Professional Accountability
The term "nursing theories" refers to structured collections of knowledge that aid in describing what nurses do and why they do it. My nursing theory of choice for this article is Dorothy Orem's Self Care Deficit Nursing Theory. As a nurse, this idea has affected my personal beliefs and professional aspirations. The Self-Care Deficit Nursing Theory is based only on patient input. According to this notion, the patient should accomplish as much as possible on their own. Self-care and doing everyday tasks by a patient will aid in their rehabilitation if they are capable of doing so. The patients will shorten their recuperation period. They will have an easier time returning home when they are discharged from the hospital.
Application of the theory
My role as a nurse is to advocate on behalf of the patient. As a result, I’m the one in the spotlight pushing my patient to get up and move, wash, change clothing, and clean their teeth. You are also in charge of all patient education. Patients who have been educated must demonstrate how they will use these abilities on their own when they return home. My daily task is to motivate these patients to take care of themselves. After doing these things for my patient, I help them heal and recover faster, which means they'll be discharged sooner and have an easier time returning to their routine when they leave my care.
How the Theory Fits my Professional Practice
This idea aligns with my work as a nurse. One of my responsibilities is to ensure that the patients receive quality health care services and improve their health outcomes. This helps the patients stay healthier and avoid health problems that didn't exist before. We expect nurses to uphold the kind and non-maleficent principles of care. This idea directs my nursing procedure, which helps prevent medical errors by properly assessing, diagnosing, and evaluating. Mistakes in medicine have the potential to damage a patient and perhaps kill them.
Nursing figures
Dorothea Orem and Betty Neuman are two pioneering women from the nineteenth and twentieth centuries who made significant achievements. Betty Neuman's approach addresses the prevention or advancement of sickness in a person by addressing environmental stresses and caring for both physical and mental health. Her idea focuses on preserving maximum wellbeing and avoiding any damage to this system before they get unwell. While Dorothea Orem's idea examines patients after they have been unwell and what actions may be made to help them achieve their own objectives and return to or establish their new normal. Orem's idea focuses on healing the patient after they have been unwell.
Dorothea Orem's idea has an impact on my profession because whenever I care for someone, I establish objectives and strive with the patient to return them to their normal condition. Betty Neuman's theory impacts me because I try to make them as comfortable as possible while addressing psyco-social stresses that may cause more harm.
Roles of the organizations
The State Board of Nursing is responsible for issuing nursing licenses, renewing licenses, verifying licenses, taking remedial action against licenses, and determining the area of practice for nurses. The American Nurses Association is more of a collection of individuals tasked with lobbying on behalf of nurses. Nurses' concerns and recommendations are considered during meetings and conferences, and strategies are devised to combat the problems nurses face. The American Nurses Association is a trade association for all licensed practical and vocational nurses in the United States. The State Board of Nursing determines the area of practice for nurses in its jurisdiction and grants licenses to those who meet the requirements (Cherry & Jacob, 2016).
My nursing profession is affected by these two groups because I have to take the NCLEX after graduating from nursing school; the State Board of Nursing impacted my nursing profession. All of this had to be approved by the State Board of Nursing before I was granted my license. I also check my nursing license with the State Board of Nursing so that employers may verify it and see that there are no disciplinary measures taken against it. The American Nurses Association, often known as the ANA, impacts my nursing profession because it provides a platform for me to voice my opinions and convey my views about various issues.
It makes no difference if you have an RN license in a compact or non-compact state, and the license itself is the same in both cases. Whether a condition is compact or not, the criteria to get that license remain the same. You can use a compact state license in any other state a member of the NLC, but that's all (Nursing Licensure Compact). If you have a nursing license in a state that is not part of the compact, you'll need to get a nursing license in that state before you can work as a nurse there.
Food and Drug Administration
To preserve public health, human and veterinary medicines, pharmaceuticals, biological products, and medical equipment are all regulated by the Food and Drug Administration (FDA). It also protects the security of our country's food, cosmetics, and radiation-emitting items. (Welty et al., 2018). According to the Centers for Medicare and Medicaid Services, it gives people the ability to communicate with their physicians and make health care decisions that are right for them. Aside from that, they advocate for innovative techniques to enhance patient-centered care while also making it more accessible, affordable, and of high quality. These two regulatory organizations impact my nursing job since the FDA governs all of the medications I may provide to my patients to treat them. These people are also in charge of approving all of our medical supplies. The Centers for Medicare and Medicaid impact my job because they ensure that specific criteria are followed to ensure that my patients receive the safest care possible. To make sure my patients are ready for discharge when their attending physician discharges them, I must adhere to their rigorous standards.
Nurses are expected to be patient advocates at all times, which I do in my job description. When a patient asks to use an alternative therapy, I make sure their desire is heard, investigated, and handled. Depending on the treatment, I may also consult with a pharmacist to ensure it was safe before speaking to the doctor. After testing the other therapy, I would provide the doctor informed the patient that it was safe and gave orders to get the alternate treatment. As a nurse, the Nurse Practice Act significantly influences my profession since it serves as a guideline and a safeguard for me.
Purposes of the Nurse Practice Act
When it comes to registered nurses, Kentucky guidelines are meant to guide licensees who desire to engage in safe nursing practice and support safe, effective nursing care delivery to the public. The Kentucky Board of Nursing website offers you an outline to follow to establish if anything is within your scope of practice. According to Kentucky law, delegation is when a licensed nurse instructs a non-licensed healthcare worker they believe is capable of doing a nursing duty under the supervision of a licensed nurse. This still retains the Nurse as the person in charge of the patient's safety, assessment, planning, evaluation, and care.
