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discussion post 1
Dehumanization of self and patient care is one of the entities that Watson speaks to in her theory of human caring (Watson, 1997). I can relate to the meaning of dehumanization when it comes to patient and self care. I recall being at the hospital with my mother and watching a nurse care for the patient that was in the bed across the room. I was unaware of nurse burnout and was very unfamiliar with the way of nursing when my mother was ill. I had just started my prerequisites for the nursing program. I recall feeling so many emotions from all aspects that were in the room; my mother, the patient, the nurse and my mother’s nurse. The patient was sick, scared, and alone. She desperately sought the attention of the nurse and I could tell that the nurse was irritated. Her attitude towards that patient was terrible. I felt sad for the patient as she only wanted someone to talk to. I felt exhausted for the nurse that answered her call light time and time again. I felt unrested for my mother who was unable to rest due to the constant in and out of the room. I felt overwhelmed for my mother’s nurse who tried her best to deflect what was happening while trying to assist her co-worker. I remember my mother leaning over and telling me to do whatever I needed to prevent myself from becoming that nurse. If only we understood what was actually happening at that time.
It wasn’t until I started nursing school, I realized that burnout and compassion fatigue are a real thing that affects so many nurses. I watched preceptors just give up and be so mean towards the patients. I made it my mission to uphold my mother’s request. I started researching self-care with nurses and vowed to do my best to keep from losing my compassion. I can be honest and say that it has been some of the toughest times in my nursing career. Watson discusses how nursing is more than a job (Smith, 2020). I absolutely believe that nursing is caring beyond tasks that require the use of theory in clinical settings and to keep the spirit alive within you. We must allow for the ongoing development to increase our compassion and caring abilities.
Smith, M. C. (2020) Nursing theories & nursing practice (5th ed.). Philadelphia, PA: F.A. Davis
Education is the key when it comes to any type of change within the healthcare setting. When initiating a change it is vital to incorporate a theory or model. This ensures proper fundamentals and best possible outcomes are delivered properly. For example, the theory of nursing as caring assists with development of the curriculum when it comes to the enhancement of caring by growth and nurturing (Smith, 2020). We have learned that in order to make a change effective we must believe in the change ourselves (Nilsen et al., 2020). If I had to implement the adoption of a theory I would do as much research about that theory, how it applies to the project and have others involved that have more experience and education than I do. I would try to get to know the audience and do my best to accommodate their learning needs. I would create a tool of some sort to assist with the delivery of the education. The explanation will need to be reinforced multiple times with different strategies to ensure the support of the change is for the audience and facility. Before presenting to the group, I would get upper management involved to ensure that I did not miss anything and that it meets the objectives of the project. Approval from management reinforces support and also shows guidance from a facility.
Difficulties that could be encountered would most likely be from change itself. It is difficult to have the support and initiative of change with fellow staff members. People do not like change. I would combat those hesitations with evidence based research, support and results as to how it would assist them.
Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC health services research, 20(1), 1-8.
discussion reply 3
This article examines the quality of mental health nursing interactions to patients’ recovery. The researchers developed a tool to measure therapeutic engagement. Quality nurse patient interaction has been believed to impact patient outcomes but historically there wasn’t a tool to measure this. A questionnaire tool was established to be used by both patients and nurses in one-on-one interactions and in the environment / atmosphere of an inpatient mental health unit (Chambers et al., 2019). The sampling evaluated a dynamic between two specific populations so was nonprobability purposeful (Polit & Tatano Beck, 2021).
Advantages of a nonprobability sample are they are practical and open an avenue to expand the study further (Polit & Tatano Beck, 2021). In this article the original sample size was small but was then applied in mental health units nationally, this increased sample size to greater than 500 for both nurses and patients. Cost and time effectiveness are other advantages of the questionnaire tool used in this study.
The disadvantages of nonprobability purposeful sample are that it can be prone to researcher bias. One variable that can lead to this perceived bias is unclear or too narrow inclusion or exclusion selection criteria (Polit & Tatano Beck, 2021). This article described minimal selection criteria for both the patient and nurse group. There was no discussion if participating in the study changed the nurse’s behavior. There was also no discussion about response rates (Chambers et al., 2019)
The representative sample is the means a researcher uses to obtain data with statistical validity to apply generalized results to a larger portion of the population. One variable that affects the diversity of the representative sample is inclusion/exclusion criteria. The researcher needs to ensure the criteria isn’t too narrow to be representative of a very diverse larger population (Polit & Tatano Beck, 2021).
The ethical concerns associated with research are confidentiality, informed consent, and consent of institutional review boards. The research in this article is associated with a vulnerable population so protection of human rights is important (Polit & Tatano Beck, 2021).
Chambers, M., McAndrew, S., Nolan, F., Thomas, B., Watts, P., Grant, R., & Kantaris, X. (2019). The therapeutic engagement questionnaire (teq): A service user-focused mental health nursing outcome metric. BMC Psychiatry, 19(1). Retrieved March 15, 2022, from https://doi.org/10.1186/s12888-019-2326-x
Polit, D. F., & Tatano Beck, C. (2021). Nursing research (11th ed.). Wolters Kluwer.
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