of the ambience of rooms. In addition, the hotel can organize certain concerts that visitors attend in the evening. In this sense, the hotel enhances the appeal of raw occupation of rooms. Adventure lodging also entails adventurous wall decoration and interior design. Visitors are continually looking for exotic settings that are detached from the ordinary fast-paced life. In this sense, they crave to be virtually transported to earlier peaceful eras while still retaining the conveniences of modern age (Timothy & Teye, 2009). For instance, the use of antique-looking phones will add onto the old age appeal of the hotel. Louisiana’s history entails notable events such as its purchase, French colonization, and the growth of Jazz. It is, therefore, essential to decorate walls of rooms with artefacts that reflect key events and choreograph key people who contributed towards the history. In addition, the idea of unconventional room design may entail concepts such as exquisitely wooden beds and large windows. In addition, indoor costal adventure is huge attraction to visitors. This means that investment in pools should surpass the traditional convenience of swimming. Indoor pools should resemble real beaches such that customers attain the natural experience as much as possible. For instance, the hotel should incorporate trees and exceptionally