During my whole shift as a nurse, I consider myself a scientist. I keep track of all of my patients' medical history on a database I maintain. Whether it's lab work, scans, biopsies, or ongoing evaluations, I gather all of this information on all of my clients. Using such information, I may build a hypothesis about my patient and the treatment they require. After that, I devise a strategy for correcting my hypothesis or implementing the action they require. After that, I provide the doctor with all of my findings, hypotheses, and methods for resolving them. While being a nurse, you would never consider yourself a detective, yet you find that you do become one from time to time. I've had to resort to detective work to get to the bottom of what's going on with my patients. Our patients require constant reassurance that is soothing, loving, and calming. As their nurses, we become more than just colleagues; we also become close friends of theirs. As a manager of the therapeutic environment, I may bring in our hospital dog to help with stress alleviation. I'm considering bringing in music therapy to assist the kids in relaxing or sleep better. I may invite the patient's art therapist to paint with them to have something to do while receiving chemotherapy infusions.
Provisions from the American Nurses Association (ANA)
The Nurse’s Primary Commitment Is to the Patient, Whether an Individual, Family, Group, Community, or Population (Provision 2). The Nurse Promotes, Advocates for, and Protects the Patient's Rights, Health, and Safety (Provision 3). Both of the provisions mentioned above affect the way I practice nursing daily. I firmly think that my patients should be able to make decisions about their health care, and I support them in doing so. My duty is to take care of my patients, and I will stop at nothing to make sure they are protected and that their medical information is kept private.
Also Read: Nursing Care Plan Writing Service
An example of a clinical practice nursing blunder is giving the wrong unit of blood to a patient. Every time you give patients blood, you must be absolutely certain that they are receiving the proper type of blood. You'll need a second nurse with you to double-check all patient identifiers aloud, fill out a blood form, and document everything on the computer. Provision 3 is being applied to this possible mistake, as evidenced by the additional procedures. All of these extra precautions were taken to ensure the safety of our patients. We are defending the right of our patients to high-quality medical care. By ensuring patients receive the correct type of blood, we are protecting their health and well-being. Provision 2 also applies in this case. My first duty as a nurse is to my patients. As a result, my primary responsibility in this scenario is to do everything I can to assist my patient get better rather than to bring further discomfort or problems. If my patient received the wrong blood, I'd stick up for them even if it meant pointing out to my coworkers that they were wrong.
Leadership Qualities
Critical thinking, up-to-date clinical skills, emotional intelligence, and communication skills are the four pillars of nursing leadership. Leaders in healthcare need to be able to utilize critical thinking to make rapid judgments or suggestions depending on how their patients are presenting and the scenario they find themselves in. Communication skills are critical because you must clearly communicate what needs to be done, how it should be done, and when it should be done so that there is no misunderstanding. Emotional intelligence is crucial because you need to know how to recognize the patient's emotional response to what is happening so that you can decide on the best solution to the problem. Emotional intelligence is also important at the bedside since, as a nurse, you cannot exhibit your own emotions to your patient or to others, regardless of how you feel about the scenario you are dealing with.
According to Hall, H. R. (2020), for a group to bring all of their critical thinking ideas to the table so they can utilize them to make better decisions for the patient. It's always preferable to have several thoughts than just one. As a team, having up-to-date clinical skills is critical because when you perform an intervention, you expect that everyone on your team has the same current information and training on that intervention, so they can assist you in performing that intervention without having to be trained. A person's ability to manage their emotions when others aren't performing correctly or putting in as much effort as they should is critical while functioning as a team. It also helps you to recognize the emotions of others in your team. If they're struggling, it makes it easier for you to empathize with them and do what you can to alleviate their suffering. When working in a group, everyone in the team must be committed to the project. Finally, when working in a group, effective communication skills are critical. A team's ability to communicate effectively may make or destroy the group. The way you talk, the tone you choose, and your body language all affect your ability to communicate.
Leadership, decision-making, and professional growth are all impacted by the setting I work in. I work in oncology, and I believe that having a career in this field has a significant influence on several aspects of life. This has an effect on management since it makes it more difficult for them to hire people who are qualified to work in this sector. In order to be successful in this line of work, one must be passionate about it while still being able to cope professionally with the pain. My work environment has a significant influence on my ability to make rapid judgments, and gaining permission for such decisions can take a long time. We make significant decisions to help our oncology patients, such as getting restaurants to come to their hospital rooms to serve anniversary dinners or last meals. Oncology's professional growth is hampered by the fact that it goes mostly ignored or recognized.
References
Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, & management. Elsevier Health Sciences.
Dorothea Orem – Nursing Theorist. (n.d.). Retrieved from
Hall, H. R. (2020). The Impact of Leadership Styles on Nursing Staff Performance and Retention in a Nursing Home (Doctoral dissertation, University of Charleston-Beckley).
https://www.nursingtheory.org/nursing-theorists/Dorothea-E-Orem.php
Neuman, B., & Fawcett, J. (2012). Thoughts about the Neuman systems model: A dialogue. Nursing science quarterly, 25(4), 374-376.
Welty, T. E., Chapman, K. E., Faught Jr, R. E., & Kotloski, R. J. (2019). American Epilepsy Society (AES): Written Comments to Norman E.“Ned” Sharpless, MD, Acting Commissioner of Food and Drugs, US Food and Drug Administration (FDA), Department of Health and Human Services (HHS) on Docket ID# FDA-2019-N-1482, Scientific Data and Information about Products Containing Cannabis or Cannabis-Derived Compounds; Public Hearing; Request for Comments: Submitted on: July 16, 2019. Epilepsy currents, 19(6), 361-368.
